Adolescent: STI screening, Pap smear
STI screening
New laboratory methods allow for easy, noninvasive testing for important STIs.
In particular, highly sensitive and specific DNA
amplification tests, such as those using the polymerase chain reaction, can be
performed on urine specimens to identify infections with Chlamydia trachomatis
and Neisseria gonorrhoeae, making spontaneous testing more appealing to most
at-risk teenagers. In the past, these infections were identified only after a
cervical specimen was obtained during the pelvic examination.
Pap Smear
Interpreting Cytology Results
Last updated February 2009
References:
Moscicki, AB. Conservative management of adolescents with abnormal cytology and histology. J Natl Compr Canc Netw. 2008;6:101-106
Wright TC Jr, Massad LS, Dunton CH, et al. 2006 consensus guidelines for the management of women with abnormal cervical cancer screening tests. Am J Obstet Gynecol. 2007; 197:346-355
ACOG Committee Opinion. Evaluation and management of abnormal cervical cytology and histology in the adolescent. Obstet Gynecol. 2006. 107: 963-968.
References:
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eds. Textbook of Pediatric Emergency Medicine. 4th ed. Philadelphia,
Pa: Lippincott Williams & Wilkins; 2000:1435-1469
Landry GL. Sports medicine. In: McMillan JA, DeAngelis CD, Feigin RD,
Warshaw JB, eds. Oskiís Pediatrics. Principles and Practice. 3rd ed.
Philadelphia, Pa: Lippincott Williams & Wilkins; 1999:732-751
Thompson GH. The knee. In: Behrman RE, Kliegman RM, Jenson HB, eds.
Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: WB Saunders
Co; 2004:2271-2273