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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: 31

  • Age: 50

  • Before application of acetic acid: A grey-white discharge is seen. The cervix is congested, indicating cervicitis.

  • 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: Acetic acid helps to clear the discharge. Pale atrophic epithelium with subepithelial haemorrhagic spots is visible. No acetowhite area.

  • 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: Thin curdy white discharge indicates candidiasis, an infection caused by the fungus Candida albicans. Syndromic management of candidiasis is indicated.





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