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Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 1 Pap Smear Technique Video.

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Presentation on theme: "Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 1 Pap Smear Technique Video."— Presentation transcript:

1 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 1 Pap Smear Technique Video

2 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 2 Positioning Privacy Buttocks just off table Good Lighting Drape Standby

3 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 3 Padded Stirrups Soft, padded stirrups Oven mitts Socks Battle dressings

4 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 4 Inspect Spread labia Discharge Ulcers Growths

5 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 5 Anatomy

6 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 6 Vaginal Speculum

7 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 7 Warm Speculum Warm water Not too hot Lubricates speculum Dont use K-Y, Surgilube or Vaseline to lubricate speculum

8 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 8 Insert Speculum Spread labia Keep labia apart Blades remain closed until fully inserted

9 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 9 Squamo-Columnar Junction Junction of pink cervical skin and red endocervical canal Inherently unstable Key portion of the cervix to sample Most likely site of dysplasia

10 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 10 Ayers Spatula Concave end to fit the cervix Convex end for vaginal wall and vaginal pool scrapings

11 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 11 Sample Cervix Use concave end Rotate 360 degrees Dont use too much force (bleeding, pain) Dont use too little force (inadequate sample)

12 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 12 Cytobrush Insert ~ 2 cm (until brush is fully inside canal) Rotate only 180 degrees (otherwise will cause bleeding)

13 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 13 Make Pap Smear As thin as possible Properly labeled

14 Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 14 Spray with Fixative Within seconds Allow to fully dry before packaging Cytologic Fixative (hairspray works acceptably also)


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