CERVICOGRAPHY (CERVIGRAM)

CERVICOGRAPHY (CERVIGRAM) – Abnormal Findings, Client Preparation, Procedure, Factors Affecting Diagnostic Results and Client Teaching (Maternal and Child Health Nursing)

Cervicography is a photographic method to record an image of the cervix. This test may be done in conjunction with a Pap smear, Colposcopy and/or routine gynecologic examination. The Pap smear detects cellular changes, whereas the cervigram is a more sensitive means to detect cervical cancer. It can identify more cancerous lesions that were missed by the Pap smear

Normal findings: normal cervical tissue, no abnormal cells found

Purpose: to detect cervical cancer

ABNORMAL FINDINGS

  • Cancer of the cervix
  • Invasive cervical

CLIENT PREPARATION

  • Obtain a signed consent form
  • Obtain a history of any gynecological health problems (e.g. discharge, abnormal bleeding)
  • Explain the procedure to the client. Explain that she may experience some discomfort due to the body position and the procedure
  • Be supportive of the client. Allow the client time to express her fear and concerns

PROCEDURE

  • Food and fluids are not restricted
  • The client is placed in the lithotomy position
  • Acetic acid (5%) is swabbed on the cervical area
  • Pathgraphs are taken of the cervix
  • Aqueous iodine is then swabbed on the cervix; photos follow
  • An endocervical smear is taken; tissue obtained is applied to a slide(s)

FACTORS AFFECTING DIAGNOSTIC RESULTS

Cervical mucus that was not removed from the cervix prior to the application of acetic acid and the photography

CLIENT TEACHING

  • Inform the client that she may experience a brown vaginal discharge following the procedure for few days. The brown discharge is most likely due to iodine swabbed on the cervix
  • Instruct the client that if great discomfort or heavy discharge occurs, the healthcare providers should be informed
CERVICOGRAPHY (CERVIGRAM) – Abnormal Findings, Client Preparation, Procedure, Factors Affecting Diagnostic Results and Client Teaching (Maternal and Child Health Nursing)
CERVICOGRAPHY (CERVIGRAM) – Abnormal Findings, Client Preparation, Procedure, Factors Affecting Diagnostic Results and Client Teaching (Maternal and Child Health Nursing)

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