RT Book, Section
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.
SR Print(0)
ID 1164351070
T1 Injection-Drug Use
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164351070
RD 2024/04/18
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.