 Proceed with diagnostic bone marrow aspirate/biopsy and lumbar puncture (using a #27-gauge pencil-tip needle for minimal trauma) as soon as these procedures can be safely done with regard to the anticoagulation status.
Proceed with diagnostic bone marrow aspirate / biopsy and lumbar puncture ( using a # 27 - gauge pencil - tip needle for minimal trauma ) as soon as these procedures can be safely done with regard to the anticoagulation status .