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( a , b) Axial and oblique coronal contrast-enhanced CTimages demonstrate a cystic lesion ( arrow) in the right anterior aspect ofthe urinary bladder ( UB). Presentations are same as in low output cardiac failure excepttachycardia, gallop rhythm, warm extremities with distended superficial veins. One of the most important limitations of EMGguidance is that it may be difficult or impossible to determine whether the needle is in thetarget muscle in patients with synergy patterns and co-contraction. The blade should not be allowed to incise the tissue in the body of thepapilla, and care should be taken to not cross the body of the papilla with theseincisions The blade should not be allowed to incise the tissue in the body of thepapilla, and care should be taken to not cross the body of the papilla with theseincisions.
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