Sexually Transmitted Infections Flashcards
Sexual health, how to use interpreter
Best to use professional and on the phone
Sexual History proforma
Last sex - when, who? (Casual(contactable), regular)Gender, protection, type of sex(V,O,A) Number of partners 3/12, 12/12 Overseas? Other reason Age of partners
How to ask re: overseas sex?
Sex with anyone from a foreign country?
‘Other high risk’ activity?
Sex worker? (Protection)
Drug use: alcohol, illicit, injecting
Have you ever paid or they ever been paid for sex?
How to ask about sex worker?
Have you ever paid or they ever been paid for sex?
When to mandatory report for? Who?
If a minor is in a position of ongoing harm, physical/sexual abuse
Call DHS.
If 12 year old having sex with 15 year old?
Ask if consensual?
Ask about their relationship?
Ask if it’s under duress?
Parents situation?
Tricker scenarios
Sexual assault Domestic violence Drugs Types of sex question Gender of partners Ask question in pregnancy as well
Age limit for privacy or confidentiality?
Nope.
Who test for Chlamydia?
Under 30, once a year
How to test for chlamydia?
Urine PCR
Rx for gonorrhoea?
500mg Ceftriaxone, IM
If had syphilis under 2 years? Rx?
One big shot of 1.8g of Penicillin in the butt
If had syphilis for indeterminate time?
3 over 3 weeks penicillin
When do men who get gonorrhoea describe and come in?
‘Pissing razor blades’
Come in D2
When examining someone with PID? What to do?
External
Speculum
Bimanual - check Fallopian tubes
Treatment for PID?
2 weeks antibiotics
1 g Azithromycin
Doxy 100mg bd for 2/52
Metronidazole 400mg bd for 2/52
Young woman finding it hard to sit down, DDx?
Haemorrhoids
Trauma
What’s the significant of Herpes bilateral?
Probably first time getting it.
Management for Herpes?
Swab the lesion
Acyclovir 200mg, two to three times 7-10days
Lignocaine Gel
Paracetomol
What’s not effective for HSV?
Topical antivirals/antibiotics
Complication of HSV? Rx?
Urinary retention.
peeing in the bath/bucket
If HPV testing is high grade positive for screening, how Mx?
Copolscopy if it’s positive for HPV 16,18
If HPV testing is low grade positive for screening, how Mx?
Give them a year and retest
