Sexual History Flashcards
1
Q
what do you ask people with a vagina for history of presenting complaint?
A
symptoms - socrates discharge - itchy, offensive, changed dysuria / frequency vulval itching/soreness skin changes abdominal pain pain during/after sex systemic menstrual history gynaecological history obstetric history
2
Q
what’s included in a menstrual history
A
LMP, regularity, length of cycle
dysmenorrhoea
postcoital/intermenstrual bleeding
3
Q
whats included in a gynae history?
A
cervical screening
4
Q
whats included in an obstetric history?
A
contraception - type, length, issues
current pregnancy?
5
Q
what do you ask people with a willy for history of presenting complaint?
A
pain in testes/scrotum swelling/size of testes itchy/sore skin skin changes discharge from urethra dysuria systemic
6
Q
what do you ask about last sexual contact?
A
prepare for nature of questions when? do you have a partner? was it with your partner? have you had any other partners in the last 6 months? was it consensual? type of sex contraception
7
Q
what needs to be included in PMH?
A
STIs
general health
surgery
hospital admissions
8
Q
what do you need to ask about HIV risk?
A
ever had sex with someone who has HIV
been abroad recently
use IV drugs
paid for sex
9
Q
what are the components of a sexual history?
A
presenting complaint and history of presenting complaint last sexual contact PMH/PSH drug history social history HIV risk
