
Get Colposcopy Report Sample 2020-2025
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How to fill out the Colposcopy Report Sample online
Filling out a colposcopy report online can be a straightforward task when you understand the components of the form. This guide provides detailed instructions to ensure you complete the form accurately and efficiently.
Follow the steps to complete the Colposcopy Report Sample online.
- Click ‘Get Form’ button to obtain the form and open it in the designated editor.
- Begin by entering the date at the top of the form in the provided field.
- In the history section, enter the patient’s age, Gravida (G) and Para (P) details as relevant. Check the box indicating if the patient is not pregnant or pregnant, and fill in the Estimated Due Date (EDC) and Gestational Age (GA) if applicable.
- Indicate the form of contraception used by selecting the appropriate option. If 'Other' is selected, specify in the provided space.
- For UPT (urine pregnancy test), indicate the result as negative, positive, or if not done. Record the Last Menstrual Period (LMP) and indicate if the patient is postmenopausal, as well as whether they are on Hormone Replacement Therapy (ERT).
- Note the patient’s smoking status and record the number of pack-years in the designated field.
- In the Pap/Colpo history section, list the last three Pap or colposcopy results along with corresponding treatments or interventions, if any.
- For the colposcopic examination section, ensure verbal consent has been obtained. Indicate if the exam was satisfactory or unsatisfactory, and whether the squamocolumnar junction or entire lesion was visualized.
- Label the drawing and check appropriate descriptors for any observed acetowhite epithelium and other findings, noting their characteristics such as shiny or dull.
- In the impression section, select the correct classification of the results, such as normal, low-grade lesion, high-grade lesion, or other.
- Document any tests done by checking the appropriate boxes, and indicate the timeframe for follow-up with the patient regarding results or next Pap.
- Make sure both the resident/student's and attending physician's signatures are included at the bottom of the form.
- Once you have completed all sections, review for accuracy, then save your changes. You can download, print, or share the completed form as needed.
Start completing your Colposcopy Report Sample online now!
To read colposcopy lab results effectively, focus on the main findings reported by the laboratory. Look for any indications of abnormal cell changes or recommendations for follow-up care. Using a colposcopy report sample as a reference can significantly improve your understanding of the terminology and format used in laboratory results.
Fill Colposcopy Report Sample
A copy of this report must be sent to CervixCheck within. 30 days of the result of the colposcopy being known. Draw two concentric circles. The outer circle represents the boundary of the cervix, and the inner circle represents the external os. â–¡ Follow-up appointment scheduled. Attention Provider: Choose if you have informed the patient of their result or if the primary care provider is expected to inform the patient of their results. A colposcopy is a procedure to check your cervix, the wall of your vagina and your vulva for signs of precancerous or cancerous tissue. Data received from colposcopy visit.
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