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.
Dog Health Treatment Advice How to Use Apple Cider Vinegar for Pets
Hi, I'm Aimee Beger. I'm a veterinarian,and many people use athome remedies to treat s with ear infections, or debris comingout of the 's ear. One common method at home is to use apple cider vinegar. The remedyis typically made by one tablespoon of apple cider vinegarone cup of warm water, andto use that as a flush to kind of flush out any debris or objectsyour 's ear. Here,we typically don't recommend that, because it can sometimes be very caustic, or burnan inflamed or already bleeding ear canal. Your veterinarian would be the best optionto seek the cause of of the ear infection, and also, to do an otoscopic exam, where theylook into the 's ear and ensure that the
earum is intact, and that that the cideror other cleaner would be safe to use.
Is The Atkins Diet Good For Candida
Greetings. It's Eric Bakker, naturopath fromNew Zealand and author of Candida Crusher and formulator of the Canxida range of products.Thanks for checking out my tutorial today. Today, we're going to talk about the Atkins diet. Atkins. Who can remember Atkinsé The Atkins diet was revolutionary when it cameout way backthe 80s and it changed the lives of millions of people. It's probablyone of the original Paleo kind of diets, a high protein diet, and lowcarbs. Somepeople call it the Fatkins diet because it was high fat and high protein.I've treated an incredible amount of patients who went through the Atkins phase becausethat was the stage when I was starting my
when Atkins was all the rage. I noticedone thing with Atkins. The induction phase for two weeks,particular, can cause alot of bowel problems with people like constipation. It's a bit like the South Beach diet from Stillwell. It's high protein. It's laden with protein. A lot of people, especiallyguys, love Atkins because it's a reason for them to eat steak every day.I can tell you now, researchEngland several years ago found that it was a very good ideato limit people's red meat intake to about a pound a week, 500 grams a week of red meat.It's not a lot of red meat is it when you think about it. You can get 12 or 16ouncesteaks, but all the research points to eating
too much red meat pushes youa higher chanceof getting bowel cancer. I'm not talking fish or organic freerange poultry here or leangrass fed lamb, I'm talking beef. So just be careful on a high protein diet that youdon't use it as an excuse to eat red meat every day. Eating red meat once per week isa clever move, but eating it every day is too much, I believe.If you are going to go for Atkins, look at eggs, chicken, of course, you need to getpreferably biodynamic or freerange high quality organic, look at organically sourced lamb,that's my favorite protein. And look at ocean caught fish. Fish is maligned a lot. Thereis a very popular Candida website I just looked
at before that says on a Candida diet to avoidall ocean fish because they're laden with mercury. What a load of crap! This is nottrue. This is false information people. Not all ocean caught fish is laden with mercury.This is nonsense. In fact, researchHawaii at an institute, you can look it up online,the fish with the highest mercury content also contain very high selenium levels. Nature'sway of detoxifying mercury is to build selenium into the protein of the animal. Fish thatcontain high mercury,fact, contain high selenium.I'm not a big fan of eating shark or sword or those large fish that do contain higheramounts of it, but Albacore tuna, for example,
has proven to be the best tunaterms ofthe low mercury levels. On some websites, they're saying, quot;Avoid all ocean caught fish.It's all toxic.quot; I think you need to click off those websites because I think that'sjust sensationalism. That's just shooting from the hip. It's not giving you factualinformation. It's just stupid information. Smaller fish are better because they storeless toxinstheir body. We're livinga very polluted world andin current time, so you need to be careful of any kind of animal protein you eat. Butsmall fish have got a lesser chance of building up toxinsthe body. Sardines, for example,nobody says to avoid sardines because they're
full of mercury. They don't live long enoughto get a lot of mercurytheir body. Bigger fish like sharks can live for 5060 yearsbecause they're higher upthe food chain and are going to have a lot more toxins inthem. Common sense. If people come up with crazy statements, just click off those websites.Is Atkins good for a Candida diet or for a bowel problemé It is, but you need to takeenzymes and probiotics on the Atkins diet. It's a clever move. I really want you to thinkabout it. If you get digestive discomfort on Atkins, bloating, farting, constipation,diarrhea, back off the protein, include a bit more fiber from vegetables while keepingsome of the grains at a lower contentyour