music It's a typical day. A patient has noticedsome itching, or maybe an unpleasant vaginal odor. During her exam, the ian willcheck vaginal pH, examine any discharge that's present, and collect a sample. Then, it'son to the microscope. music This is where you'll gather more specificinformationabout what's causing those vaginal symptoms. We'll show you how to prepare andexamine vaginal wet preps and how to do a whiff test. The results, combined with the patient's vaginal pH test, will aidthe diagnosis.
Under the microscope, you'll be looking for trichomonads, yeast, and the clue cells associated with bacterial vaginosis. We'll show you how to recognize them. music First, the microscope itself: This is a compoundlight microscope. It has several objective lenses on a rotating mount. For our purpose,one of these has to be a 10x low power objective, and one has to be a 40x for greater magnifiion.This flat part, under the objectives, is the stage. Under the stage is the condenser. Belowthat, at the base of the microscope, is the light source. There are two knobs that controlfocus; one for coarse adjustment and one for
fine adjustment. And these are the oculars,or eyepieces. We'll come back to the microscopea minute, but first, let's look at how to prepare wet mount slides. The complete vaginal wet mount involves botha saline prep and a potassium hyoxide, or KOH, prep. When the vaginal sample was collected,the swab was placeda test tube with approximately half a milliliter of saline. So, for the salineprep, you only have to take a op of the suspension and place it on a slide. Add acoverslip, being careful to avoid trapping air bubbles. Your saline slide is ready.Place a second op of the vaginal sample on another slide and add one op of 10 percentKOH. Sniff the preparation immediately, using
your hand to waft any odor toward your nose.This is the whiff test. Note if there's a fishy or amine odor. Then add a coverslip,avoiding air bubbles. Keepmind that you must work quickly to prepare and examine thewet mounts. That's because trichomonads may lose their characteristic motility within15 to 20 minutes. Before we move on now, though, let's lookat the cast of characters you may discover. These are normal squamous epithelial cellsfoundthe vagina. They're large, flat cells with a small nucleus and a large area of cytoplasm.Note that there is some granularitythe cytoplasm.
Polymorphonuclear leukocytes are known asPolys, or PMNs. They may also be called white blood cells, or WBCs. These are small roundcells. Several lobes of the nucleus are visible within the surrounding cell cytoplasm. Findingmany PMNs may indie infection. Trichomonads are pearshaped protozoa whichmove by means of flagella. Trichomonads are similarsize to PMNs and are identifiedby their characteristic jerking movement. The actual flagella may be too thin and toorapidlymoving to be seen. A clue cell is a squamous epithelial cellcoated with enough small bacteria that at least 75 percent of the cell's border is obliterated.It may look as if someone has spread glue
over the cell and pressed itsand. Cluecells are associated with bacterial vaginosis, a conditionwhich the normal microbialflora of the vagina is disrupted. Yeast may be foundtwo forms. Pseudohyphaeare the long, tubular, branching forms. Budding yeast are paired yeast cells that resemblea shoe print. The larger part is the sole and the smaller bud is the heel of the shoe. The saline prep will allow you to see epithelialcells, PMNs, trichomonads, and clue cells. You can also see yeastsaline, but sometimesit's hidden by epithelial cells or by PMNs. Red blood cells, sperm, and bacteria can alsobe seen.
Home Remedies for Vaginal Yeast Infections II II
Welcome to healthcare at home One of our viewer has email us She is having vaginal itching problem She has written that she had consulted to Gynecologist Dermatologist and also consulted to so many s and tried but there were no benefit and she is highly upset and asking us for any remedy if we have.
Yes, of course i will tell you remedy and that also very effective and easy remedy i will tell you You have to take 21 leaves of margosa tender and fresh specially those which are just grew up take 21 of them and you add
11 black pepper into it and also add one cup of water and mix it wellmixer and 23 timesa day use it 3 times if you have major problem then morning, afternoon and evening you have to consume this water you will notice that the problem of your vaginal itching will healed upanother 7 days
Apart from that along with this you have to do one thing Almost 4 spoon of triphala powder add into 300ml of water overnight andthe morning with triphala water you have to wash that area where you have the itching most you have to dip the cotton into the water and wipe that area with it to this 34 timesa day you will notice within few days your vaginal itching problem
or wherever you have itching there you can apply margosa and triphala remedy and you will definitely feel releafe Apart from that there is one more remedy take 12 spoon of black pepper powder and approximately 1 to 12 spoon of Clarified cow's milk butter mix them well
and just lick it Make sure that you should not eat before or after two hours of licking this liquid you will notice that this is effectiveany kind of dermatology or itching Apart from that i will tell you one more remedy which is very effective1 glass water of water add 2 spoons of chiretta and two spoon of picrohiza kurroa powder