TV - discharge
Yellow frothy discharge + vaginal itching + irritation
BV - discharge
Offensive, fishy discharge w/o soreness/irritation
Causes of vaginal itching/soreness (7)
Candida BV Genital herpes Chlamydia Gonorrhoea Vaginal atrophy Lichen sclerosis
Q to ask about last sexual contact
Timing Consent Relationship Partner demographics Any sex worker invovement Type of sex Any contraception used other sexual partners in the last 3 months
HIV risk Hx q
Have you ever had a partner with HIV Have you ever had sex with a man Ever had sex with anyone from abroad Ever injected drugs Any prev partners injected drugs Paid for sex Blood products before 1985
What are the 3 types of contact tracing
Patient referral
Provider referral
Contact referral
Patient referral
Patient takes responsibility to inform
Provider referral
Provider/service takes responsbility for informing people
Contact referral
Providor agrees w/ index pt that index pt will contact sexual partners
Provider will contact if they fail to do so