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.
DIY Hack How to Get Rid of Razor Bumps Fast
Hey there! I'm Rob, and this is my 2 Centswhere I give you tips for your life. Now you might think, why should I take advice fromthis guyé Well it just so happens that I have a little show on called On the CheapTip where I give you tips for your skin, your hair, and everythingbetween. Now mostof us like to groom ourselves, righté And along with grooming sometimes comes shaving,and along with shaving sometimes comes the eaded razor bumps. Now it doesn't matterif your going to the beach or just trying to get a little action. We want to make surethat the nether region is looking tight. Well guess whaté I just happen to have a naturalsolution that you could do right at home that
costs under a dollar. So basically the onlyingredient that you're going to need is uncoated Aspirin. I'm talking about the generic brand,not the expensive one. It's all the same. Now what Aspirin has that makes it so affectiveis Salicylic Acid. Now Salicylic Acid is able to exfoliate all the dead skin cells to helpthat trapped hair that's underneath your skin just come out and bloom like a delie flower.So what you're going to do is get about 2 tablets and put it into a small glass. Thenyou're going to take a little bit of water and pour it in. Let's say about, like a tablespoon or so. Then you're going to notice that the Aspirin is going to start to dissolveright away. So then you're going to help it
along by mixing it around a little bit. Assoon as it's all dissolved, you're going to get a nice little cotton round or cotton,and then dip it into your solution, and then treat your razor bumps! Now a lot of guysget razor bumps under their neck. Sometimes we get it down below if we shave on our chestor our belows, but women have a lot of problemsthat bikini area. So do we have any takersthat you know want to demonstrate this on staffé Heatheré No. Eriné Frank, come on now.I know you do some manscaping down there. It's time to show it off. Noé Ok well I triedto make this tutorial a little more entertaining. Well that's it! Make sure that you commentdown below, like this tutorial and subscribe
to Pretty Good Tutorials, because they're prettygood. And if you want more tips, you can head on over to my channel at On the Cheap Tip,where I can give you tips every Monday. Well, we'll see you next time. Bye!.