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
Yeast infection treatments good vaginal odor good urine odor
Hello. I am making this tutorialresponseto a young man who had writtena bout his girlfriend and he was saying how she had abit of a foul odorher vaginal area. and there are so many reasons why a lot of womencan have vaginal odors due to our hormones, having sex on the regular you're going tosmell a certain way, if your immune system is down you may have an imbalance as far asthe germs inside of you. So we are just going to get right to it. I wanted to talk abouta germ that I literally have been taking for years. It's called Lactobacillus acidophilus.You can get this from your or just go to rite aide. I think that I have seen itin there. It is called probiotic. I have even
seen a vaginal care version of this so cansell ita vitamin shop. I'm sure GNC has it but I just wanted to talk about that becauseI don't know it the germ eat the bad bacteria but what I do know is that you will have avery fresh smell with this. I have been using it for years. When you are taking good careof yourself down there you can even be on your cycle and smell fresh so check that out.Another supplement I want to talk about is this. This even says internal freshener. Itsays that you can 14 every day. This depends on how much you need it. I take this everyoncea while, But if you are taking good taking good care of yourself you won't needthis too much but if you are having Horrible
body odor problems you night want to checkthis out. This can also be sold at the vitamin shoppe. It's nice and cheap. I want to talkabout something that women can do to cut down on vaginal odor, you are not going to likethis but. tampons. I have not used tamponsyears due to the fact that they stop youup. If you body is trying to get rid of something and it's being stopped of course there willbe an odor. You may even have that odor when you are not even on your menstrual cycle.You want your vaginal area to be able to breathe. You want to just try and go back to usingpads it may seem a lot messy but it will keep you more fresh, you'll see for yourself. Thisworks eventhe summertime. I also wanted
to talk about grooming. I know a lot of womenwant to keep your bush but the truth is when bacteria latches on to those hairs that'swhen they will multiply and then you will have odor. If there is no hair to latch onto then then the bacteria can't hold on. Please groom yourself well. No hair basically. It'ssomething to get used to but it will keep you a lot fresher and cleaner. The last thingthat I want to talk about is vinegar. Vinegar I think it's the acid that really works againstthe germs and keeping your body fresh. When you are well groomed down there. Don't putthe vinegar on right after you removed the hair because the skin will be irritated anit will burn. What you want to do is wait
like a day later and then take some vinegar( white vinegar) Dab it on your vaginal area (not the sensitive area0 but dab , you caneven put some on the top of your inner thigh because that can be considered the vaginalarea. You can even but it on your backside if you want to. Dab it on fan it y thendab another coat on fan that y and then you should be good for the rest of the day.This is something that will keep your girl or who ever is watching this really fresheventhe summertime. You can even sweat with this method still be fresh. Vinegar hasbeen used as a cleaning solution for a long time backthe day so I have even used thatmethod under my armsthe summertime and
it really worked. I hope this helps the sunis going down so I am going to end this tutorial. But thank you so much for watching. just tryit and give me some feed back. Thank you Take care of you . Bye Bye.