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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: 32

  • Age: 35

  • Before application of acetic acid: Thick curdy white or cheese-like discharge sticks to the cervix. The cervix is congested.

  • Cervix before application of acetic acid:  
  •  Infective vaginal discharge:   
    Strawberry appearance of cervix
    Cervicitis
    Polyp
    Bleeding on contact
    White patch
    Growth
    Ulcer
    Erosion

    After application of acetic acid: The SCJ is fully visible. No acetowhite area on the squamous epithelium. Blue line: SCJ Green line: Outer limit of TZ

  • 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: Thick curdy white discharge of candida infection can stick to the surface of the cervix. Syndromic management of candidiasis is indicated. Application of acetic acid clears the discharge from the cervix.





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