Tue Feb 13 2018

Why: ASCCP guidelines (there is an app! Or PDF) Cervical dysplasia — caused by HPV CIN I–CIN3 is a progression Risk factors: Smoking, other STIs including HIV, immunodeficiency   Histology: Increased Nuclear: cytoplasmic ratio when abnormal Acetic Acid: exact mechanism unknown, the higher N:C ratio cells (aka abnormal cells) reflect more light and appear white. Lugols: Iodine rich-reacts with glycogen in normal squamous cells so they appear dark.  Non-staining cells are abnormal.   HPV — changes Colpo: Increased vascularity, punctations, mosaicism, surface contour changes   LEEP: Stain abnormality and know where abnormal biopsy was taken Single pass is ideal–tag a side for orientation +/- Top Hat depending on ECC result   CKC: Higher up in cervical canal, but more complications No electricity– okay if pregnant