Bleeding after intramuscular injection -

 
Subcutaneous. Intraosseous. Intradermal. Side effects. Summary. Injections deliver liquid medications, fluids, or nutrients directly into a person’s body. Different types of injections include .... Mayberry farms memphis missouri

If there has been sufficient ovarian activity to produce a proliferative endometrium, one can expect withdrawal bleeding forty-eight to seventy-two hours after the last injection. This may be followed by spontaneous normal cycles. Functional Uterine Bleeding: Five to 10 mg are given daily for six doses. Bleeding may be expected to … Risks associated with intramuscular injection in people with bleeding disorders The main concern for patients with bleeding disorders receiving injections into their muscles is the formation of an intramuscular haematoma. This is when you bleed into your muscle, and it can be painful and difficult to manage once it occurs. IM injections in the deltoid muscle are not recommended for children 12 months of age and younger.1. Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Table 2: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22 ... Local bleeding. Flushing of the skin. Rupture of a tendon (if the injection is given directly into the tendon). Excessively frequent, repeated injections into the same area can cause the bone, ligaments and tendons to weaken. A rise in blood sugar levels for a few days after the injection may occur if you have diabetes.This chapter assimilates the best practices for delivering injections in health-care and related facilities. It is based on a range of evidence and expands the scope of the WHO publication Best infection control practices for intradermal, subcutaneous, and intramuscular needle injection (7). The chapter outlines recommended practices, skin …5. After injecting the medication, pull the syringe at the same angle it went in to remove the needle from your skin. 6. Put the used needle and syringe into the sharps container to dispose of it (see Figure 7 & Figure 8). 7. Gently press a cotton ball or gauze on the injection site. a. Hold pressure on the site until the bleeding is done. b.In PWID, pseudoaneurysms are frequently associated with surrounding soft tissue infection due to repeated non-sterile injection. This further increases the risk of rupture and bleeding which can be limb- or life-threatening [26, 27]. The femoral artery in the groin is the most commonly affected vessel in PWID . The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the ... A: While a blood spurt after an intramuscular injection can be alarming, it is usually not dangerous. However, if the bleeding does not stop or if you experience excessive blood loss, seek medical assistance.The contraceptive injection (Depo-Provera, Sayana Press or Noristerat) is used to prevent pregnancy. If used correctly, the contraceptive injection is 99% effective. This means that 1 in 100 people who use the injection will become pregnant in a year. In real world use about 6 in 100 people become pregnant in a year because people forget to get ...Intramuscular injection (IM) is not currently FDA approved for any indication, nor is it recommended by the Committee on TCCC (CoTCCC) or the Joint Trauma Service (JTS). The current JTS Clinical Practice Guidelines (CPGs) recommend a minimum of 1-gram TXA IV, to be administered as soon as possible after the injury (with a limit of 3 hours post ...Can I use injections if I take a blood-thinning medication, such as aspirin, clopidogrel (Plavix) or warfarin? Yes. While blood thinners increase the risk of bleeding and bruising, the needles used for penile injections are small. The risk is minimal so long as you apply pressure on the site immediately after giving yourself an injection.Avonex Prefilled Syringe (Intramuscular) received an overall rating of 7 out of 10 stars from 3 reviews. See what others have said about Avonex Prefilled Syringe (Intramuscular), i...The injection site is in the middle of the deltoid muscle, about 2.5 to 5 cm (1 to 2 inches) below the acromion process. To locate this area, lay three fingers across the deltoid muscle and below the acromion process. The injection site is generally three finger widths below, in the middle of the muscle.After four rounds, a final list of statements was compiled. Recommendations: Consensus was achieved that COVID-19 vaccines licensed only for intramuscular injection should be administered intramuscularly in hemophilia patients. Prophylactic factor replacement, given on the day of vaccination with a maximum interval between prophylaxis and ...Feb 4, 2013 · Two other patients in the