Sexual Health - Cover Flashcards
Name
Will Fenton
Age
26
Sexual orientation
homosexual British cisgender man of mixed race
Living conditions:
Live alon
Job
Shop assistant
Likes (2)
- Socialising
- Hanging out with friends
Why are you here?
“I’ve also noticed a bloody discharge (yellow) at times when I wipe my bottom and I’ve also noticed this on the surface of my poo”
Other symptoms (4)
- You do not have diarrhoea – i.e., very loose watery stools
- Your bottom is uncomfortable but not painful
- You have not felt unwell
- You do not feel hot and do not have a temperature or cough and have not lost your sense of smell or taste.
Worries (2)
- You are worried it might be a sexually transmitted infection
- or even cancer, after research on the internet.
(This should be stated as part of the response to the further enquiries by the doctor about what is wrong with you.)
Bowel health (2)
- You have never previously had any problems with your bowels.
- You open your bowels normally about once every two days until last week.
Abdominal pain?
No
Other medical conditions?
No, and no major operations in the past.
Medication
- PrEP
- Nothing else
Other symptoms?
No
(eg no chest pain/ palpitations/ breathlessness/ cough/ weight loss/ / loss of appetite/ / faints/ blackouts etc).
Family history of bowel issues?
No
Parents?
Alive and well
ulcers, hair loss, lymph nodes enlarged or lumps on the genitals?
No
discharge from the penis, burning when passing urine or pain in the testes?
No
skin rash?
No
weight loss or loss of appetite?
No
previous bowel problems?
No
Sexual activity?
Homosexual, no regular partner.
Last time had sex?
10 days ago with a casual male partner.
Type of sex?
Normal (both ways if pushed)
Protected sex?
No
Last sexual partner (2)
- White British
- does not use drugs
Penultimate sexual partner? (3)
- 4 weeks ago
- Also born in the UK
- Also unprotected oral and anal sex
Third previous sexual partner! (4)
- 6 weeks ago
- anal (both ways) and oral sex.
- You did not use a condom.
- He was also born in UK
Other partners in last 3 months? (4)
- 3 other male partners in the past 3 months
- all unprotected oral and anal sex (both ways).
- 6 male partners in total.
- All born in UK
Other partners in last 3 months? (4)
- 3 other male partners in the past 3 months
- all unprotected oral and anal sex (both ways).
- 6 male partners in total.
- All born in UK
PreP? (3)
- You have taken PreP every day for the last 9 months (one tablet every day).
- You have not missed any tablets.
- Your PreP is prescribed by the Specialist Sexual Health Clinic.
Sexual health tests? (3)
- You are tested regularly for chlamydia, gonorrhoea, HIV and syphilis every 3 months when you collect your repeat PrEP medication.
- You were last tested 6 weeks ago – all tests were negative
- You have never had HIV, Hepatitis B or C or Syphilis.
Any previous STDs?
You have previously had urethral gonorrhoea about one year ago which was treated with an injection. (Your symptoms at that time were yellow discharge coming from your water pipe with severe pain on passing water)
Vaccinations?
hepatitis A, B and HPV (human papilloma virus).
Travelled abroad?
Never outside Europe.
Drugs? (2)
- Never inject or use recreational drugs.
- Never had sex with someone who injects or uses recreational drugs.
Paid or been paid for sex?
Never
Blood transfusion?
Never
Tattoos or piercings?
No
Alcohol / cigarettes.
Only occasionally, don’t smoke.
Partners from abroad?
Never had a partner from outside the UK.
Concerns?
You are concerned that you may have picked up a sexually transmitted infection inside your bottom when you last had sex 10 days ago having looked up your symptoms on the internet. This has also made you slightly concerned it could be cancer but you also know its very uncommon in your age group. You cannot remember the names of what the infections could be and you are worried that they may not be curable You would like to know which infections it might be and can they be cured. You do not need to find out about the actual treatments as the student is not being marked on this – just whether there are effective treatments available (which there are). You are not worried about catching HIV as you are on PrEP and have not missed any tablets.
By 8 minutes you should have expressed the following concerns to the candidate:
“Do you think I could have an infection inside my bottom – what do you think it could be?”
