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.
How Do You Get Rid Of A Yeast Infection Under Your Breast
How do I get rid of a yeast infection undermy breasté This is a question I've been asked a couple of times. Not so much as many ofthe other ones, but it's an important one to answer. First thing to determine is whether it isa yeast infection or not, and sometimes a swab will do this. Sometimes a good visualinspection will give you that idea, but generallyareas like the folds of the skin aroundthe belly or under the breast or between the buttocks or even around the thigh area, ifa person's quite large, of course, this is going to be a perfect breeding ground forCandida. You've got the darkness, the moisture,
perspiration, all thatthat area and Candidais going to like to growthat area. The most obvious thing to do is to if it'spossible is to look at some kind of breast reduction or how we can stop this skin fromsort of like hanging together there creating that. Maybe a bra or some kind of a device,but you're going to spend regular attention to that area to help overcome it. This conditionneeds to be treated both locally as well as systemically.I've had many women from Australia, New Zealand; I've treated with this condition over thepast many years, and generally I find my satisfactory longterm resolution is weight loss. Weightloss will help because it's going to help
the body generally strengthen the immune system,increase digestive function, we can get the bowel backorder again, reduce the abilityof the body to grow Candida internally, and also help it, therefore, externally. And externally,we apply things like calendula cream or tea tree oil. We have showers twice per day. Wecan get a natural kind of a powder and put y powder under the breast area there tokeep the moisture away from the region that's causing it. I wouldn't use fungal creams ifI were you. I'd probably use a tea tree oil cream, as you can get these kind of productsat a good health food shop, a good cream with tea tree oil.So yness, sunshine, these are enemies of
Candida. Allowing sun exposure to that area.Keeping the area y. Maybe some form of barrier for a while. Weight loss. Local appliion.Internal treatment. Internal treatment follow my Candida Crusher program. Go to yeastinfection .Do my quiz on CandidaCrusher to determine if you're mild, moderate or severe and thendefinitely treat the outcome based on the quiz. The quiz is amazing. We spent a lotof time and money on that quiz to get it perfect. It's the best quiz online. So you'll be ableto determine with a high degree of accuracy how bad this is affecting you internally aswell as around the breast region. So give those suggestions a go. Thanks fortuning in.