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.
Oh hi! As you may havenoticed, your vagina does not come with an owner's manual. Although, I can tellyou that would have been really helpful and saved me a lot of infections growing up. Vaginas work basically like this. It's like a little ecosystem. It maintains and cleans itself.
The actual vagina, the inside, you never have to cleanthere. And you don't ever wantto put anythingthere. Well, nothing to cleanthere. That includes douches,soaps, bleach. (squeals) What all that stuff doesis go all upthere, and it (bleep) everything up. And the vagina has good bacteria that
keeps you clean and healthy. By introducing soap ordouching, you kill off that good bacteria, and youcan mess up the delie pH balance of the vagina, whichcan cause a yeast infection or also something calledbacterial vaginosis, which is characterized by a fishy smell. You can also get urinarytract infections from getting soap around your rurethra, your urethra.
Yeah, I can talk! So, any time you see thesoap, it's coming towards your vagina, you say, quot;Get away, soap! quot;We are not cool, be gone!quot; Now,terms of keepingthe outside clean, the proper way to clean your vulva is to gently spread your labia or the lips, and then use some warm water and your hand
to gently rub betweenthe folds and clear off all the sweat and bacteria. quot;So, you mean I shouldn't use shampooéquot; No. quot;What about shaving creaméquot; Only on the hair part. quot;What about toothpasteéquot; That's for your teeth.
quot;Oh yeah.quot; Vaginas are not nearly asdirty as people think they are. You want dirtyé Probe someone's mouth. Warm water, your hands,a washcloth, or a loofah. That's all you need to stay clean. I swear on my vagina! I think a lot of the reasonwhy people scrub vigorously
Timentin Treats Bacterial Infectionsthe Body Overview
Timentin is a prescription mediion usedto treat bacterial infections of the stomach, skin, lungs, bone, joint, urinary tract, andfemale reproductive system. It is a combination product that contains2 mediions: ticarcillin, a beta lactam antibacterial, and clavulanic acid, a betalactamse inhibitor. This mediion comesan injectable formand is given into the vein by a healthcare provider. The length of treatment can varydepending on your condition.Common side effects include rash, nausea, diarrhea, and irritationat the site of injection. Always take this mediion only as prescribed. Keep up todate with mediion information by following