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21 Cards in this Set

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PAP results:
Inflammation
evaluate for GC/CT-if treated, repeat PAP in 3-6mo
if persistant inflammation of unknown etiology--get colposcopy
PAP results:
atrophy w/inflammation
common finding in postmenopausal women or w/estrogen defiency,
treat w/estrogen if symptomatic, no change in PAP intervals
PAP results:
ASCUS-H
REFER ALL TO COLPOSCOPY! (can't r/o HSIL)
PAP results:
LSIL
REFER to coloposcopy or rescreen in 4-6mo (50% of LSIL will spontaneously resolve)
if pregnant--COLPOSCOPY
if postmenopausal- HPV testint or REPEAT PAP 6/12mo.
LSIL
includes lesions-mild dysplasia and w/koilocytic atypia (indicative of HPV)
PAP results:
HSIL
Colposcopy
PAP results:
Atypical glandular cells
Coloposcopy and endocervical canal biopsy
PAP results:
endometrial cells
in cycling pre-menopausal women--benign,
post-menopausal women require an endometrial biopsy
Pap result: satisfactory but limited ...
management?
no hx of abnormal PAP
repeat in 1 year
Pap result: satisfactory but limited ...
management?
hx of abnormal PAP
repeat PAP in 6-12weeks.
PAP result: benign cellular changes r/t fungal infx
evaluate and treat yeast
repeat PAP in 6-12 weeks only if "inflammation" noted on PAP
PAP result: benign cellular changes r/t trichomonas
either evaluate with a wet mount or treat to prevent transmission
repeat PAP at nl interval unless "inflammation" noted
PAP result: benign cellular changes consisten with actinomyces spp
IF IUD in place: evaluate for PID
either remove, treat and repeat PAP in 3 mo
if no PID rePAP in 3 mo.
PAP result:
Cellular changes associated with HSV
No culture needed. Next PAP at routine interval. Discuss implications of asymptomatic viral shedding.
PAP result:
Inflammation
check for GC/CT
if neg. repeat PAP in 3-6mo. to r/o preinvasive CA.
if second PAP shows inflammation--COLPOSCOPY
PAP result:
Atrophy with Inflammation
common finding in postmenopausal women +estrogen deficiecy,
treat if symptomatic,
no change to PAP intervals
PAP result:
ASC-US
1)If +high risk HPV--COLPOSCOPY
if -high risk HPV-repeat PAP in one year
or 2)rescreen in 6mo, repeat every 6mo until 3 consecutive normals, then back to routine screening
3)send to COLPOSCOPY
PAP result:
ASC-US
for Adolescents
repeat PAP in 6-212 months or repeat HPV testint in 12 months
PAP result:
ASC-US
for post-menopausal women
treat with vaginal estrogen for 4-6 wks, repeat PAP one week after completion of therapy.
if ASCUS or higher--COLPOSCOPY
PAP result: ASCUS
adolescents
repeat PAP in 6 and 12 mo., if ASCUS or higher COLPOSCOPY
PAP result: ASC-H
COLPOSCOPY for everyone