rajvinder dhillon specialist biomedical scientist & colposcopist
TRANSCRIPT
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Rajvinder DhillonSpecialist Biomedical Scientist &
colposcopist
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“kolpos”-hollow “skopos”- examine
1925 Hinselmann-invented colposcope
1928 Schillers test
1941 Papanicolaou & Traut – cervical smears
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Saline- Green filter. Vascular pattern
Acetic acid- coagulation of proteins on the cervix
Lugols’ iodine- Schillers test. Staining of non-glycogen containing epithelium
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3rd inadequate smear mild/moderate/severe/ smear 2 week wait: ?glandular neoplasia/ ?invasive
Suspicious cervix Stenosed Os Poor access Unable to locate cervix
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Examine vulva Insert speculum Use green filter Apply acetic acid apply iodine Biopsy Treatment (LLETZ, laser, cold coagulation)
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Low grade ACW High grade ACW
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Give patients adequate information in simple terms
Inform colposcopists of any history of abuse
Encourage compliance with follow-up
Refer any suspicious cervix under 2 week wait
THANKYOU