Fill in index in PAP

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How to fill in index in PAP

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so these are three very nurses how will you differentiate basal intermediate and superficial self as you can see basal cells have more nuclear nuclear intermediate cells larger nuclei than basal cell and in superficial cells there is ego so no filling cytoplasm so it is easy but what is the importance of these cells first one is maturation index which is basal cell divided by intermediate cell divided by superficial cells and second one is after microscopy you can diagnose many extrusion predominant or progesterone predominant conditions like in one case if institution predominant cells are seen you can diagnose clinically

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What is the significance of the maturation index?

The maturation index is useful for the evaluation of which therapies would be useful to treat vaginal hormonal symptoms. It provides a cross-check to be paired with a patients history and clinical symptoms.

What does a 0 100 0 maturation index mean?

An MI of 0:100:0 indicates the predominance of intermediate cells for example in pregnancy . An MI of 0: 60:40 is often found in women who are on oral contraceptives. Superficial cells predominance may be found mid cycle, whereas an MI of 90:10:0 can be expected in a post menopausal woman.

How do I read my Pap smear results?

A normal, also called negative, Pap smear result indicates that no evidence of abnormal cells were found in the sample. An abnormal, or positive, result on a Pap smear indicates that abnormal cells were detected in the sample and additional treatment or testing may be necessary.

What is the maturation index in a Pap smear?

The Maturation Index (MI) quantifies the estrogen status of the vaginal epithelium and related genital structures including the vulva, urethra and bladder. Three epithelial cell types, parabasal, intermediate and superficial, are used to evaluate vaginal estrogenization.

How to calculate maturation index?

It is based on weighted proportions of cell types from the MI and calculated using Meisels formula: the percentage of superficial cells (S) plus 0.5 times the percent- age of intermediate cells (I) coded from the cytology sample [MV %S (0.5 %I)].

What is the maturation index of pregnancy?

The Maturation Index (MI) The count should be performed on single cells. For example, in a normal menstruating woman at the time of ovulation, an MI of 0:35:65 would indicate that the smear contained no parabasal cells, 35% of intermediate cells, and 65% of superficial cells.

How serious is epithelial cell abnormality?

Epithelial cell abnormalities This means that the cells lining the cervix or vagina show changes that might be cancer or a pre-cancer. This category is divided into several groups for squamous cells and glandular cells.

Should I be worried about atypical squamous cells of undetermined significance?

Atypical squamous cells of undetermined significance is the most common abnormal finding in a Pap test. It may be a sign of infection with certain types of human papillomavirus (HPV) or other types of infection, such as a yeast infection.

Can period cause atypical squamous cells of undetermined significance?

Atypical squamous cells of undetermined significance (ASCUS): ASCUS can be caused by vaginal infections, including yeast infections. Using new condoms, impending menstruation, and HPV infections can also trigger this result. ASCUS is the most common reason for an abnormal test result.

How serious is atypical squamous cells of undetermined significance?

Atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion (ASC-H) For ASC-H, the risk of a high-grade precancerous lesion or cervical cancer is higher than ASC-US [1,2]. If you had an ASC-H Pap test, regardless of your age, the next step should be a colposcopy for further evaluation.

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