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Flashcards in Sexual History Deck (7)
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1
Q

What would you want to cover in a sexual history?

A
  • HPC - Timeframe, Sexual health systems review
  • Partners
  • Female specific
  • PMH
  • Drug hx
  • Social history
2
Q

What would you ask as part of a sexual health systems review?

A
  • Discharge
  • Dysuria
  • Swellings/growths/ulcers
  • Pain - anogenital, pelvic, dysparunia
  • PV bleeding
3
Q

What would you ask about partners in a sexual history?

A

Current/recent partners

  • Dates
  • Male/female
  • Condom use
  • Contact type

High risk encounters

  • Sex with men
  • Partners abroad
  • Bisexual
  • Sex workers
4
Q

What would you want to ask a female as a part of a sexual history?

A

Rest of sexual history, plus:

  • Contraception
  • Menstrual history
5
Q

What would you want to ask about as part of a menstrual history?

A

MR FLOPPI DICS

  • Menopause
  • Regularity
  • Flow - light/heavy, flooding, clots
  • Last menstrual period
  • Odd bleeding - Post coital, post menopausal, intermenstrual
  • Dysmenorrhoa
  • Initiation - menarche
  • Cycle - days on, days off, Contraception
  • Smear history
6
Q

What would you ask about in the PMH in someone you are taking a sexual history from?

A
  • Previous STIs and tests
  • HIV and hepatitis B/C status
  • Vaccines (hep B)
7
Q

What might you specifically ask about in the drug history as part of a sexual history?

A
  • PrEP if male
  • Recreational drug use

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