Vaginitis Candida BV Trichomoniasis Wet Mount Whiff Test Vaginal pH Trich Albicans gardnerella
Distinguished future physicians welcome toStomp on Step 1 the only free tutorials series that helps you study more efficiently by focusingon the highest yield material. I'm Brian McDaniel and I will be your guide on thisjourney through vulvovaginal infections. This is the 3rd tutorial in my playlist covering allof microbio. Vulvovaginitis (AKA Vaginitis) is inflammationof the lower genital tract. It is usually due to infection, but there are a wide varietyof causes. During this tutorial we will focus on the 3 most important causes of vulvovaginitisfor the medical board exam (trichomonas, candida and BV). However, you should know that othertypes of vaginitis include mechanical irritation,
allergic reactions (to soaps or feminine products)and a variety of other infections. Atrophic Vaginitis is a common cause of vaginitis inpostmenopausal women and we will cover that in a later tutorial in the GYN section. Gonorrheaand Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis. GCwill be covered later in its own tutorial. We will start with a few different tests thatwe will use to differentiate between the different infections.Wet Prep (AKA Wet Mount Test) is a microscopic examination of vaginal discharge used to differentiatebetween different types of vulvovaginitis. The vaginal specimen is obtained using a speculumand a que tip similar to how one gets a pap
smear. Then the specimen is rubbed onto aglass slide. One half of the slide has a drop of saline added to it while the other halfof the slide has a drop of 1020% KOH (Potassium hydroxide) added to it.When Saline is added it makes it easier to view clue cells for BV flagellated motilecells for trichomonas. The KOH kills bacteria and vaginal cells leavingonly yeast cells. This makes it easier to view the psuedohyphae and budding yeast presentduring vulvovaginal candidiasis. KOH is also alkalotic so it can be used fora â€œWhiff Test.â€� In this scenario when the alkalotic KOH is added to a sample containingBV it will create an amine or fishy smell.
This is a similar principle behind how thesmell of BV can increase after unprotected sex since semen is alkalotic. The normal vaginal pH for a reproductive agewoman is about 4, while the normal vaginal pH before puberty and after menopause is about7. During puberty there is an estrogen guided increase in the growth lactobacilli flora.These bacteria break down glycogen into lactic acid which lowers pH from about 7 to about4. Now that you know the normal values you can apply it to diseases. Usually, BacterialVaginosis Trichomonas have alkalotic pH (gt;4.5 in reproductive age women) while candidahas normal pH (lt;4.5). pH paper can be tested
by using pH paper on vaginal discharge. You can see here at the top right corner thatI give BV a high yield rating of 3 on a scale from 1 to 10. If you want to learn more about that ratingsystem you can go to my website or click on this orange box here if you are watching thistutorial on a computer. Bacterial Vaginosis (AKA BV) is a polymicrobialinfection caused by the overgrowth of normal flora. The key bacteria in this infectionis gram negative Gardnerella Vaginalis. Clue cells are visible on the saline portionof a wet prep. A Clue Cell is a sloughed mucosal
squamous epithelial cell covered in many adherentcoccoid bacteria (Gardenerella Vaginalis). Here is a picture comparing normal squamousepithelial cells with a few scattered lactobacill to squamous cells that are covered in thousandsof adherent garenerella bacteria. Here is one more pic. You can see on the leftwe have a normal squamos epithelial cell with a few WBCs. On the right we have the darkerClue cells. Finally I have a photomicrograph to look atin case you see that on your test. A thinwatery graywhite discharge is presentA fouls smell is present and often described as an Amine Odor or Fishy Smell. This smellis intensified after unprotected intercourse
IVF Journey Progesterone Vaginal Suppositories
Hello again, I am about to insert my progesteronevaginal capsule. And I have a bunch of them. There's thirty in this supply and I'm supposedto use it. Insert one vaginally twice a day. And so I wash my hands, and then I take oneout. It's a little capsule. Like this. And I take one of the needles that I had leftover from the injections. And I poke hole, I poke like three or four holes in it. One,two, three, four. And then once I do that I insert it vaginally. Like this. Just kidding.So I haven't had any side effects that I've noticed other than my breasts have grown.And that's about it. So it's not too bad. So don't get worried if your prescribesyou vaginal progesterone. It's not that bad.
I insert it and I probably lay down for likethirty or fortyfive minutes and I just go on about my day. And it's fine. So take care.Have a blessed day. Bye!.
Vaginal Tightening Gel from India OUCH
a new commercial from india is sweepingacross the internet it's got tons of use because it's ridiculous what's hoppingis vaginal tightening cream now of course is instantly brings to mind ofvaginal uh. bleaching that we talked about a couple months ago when the firststep of the cumberland um. this one is telling women that ifyou just apply this to your pride areas you'll feel like a virgin again in yourman will presumably love you again we fight i got there compras well i'm not familiar what isthe vagina
uh. i'd seen them on the internet fictional different woman to womansummary of what they did wonders at this one into that one as well yeah test what are you writing and inthis country that is when depending on your level of lot i suppose if he is abad tightening cream then this would not be such a good thing bago so what uh. will presumably you just dance with yourman in the courtyard with bollywood
music playing and he loves it and ithink they actually show too much detail on there but uh. you you apply thecream i assume wrangler hours in a leak but it's not coming is having unit figured out how to create anti wrinklecream that really works out and guarantee that that's what i think itdoesn't work that way like candid vaginal recall train that work uh. we would use it on above themarital
and nice involving anaesthesia sheetingwhen he had nine cases difficult but i do you want are inherent listen let'shone in on the topic a little bit cell first of all it's a little rediculous that in india there seems to be this obsessionwith a tight beautiful the jackpot it must have left euphoria wild without the has because we've done a story aboutlife how they have reaching creams and by the way
why would you want a breach it down andliked what color does it need to be a twentyone it's like that happen one other thing they want lakesstartling is that i i think that they want to blend more naturally into therest of the thirty concert did something jonah liking what believeme derives don't care about the way it looks at me and started snarled up thereand right there will be worth birth controldebate where that we've got to tell the guyswhether they care a parking wrong
applied care but alot a friend a nightfor some up the battle tightening cream is absurd i hate the idea of like making womenmore on comfortable and more insecure about another body parts stilettos that let's get that seriouspart out of the way but when it comes to light that pure insome of the giant up my friends and i were discussing likegrooming habits of women and how there's