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
How to Use Coconut Oil for Yeast Infection Natural Cure
Using coconut oil for yeast infectionnatural cure yeast infection is the inconvenientdisease that can develop into the severe level before it is getting worse it isbetter for you to prevent or treat it since it is mild if you think it isembarrassing to say itpharmacy or it is better for you to try the homeremediesthis case have you ever heard about the coconutoil for yeast infection you can learn more about it here howwould work coconut oil is versatile and it can beused as an antifungal yeast infection is
a fungal diseasethe part fromcoconut oil that can kill the fungal is caprylic acid capric acid and lowerCassidy three of them are very effective to kill the Kennedy States Canada is thename of the fungal the created yeast infection as the natural antifungal thecaprylic acidthe oil context to the east colonies it also can stop thegrowth and repliion of the East this caprylic acid is the most treatmentsprescribed by the s coconut oil for yeast infection that lead mycaprylic acid broke the membrane of the yeast cells it stops the itch and thrushin the vagina how to use coconut oil for
yeast infection using coconut oil foryeast infection is simple you can apply it on your skin but make sure if theinfected area is clean and y you also can add the oil into the dietand wash the vagina with coconut oil you also can take the coconut capsulesin this case when you want to apply it on your skin make sure you know the right dosage forit even when you want to add it to your diet take few ops of the oil into theinfected area for twice or three times a day including before going to the bedwhen you want to add it to your diet you
can use it to fry the food you need to make sure if the oil isheated at high temperature so that it will not break down into trans fatsbefore you take your meal you also can have a teaspoon of coconutoil next if you want to wash your vagina with it you can get an unreached tamponin coconut oil and leave it for eight hoursthe vagina for prevention youmix two quarts of warm distilled water with 3 to 4 tablespoons of the oil andwash it if you want to try this method it is better for you to get the organicvirgin coconut oil it is natural and has
more health benefits it is better foryou to avoid the hyogenated coconut oilthis case because it can destroythe beneficial attributesaddition there is also a highdangerous trans fatty acid coconut oil for yeast infection give you the lowside effects it is lower than the antifungal side effects you can solvethis infection problem naturally and the company imaging and irritating symptomswithout the need to spend much money and energy and applying many antifungals thank you for watching please subscribe
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