perimenopausal age group had similar episodes of vaginal bleeding after epidural steroid injection, as reported by Cok et al. 5 This case report illustrates the rare side effect of this steroid medication, triamcinolone acetonide, in a postmenopausal woman, though such a history should not make the gynaecologist defer ... When somebody gets a traumatic injury like a gunshot, it’s often not the trauma itself that kills them, but blood loss. In honor of Stop the Bleed Day (March 31), hospitals and sch...Caused by injection of oil or emulsion drugs into the blood vessels. Prevention: after inserting the needle, before injecting the drug, must test the syringe to ...Inject the vaccine into the middle and thickest part of the muscle. Insert the needle at . a 90-degree angle and inject all the vaccine in the muscle tissue. Aspiration (i.e., pulling back on the plunger) is not necessary before injecting the . vaccine. No large blood vessels are present at the recommended injection site, and aOf the 100 patients whose charts were reviewed, 67 bled (group A) before progesterone treatment was discontinued (17 days after oocyte retrieval) and 33 (group B) bled after progesterone treatment was discontinued (> 17 days). Mean onset of bleeding was 16.2+/-2.6 days after oocyte retrieval.Romiplostim Injection: learn about side effects, dosage, special precautions, and more on MedlinePlus Romiplostim injection is used to increase the number of platelets (cells that ...Step 5. After the injection · Press a gauze pad onto the site. · Hold the pad tightly for a minute. · Check the area for redness, bleeding, or bruising. &middo...damage. It makes it the safest place to get an injection in your glute area. You may feel some pain or tenderness after the injection. This is normal and expected. Figure 4. Your injection site Before you give the injection, wipe the injection site with the alcohol pad for 15 seconds, then let it dry for 15 seconds.20/08/2010 at 9:29 am. Hi, I tried the injection at 18, having tried several types of pill, all in an effort to regulate my periods. As none worked (break through bleeding everytime) deicded to try stopping them altogether for a while with the injection. Like you, about two weeks after, i began bleeding, and continued to do so for around 10 weeks.Three days after receiving the therapeutic enoxaparin injection, she was admitted to hospital following a collapse and complained of severe abdominal pain radiating to the back for one day. The pain was throughout the abdomen and worse on the lower abdomen and both groins. She felt cold, drowsy, and tired. She denied nausea, …Three days after receiving the therapeutic enoxaparin injection, she was admitted to hospital following a collapse and complained of severe abdominal pain radiating to the back for one day. The pain was throughout the abdomen and worse on the lower abdomen and both groins. She felt cold, drowsy, and tired. She denied nausea, …Several other patients told the ABC they experienced rashes, bruising and swelling at the injection site, severe nausea and vomiting and bleeding gums after …IM = intramuscular injections. ... Research has noted that aspiration of blood during IM injection does occur. ... Gangrene after penicillin injection: A case.Insert the needle smoothly and swiftly. Inject at a 90-degree angle, to ensure the medication reaches the muscle. Inject medication over 1-2 seconds. After removing the needle, use gentle pressure with a cotton ball or gauze. Do not massage the injection site. If there is a leakage at the injection site after withdrawal of needle: apply light ...Invega Sustenna (Intramuscular) received an overall rating of 3 out of 10 stars from 5 reviews. See what others have said about Invega Sustenna (Intramuscular), including the effec...stopping of heart. sweating. swollen, painful, or tender lymph glands in the neck, armpit, or groin. tightness in the chest. unconsciousness. unusual tiredness or weakness. vomiting. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine.IM injections in the deltoid muscle are not recommended for children 12 months of age and younger.1. Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Table 2: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22 ...IM injections in the deltoid muscle are not recommended for children 12 months of age and younger.1. Table 1: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22-25 for children >12 months to 12 years of age. Table 2: Needle selection guidelines for IM injections in the deltoid muscle using needle gauge 22 ... pounding in the ears. prolonged bleeding from cuts. