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Videos in Clinical Medicine
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Volume 361:e28 October 8, 2009 Number 15
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Bone Marrow Aspiration and Biopsy
Suman Malempati, M.D., Sarita Joshi, M.D., Susanna Lai, M.P.H., Dana A.V. Braner, M.D., and Ken Tegtmeyer, M.D.

Since this article has no abstract, below are the first 100 words from the narration of this Video in Clinical Medicine and its chapter headings.

 
 

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Figure 1
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This video will demonstrate the procedure for bone marrow aspiration and bone marrow biopsy from the posterior iliac crest. Obtaining a bone marrow aspirate and core biopsy is often necessary when evaluating a patient who has a hematologic abnormality. Examining bone marrow is also useful in the diagnosis of metastatic spread of nonhematologic malignancies and to diagnose metabolic disorders. Gather the necessary equipment prior to performing the procedure. You will require equipment for sterile skin preparation and a sterile field, 1 percent lidocaine buffered with sterile sodium bicarbonate, a 25-gauge needle and 5-ml syringe, a bone marrow aspiration needle, . . .

  • Indications
  • Equipment
  • Preparation
  • Positioning
  • Bone Marrow Aspiration
  • Bone Marrow Biopsy
  • Troubleshooting
  • Specimen Preparation

 
References

  1. Bain BJ. Bone marrow trephine biopsy. J Clin Pathol 2001;54:737-742. [Free Full Text]
  2. Bain BJ. Bone marrow biopsy morbidity and mortality. Br J Haematol 2003;121:949-951. [CrossRef][Web of Science][Medline]
  3. Bain BJ. Morbidity associated with bone marrow aspiration and trephine biopsy -- a review of UK data for 2004. Haematologica 2006;91:1293-1294. [Free Full Text]
  4. Arellano-Rodrigo E, Real MI, Muntañola A, et al. Successful treatment by selective arterial embolization of severe retroperitoneal hemorrhage secondary to bone marrow biopsy in post-polycythemic myelofibrosis. Ann Hematol 2004;83:67-70. [CrossRef][Web of Science][Medline]
  5. Wahid SF, Md-Anshar F, Mukari SA, Rahmat R. Massive retroperitoneal hematoma with secondary hemothorax complicating bone marrow trephine biopsy in polycythemia vera. Am J Hematol 2007;82:943-944. [CrossRef][Web of Science][Medline]



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