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
My Vaginal Discharge Smells Like Bleach
My vaginal discharge smells like bleach. Your body can exude odors of strong foodslike garlic you ate a lot of, but if you ank bleach, you'd bethe emergency room insteadof talking to me. Please don't tell me you actually put bleach down there. As annoying as a yeast infection or bacterialinfection is, chemical burns are worse. And before you ask, it isn't because I'm reallyinto tidy whities. That doesn't mean you are not more colorfulin your love life. I know there are women who put detergent downthere to y things out because the guys want
it y to improve the sex. I don't do anythingmore than douche. Your vaginal discharge could smell a littlelike bleach because the condoms or lubricants you used did. Of every flavor of condom or scent of oilwe tried, nothing was anything like bleach. After all, it kills the mood. The chemistry down there can be altered byrepeated use of condoms Which you should use. And the lubricants you've been using. Allof it can combine to make a bleach like smell.
I never thought rubber could cause me to smellmore like chlorine. If the vaginal smell is sour or stale, youprobably have trichomoniasis. All I can think on hearing that is that itis a killer scrabble word. It is sometimes called just trich, pronouncedtrick. That I've heard of, but I don't know thesignificance. Trichomoniasis is a protozoan infection, andit causes a sour or even bleach like smell. So it is a social disease. Yes, but it can be treated with antibiotics.
Most of them still can, though the rise ofantibiotic resistant sexual diseases should give a lot of people nightmares. This doesn't have to be a nightmare. Rightafter sex, it may smell a little like bleach because his semen does. That's what the condoms are intended toprevent. You could still have the smellthat area,depending on what you did prior to putting the condom on. Anything else to keep a nose out foré
Your period can alter the pH levels down there,giving it a metallic smell right before your period starts. That is why they have scented menstrual pads. Then that's your solution while you shiftto a less odorific love life so the smell goes away. But you can do way more launyso you have something else to blame the smell on. Or at least a cause I'm willing to admitto.
Signs My Amniotic Fluid is Leaking
What are the signs my amniotic fluid is leakingé You look as if you've had an accident, butit smells sweeter instead of like pee. Why would it smell sweeté It has a lot of biological compoundsitbut not the urea that makes pee smell so bad. I've heard there were other signs. If your water breaks, you'll have a gush ofliquid down your leg. It is the slow leak that is harder to cope with. Why is thaté
A slow leak may happen before you arelabor,whether due to the placenta detaching or another problem. I'd like to know how to recognize that. If you have more vaginal discharge than usualand it keeps going, you may have an amniotic fluid leak. For example, if you have to startwearing maxi pads to avoid wet underwear. I wonder what the risk of that is. If too much is lost, the baby risks losingthe room it needs to grow. And whatever allows the fluid to leak out is an entry point forpathogens to hurt the baby.
If the leak is slow enough, the body can replaceit. The body can make some amniotic fluid, butit can't replenish a leak the way it can replace blood loss from a severe cutshort order. What can the doé The first thing would be getting a sonogrammachine to check on the baby. If the amniotic sack is getting smaller, you know there isa leak. Is there a treatmenté It depends on the cause of the leak. Bed rest,surgery and labor are all solutions.
I'm not sure labor is a solution. If a woman has preeclampsia, it is. For this,it depends on the 's opinion. What is your opinioné If you think you have an amniotic fluid leak,go to the .