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Vaginal Bacterial Flora

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 “Whiff Test.� 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

REMEDIO PARA EL PICOR VAGINAL POR HONGOS Remedy for vaginal itching by fungi

Hi my friends. Behold we always dotalk about home remedies, health, I I feel like talking caution becausewe have to be very clear that the remedies Home is a support, a crutch to whatour tells us. First ever, we always have to go to the forWe diagnose what happens to us becauseprinciple we do not know what diseaseWe have hardly been sent to the remedy timely. That said, today I wantedtalk to you is of vaginal itching, vulvar . well, gives us all a bittrouble talking about it as if it were a hygiene issue, as if we were dirtyif we have this problem. Truth, reality

is that 99% of women overour lives have these problemssome moment of our lives, who have this typeinfections. Why these occur itchingé These are produced by multiple itchingcauses. Therefore it is necessary to go to when we have them. It may be fora bacterial infection, may be a fungal infection, may be by an allergyto underwear, the pads, the tampons, the type of detergent used,or soap with which we wash. Multiple causes. It is necessary that our medical ussay what happens to us. Sometimes it happens, that after a bacterial infection, our gives us an antibiotic, just

and destroys all bacteria. The antibioticnot pay attention to what bacteria are good and which are bad. Because we haveto know that within us always There are fungi and bacteria which areequilibrium:bacteria do not let them grow fungi and fungi do not let them grow bacteria,as if they were rabbits and herbs. If after taking an antibiotic, because we hada bacterial infection throw down with all bacteria, fungi advantage and growin excess. We have taken our antibiotic Our told us, but wehaving symptoms, we still itching. You go to the and says, now are fungi.And you think the does not know. Whether

whole. First bacteria were then aremushrooms. Recap: What I want to tell with thisé that often whenIt has is infection by fungus, problem is our bacterial flora hasfallen, has fallen, it has been limited or even has disappeared. Therefore, the solution (theIt's taken to get here) when and We have been to the , and this does not stopcured and still biting despite Had we since the fungicide or antibioticthe has recommended the solution often it happens by using yogurt. Yoghurtnatural. If it can be probiotic this having higher amount of bacteria, onehigher proportion of bacteria, there is another

thing . if you can be that the better. Whatwe will applyé We are going to apply for the night. We take a syringe to whichwe will cut the tip with a knife. We filled and we apply this yogurt. Six,seven cubic centimeters of yogurt. We leave there all night, and make our livesnormal. In the morning we showered normally. You can even if you are on the outside,vulvar, if you have itching, you can even put a compress slightly stained yogurt.In the morning you wash, and that's it. You use the same he has given you your , followwith your normal treatment and this use of reinforcement. What are we going to geté Replenishbacterial flora to again there

balance and fungi do not colonize allarea. Is a very good remedy is a remedy old, and is a remedy to be usedalwayscombination with what it says our . Also, if you have otherSymptoms: fever, bleeding, greenish mucus, that stinks . Hasten back to. I hope you serve, and you contais me. A kiss.

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