Pap smear and STI lecture Powerpoint Flashcards
guest lecture ft. Deanna
Endocervix
Side of cervix that faces inward toward the uterus made of columnar cells
Ectocervix
Side of uterus that faces outward toward the vagina made of squamous cells
Henrietta lacks
Poor black woman died of cervical cancer in 1951, before death samples of her cells were taken without her permission, her cells are immortal and continue to reproduce, most widely used cell line in the world, controversial
CIN and SIL
Cervical intraepithelial neoplasia and squamous intraepithelial lesion
5 p’s before a pap smear
Partners past and present Pregnancy and if intentional or not Protection properly and all the time Practices of sex oral, vaginal, anal, etc Past history relevant to this
The minimum age of when pap smear screeing should occur….when do you screen for a bimanual exam?
21, no screening is evidenced to be helpful
Cyanotic cervix is consistent with…
….pregnancy
Blue cervix is called….
…chadwick’s sign
Nabothian cyst
Small growth on the cervix that is harmless and goes away on its own
LEEP
Cutting out portion of cervix containing suspected malignancy, can lead to scarring and incompetent cervix, last course of action compared to colpo biopsy
Any woman over 40 who has increased bleeding pattern needs….
biopsy for possible cancer
Between ages 40-50, what dicates breast exam frequency
Risk factors
Between ages 50-74 , what dictates breast exam frequency?
Biennial or optional annual
Greater than age 75, what dictates breast exam frequency?
It is not recommended
Gonorrhea is listed as….
one of the top 10 public health threats by the CDC
Dirty catch
Used in gonorrhea or chlamydia testing because it gets the specimen in the cup for DNA amplification
Herpes vs syphilis
Painful vs painless
Chancroid 1st line of treatment
Azithromycin
Granuloma inguinalej
Caused by klebsiella granulomatis that gives painless red ulcers in the inguinal nodes
Herpes simplex virus first line of treatment
Acyclovir
Tzanck smear
A not very specific or sensitive stain for herpes family diseases that presetnts with large multinucleated giant cells
LGV
Caused by chlamydia trachomatis, causes lesions, buboes, and a groove sign (separation of nodes by inguinal ligament)
Hutchinson’s triad for syphilis
Notched incisors, keratitis, deafness
2 key symptoms of neurosyphilis
Tabes dorsalis (foot slap) Argyll robertson pupil (normal accommodation but no reaction to light)