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. red or dark brown urine. severe or continuing stomach pain. sharp back pain just below the ribs. sneezing. sore throat. swelling of the face, fingers, feet, or lower legs. 11 DESCRIPTION. FASLODEX® (fulvestrant) injection for intramuscular administration is an estrogen receptor antagonist. The chemical name is 7-alpha-[9-(4,4,5,5,5-penta fluoropentylsulphinyl) nonyl]estra-1,3,5-(10)- triene 3,17-beta-diol. The molecular formula is C32H47F5O3S and its structural formula is:In other conditions requiring intramuscular injections, such as the administration of penicillin in patients treated with oral anticoagulants, data has shown to be safe with a low incidence of haematomas.. The subcutaneous route has been considered as a possible strategy to avoid bleeding complications of vaccination in anticoagulated patients.Depo-Provera (contraceptive injection): Depo-Provera is a well-known brand name for medroxyprogesterone, a contraceptive injection for women that contains the hormone progestin. Depo-Provera is given as an injection once every three months. Depo-Provera typically suppresses ovulation, keeping your ovaries from releasing an … The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the ... 5. After injecting the medication, pull the syringe at the same angle it went in to remove the needle from your skin. 6. Put the used needle and syringe into the sharps container to dispose of it (see Figure 7 & Figure 8). 7. Gently press a cotton ball or gauze on the injection site. a. Hold pressure on the site until the bleeding is done. b.Side effects of a cortisone injection include weakened or ruptured tendons, local bleeding from broken blood vessels, and soreness, atrophy or depigmentation of the skin at the inj...What is SIRVA? Shoulder injury related to vaccine administration is an under-reported, preventable series of events caused by incorrect technique or landmarking for intramuscular deltoid injections. 1, 2 Specifically, SIRVA occurs when an intramuscular deltoid injection is administered into the shoulder joint. 1, 2 This results in an inflammatory process that causes damage to the ...Open the alcohol wipe: Wipe the area where you plan to give the injection. Let the area dry. Do not touch this area until you give the injection. Prepare the needle: Hold the syringe with your writing hand and pull the cover off with your other hand. Place the syringe between your thumb and first finger.A cotton ball. Where to Give the Injection. Where you give the injection is very important. The medicine needs to go into muscle. You do not want to hit a nerve or a blood vessel. …In low-income countries, drugs to prevent or treat postpartum haemorrhage (uterotonics) are not always available. Oxytocin is one such drug. Oxytocin prevents excessive postpartum bleeding by helping the uterus to contract. It is given to the mother by injection into a vein or into muscle during or immediately after the birth of her baby.Several other patients told the ABC they experienced rashes, bruising and swelling at the injection site, severe nausea and vomiting and bleeding gums after …Intramuscular Administration ... After injecting, press the area lightly but do not rub. ... Irregular bleeding decreases to 30% after 24 months and 10% thereafter. Fifty-five percent of women report amenorrhea after 12 months of therapy, and that number goes up to 68% after two years. The following adverse effects of medroxyprogesterone ...There was an assessment of intramuscular (IM) injection, but researchers observed an increased level of pain, irritation, and hematoma formation with IM injections of heparin. Adverse Effects. Heparin use's typical adverse effects include bleeding, thrombocytopenia, injection site reactions, and other adverse effects only seen with …Using gauze, apply light pressure to the injection site. Light bleeding at the injection site is normal, but a person can use a bandage if necessary. ... Minor discomfort after an intramuscular ...site of the intramuscular injection. • In adults, triptorelin may cause thinning of the bones (osteoporosis) with an increased risk of bone ... • Tell your doctor if you have bleeding after the first month of treatment. • Your periods should start …Risks and Contraindications. Before the Injection. How To Give a Z-Track Injection. After the Injection. The Z-track method is an intramuscular injection (IM) …Cyanocobalamin injection is used to treat or prevent vitamin B12 deficiency caused by the following conditions: Addisonian (pernicious) anemia. Stomach or bowel problems. Worm infestation. Pancreas or bowel cancer. Folic acid