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.
How To Test For Candida Yeast Infection
Hi there, Eric Bakker, author of Candida Crusher.Thank you for tuning into this YouTube tutorial today. Today, I'd like to talk to you a littlebit about testing for Candida yeast infections. Many patients who come to see me want to knowwhether they have an infection or not. They go to their or they go to their naturopathand they're told that they've got all these problems, but then they reply, What are theseproblemsé Can we do a test for these problemsé What are theyé So the medical willhave a few tests that he or she may perform, but not many patients with Candida yeast infectionsare really tested when they go to their medical . If the suspects a vaginal yeastinfection or thrush, then he or she may perform
a test, a smear test, to determine that, andthat will be sent away and those cells will be checked out. They'll be cultured. They'llgo to a special lab to see whether it's bacterial vaginosis or a yeast infection. But generally, a won't test any furtherthan thatterms of digestive problems or inflammation or brain fog or any of the othersubtle signs and symptoms of a yeast infection. The patient may be given a digestive product,maybe an acid blocker. They may be given a sleeping pill or an antiinflammatory, butI don't usually find that medical s will test any further than perhaps doing avaginal check. Or maybesome cases with
a male, they may do a skin scraping of a particulararea and then get that checked. The issue I have with the medical test to determineyeast infections and many other health conditions are that they are defined more by statisticalnorms rather than physiological norms. By that, I mean they really work on a slidingscale from say 1 to 10. If you come back as 1.5the bottom end of that reference rangeor 9.5, you're deemed to be perfectly normal. In natural medicine, we don't really lookat it like that. We look more at the physiological norm. We're going to be more interested toget you around four, five, or six, which will be more of a midpoint, which we deem to bea really good range for you to be in. That's
one concern I have is looking at these norms. The other concern I have, really, with themedical testing is if a test comes back positive, it will often lead to the prescription ofa pharmaceutical ug. Andmany cases, it will be an antibiotic or antifungal; itwill be an quot;antiquot; type of a ug, which will only create further problems. And if the can diagnose you with any particular test, then he or she may even think that you'vegot depression or anxiety and send you to a psychiatrist. And that's what happened tome. I was told to go to a psychiatrist when Ihad Candida because my problems were all in
my head. Well, they weremy head partiallybecause I had brain fog, but what the didn't know is I had a lot of digestive problemsthat he really should have gone furtherlooking at. And for that reason, now I doa lot of stool testing, comprehensive digestive stool testing. You're going to see a lot moretutorials on stool testing. I'll explain to you a lot more about the markers and what theymean, and how to interpret this very, very important test. In my book, Candida Crusher, I call the comprehensivestool test the quot;Rolls Roycequot; of tests because you can determine a whole bunch of stuff fromthis test. You can look at digestive markers,
inflammatory markers, and immune markers.It goes on and on and on; there's a whole lot of information that we can acquire fromthis test, which can give us a very accurate indiion of the health of your whole digestivesystem. It also shows me where to pinpoint the treatment. It gives me a good idea onthe severity of your condition and how long it's going to take to get well. There are various tests that the andthe naturopath will perform to determine a yeast infection. As I mentioned, the may perform a smear test to determine whether it's vaginal thrush or vaginosis or an STDof some form. A may perform a stool
What does tinidazole mean
What does tinidazole meané tinidazole. Noun 1. An antiparasitic ug used against protozoan infections.