Sexually Transmitted Diseases (OSCE)

See also: Topic:Observed structured clinical examination

Patient ID

• age
• occupation

Permission

• "I have some routine questions."

Partners

• sexual activity
  • currently
  • total number of partners
    • risk behaviour of partners
  • orientation - men, women, or both

Sexual Practices

• anal, oral, vaginal
• use of protection
  • consistency of use

ROS

• discharge, bleeding
• pain with intercourse, on urination
• sores, lumps
• itching, genital warts

Risks

Sexual risks

• Have you or your current partner . . .
  • have or ever had an STD
    • diagnosis, treatment
  • tested for HIV
  • blood transfusion (between 1978-1985)
  • multiple partners
  • impaired judgement from EtOH or drugs
  • sexual contacts during travel
  • pay for sex or receive money for sex

Street drugs

• type, route
• needle care

Miscellaneous

• needle stick injury (HCW, dentists, dental hygienists)
• tattoo
• sexual abuse