music It's a typical day. A patient has noticedsome itching, or maybe an unpleasant vaginal odor. During her exam, the ian willcheck vaginal pH, examine any discharge that's present, and collect a sample. Then, it'son to the microscope. music This is where you'll gather more specificinformationabout what's causing those vaginal symptoms. We'll show you how to prepare andexamine vaginal wet preps and how to do a whiff test. The results, combined with the patient's vaginal pH test, will aidthe diagnosis.
Under the microscope, you'll be looking for trichomonads, yeast, and the clue cells associated with bacterial vaginosis. We'll show you how to recognize them. music First, the microscope itself: This is a compoundlight microscope. It has several objective lenses on a rotating mount. For our purpose,one of these has to be a 10x low power objective, and one has to be a 40x for greater magnifiion.This flat part, under the objectives, is the stage. Under the stage is the condenser. Belowthat, at the base of the microscope, is the light source. There are two knobs that controlfocus; one for coarse adjustment and one for
fine adjustment. And these are the oculars,or eyepieces. We'll come back to the microscopea minute, but first, let's look at how to prepare wet mount slides. The complete vaginal wet mount involves botha saline prep and a potassium hyoxide, or KOH, prep. When the vaginal sample was collected,the swab was placeda test tube with approximately half a milliliter of saline. So, for the salineprep, you only have to take a op of the suspension and place it on a slide. Add acoverslip, being careful to avoid trapping air bubbles. Your saline slide is ready.Place a second op of the vaginal sample on another slide and add one op of 10 percentKOH. Sniff the preparation immediately, using
your hand to waft any odor toward your nose.This is the whiff test. Note if there's a fishy or amine odor. Then add a coverslip,avoiding air bubbles. Keepmind that you must work quickly to prepare and examine thewet mounts. That's because trichomonads may lose their characteristic motility within15 to 20 minutes. Before we move on now, though, let's lookat the cast of characters you may discover. These are normal squamous epithelial cellsfoundthe vagina. They're large, flat cells with a small nucleus and a large area of cytoplasm.Note that there is some granularitythe cytoplasm.
Polymorphonuclear leukocytes are known asPolys, or PMNs. They may also be called white blood cells, or WBCs. These are small roundcells. Several lobes of the nucleus are visible within the surrounding cell cytoplasm. Findingmany PMNs may indie infection. Trichomonads are pearshaped protozoa whichmove by means of flagella. Trichomonads are similarsize to PMNs and are identifiedby their characteristic jerking movement. The actual flagella may be too thin and toorapidlymoving to be seen. A clue cell is a squamous epithelial cellcoated with enough small bacteria that at least 75 percent of the cell's border is obliterated.It may look as if someone has spread glue
over the cell and pressed itsand. Cluecells are associated with bacterial vaginosis, a conditionwhich the normal microbialflora of the vagina is disrupted. Yeast may be foundtwo forms. Pseudohyphaeare the long, tubular, branching forms. Budding yeast are paired yeast cells that resemblea shoe print. The larger part is the sole and the smaller bud is the heel of the shoe. The saline prep will allow you to see epithelialcells, PMNs, trichomonads, and clue cells. You can also see yeastsaline, but sometimesit's hidden by epithelial cells or by PMNs. Red blood cells, sperm, and bacteria can alsobe seen.
Brown Mucus Discharge During Pregnancy
If I see brown mucus discharge during pregnancy,do I need to be worriedé If you are pregnant and worried, you oughtto see a . I don't want to go rushing to the and incur his annoyance or his copay for nothing major. What causes ité Brown usually means old, ied blood. Oh, gross. You're the one asking about bodily excretionshere. How do you think I feelé What do you think it isé
If you're earlythe pregnancy, it mightjust be residue of the last period you didn't have. Or you could have had the embryo implant. I'm farther along than that. If you and the baby's Daddy are still havingsex, you could have created tearsthe cervix. Then you'll see a little blood with themucus. Do I need to worry about thaté He may not even have eyes yet. He certainlywon't see the organ that made him. I meant the discharge.
Unless there is a lot of red blood, no. Andvaginal discharge tends to clear things out, reducing the risk of infection. I'm over half way through the pregnancy.I wondered if I was miscarrying. You would expect to feel pain along with thedischarge if you were having a miscarriage. However, if the placenta is separating orreally low, you could have traces of blood mixed with mucus. Placenta separation is life threatening. Yes, when you get enough blood loss to threatenyour health and that of the baby. But you'll
either have a lot more blood or pain to indiethe severity. Could it be a sign I'mlaboré It might be an early sign. Especially if themucus plug comes out. Oh, gross. You're about to have a newborn with poopof many colors, spit up, snot, vomit, pee and everything else. Get over it!.
Why is My Ovulation Discharge Brown
Why is my ovulation discharge browné Are you sure it is not the start of your periodé Wrong time of the month for that time of themonth. It is possible that the rupturing of the folliclecontaining the egg released a few ops of blood. You'd think that came out as red. If the blood is fresh, sure. When it takesa couple days to migrate down from the ovary through the uterus, it comes out brown.
So that explains it. Not necessarily. The other reason you seedischarge a couple days after ovulation is the implantation of the embryo. That I would expect to be red. Unless it is really mixed with cervical mucus.Unless it takes time to eventually dissipate. Why else might I have brown dischargeé Brown usually means blood. You can have browndischarge due to abnormal vaginal bleeding. So this is not normal.
You could have an untreated social disease,and the act of trying to get pregnant got the sores aggravated instead. I'd need to see a to get that treatedbefore I had sex again. In some cases, you get brown discharge whenovulating if you had endometrial cancer or ovarian cancer. However, that's rare. Good, because I do not need another reasonto get paranoid searching medical databases on symptoms. Go to red alert status and the if thebrown discharge when you ovulate accompanies
pelvic pain that isn't a ten minute twingewhen the ovary releases an egg. I'm not one of the twenty percent of womenwho get ovarian pain when the egg releases. It could be as simple as ying out of thevaginal walls with age and sex trying to get pregnant causing minor injuries. I know that would be the cause if I used somuch feminine hygiene stuff that it irritated things. If you have urinary incontinence along witha yellow or brown discharge, it is probably gonorrhea.
And I thought it might be something I couldtreat myself like a yeast infection. If it is yellow discharge or green, you eitherhave trichomoiasis, gonorrhea or some other reason to see the . I do not think it is a social disease though. Then you may have bleeding somewhere you shouldnot and need to get checked out anyway. After using a pregnancy test to rule out implantation. If it is constant discharge and the pain getsworse, it may be an ectopic pregnancy. Or you could have brown blood around ovulationbecause of it worsening ovarian cysts.