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
Male Yeast Infection Need internal And External Treatment
First of all, I'd like to thank the many menwho have purchased my book, Candida Crusher,the past 12 months. This has shown manymen also suffer from yeast infections that are interestedlooking at a resolutionand also clearly shows me that yeast infection is not a women's problem like many practitionersunfortunately think it is. Many men suffer from yeast infection of theprivate areas of the inner thigh, of the scrotum orthe rectal area, and also around thepenis, the glans penis. All those areas can ive a guy crazy when they become infectedwith Candida Albicans. I've seen many huneds of men come to mecomplaining of these symptoms. Some of them
have got mild problems and,fact, somepatients are pretty desperate and even suicidal because they've been sent from one to another and given some vaginal cream or some stupid treatment, which generallydon't resolve anything at all. If you're a guy watching this now and havegot a men's yeast infection, I can help you. I've helped many men, so you'll find a lotmoreChapter 4my book on some quick solutions and also yeastinfection hasgot some good ideas on it. So what are you going to do if you've gota yeast infection and you're a guyé You just going to use Vagisil or something like thatéDon't laugh, but this is something that many
men have told me that's been recommended tothem by their general practitioner. It's quite a stupid treatment. Yeast infection requires internal treatmentas well as external treatment. It's very important you tackle this area on a couple of differentfronts if you want to get a good resolution. Internal treatment, I mean you need to cutout alcohol for some time. So if you're a guy watching this now and you've got a yeastinfection of the penis or the rectal area iving you crazy, it's itchy, and you'reinking beer or wine or spirits and you think you can cure it with some cream, well, you'rewasting your time. You need to make some changes.
You really need to make some changes to yourdiet and lifestyle long term to stop feeding this yeast infection, to reduce the food supply. It's very important that you consider thispoint that 'm making here. I've seen all too many people who just consider it an externalproblem that needs a cream. So you can read more of my writings on ericbakker as wellregarding diet and lifestyle. You need to need make changes. So what kind of changesdo you need to makeé What I think is one of the better diet approachesfor the guy is the MEVY diet, so meat, eggs, vegetables, and yogurt. So a kind of Paleoapproach is going to work well, but I don't
want you just eating a whole bunch of meat,barbeques and foods like that and ribs. You need to have plenty of vegetable matter aswell, green leafy vegetables. The fermented and cultured foods are important,too, to put good bacteria back into the body, so good quality yogurt and kefir is also good.Kefir is quite an important food to eat to put lots of beneficial bacteria there. Changeof pH of the gut. But probably by far the biggest one for males is cutting out alcoholfor some time. I'll tell you now, guys, if this problem is really iving you crazy,and you are really at your wit's end and want to get rid of this problem, you need to listenup. You need to make those changes because
treating this thing purely on the externalis a waste of time. Okay. It really is a waste of time. You can cure this thing completely.I had really bad jock itchmy 20s to the point where it ove me nuts. I was itchingand scratching the skin. It was bleeding. Having a shower or going swimming was justa nightmare. It was pain. It stopped me from wanting to have relationships. I got verydepressed over the whole thing, so if this is you right now, I've been where you are. You can cure this thing completely, rightéBut you need to make those changes for at least three to six months, and you need todo the external treatment. And you can read