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Upon questioning, the patient admitted to using injectable anabolic steroids for body-building. He said that he couldn’t be sure that the needles he'd used had always been sterile.
The patient’s abscess was drained and the site healed by second intention. The family physician (FP) talked to the patient about the detrimental effects of anabolic steroids, the risks of sharing needles, and the fact that he could be a successful body-builder with the right weight-lifting program and a high-protein diet.
Because of the patient’s needle-sharing history, the FP ordered tests for hepatitis C and human immunodeficiency virus (HIV). The patient was fully immunized for hepatitis B as a child so the FP did not order any hepatitis B serologies.
Fortunately, the patient was negative for hepatitis C and HIV.
Text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. Photo courtesy of Bill Rodney, MD. This case was adapted from: Usatine, R. Injection drug use. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:1006-1009.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone, iPad, and all Android devices by clicking this link:
Upon questioning, the patient admitted to using injectable anabolic steroids for body-building. He said that he couldn’t be sure that the needles he'd used had always been sterile.
The patient’s abscess was drained and the site healed by second intention. The family physician (FP) talked to the patient about the detrimental effects of anabolic steroids, the risks of sharing needles, and the fact that he could be a successful body-builder with the right weight-lifting program and a high-protein diet.
Because of the patient’s needle-sharing history, the FP ordered tests for hepatitis C and human immunodeficiency virus (HIV). The patient was fully immunized for hepatitis B as a child so the FP did not order any hepatitis B serologies.
Fortunately, the patient was negative for hepatitis C and HIV.
Text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. Photo courtesy of Bill Rodney, MD. This case was adapted from: Usatine, R. Injection drug use. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:1006-1009.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone, iPad, and all Android devices by clicking this link:
Upon questioning, the patient admitted to using injectable anabolic steroids for body-building. He said that he couldn’t be sure that the needles he'd used had always been sterile.
The patient’s abscess was drained and the site healed by second intention. The family physician (FP) talked to the patient about the detrimental effects of anabolic steroids, the risks of sharing needles, and the fact that he could be a successful body-builder with the right weight-lifting program and a high-protein diet.
Because of the patient’s needle-sharing history, the FP ordered tests for hepatitis C and human immunodeficiency virus (HIV). The patient was fully immunized for hepatitis B as a child so the FP did not order any hepatitis B serologies.
Fortunately, the patient was negative for hepatitis C and HIV.
Text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. Photo courtesy of Bill Rodney, MD. This case was adapted from: Usatine, R. Injection drug use. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:1006-1009.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
You can now get The Color Atlas of Family Medicine as an app for mobile devices including the iPhone, iPad, and all Android devices by clicking this link: