RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57686405
T1 Chapter 238. Methamphetamine
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57686405
RD 2024/04/24
AB A  40-year-old  woman  with  diabetes  comes  to  the  clinic  with  blood  sugar  in  the  400s  because  she  ran  out  of  insulin  a  few  weeks  ago.  She  appears  poorly  groomed  and  has  nicotine  stains  on  her  fingertips.  Excoriated  lesions  (Figure  238-1)  are  noted  on  her  forearms  and  face.  She  reports  no  itching  at  this  moment,  but  when  asked  confirms  that  she  regularly  smokes  methamphetamine.  The  diagnosis  of  her  skin  condition  is  meth  mites.  She  acknowledges  that  she  picks  at  her  skin  when  she  is  high  on  meth.  The  physician  asks  her  if  she  wants  help  to  get  off  the  meth  so  she  can  care  for  her  health  and  well-being.  She  breaks  down  in  tears  and  says  that  her  craving  for  meth  is  very  strong,  but  she  is  willing  to  try  something  because  she  knows  the  meth  is  ruining  her  body  and  life.