Pap smear, cervical smear.
To establish a cytological diagnosis of cervical and vaginal disease and identify the presence of genital infections, such as human papillomavirus, herpes, and cytomegalovirus.
There are no food, fluid, activity, or medication restrictions unless by medical direction. Instruct the patient to avoid douching or sexual intercourse for 24 hr before specimen collection. Verify that the patient is not menstruating.
Method: (Microscopic examination of fixed and stained smear). Reporting of Pap smear findings may follow one of several formats and may vary by laboratory. Simplified content of the two most common formats for interpretation are listed in the table.
|Manual Review (Bethesda System)|
|ASC = atypical squamous cells; ASC-H = high-grade atypical squamous cells; ASC-US = atypical squamous cells undetermined significance; CIN = cervical intraepithelial neoplasia; CIS = carcinoma in situ; HSIL = high-grade squamous intraepithelial lesion; LSIL = low-grade squamous intraepithelial lesion.|
Critical Findings and Potential Interventions
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