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so here is an attempt to simplify the pap smear algorithm so starting with ages 21 through 24 on the left I have the initial pathology if they have askus or else cell regardless of the HPV status theyamp;#39;re going to do a Pap in one year H so on asks is H is going to follow for colposcopy now for this path in one year for these two groups if they have askus or else so regardless of the HPV status theyamp;#39;re going to have another repeat Pap in one year if they do have H cell then theyamp;#39;re going to get a colposcopy like they would for their initial exam now if this Pap leads to ascus or else and they are HPV positive then theyamp;#39;re going to go for colposcopy for the age group greater than 24 the initial pathology is now going to depend a little bit more on HPV status here is the left homes depending on exactly what the pathology will be if thereamp;#39;s HPV positive then theyamp;#39;re going to go admittedly for colposcopy for askis the same is true for Elso now