deficiency. Cyanocobalamin injection is used to treat or prevent vitamin B12 deficiency caused by the following conditions: Addisonian (pernicious) anemia. Stomach or bowel problems. Worm infestation. Pancreas or bowel cancer. Folic acid deficiency. Background: The efficacy of contraceptives is affected by its route and ease of administration. Herein, both pharmacokinetics and pharmacodynamics of the once-a-month combined injectable contraceptive medroxyprogesterone acetate (MPA) plus estradiol cypionate (E(2)-Cyp) were compared after intramuscular (IM) or subcutaneous (SC) …Medroxyprogesterone intramuscular injection comes as a suspension (liquid) to be injected into the buttocks or upper arm. It is usually given once every 3 months (13 weeks) by a healthcare provider in an office or clinic. ... bleeding from your nipples, an abnormal mammogram (breast x-ray), or fibrocystic breast disease (swollen, tender breasts ...An injection site reaction is your body's response to an immunization or other injection at the site where it was administered. It typically manifests as swelling, pain, rash, redness, or bleeding. Injection site reactions are usually caused by an immune response to the needle, vaccine, or other medicine. These types of reactions are typically ...Side Effects. Drowsiness, dizziness, lightheadedness, weight gain, or pain/redness/swelling at the injection site may occur. If any of these effects last or get worse, tell your doctor promptly ...Hydrocortisone is used to treat certain medical conditions, such as inflammation (swelling), severe allergic reactions, kidney diseases, adrenal problems, arthritis, blood or bone marrow problems, eye or vision problems, lung or breathing problems (eg, asthma), lupus, skin conditions, and ulcerative colitis. Hydrocortisone is a corticosteroid ...Intramuscular injection technique 33,34. For intramuscular injection, use a 25 mm needle in most cases (see Table. Recommended needle size, length and angle for administering vaccines). Depending on the injection site, position the limb to relax the muscle that the vaccine is being injected into.Apr 9, 2022 · Ketorolac is an FDA-approved medication used in the treatment of moderate to severe acute onset pain. [1] It is in the nonsteroidal anti-inflammatory drug (NSAID) drug class. Ketorolac is versatile, as it is available in multiple-dose forms: oral, nasal spray, IV, or IM. It is commonly used postoperatively for pain management. If worn, perform hand hygiene and change gloves between patients. 1. Use the correct syringe and needle. Administer vaccine using either a 1-mL or 3-mL syringe. Use a 22- to 25-gauge needle. Use the correct needle length based on the patient’s gender and weight. For adults, use a 1- to 1.5-inch needle. 1.5 in (38 mm) OR.pale skin. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. ringing in the ears. swelling of the face, fingers, feet, or lower legs. tightness in the chest. unusual tiredness or weakness. weight gain. Some side effects may occur that usually do not need medical attention.In low-income countries, drugs to prevent or treat postpartum haemorrhage (uterotonics) are not always available. Oxytocin is one such drug. Oxytocin prevents excessive postpartum bleeding by helping the uterus to contract. It is given to the mother by injection into a vein or into muscle during or immediately after the birth of her baby.Olanzapine (Injection)(Intramuscular) received an overall rating of 5 out of 10 stars from 3 reviews. See what others have said about Olanzapine (Injection)(Intramuscular), includi...Contraceptive injection Find out about the contraceptive injection, including who can use it, how well it works and possible side effects. What is the contraceptive injection? Where to get it Who can get it Getting the injection Side effects and risks ...Hold the syringe the way you would a pencil or dart. Insert the needle at a 45 to 90 degree angle to the pinched-up skin. The needle should be completely covered by skin. If you do this quickly, you will feel very little discomfort. Slowly push the plunger to inject the medication. Press the plunger all the way down.The injection site will not stop bleeding. You have very bad pain at the injection site. You have a fever of 100.4° F (38° C) or higher. You have signs of an allergic reaction at the injection site or anywhere on your body. Signs of an allergic reaction include: About Your Intragluteal Injection 2/3Three days after receiving the therapeutic enoxaparin injection, she was admitted to hospital following a collapse and complained of severe abdominal pain radiating to the back for one day. The pain was