Unsatisfactory Pap Smear Cytology in Women 30 Years or Older

Unsatisfactory Pap Smear Cytology in Women 30 Years or Older [link url="//www.soapnote.org/tag/pap-smear/" memo="pap smear calculators.  "][link url="//www.soapnote.org/women/pap-smear/" memo="main pap smear page.  "]

[select name="Qhpv" value="-choose-|Unknown|Negative|Positive"] <-- What is the HPV result?  [conditional field="Qhpv" condition="(Qhpv).is('Unknown')||(Qhpv).is('Negative')"]
[select name="Qrepeatcytology" value="-choose-|Abnormal|Negative|Unsatisfactory"] <-- What is the repeat cytology result in 2-4 months?[/conditional][conditional field="Qrepeatcytology" condition="(Qrepeatcytology).is('Abnormal')"]
Manage per American Society for Colposcopy and Cervical Pathology (ASCCP) Guidelines. [/conditional][conditional field="Qrepeatcytology" condition="(Qrepeatcytology).is('Negative')"]
[select name="Qhpv2" value="-choose-|Unknown|Negative|Positive"] <-- What is the repeat HPV result?[/conditional][conditional field="Qhpv2" condition="(Qhpv2).is('Unknown')||(Qhpv2).is('Negative')"]
Resume routine screening.  [/conditional][conditional field="Qhpv2" condition="(Qhpv2).is('Positive')"]
Perform Co-testing at 1 year. [/conditional][conditional field="Qrepeatcytology" condition="(Qrepeatcytology).is('Unsatisfactory')"]
Colposcopy is recommended. [/conditional][conditional field="Qhpv" condition="(Qhpv).is('Positive')"]
Either repeat cytology in 2-4 months or colposcopy may be done.
[select name="Qhpvpositive" value="-choose-|Repeat cytology|Colposcopy"] <-- Which follow-up study is chosen?[/conditional][conditional field="Qhpv|Qhpvpositive" condition="(Qhpv).is('Positive')&&(Qhpvpositive).is('Colposcopy')"]
Colposcopy is recommended. [/conditional][conditional field="Qhpv|Qhpvpositive" condition="(Qhpv).is('Positive')&&(Qhpvpositive).is('Repeat cytology')"]
[select name="Qrepeatcytologyb" value="-choose-|Abnormal|Negative|Unsatisfactory"] <-- What is the repeat cytology result in 2-4 months?[/conditional][conditional field="Qrepeatcytologyb" condition="(Qrepeatcytologyb).is('Abnormal')"]
Manage per American Society for Colposcopy and Cervical Pathology (ASCCP) Guidelines. [/conditional][conditional field="Qrepeatcytologyb" condition="(Qrepeatcytologyb).is('Negative')"]
[select name="Qhpv2b" value="-choose-|Unknown|Negative|Positive"] <-- What is the repeat HPV result?[/conditional][conditional field="Qhpv2b" condition="(Qhpv2b).is('Unknown')||(Qhpv2b).is('Negative')"]
Resume routine screening.  [/conditional][conditional field="Qhpv2" condition="(Qhpv2b).is('Positive')"]
Perform Co-testing at 1 year. [/conditional][conditional field="Qrepeatcytologyb" condition="(Qrepeatcytologyb).is('Unsatisfactory')"]
Colposcopy is recommended.  [/conditional]

[checkbox memo="References (Hide/Show)" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"][link memo="Saslow D et al. American Cancer Society, American Society for Colposcopy and Cervical Pathology, and American Society for Clinical Pathology screening guidelines for the prevention and early detection of cervical cancer. J Low Genit Tract Dis. 2012 Jul;16(3):175-204." url="https://www.ncbi.nlm.nih.gov/pubmed/22418039"][/conditional]