{
  "schema_version": 1,
  "kind": "condition",
  "id": "abnormal-cervical-smear",
  "name": "Abnormal Cervical Smear (Pap Test)",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GS50 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Preventing Cervical Cancer: Best Practices in Pap and HPV Testing - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK557551/",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · Abnormal Cervical Smear (Pap Test) - disease-level clinical article (abnormal-cervical-smear-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 3,
      "generic": "No drug therapy in primary care (Referral & Advice)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "An abnormal smear result (dysplasia or CIN) needs colposcopy and possible biopsy or excisional treatment, which is outside GP prescribing; the GP's role is explaining the result and arranging referral.",
      "adult_duration": "Refer, with advice",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "An abnormal smear result (dysplasia or CIN) needs colposcopy and possible biopsy or excisional treatment, which is outside GP prescribing; the GP's role is explaining the result and arranging referral.",
      "cautions": [
        "RED FLAG - Visible cervical lesion or mass on speculum examination (suspected invasive cervical cancer): assess urgently and refer.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - Unexplained bleeding or postmenopausal bleeding warrants evaluation for possible cervical cancer or neoplasm.",
        "RED FLAG - High-grade dysplasia (CIN 2 or worse), or postmenopausal or contact bleeding alongside the abnormal result: assess urgently and refer."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "abnormal-cervical-smear"
    }
  ]
}