Lecture 9 - IPV Sexual Harassment

Question 1

Sexual Assault

Answer 1

any sexual act performed by one person on another without consent
can result from the use of force or inability to give consent

Question 2

Intimate Partner Violence

Answer 2

actual or threatened psychosocial, psychological, physical, or sexual harm by a current or former partner or spouse
physical, verbal, emotional, financial abuse

Question 3

What is the lifetime prevalence of IPV?

Answer 3

1/4 women experience iPV

Question 4

What hx questions do you need to ask when evaluating a pt of sexual assault?

Answer 4

circumstances of assault – date, time, location, memory loss, drug use
description/name of assailant
assault - oral, vaginal, anorectal, penetration, condom use
trauma - pain, bleeding

Question 5

TEARS

Answer 5

mnemonic to remember physical exam of assaulted pt
Tears
Ecchymoses
Abrasions
Redness
Swelling

Question 6

SANE

Answer 6

sexual assault nurse evaluation

true forensic evaluation - comprehensive exam BY CONSENT ONLY

Question 7

How many people report abuse to the police?

Answer 7

10-15%

Question 8

What screening do you want to do for a pt of sexual assault?

Answer 8

Chlamydia
Gonorrhea
Trichomnas 
Hep B
Syphillis 
HIV 
Pregnancy

Question 9

What treatment do we give to sexual assault pts?

Answer 9

Ceftriaxone (IM)
Azithromycin (PO)
Metronidazol (PO)
(these are taken all at once in the hospital –these pts don’t have to take any more pills at home)

Hep B vaccine if unknown vaccination

RPR serum analysis at 6 weeks, 3 months, 6 months for syphillis

PEP (HIV prophylaxis)
3 drug regimen - 4 week duration

Emergency contraception should be offered:

• Plan B (72 hours)
• Ulipristal (120 hours)
• Paragard (120 hours)