Sexually Transmitted Infections Flashcards
What do you ask on a sexual history?
Last sex - when, who (CasualSP, RegularSP), gender, protection, type of sex (V,O,A)
Number partners last 3/12, 12/12 - who gender, protection
Overseas
Other reason for high risk
?Contactable
Age of partners
What are other high risk activities?
Sex with sex workers or payment for sex
Drug/alcohol use
Previous STIs
When can you legally consent to sex in Victoria?
12 with a normal intellect
Between 12-16, you cannot consent for sex with someone 2 year older than you
When is it mandatory to report?
When you believe that a minor is in a position of ongoing harm, whether it be physical or sexual abuse
Who do you report it to?
DHS
How do you ask about assault or domestic violence?
How you ever had sex when you haven’t wanted to?
How you ever been assaulted sexually or physically?
When/who do you test for chlamydia?
Everyone under the age of 30 annually if they’re active
How do you test for chlamydia?
Urine
Swab
Who gets gonorrhoea?
MSM
People from or who have had sex with someone from South East Asia
Aboriginals
Who gets syphilis?
MSM
People from high prevalence countries
How is syphilis treated?
Penicillin, 1 1.8g shot if less than 2 years or 1 shot a week for 3 doses if over 2 years
How often is chlamydia symptomatic?
Quite rare
What are the symptoms of gonorrhoea?
Painful dysuria
Suppurative discharge
What does cervical excitation reflect?
Inflammation/pain/tenderness in the fallopian tubes due to the movement it causes
How do you treat PID
1g Azithromycin as single dose
Doxycycline 100mg twice daily for 14 days
Metronidazole
