TY - CHAP M1 - Book, Section TI - Chapter 240. Injection-Drug Use A1 - Usatine, Richard P. A1 - Smith, Mindy A. A1 - Chumley, Heidi S. A1 - Mayeaux, E.J. PY - 2013 T2 - The Color Atlas of Family Medicine, 2e 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 two days now, but her tracks are still visible (Figure 240-1). 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 an attractive 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 - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/10/04 UR - accessmedicine.mhmedical.com/content.aspx?aid=57686543 ER -