Young female, multigravida presenting with post coital bleeding, vagina – normal, cervix – hyperophied, Next step?
Correct Answer: Colposcopy biopsy
Description: Post coital bleeding is the - most common presentation of CA cervix PAP smear is done when a patient is asymptomatic or sexually active women Here, The patient is symptomatic hence a confirmatory test is warranted to make a diagnosis. Doing a four Quadrant biopsy may help, but it is more of a 'Hit and trial' kind of method since invasion could be staing in a different place away from the 4 biopsies sites. Performing a Colposcopic is the best procedure here than a Pap smear or the 4 Quad biopsy. If diagnosis is not confirmed even with a Colposcopic biopsy then the next step here is Conization of cervix .
Category:
Gynaecology & Obstetrics
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