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OSCE - Colpos

This document provides information on procedures and equipment used during a colposcopy exam, including a colposcope connected to a smoke evacuator, vaginal speculums, forceps, and retractors. It describes applying Lugol's solution, administering lidocaine anesthesia, and using electrosurgical devices with different electrodes for cutting, coagulation, and biopsy of abnormal cervical tissue. Cryotherapy is not recommended and electrocautery using heat is the preferred method of treatment.

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58 views1 page

OSCE - Colpos

This document provides information on procedures and equipment used during a colposcopy exam, including a colposcope connected to a smoke evacuator, vaginal speculums, forceps, and retractors. It describes applying Lugol's solution, administering lidocaine anesthesia, and using electrosurgical devices with different electrodes for cutting, coagulation, and biopsy of abnormal cervical tissue. Cryotherapy is not recommended and electrocautery using heat is the preferred method of treatment.

Uploaded by

mkct111
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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OBSTETRICS II

Colposcope (Dr. Salvador)


September 2008

Colposcope  Disadvantage: no specimen can be obtained


- Connected to a smoke evacuator  For CIN I and II
- Large loop electrosurgical procedure (LLEP)
- If patient is anxious: mild sedative: ½ tab of medazolam

Vaginal Speculum
- Coated to prevent electrocution
- With in insertion for the tube of evacuator
- Initially apply Lugol’s solution
o If with uptake, normal
o If without uptake, abnormal

Thumb Forcep
- Coated

Lateral Vaginal Retractor


- Blue color
- Used in grand multiparous women
- Lax lateral wall

Anesthesia
- Lidocaine solution
- Xylocane
o Has no epinephrine therefore, patient may bleed a
lot
- Use dental syringe with Potoky needle
- Instill anesthesia to cervix on 4 corners

Cauterization
- Use electrode: with a wire
- Use switch pen
o Yellow: for cutting
o Blue: for coagulation
 Use ball electrode

o For biopsy

- Mon-gin solution
o Paste-like
o To coat sire of coagulation
- Abnormal cervix
o Electrocautery: heat
o Cryotherapy: not used
 Create an iceball
 Done twice

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raych_eanne

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