Sexual Assault Management

Question 1

Def’n of sexual assault

Answer 1

Any unwanted sexual touching/comments

Question 2

By age 18, how many assaulted?

Answer 2

38% females
10% boys
1 in 10 raped

Question 3

Majority of assaults happen where?

Answer 3

Home

Question 4

Short term response to sexual assault?

Answer 4

Acute: weeks/months
Fear shock, disbelief, denial
Somatic symptoms
Acute anxiety, nightmares, insomnia, conc
Rapid swings of fear, guild, desire for revenge(usu. not)

Question 5

Long term response to sexual assault

Answer 5

Years
Lifestyle, geographic changes
Phobic behaviour General
Somatic symptoms
Nightmares
Sexuality issues
Substance abuse

Question 6

Sexuality phobias after sexual assault?

Answer 6

‘Play fighting’ foreplay, could be triggers

Question 7

Management of paediatric sexual assault?

Answer 7

Specialist teams in each state
Send to RCH and get information
Mandatory reporting

Question 8

Best legal advice as doctor for victim of sexual assault?

Answer 8

It’s ok to wait and think about it to report to police/charges

Question 9

Preventative medicine in sexual assault?

Answer 9

Hep B vaccines

Genital examination

Question 10

How long does it take a bruise to go yellow?

Answer 10

72 hours

Question 11

Injuries in sexual assault?

Answer 11

Usually not as common: stabbing/strangulation

Mostly bruising

Question 12

What swabs in sexual assault

Answer 12

Mycoplasma Genitalia
Chlamydia: (vag/anal swabs)
Gonorrhoea: 2 days-urethra, 2 weeks
Syphilis
Serology: Hep C, B, HIV