Self Inflicted Venipunctures
Single or multiple self-inflicted venipunctures are encountered in intravenous drug users. Venipunctures are seen in common sites (e.g., antecubital fossa) or are observed
- Fig. 41. Recent venipunctures in drug abusers. (A) Antecubital fossa. (B) Dorsum of foot. (C) Neck. (Courtesy of Dr. E. Tweedie, London Health Sciences Centre, London, Ontario, Canada.)
- Fig. 42. Venipunctures in a drug user can be caused by resuscitation. Intravenous line inserted. A witness indicated where the deceased had injected cocaine (arrow).
in less apparent locations (Fig. 41). Venipunctures owing to resuscitation need to excluded, a determination made more difficult if intravenous lines have been removed (Fig. 42). "Track marks" indicative of scarring from previous injections may be seen (Fig. 43).
- Fig. 43. "Track marks" (cutaneous scars on forearm) indicative of past intravenous drug abuse. Recent venipunctures (arrow).
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