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 tutorialmy 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 thata later tutorialthe GYN section. Gonorrheaand Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis. GCwill be covered laterits 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 op of saline added to it while the other halfof the slide has a op of 1020% KOH (Potassium hyoxide) 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 increasethe 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;4.5reproductive 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 bacteriathis 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 coveredmany adherentcoccoid bacteria (Gardenerella Vaginalis). Here is a picture comparing normal squamousepithelial cells with a few stered lactobacill to squamous cells that are coveredthousandsof 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
Learn About Yeast Infection York Pharmacy 876 9063108
As a family another very common complain that we seem to get is a very common Yeast infection a lot of times the women would come to,come to the practice and complain of having a Yeast Infectionwhich is really a very common term and perhaps need to spendsome time to talk a lit bit about this very commonYeast Infection whenever a female has a vagina
discharge very very often thisdischarge is automatically referred to as a Yeast Infection and I would say most, most visits to the family is for this socalled Yeast Infection it turns out that very often it may not be a yeast infection per saybecause a yeast infection tend to be of a specific nature and I couldprobably just spend some time to just try
outline what, what a common yeast infection is usually if is a yeast infection, there isa discharge but the type of discharge is what makesa difference. The discharge tend to be white and somewhatcreamy and is associated with vaginal itching. Sometimes on the outside of the vagina or, or sometimes even, even within and that is the usual classic yeast infection.
However sometimes there is a vaginaldischarge and, and is just I meana blanket way is referredto as yeast. But when a discharge is, is more watery is, is yellow perhapscolour and as a mal odour are a very bad odour. That is notusually a yeast infection. So you have differenttypes of vaginal discharged. And it would, it would be results fromvarious different
other, other causes. Which wouldneed a totally different approachterms of,terms of treatment. The the concern I suppose is to know which infection is sexually transmitted andwhich is not. Or which are the dangerously, are the dangeroussexually transmitted infections that most women would, would perhaps notwant to, to get. Of course you know these are thingslike gonorrhoea
or trichomoniasis or even chlamydia. These infections tend to be not as obvious as the common yeast infection youtend to have more of a yellow discharge. And you may or may not have an odourassociated with those infections One comment as wellthe case of men, the male who has a yeast,because they can also have a yeast infection as well. However often what you'd find is that the tip ofthe penis or what we call the glands
Candida Case Study 16 Jill With Endometriosis
Another case presentation. Interesting onehere. We've got a 22yearold lady called Jill, and Jill presented with endometriosis,a shocking condition. I'm going to talk a little bit about it from my book and thengive you some explanation about the case. I first saw Jill when she was about threeyears of age. Her mother brought herwith eczema, an itchy skin condition. Jill wasbreastfed for about a week and her mother was too tired and stressed with her otheryounger chilen to breastfeed, and placed Jill on a cow's milk formula.Jill had already been prescribed a few rounds of broadspectrum antibiotics by the timeshe was three. She presented with dark circles
under her eyes, was lethargic, and had multipleskin lesions up her arms and on her torso, legs, and it was scratched raw. We successfullytreated the skin complaints with diet change and a special probiotic.I saw Jill when she was 15 years of age, but this time she had post viral fatigue. It wouldhave been Epstein Barr virus. Jill was very tired, complained of headaches, and fallingasleep at school. Her mom had taken her to the where she received more antibiotics,all to no avail. She had menstrual cramps and breakouts of vaginal yeast infectionsat this stage. I then saw Jill last year when she was 21.This time she presented with endometriosis,
which her had diagnosed the year before.Jill had come to me concerned about her fertility, as she had just become engaged and she wasgetting regular urinary tract infections as well. She had undergone surgery to removeseveral cysts and had experienced lowgrade pelvic pain since. This time we placed Jillon the Candida Crusher program, and the results have been fantastic. We've had no more bowelproblems or urinary problems. There's a million Jill's out there. If you'vegot endometriosis and you're a lady watching this right now, I want you to sit back andlisten. Did you have vaginal yeast infections prior to having endometriosisé Did you usediflucan or fluconazoleé Do you use appliors
like Canestené Did you use any creams or productsfrom the pharmacy to cure this problemé You've probably iven the condition backthevaginal area into the endometrium. It's not uncommon. It happens all the time.Endometriosis is an inflammation of the lining of the endometrium, and it usually comes fromsome kind of irritant inside there. There are different theories on endo. Some peoplecall it the retrograde menstruation theory where they think menstrual fluids have goneback through the cervix internally and caused it. Other people call it an autoimmune condition.I call it a yeast infection gone wrong, or a bacterial infection like bacterial vaginosis,which is even more common than Candida. But
conditions of endo often have had an originwith Candida parapsilosis or Candida albicans or another Candida species that's basicallygot caughtthe endometrium and the immune system has started to go crazy and haywireand started to really develop inflammation internally.Take heed. If you've got thrush, you need to nail this thrush. You need to crush thethrush. You get rid of this damn thing and get rid of it. Don't use appliors. Don'tgo and fall for the 's line that you'll go on an antifungal ug. It's crap! It doesn'twork. I've treated too many women out there who've used these ugs recurrently, and ithas come at a cost. I've seen many women with
infertility. Many women over the years thathad vaginal thrush and they never really got rid of it.If you get recurring urinary tract infections, you need to get your immune system strong.No booze. No smoking. No refined carbohyates or crap food. inking plenty of water. Yourimmune system needs to be made strong. Immune system weakness often occurs with stress.I see stress quite commonly21yearold girls like this because they're living awayfrom mom and dad. They're flatting or they've got a mortgage, a new career, a boyfriend,or something. There's some kind of stress underpinning it. Usually, if you dig deep,you'll always find something.