eMedicine Specialties > Psychiatry > Addiction

Injecting Drug Use: Differential Diagnoses & Workup

Author: Gloria J Baciewicz, MD, Director of Addiction Psychiatry Program, Clinical Associate Professor, Department of Psychiatry, Strong Memorial Hospital, University of Rochester
Contributor Information and Disclosures

Updated: Aug 5, 2008

Workup

Laboratory Studies

  • Sequential Multiple Analysis–twelve-channel biochemical profile (SMA 12)
  • CBC count with differential
  • Hepatitis B surface antigen and surface antibody
  • Hepatitis C antibody
  • Rapid plasma reagent (RPR) test
  • HIV serum antibody test (performed in 2 steps, with a screening test such as the enzyme-linked immunosorbent assay [ELISA] and a confirmatory test such as the Western blot)
  • Purified protein derivative (PPD) test
  • Urine screen for common drugs of abuse

Other Tests

  • Electrocardiogram

More on Injecting Drug Use

Overview: Injecting Drug Use
Differential Diagnoses & Workup: Injecting Drug Use
Treatment & Medication: Injecting Drug Use
Follow-up: Injecting Drug Use
References

References

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Further Reading

Keywords

intravenous drug use, IV drug use, injecting drug user, IDU, heroin, opiate, opioid, methadone, syringes, needles, needle sharing, hypodermic syringe, hypodermic needle, cocaine, heroin, amphetamines, buprenorphine, benzodiazepines, barbiturates, methamphetamine, HIV infection, talc, lactate, quinine, respiratory depression, coma, pulmonary edema, cardiac dysrhythmias, conduction disturbances, myocardial infarction, stroke

Contributor Information and Disclosures

Author

Gloria J Baciewicz, MD, Director of Addiction Psychiatry Program, Clinical Associate Professor, Department of Psychiatry, Strong Memorial Hospital, University of Rochester
Gloria J Baciewicz, MD is a member of the following medical societies: American Academy of Addiction Psychiatry, American Psychiatric Association, and American Society of Addiction Medicine
Disclosure: Nothing to disclose.

Medical Editor

Barry I Liskow, MD, Vice Chairman, Director Psychiatry Residency Program, Professor, Department of Psychiatry, University of Kansas Medical School
Barry I Liskow, MD is a member of the following medical societies: American Academy of Addiction Psychiatry
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Eduardo Dunayevich, MD, Adjunct Assistant Professor, Department of Psychiatry, University of Cincinnati; Clinical Research Physician, Neuroscience, Lilly Research Laboratories
Eduardo Dunayevich, MD is a member of the following medical societies: American Psychiatric Association
Disclosure: Nothing to disclose.

CME Editor

Harold H Harsch, MD, Program Director of Geropsychiatry, Department of Geriatrics/Gerontology, Associate Professor, Department of Psychiatry and Department of Medicine, Froedtert Hospital, Medical College of Wisconsin
Harold H Harsch, MD is a member of the following medical societies: American Psychiatric Association
Disclosure: lilly Honoraria Speaking and teaching; BMS Honoraria Speaking and teaching; Forest Labs Honoraria Speaking and teaching; AstraZeneca Honoraria Speaking and teaching; Pfizer Grant/research funds Other; Northstar Grant/research funds Other; Novartis  Other; Pfizer Honoraria Speaking and teaching

Chief Editor

Stephen Soreff, MD, President of Education Initiatives, Nottingham, NH; Faculty, Metropolitan College of Boston University, Boston, MA
Stephen Soreff, MD is a member of the following medical societies: American College of Mental Health Administration and American Psychosomatic Society
Disclosure: Nothing to disclose.

 
 
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