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.
Vaginals Itching Home Remedies Health Tone Tips
home remedies for vaginal itching, wear loose clothing loose clothing is another great way toprevent vaginal itching as it keeps your vagina cool and y be sure to wear a 100 percent cottonunderwear so that your skin can breed if you have an office job or spin themajority of your time sitting be sure to get up and walk around everyhour at least to prevent your vagina from getting toowarm proper hygiene using proper hygiene may help stop forJohn alleging
changing cotton underwear daley andtaking a bath or shower will keep the vaginal creams the vagina is a selfcleaning are goneand does not require the use of harsh so a doucheto keep it clean using amild soap with no fragrances is best because the chemicalssoapmay cause our intent to hire Jim excessively watching the vagina maycause the skin to y out and cosmology yellow card yield which contains live and activecultures as Lactobacillus acidophilus
this probiotic food contains goodbacteria that are helpfulmaintaining a balance natural bacteria andmicroflorathe vaginaoverabundance the Eastin bacteriathe vagina can cause uncomfortable itching and the activecultures and yogurt may help balance the ratio eating yogurt while taking antibioticsmay help reduce the John alleging apply ice a cold compress but I Spy coldcompress on your vagina for immediate relief
the engine is most intense at nightaccording to most women so this is a good tool to have for thosesleepless nights yellow card eat one couple the other today make sureit's plain yogurt without any sugar and that it contains a third of a lifecultures this property helps fight against yeastinfections and fungus you can also put some yogurt on a tempand put ityour body for a couple of hours
do this once or twice a day for a fewdays you can also put some frozen yogurt onyour brokerage housethe media relieving effect against %ehtake message back dealyou time feds bath with warm water and add about12 a cup of salt makes the salt with the water until itdissolves and then soak yourself and it for about 15 minutes during thistime insert a finger inside your vagina sothat the warm salty water goes inside
salty water is very effective againstinfections and doing this for two or three nights can greatly reduce youreating cider vinegar similar to thetime section properties assault vinegar isalso an effective treatment makes about 2 tablespoons and then herinto perhaps warm water and rinse your vagina with ittwice a day for about three days don't worry if it stings a little thisis coming avoid irritation chemical irritants maycause our increased symptoms