P3L3 came to opd with postcoital bleeding and pap positive p/v cervix hyperophied bleed on touch diagnosis -
CA cervix
Fibroid
Cervicitis
Cervical polyp
Ans. A. CA cervixSYMPTOMS:Arises from: Squamo-columnar junctionEarliest symptom: Post-coital bleedingAs the cancer progresses, symptoms may include:Unusual vaginal dischargeVaginal bleeding between periodsBleeding after menopausePyometraBleeding or pain during sexMC site: EctocervixLymph nodes affected: Obturator, hypogastric and external iliacTime taken for conversion of CIN to invasive Ca: 10 yearsMC type: Squamous cell Ca100% cure rates are seen in: CISUremia: altered sensorium and is having hiccupsMC cause of death: Renal failureCa cervix can be prevented by screeningBoth positive Pap smear and test is suggestive of CA cervix