Reference Manual - IARC Screening Group

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Performing Breast and Pelvic ExaminationsLEARNING GUIDE FOR PELVIC EXAMINATIONSSTEP/TASK2. Wash your hands thoroughly with soap and water and dry them on a clean, drycloth or allow them to air dry.3. Help the woman to sit up on the examining table and ask her to get dressed.4. After the woman is dressed, discuss any abnormal findings and what, ifanything, she needs to do. If the examination was normal, tell her thateverything is normal and healthy.CASESG-42 Cervical Cancer Prevention Guidelines for Low-Resource Settings
Performing Breast and Pelvic ExaminationsCHECKLIST FOR PELVIC EXAMINATIONS(To be used by the Trainer)Place a “” in case box if step/task is performed satisfactorily, and “X” if it is not performed satisfactorily, or N/Oif not observed.Satisfactory: Performs the step or task according to the standard procedure or guidelinesUnsatisfactory: Unable to perform the step or task according to the standard procedure or guidelinesNot Observed: Step or task or skill not performed by participant during evaluation by clinical trainerCHECKLIST 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 hands thoroughly with soap and water and dry them.SKILL/ACTIVITY PERFORMED SATISFACTORILYLOWER ABDOMINAL AND GROIN EXAMINATION1. Ask the woman to lie down on the examining table.2. Look at the abdomen for abnormal coloring, scars, stretch marks or rashes andlesions.3. Palpate all areas of the abdomen using a light pressure. Then, palpate theabdomen using a deeper pressure.4. Identify any tender areas and check for rebound tenderness.5. Put new examination or high-level disinfected surgical gloves on both hands ifsores are present on groin. Palpate both groin areas for bumps, buboes or swelling.SKILL/ACTIVITY PERFORMED SATISFACTORILYEXTERNAL GENITAL EXAMINATION1. Position and drape woman.2. Wash hands thoroughly and dry them. Put new examination or high-leveldisinfected surgical gloves on both hands.3. Inspect external labia, clitoris and perineum.4. Check the labia minora, clitoris, urethral opening and vaginal opening.5. Check the Skene’s glands and urethra and take smears, if discharge is present.6. Check the Bartholin’s glands and take smears, if discharge is present.7. Ask the woman to bear down while holding the labia open. Check for anybulging of the anterior or posterior vaginal walls.8. Look at the perineum.SKILL/ACTIVITY PERFORMED SATISFACTORILYCASESCervical Cancer Prevention Guidelines for Low-Resource Settings G-43
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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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Technical Overview of the Cryothera
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Figure D-11. Gas Cylinder Secured t
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
Page 161 and 162: Performing Breast and Pelvic Examin
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Page 165 and 166: Figure G-5. Checking for Nipple Dis
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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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