Gynecology Book

http://www.fpnotebook.com/

Inadequate Pap Smear

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  1. Definition
    1. Pathologist unable to use Pap Smear due to poor quality
  2. Causes
    1. Inadequate sampling
    2. Air drying
    3. Excessive Red Blood Cells or White Blood Cells
  3. Management
    1. Repeat Pap Smear if uterus intact
      1. Repeat mid-cycle, over 6 weeks after last Pap Smear
    2. Patient avoids factors that decrease Pap Smear quality
      1. No intercourse for 24 hours before Pap Smear
      2. No vaginal preparations for 24 hours before Pap Smear

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