throughout the abdomen and worse on the lower abdomen and both groins. She felt cold, drowsy, and tired. She denied nausea, vomiting, bowel ... After getting the injection the person: Gets a rash. Feels very itchy. Has trouble breathing (shortness of breath). Has swelling of the mouth, lips, or face. Call the provider if: You have questions about how to give the injection. After getting the injection, the person gets a fever or gets sick. Open the alcohol wipe: Wipe the area where you plan to give the injection. Let the area dry. Do not touch this area until you give the injection. Prepare the needle: Hold the syringe with your writing hand and pull the cover off with your other hand. Place the syringe between your thumb and first finger.During every other season, your hands are fine, but as soon as winter comes, those knuckles just dry up and break open. Why is that? Advertisement Along with snow and cold, winter ...Im not brave enough to inject myself sandra_23441 elaine30973. Posted 6 years ago. NO thanks I’ll just us talk get a lecture, maybe if they weren’t so mean with our b12 I wouldn’t have to top up, can’t work with the headaches and exhaustion, it’ll be fine. ... tables don’t help it has to be injections I do have one at docs every 12 ...IM injections are usually given in the buttocks, thigh, hip, or upper arm. If you need to give yourself injections often, you need to inject a different site on your body each time. This helps prevent scars and skin problems. The injection sites should be at least 1 …injections should be given in the neck area and no injections should be given in the hind quarters or along the loin muscle. 7. Common injection methods The three most common injection methods are subcutaneous (SC, under the skin), intramuscular (IM, in the muscle), and intravenous (IV, into a blood vessel, usually the jugular vein).For a syringe, vertically insert the full length of the needle at a 90-degree angle into the skin fold. Slowly press down on the plunger (or button, if using an auto-injector pen) with your finger ...Risks associated with intramuscular injection in people with bleeding disorders The main concern for patients with bleeding disorders receiving injections into their muscles is the formation of an intramuscular haematoma. This is when you bleed into your muscle, and it can be painful and difficult to manage once it occurs.Summary. To reduce the pain and fear associated with regular injections, try numbing the injection site with ice and/or a numbing cream. Talk with your healthcare provider about the best sites for intramuscular or subcutaneous injections, and rotate the injection site if there is any pain or bruising. If you have problems injecting yourself ...Last updated on Nov 20, 2023. A deltoid IM injection is given into a specific area of the deltoid muscle located in your upper arm. Many vaccinations are given by this route. There are several different ways to find the deltoid muscle injection site, which is the central and thickest portion of the deltoid muscle, for example: Find the acromion ...The comparison of pain intensity and rate of bleeding in intramuscular injection in dorsogluteal and ventrogluteal area. Journal of Gorgan University of Medical Sciences, 9 (3), 37–41. [Google Scholar] Moskalewicz, A. , & Oremus, M. (2020).pain at place of injection sore throat and fever unusual bleeding or bruising yellow eyes or skin Rare. Agitation or combativeness anxiety confusion fear of impending death feeling, hearing, or seeing things that are not real Some side effects may occur that usually do not need medical attention.For additional ideas and support in learning about intramuscular injections, call your team nurse. If you would like a nurse to mark injection sites, appointments are available between 9:00AM and 4:00PM M-F. Call your nurslng dlaegaa Voicemail times for your Team Nurse: 9:00AM-4:OOPM Weekdays, 9:00AM-2:00PM Weekends/Holidays. All calls madeIn other conditions requiring intramuscular injections, such as the administration of penicillin in patients treated with oral anticoagulants, data has shown to be safe with a low incidence of haematomas.. The subcutaneous route has been considered as a possible strategy to avoid bleeding complications of vaccination in anticoagulated …Amenorrhoea: if, when the second injection is due, bleeding has not occurred in the preceding eight weeks the second injection should not be given until pregnancy has been ruled out. Partial metabolization of norethisterone to ethinylestradiol . Norethisterone is partly metabolised to ethinylestradiol (EE) after intramuscular administration in ...

