52- sexual assault Flashcards Preview

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Flashcards in 52- sexual assault Deck (10)
1

indirect presentations of sexual assault

- morning after pill requests
- STI checks
- alterled level of awareness with suspicison
- multiple injuries from obvious physical assault

2

general approach to mgmt

1. medical care
2. reassure they are safe and put in a quiet place
3. believe the victim - not job to prove anything
4. don't ask why questions
5. help them regain control
6. refer to sex assault Tx center
7. get nurse from there

3

reporting?

PTs choice
- if under 16 - Children's Aid

4

parts of a SAE kit

1. Hx
- medical and assault
2. collection of evidence
- clothes
- blood
- urine
- genital/anal
3. document injuries

5

testing for prophylaxis

- HCG
- oral culture
- cervical culture
- rectal culture
- syphyllis and hep testing

6

preg. prohpy

- plan B - levonogestrel

7

STI prophylaxis

1. cefixime+doxycycline
or
2. azythromycin

8

hep B prophylax

hep B Ig + engerix

9

HIV testing

ask about it - serial testing
PEP for up to 72 hours

10

follow up

- sex assault cneter
- GP
- follow up at one week for blood
- repeat STI test 2-3 weeks following