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 Vinegar
My vaginal discharge smells like vinegar. Discharge is normally a little acidic andsmells a little like vinegar. We'll just say the smell is bad enough tobe more than normal. Fortunately, the cause of that isn't asfishy as it sounds, I mean smells. It is a little fishy, yes, but I'm not usedto it smelling like this. If you were used to yeast infections, youeither have a depressed immune system or diabetes. I know out of control diabetes means highblood sugar. I didn't think it could cause too much yeastmy own body.
It could also be because you're pregnant.The immune system decreasessome regards while pregnant to not harm the baby, raisingthe odds of a yeast infection. I don't think I'm pregnant. If the vaginal discharge smells bad and lookslike curds, you have a yeast infection. It is also more likely if the itching is bad,skin is red and it hurts when you pee or have sex. If I had that many symptoms, I wouldn'tbe having sex. You could also have bacterial vaginosis.
Just what I need, a social disease. You could have thick discharge that smellsmore than usual due to bacterial overgrowth of the bacteria normally there and it isn'tclassified as a social disease. So how could I treat ité Don't douche like you might do, since thosecleansings actually worsen the normal bacterial balance. And you need yogurt That sounds like a fancy new age treatment,up there with herbs and lotionsmy underwear. You eat the yogurt to help restore your body'sbacterial balance. There are some people who
do put yogurt up there, but it isn't recommended,though tea tree oil is. inking herbal teas is supposed to treateverything. What else can I doé Make sure you wipe front to back when youpoop so there isn't any bacteria making it from back to front. Any other ideas of what could be causing thisé It could be something sexually transmitted,especially if the cervical mucus is yellow or green or streaked with blood. I suppose the blood would be from lesionsor sores.
Yes, and you'll want to see a forany social disease. And it can be mistaken for a yeast infection, since the itching,burning and so forth are similar unless someone actually looks at it. Which is pretty much impossible for me unlessI reach the next levelyoga. You can try over the counter yeast infectiontreatments and diet changes, but if you have more than foura year or it resists treatment,you need to see a .