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
Benefits and Uses of Oil of Oregano
Hey guys, Axe here, of FunctionalMedicine and founder of Axe . Today I want to share with you the many benefits oforegano oil and the many uses of oil of oregano. Oregano oil has been used for over 2,500 yearsand has 4 really unique specific benefits. Number one, it's antifungal. Number two,it's antibacterial. Number three, it's an antiparasite and antiviral, and number four,it's an antioxidant. So let me talk about, specifically, how youcan use thesefighting infections and naturally healing your body. The number one way oilof oregano is used today is to treat funguses and candida. For a lot of us, it's very easyto develop things like candidayour body.
If you ever have too much, like a white coaton your tongue, or if you commonly are getting different types of infections, it could becaused by candida. Oil of oregano has been provenmedical studies to kill off candidiasis,that bacteria or fungus, that can grow within your system. It also works as an antifungal. Quick side note, my mom, after going throughchemotherapy years and years ago, came down with a toenail fungus and had chronic yeastissues. For 10 years she had a toenail fungus, and we started using oil of oregano on hertoenail fungus every day. After two months, it was completely gone. She had used differentcreams. She had used different mediions.
Nothing had worked until she used oil of oregano.So again, for a toenail fungus or for a candida cleanse, you can put this on topically. I don't recommend taking this internally morethan 10 daysa row, but you can do oil of oregano, 4 ops, 4 times daily internally,but only for 10 days and not longer, because it is a natural form of medicine. The second thing you can use oil of oreganofor is to kill off bacteria. If you ever come down with a common cold or flu, this actsvery, very quickly at killing off bad bacteria and viruses within your system. In fact, therewas a groundbreaking study on oil of oregano
recently that it actually kills off E. coli,one of those bad forms of bacteria that can actually even cause food poisoning and causeyou to get sick. So again, oil of oregano, it's great to take for kicking a cold fast. Number three, a parasite cleanse. Many people,especially when you travel overseas, you can come down with a parasite. Oil of oreganois an antiparasitic as well, so it kills off parasites. Number four way to use and benefit from usingoregano oil is its powerful antioxidant properties. In fact, it's one of the top 10 antioxidantherbs out there today, and so if you want
to age slower, live longer, oregano is great.Again, I don't recommend using this internally unless you're sick or doing a temporary cleansefor 10 days, but you can diffuse it around your home. You can make it as part of a personalcare product. In fact, you can make homemade mouthwash with oregano oil, and it helps cleanyour teeth and helps fight gingivitis and bad breath. So again, there are many benefitsand uses here of oregano oil. Make sure when you're buying oregano oil thatyou buy from a very high quality brand. Again, oil of oregano is beneficial because it'santifungal, it's antiviral, it's antiparasitic. Also, it is a powerful and potent antioxidant.
Last thing here I want to mention about it,another recent medical study was published showing that it also can shrink tumors, andit may be an effective natural treatment against different types of cancer. So guys, this has been Axe recommendingyou add oregano oil or make it part of your healthy natural medicine cabinet. If you want to learn more about essentialoils, make sure you subscribe to our YouTube page. I'm always putting out new tutorials onthe many benefits of herbs, vitamins, minerals, superfoods and essential oils.