injections should be given in the neck area and no injections should be given in the hind quarters or along the loin muscle. 7. Common injection methods The three most common injection methods are subcutaneous (SC, under the skin), intramuscular (IM, in the muscle), and intravenous (IV, into a blood vessel, usually the jugular vein).. Post malone tickets west palm beach

bleeding after intramuscular injection

Naltrexone injection also blocks the useful effects of narcotics. Always use a non-narcotic medicine to treat pain, diarrhea, or a cough. If you have any questions about the proper medicine to use, check with your doctor. Naltrexone injection will not prevent you from becoming impaired when you drink alcohol.It's common to get irregular bleeding. That can be a mixture of bleeding, spotting (pink/brown/red), or no bleeding at all, until you've had 2 or 3 shots, & then you typically find that your periods stop, altogether, until you come off Depo Provera. Sometimes you can get a little irregular bleeding/brown discharge in between shots, especially ...Hold the syringe like a dart close to the site. Keep your fingers off the plunger. Stretch the skin flat using your fingers and thumb of one hand. Place the syringe at a 90-degree angle to the shot site. The needle should stand straight up from the skin. Quickly jab the needle all the way into the skin.So, for intramuscular injections, you have some blood vessels that are in your muscles. Used to be, you put the needle in and then you’d have to pull back on the plunger to see if you got any ...May 20, 2022 ... If the tissue is inflamed then there can be a delayed reaction on the injection site happening hours, or days, after the injection – soreness, ...You may experience bleeding problems for 6 to 12 months after you first begin using the shot. The most common bleeding problems include: ... With each injection, the body needs time to grow ...Defer intramuscular injections if the INR is >3.0 (warfarin) or the anti-Xa (LMWH) level 4 hours post-dose is >0.5 units/mL. The National Hemophilia Foundation's Medical and Scientific Advisory Council (MASAC) recommends the following procedures when administering vaccines in individuals with bleeding disorders: Use a fine guage needle (23 ...Feb 18, 2016 · You may experience bleeding problems for 6 to 12 months after you first begin using the shot. The most common bleeding problems include: ... With each injection, the body needs time to grow ... Vitamin B12 (cobalamin) is an essential vitamin and medication used to manage and treat pernicious anemia, ileal resection, treatment of spinal cord myelopathy, and other conditions. This activity reviews the indications, action, and possible contraindications for cobalamin as a valuable agent. This activity will highlight the …Ventrogluteal injections are considered one of the safest types of IM injection. The tissue around your ventrogluteal site is very thick and far removed from any major blood vessels or nerves ...damage. It makes it the safest place to get an injection in your glute area. You may feel some pain or tenderness after the injection. This is normal and expected. Figure 4. Your injection site Before you give the injection, wipe the injection site with the alcohol pad for 15 seconds, then let it dry for 15 seconds.The time to reach therapeutic concentrations (5 or 10 mg L-1) after a single intramuscular TXA 1 g injection are 4 or 11 min, with the time above these concentrations being 10 or 5.6 h, respectively. Conclusions: In bleeding trauma patients, intramuscular TXA is well tolerated and rapidly absorbed.Risks and Contraindications. Before the Injection. How To Give a Z-Track Injection. After the Injection. The Z-track method is an intramuscular injection (IM) …into a joint (an intra-articular injection) into a muscle (an intramuscular injection) into the spine (an epidural injection) into the blood (an intravenous injection) The injections normally take a few days to start working, although some work in a few hours. The effect usually wears off after a few weeks or months.Feb 4, 2013 · Two other patients in the perimenopausal age group had similar episodes of vaginal bleeding after epidural steroid injection, as reported by Cok et al. 5 This case report illustrates the rare side effect of this steroid medication, triamcinolone acetonide, in a postmenopausal woman, though such a history should not make the gynaecologist defer ... Extended-release injectable naltrexone is a microsphere formulation of the opioid antagonist (blocker) medication naltrexone. It is administered by intramuscular (IM) gluteal injection once a month. The extended-release injectable form helps address patient noncompliance, which can limit the effectiveness of oral naltrexone (Volpicelli et al., 1997).The level of pregnancy hormone in your blood should go down over 2 to 4 days. Based on your blood test results, your doctor will tell you if you need another injection of methotrexate. After getting methotrexate. After you get methotrexate, you may have: mild to moderate cramps or pain in the abdomen (belly) vaginal bleeding (like a period)The recommended site of IM injection is the deltoid muscle. 2. The application of a local firm pressure, without rubbing, is recommended during 2 to 5 minutes after injection, for both IM and SC routes 3 11 during vaccination procedure in patients with bleeding disorder or under anticoagulant. The use of a fine needle (23-gauge or smaller ....

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