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Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

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  • Case: 17

  • Age: 30

  • Before application of acetic acid: Lax vaginal walls can be seen bulging between the speculum blades, preventing adequate exposure of the cervix.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ is fully visible. No acetowhite area on the ectocervix.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA category:  

  • Determined eligibility for ablative treatment (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: Adequate exposure of the cervix can be obtained by slipping a non-lubricated condom or the finger of a large glove (with its end cut off) over the speculum blades.





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