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
How to Identify a Yeast Infection
How to Identify a Yeast Infectioné At some timeyour life, you will probablyneed to know what a yeast infection looks like. A yeast infection will have differentcharacteristics depending on which body part it has attacked. In most cases, it looks likea patchy red rash that is not raised at all. After a while, this rash can generate pus. Babies usually get yeast infectionstheirmouths, where the fungus finds a wet, enclosed spacewhich to live. This type of yeastinfection often resembles a layer of white, milky mucus over a red area of the skin. Whenthe mouth isthis condition, it makes inking
and eating difficult and painful. Babies and chilen stilldiapers may alsodevelop a yeast infection from the wet, warm environment. The more vigilant you are inchanging the diaper, the more likely your child can avoid a yeast infection. y clothingis key to keeping yeast infections at bay. The yeast infection on a baby's bottom willlook similar to the red patches of rash mentioned earlierthe article. Yeast infections can also occurthe skinbetween fingers and toes. In this case, it will look red and y and feel quite irritated.Sweaty socks can often contribute to this
problem, so go for socks that provide a looserfit and allow your feet to have some circulation. When foundthe ear, a yeast infection lookslike a standard ear infection, causing the ear to look red or swollen. There may be acottony discharge that comes from the affected ear. A vaginal yeast infection has to be the mostwell known type of yeast infection. Up to 75% of many women suffer from this conditionat least oncetheir lives. It is important to know what this kind of yeast infectionlooks like. Often, you will notice a red patch of skinthat looks inflamed and swollen. The soft
tissues surrounding the vagina may also becomeswollen and irritated. Excessive yness of the vaginal area is another indior thatyou may have a yeast infection. Other Symptoms of Yeast Infections Vaginal yeast infections also present witha host of other symptoms. A white, thick discharge will most likely occur; this will look differentfrom the normal discharge a woman experiences when ovulating. It may have an odd smell,which some women compare to the smell of baked bread. You may notice a differencecolorationwhen discharge is due to a yeast infection. Yeast infectionsthe ear can also be identifiedin chilen by the affected child's behavior.
Often, the child will act fussy due to theear pain, or repeatedly pull on or rub the infected ear. Chilen with ear infectionsusually have trouble sleeping. Once you are acquainted with what a yeastinfection looks like, you can begin treating this condition much more quickly than before.Always consult with a before taking mediions, as some medicines can actuallycause a future yeast infection to be more resistant to ugs.
How To CURE Your Yeast Infection In ONE DAY
Hi there, Eric Bakker, naturopath. I'm going to do a tutorial today on how to cureCandida24 hours. How you can get rid of your yeast infection completelyone dayand be fully cured and healed and never get it back again, zero. What do you think aboutthaté Well, I just spent a good hour on YouTubehaving a look at a whole array of different YouTube tutorials by expertsCandida. Andone particular person claims you can cure Candida 100 percentone week; every caseof Candida can be cured by following a 100 percent vegan diet. All you've got to do iseat lots and lots of fruit, nothing but fruit;
you avoid all animal proteins completely,no meat at all, no eggs, no fish, no chicken, no beef, absolutely no animal food. Just eatnothing but fruit and within one week, it's fully cured because all animal foods containfats, which line your arteries and keep sugaryour blood, which allows Candida to feedoff. What a load of crap! I just can't really buy a lot of this stuff that people come upwith. I'm telling you folks, there's so much bologna on line. There's another man I saw on a YouTube clip.He said, You can ink alcohol with a yeast infection. There's nothing wrong with Vodkaor Gin. Neutral spirits are fine. Just avoid
other things like Whiskey and Bourbon andbeer, but Vodka and Gin are fine to ink with a yeast infection. Now, if you're going to watch these sortsof clips and believe them, you're going to be a real fool and a sucker for punishment.Some of these tutorials have had 20,000 or 30,000 views30 days, which shows me that a lotof people maybe are falling for this sort of crap. I really hope you don't fall forthis absolute nonsense. Think about it logically, eating lots of fruit, 15 pieces of fruit aday, loaded with sucrose and fructose. What are you doing to your guté
Now, this particular person's about 20 yearsold and quite a fanatical vegan no doubt like a lot of vegans are. But I'd like to see thisparticular person when she's 50 like me to see what she looks like; if she's still bubblyand bright and bouncing around and all happy. She could be a big ball of lard at that stage;we don't really know what she's going to look like. I'm not here to criticize her, but I'm goingto tell you that these sorts of approaches are absolute garbage. You know they may workfor 6 months or 12 months. They may work for her, but if you're going to try this approachwith a seriously bad yeast infection and just
eat fruit all day, how do you think you'regoing to feelé Within a couple of years, you're going to be B12 deficient, you're going tobe Iron deficient, you're going to get fatigued and tired, you'll have recurring infections,you'll have blood sugar problems, and you're going to feel pretty sick. I want you to takemy advice and don't follow these sorts of ridiculous radical approaches. My approach makes a lot more sense and isbased on the work done by a naturopath and medical many years ago. Trowbridge; Trowbridge's MEVI approach makes common sense to me. Eggs, vegetables, meats, yogurt,cultured fermented foods, nuts and seeds,
a wide range of different foods obviouslytailored to suit a specific person. Now I'm not here to argue the merits of veganism orvegetarianism versus eating meatthe diet, but I've been through a strict stagemylife where I've avoided all that or more, proteins, completely for a while and I feltgreat. But then after a while, I didn't feel great until I incorporated protein back intomy diet from an animal source. I'll do some YouTube clips outlining the importanceof animal proteinsyour diet, which I believe are very important. But it's up to you todecide what way you're going to get your protein sources from. You may want to get them fromvegetable sources or legume sources or nuts