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Atlas of Colposcopy: Principles and Practice

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Quiz
    

  • Age: 35
  • HPV status: Negative


  • Speculum examination

    After normal saline

    After acetic acid

    Visualization of the SCJ

    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:
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