sexual history, examination Flashcards
specific statutory regulations
public health (veneral diseases) regulations 1916
NHS code of confidentiality
symptom review in females
unusual vaginal discharge
vulval skin problems
lower abdo pain
deep dysparaunia
dysuria
unusual vaginal bleeding
postcoital bleeding
intermenstrual bleeding
male problems in
urethral discharge
genital skin problems
testicular discomfort or swelling
peri-anal/anal symptoms
qs to ask in last sexual contact
gender of partner
- MSM - offer rectal, pharyngeal samples, hep screening and vaccination
types of sexual contact and exposure sites
condom/barrier use
relationship w partner
time interval since LSC
- repeat testing if still inside window period
- post exposure prophylaxis for HIV infection
how to record info about partners
no of partners in previous 3 months
last 2 partners if both within last 3 months
asymptomatic female Ix
self-taken vulvo-vaginal swab - GC and CT dual NAATS test
bloods HIV anf syphillis +/- Hep B and C
urinalysis or pregnancy test as appropriate
symptomatic female Ix
self-taken vulvo-vaginal swab - GC and CT dual NAATS test
bloods HIV anf syphillis +/- Hep B and C
high vaginal swab for microscopy and pH testing for trichomonas vaginalise (TV), bacterial vaginosis (BV) and candida
high vaginal swab for M,C&S, TV, Candida
depending of history and examination:
pharyngeal and rectal swabs for GC and CT NAATS culture
dark ground microscopy (primary syphillis)
HSV PCR
Urinalysis
asymptomatic male Ix
first pass urine - GC and CT dual NAATs test
rectal pharyngeal swabs in MSM
Bloods HIV and syphillis +/- Hep B and C
symptomatic male Ix
first pass urine GC and CT dual NAATs test
rectal and pharyngeal swabs in MSM
Bloods and HIV syphillis +/- hep B and B
+
urethral smear - GC/NCU (Microscopy)
- GC culture plate - cultre and sensitivity
- rectal and pharyngeal swabs and culture in MSM
- dark ground microscopy (primary syphillis)
- HSV PCR
- urinalysis
