Atlas of Colposcopy: Principles and Practice

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Quiz

Age: 34
HPV status: Positive

Speculum examination

After normal saline

After normal saline with green filter

After acetic acid

After acetic acid

After acetic acid with higher magnification

After acetic acid

After Lugol’s iodine

Colposcopy report (2011 IFCPC nomenclature):

IFCPC nomenclature:

- General assessment:

Adequacy:

Squamo-columnar junction visibility:

Transformation zone:

- Normal colposcopic findings:

Original squamous epithelium:

Columnar epithelium:

Metaplastic squamous epithelium:

Deciduosis in pregnancy:

- Abnormal colposcopy findings:

- General principles:

- Position and size:

Location of the lesion:

Location of the lesion by clock position:

No of quadrants:

% cervix:

- Grade 1 (minor):

Thin acetowhite epithelium:

Irregular border:

Geographic border:

Fine mosaic:

Fine punctation:

- Grade 2 (major):

Dense acetowhite epithelium:

Rapid appearance of acetowhite:

Cuffed crypt (gland) openings:

Coarse mosaic:

Coarse punctuation:

Sharp border:

Inner border sign:

Ridge sign:

Rag sign:

- Non specific:

Leukoplakia:

Erosion:

Lugol iodine:

- Suspicious for invasion:

Atypical vessels:

Fragile vessels:

Irregular surface:

Exophytic lesions:

Necrosis:

Ulceration (necrotic):

Tumor, gross neoplasm:

Miscellaneous finding:

Congenital transformation zone:

Condyloma:

Polyp:

Inflammation:

Stenosis:

Congenital anomaly:

Post treatment consequence:

Endometriosis:

Swede Score Search Criteria:

Aceto uptake score:

Margins score:

Vessels score:

Lesion size score:

Iodine uptake score:

Final Swede score:

Case summary:

Provisional diagnosis:

Management:

IFCPC nomenclature:
- General assessment:
Adequacy:
Squamo-columnar junction visibility:
Transformation zone:
- Normal colposcopic findings:
Original squamous epithelium:
Columnar epithelium:
Metaplastic squamous epithelium:
Deciduosis in pregnancy:
- Abnormal colposcopy findings:
- General principles:
- Position and size:
Location of the lesion:
Location of the lesion by clock position:
No of quadrants:
% cervix:
- Grade 1 (minor):
Thin acetowhite epithelium:
Irregular border:
Geographic border:
Fine mosaic:
Fine punctation:
- Grade 2 (major):
Dense acetowhite epithelium:
Rapid appearance of acetowhite:
Cuffed crypt (gland) openings:
Coarse mosaic:
Coarse punctuation:
Sharp border:
Inner border sign:
Ridge sign:
Rag sign:
- Non specific:
Leukoplakia:
Erosion:
Lugol iodine:
- Suspicious for invasion:
Atypical vessels:
Fragile vessels:
Irregular surface:
Exophytic lesions:
Necrosis:
Ulceration (necrotic):
Tumor, gross neoplasm:
Miscellaneous finding:
Congenital transformation zone:
Condyloma:
Polyp:
Inflammation:
Stenosis:
Congenital anomaly:
Post treatment consequence:
Endometriosis:
Swede Score Search Criteria:
Aceto uptake score:
Margins score:
Vessels score:
Lesion size score:
Iodine uptake score:
Final Swede score:
Case summary:
Provisional diagnosis:
Management: