A 40 years old female presented to your clinic with the history of per vaginal bleeding associated with dysparaeunia, suprapubic pain, loss of appetite and loss of weight. A cervical examination is performed and the picture shows comparison between normal appearance of cervix and patient’s cervix.
1) What other history you would like to ask
2) Describe the picture B
3) What are the investigation that you would like to perform
4) What is the common causative agent for above condition
5) Outline the Pathophysiology of the disease.
Answer
1)
- Earlier age sexual activity
-Multiple sexual partner
-Any history of infection with human papilloma virus?
-Family history of cervical cancer
-Did spouse have multiple sexual partner?
- Any history of sexual transmitted disease?
-Did spouse have sexual transmitted disease?
-Smoking, alcohol consumption
2)
- Abnormal shape of cervix
-Irregular vagina mucosa
- Cervical bleeding
3)
-PAP Smear test
-Antibody detection for HPV
4) Human papilloma virus
5)
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