TY - CHAP M1 - Book, Section TI - Injection-Drug Use A1 - Usatine, Richard P. A1 - Chumley, Heidi S. A1 - Speedlin, Stacy L. A1 - Roeth, Charles L. A1 - Blair, J. Michael A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 23-year-old woman is seen for her intake physical in a residential treatment program for women recovering from substance abuse. She has not injected heroin for 2 days now, but her tracks are still visible (Figure 252-1). Her parents were both addicted to heroin, and she admits to having been born addicted to heroin herself. She began using heroin on her own in her early teens and has been on and off heroin since that time. She acknowledges a history of physical and sexual abuse as a child. She has had many suicide attempts and has cut herself with a knife across her arm many times. She has traded sex for money to buy heroin. Her 2 children are in foster care after having been removed by Child Protective Services. She is a young woman looking for help and is thankful to have been admitted to this program. She does not know whether she has acquired hepatitis B, hepatitis C, or HIV, but wants to be tested. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - dermatology.mhmedical.com/content.aspx?aid=1164351070 ER -