Procedure Ready: Ob/Gyn

Before Your First: Colposcopy and LEEP

Listen Later

Abnormal Pap? This episode covers the colposcopy and LEEP procedures from start to finish – why we do them (ASCCP guidelines), the histology and staining principles behind acetic acid and Lugol's iodine, what cervical dysplasia looks like through the colposcope, and how LEEP and cold-knife cone excisions differ.

Show Outline:

  • Why – ASCCP guidelines (there's an app!)
  • Cervical Dysplasia – Caused by HPV. CIN I → CIN III is a progression. Risk factors: smoking, other STIs including HIV, immunodeficiency.
  • Histology – Increased nuclear-to-cytoplasmic ratio in abnormal cells
  • Staining Principles
    • Acetic acid: higher N:C ratio cells reflect more light and appear white (acetowhite)
    • Lugol's iodine: reacts with glycogen in normal squamous cells (appear dark); non-staining cells are abnormal
    • Colposcopic Findings – Increased vascularity, punctations, mosaicism, surface contour changes
    • LEEP – Stain the abnormality, know where the abnormal biopsy was taken. Single pass is ideal – tag a side for orientation. +/- Top Hat depending on ECC result.
    • Cold-Knife Cone (CKC) – For pathology higher in the cervical canal; more complications. No electricity – okay if pregnant.

      • About the Speaker:

      Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators.

      Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

      ...more
      View all episodesView all episodes
      Download on the App Store
      Procedure Ready: Ob/GynBy Jennifer Doorey, MD, MS
      • 4.9
      • 4.9
      • 4.9
      • 4.9
      • 4.9

      4.9

      268 ratings

      More shows like Procedure Ready: Ob/Gyn

      View all
      AFP: American Family Physician Podcast by American Academy of Family Physicians

      AFP: American Family Physician Podcast

      705 Listeners

      JAMA Clinical Reviews by JAMA Network

      JAMA Clinical Reviews

      506 Listeners

      Behind The Knife: The Surgery Podcast by Behind The Knife: The Surgery Podcast

      Behind The Knife: The Surgery Podcast

      1,306 Listeners

      The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

      The Curbsiders Internal Medicine Podcast

      3,360 Listeners

      Emergency Medical Minute by Emergency Medical Minute

      Emergency Medical Minute

      269 Listeners

      Core IM | Internal Medicine Podcast by Core IM Team

      Core IM | Internal Medicine Podcast

      1,152 Listeners

      Evidence Based Birth® by Rebecca Dekker, PhD, RN

      Evidence Based Birth®

      1,035 Listeners

      CREOGs Over Coffee by CREOGs Over Coffee

      CREOGs Over Coffee

      558 Listeners

      Zero to Finals Medical Revision Podcast by Thomas Watchman

      Zero to Finals Medical Revision Podcast

      143 Listeners

      The Clinical Problem Solvers by The Clinical Problem Solvers

      The Clinical Problem Solvers

      517 Listeners

      Harrison's PodClass: Internal Medicine Cases and Board Prep by AccessMedicine

      Harrison's PodClass: Internal Medicine Cases and Board Prep

      373 Listeners

      » Divine Intervention Podcasts by Divine-Favour Anene

      » Divine Intervention Podcasts

      1,013 Listeners

      Cram The Pance by Scott Shapiro PA-C

      Cram The Pance

      1,138 Listeners

      Normal Gossip by Normal Gossip

      Normal Gossip

      5,751 Listeners

      Ninja Nerd by Ninja Nerd

      Ninja Nerd

      327 Listeners

      Clerkship Ready: Pediatrics by MedReady

      Clerkship Ready: Pediatrics

      22 Listeners