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 Cure Candida6 Steps
Hey, guys. Axe here, of functionalmedicine and founder of Axe . Today I'm going to share with you the exact diet, treatmentand supplements you need to take the clear Candida from your body. And this is what Ireally consider to be my SixStep Candida Cure Diet Protocol. And you're going to seeamazing results with this protocol. And let me say this first, what is CandidaéCandida is the overgrowth of yeast and bad bacteriayour body and it can cause somemajor symptoms that you want to get rid of. And so some of the symptoms of Candida caninclude any type of fatigue issue. If you struggle with chronic fatigue or aenal fatigue,those can be related to Candida.
Any type of leaky gut issue. Leaky gut isintestinal permeability, where proteins like gluten can leak through your gut and causeinflammation of your body. So if you have food sensitivities or if you have digestiveissues like gas and bloating, also if you have any problem related to the thyroid, thosecan be warning signs you have Candida. Also if you get yeastyour body. If younotice, let's say, yeast or whiteness on your tongue or if you ever get chronic yeast infectionsor coming down with the cold and flu often, those can be warning signs that you have Candida.And, of course, also with Candida any sort of other digestive issues, like irritablebowel synome or chronic diarrhea or constipation
or even acid reflux, those are warning signsthat you might have Candida. And last but not least, is a sluggish metabolism.If you aren't losing weight and burning fat like you know you should be, those are warningsigns you could have Candida, along with actually even bad breath and lack of detoxifiion.Those are some major warning signs. So here are the six things you need to do to eliminateCandida fast. Number one, you need to stop consuming somuch sugar. Now, I know that's obvious. That's something that I think most of us realizeis that sugar feeds yeastyour body. But again, you have got to get rid of processedsugar, fruit juices, any sort of added sugar
to any sort of product sweetener. Even mostpackaged products and fast foods are also highsugar. Even things like pasta saucesand crackers, you'd be surprised, but sugar is added to almost everything. So again, eliminate especially the processedsugar out of your diet. As a replacement, I recommend using a little bit of Stevia,which is a nocalorie natural sweetener and then about one to three teaspoons a day ofmanuka honey. Okayé Those are the sweeteners you should be using if you have Candida. Number two. You need to eliminate grains fromyour diet. Whyé Because grains turn into sugar
and they also tend to be more inflammatory.And so again, getting those grains out of your diet, especially wheat products and glutencontaininggrains, that's step number two. Instead, do a lot more vegetables and maybe some starchycarbs. Number three thing you have to do to clearCandida from you system, is support your spleen. Now, this is cuttingedge information thata lot of people don't realize. And this is a practiceAncient China that is oftenused by acupuncturists today. But they have found that the number one cause of Candidais a weakened spleen. And so if you have spleen issues, and spleen is responsible for digestionof the body, producing red blood cells in
your system. And so the spleen is a very importantorgan. In order to support the spleen, there area couple things you need to do. But really the spleen is supported by starchy foods,especially squash, things like sweet potatoes, butternut squash, and also even doing certaintypes of beans like lentils and mung beans. So again, getting some of those good starchycarbs. And that's really where your sweetness shouldcome from. A little bit of butternut squash, acorn squash, foods like that that has thatmild sweetness. That's the only sweet you should be really gettingyour diet. Again,with no processed sugar and, again, very low