Reference Manual - IARC Screening Group

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Performing Breast and Pelvic ExaminationsCHECKLIST FOR BREAST EXAMINATIONSSTEP/TASK12. After completing the examination, have woman cover herself. Explain anyabnormal findings and what needs to be done. If the examination is normal,tell the woman everything is normal and healthy and when she should returnfor a repeat examination.13. Show the woman how to perform a breast self-examination.SKILL/ACTIVITY PERFORMED SATISFACTORILYCASESG-38 Cervical Cancer Prevention Guidelines for Low-Resource Settings
Performing Breast and Pelvic ExaminationsLEARNING GUIDE FOR PELVIC EXAMINATIONS(To be completed by Participants)Rate the performance of each step or task observed using the following rating scale:1 Needs Improvement: Step or task not performed correctly or out of sequence (if necessary) or is omitted2 Competently Performed: Step or task performed correctly in proper sequence (if necessary) but participant doesnot progress from step to step efficiently3 Proficiently Performed: Step or task efficiently and precisely performed in the proper sequence (if necessary)LEARNING GUIDE FOR PELVIC EXAMINATIONSSTEP/TASKGETTING READY1. Explain why the examination is being done and describe the steps in theexamination.2. Ask the woman to empty her bladder and wash and rinse her abdominal andgenital area.3. Check that the instruments and supplies are available.4. Ask the woman to undress and help her onto the examining table.5. Wash your hands thoroughly with soap and water and dry them with a clean,dry cloth or allow them to air dry.LOWER ABDOMINAL AND GROIN EXAMINATION1. Ask the woman to lie down on the examining table with her arms at her sides.2. Expose the entire abdomen.3. Note any swelling or bulges in the abdomen. Note the location and shape ofthe umbilicus.4. Inspect the abdomen for abnormal coloring, scars, stretch marks or rashes andlesions.5. Using light pressure with the pads of your fingers, palpate all areas of theabdomen. Identify any masses, areas of tenderness or muscular resistance.Record your findings.6. Using deeper pressure, determine size, shape, consistency, tenderness,mobility and movement of any masses. Record any masses and areas oftenderness.7. Identify any tender areas. If abnormal tenderness is present, check for reboundtenderness.8. If open sores are present on groin, put new examination or high-leveldisinfected surgical gloves on both hands before examining groin. Palpate bothgroin areas for bumps, buboes or swelling.EXTERNAL GENITAL EXAMINATION1. Ask the woman to place her heels in the stirrups. If there are no stirrups, helpher place her feet on the outside edges of the end of the table. Drape thewoman.2. Wash your hands thoroughly with soap and water and dry them with a clean,dry cloth or allow them to air dry.CASESCervical Cancer Prevention Guidelines for Low-Resource Settings G-39
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Cervical Cancer PreventionGuideline
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TABLE OF CONTENTSPREFACE AND ACKNOW
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How to High-Level Disinfect Surgica
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Table C-2Figure C-1Preparing a Dilu
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PREFACE AND ACKNOWLEDGMENTSThis ref
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ONEINTRODUCTIONMAGNITUDE OF THE PRO
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IntroductionFigure 1-3. Incidence o
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Introductionprevalence areas, a sta
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Table 1-2. Reduction in Cumulative
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Introductiontheir performance was t
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Introductionlesions, or a false pos
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IntroductionCompared to other metho
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Introductionsignificantly to women
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IntroductionBelinson JL et al. 2001
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IntroductionMitchell MF et al. 1998
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IntroductionYlitalo N et al. 1999.
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TWOHUMAN PAPILLOMAVIRUS AND CERVICA
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Human Papillomavirus and Cervical C
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THREEPATHOPHYSIOLOGY OF CERVICAL CA
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With the onset of puberty, whichis
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Pathophysiology of Cervical Cancerp
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Pathophysiology of Cervical CancerP
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Pathophysiology of Cervical CancerI
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Pathophysiology of Cervical CancerR
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FOURTALKING WITH WOMEN ABOUTCERVICA
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Talking with Women About Cervical C
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FIVEPREVENTING INFECTIONS INHEALTHC
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Preventing Infections in Healthcare
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SIXCLIENT ASSESSMENT AND VIA TESTIN
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Client Assessment and VIA TestingFi
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Client Assessment and VIA TestingIN
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Client Assessment and VIA Testingst
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Client Assessment and VIA Testingsp
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Client Assessment and VIA Testingth
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SEVENTREATMENT AND FOLLOWUPBACKGROU
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Treatment and Followupregardless of
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Treatment and FollowupFigure 7-1. L
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Treatment and FollowupTable 7-6. Co
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Treatment and FollowupFigure 7-2 is
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Treatment and Followup• Regulator
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Treatment and FollowupCRYOTHERAPY P
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Treatment and FollowupStep 6 Point
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Treatment and FollowupNote: When CO
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Treatment and FollowupStep 5Advise
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Treatment and FollowupBerget A, B A
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APPENDIX ATESTS FOR CERVICAL CANCER
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Tests for Cervical Cancer Screening
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APPENDIX BSCREENING TEST QUALITIES
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Screening Test Qualities and Their
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APPENDIX CINFECTION PREVENTION PROC
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Infection Prevention Processesfor m
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Infection Prevention Processeswith
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Infection Prevention ProcessesFigur
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Table C-4. Preparing and Using Chem
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Infection Prevention ProcessesStora
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Infection Prevention Processes• h
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APPENDIX DTECHNICAL OVERVIEW OF THE
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Technical Overview of the Cryothera
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Figure D-5. Removing Protector Tube
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Page 149 and 150: APPENDIX ETROUBLESHOOTING WITH THEC
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Page 153 and 154: APPENDIX FPROCESSING SURGICAL GLOVE
Page 155 and 156: Processing Surgical GlovesTable F-1
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Page 159 and 160: APPENDIX GPERFORMING BREAST AND PEL
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Page 205 and 206: APPENDIX HPERCEIVED BARRIERS TO PRO
Page 207 and 208: AVAILABILITY OF BASIC SUPPLIES AND
Page 209 and 210: GLOSSARYAcetic AcidAcetowhite Chang
Page 211 and 212: PatulousSquamocolumnarJunction (SCJ
Page 213 and 214: ADDITIONAL READINGAlliance for Cerv
Page 216: innovating to save liveswww.jhpiego
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Reference Manual - IARC Screening Group

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