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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: 93

  • Age: 33

  • Before application of acetic acid: Copious curdy white discharge is present.

  • 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. A nabothian cyst helps to identify the outer limit of the TZ. Transparent acetowhite areas with ill-defined margins are present in the TZ (on the anterior lip at the 1 oíclock position and on the posterior lip at the 6 oíclock position).

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  
      • If present, description of acetowhite area:
        • Colour:  
        • Margin:  
        • Surface:  
        • Location:  
        • Size:  

  • VIA category:  

  • Determined eligibility for ablative treatment:  

  • Histopathology: Not done

  • Remarks: The transparent acetowhite areas are due to squamous metaplasia. Syndromic management of candidiasis is indicated.





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