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
Natural Remedies For Yeast Infection Symptoms
Natural Remedies For Yeast Infection Symptoms Generally yeast infections appear created by a sort of yeast known as Candida albicans Yeast is a toadstool thatgeneral subsiststhe vaginawhits.
How to Naturally Cure Acid Reflux
Hey guys, Axe here from axe , of functional medicine and nutritionist. In this tutorial I'm going to talk about how tonaturally cure acid reflux and acid reflux or heartburn or indigestion. These are issuesthat millions upon millions of people struggle with on a regular basis. In this tutorial I'llgo through the exact acid reflux diet, the best supplements for acid reflux along withthe lifestyle changes you need to makeorder to help overcome acid reflux for good.This is something that I've helped thousands of patients overcomemy years of practice. So step number one, let's talk about whatcauses and triggers acid reflux. Typically
it's an enzyme deficiency, if you're not gettingenough enzymesyour diet, that's a one big issue along with if your stomach. ifthe acid is imbalancedyour stomach. Typically it's caused from low stomach acid, so yourstomach is not producing enough acid and not enough enzymes being producedyour body.So again, lack of acid, lack of enzymes, that's what's causing your acid reflux. Soorderto adess that, we need to do a few things. Number one we got to change your diet andthere are a few things that trigger acid reflux. Consuming citrus fruits, tomatoes, chocolateand carbonated beverages like soda, those can trigger acid reflux along with consumingtoo many grain products and hyogenated oils.
Those are the first foods you want to actuallyremove from your diet. Then what you want to do is start replacing those with foodsthat are highenzymes and foods that are easy to digest. Doing vegetables, doing mostforms of fruits, doing organic meats, doing bone broth. Consuming foods that are easyto digest, that's where you want to startterms of diet is getting those into yourdiet. So again, organic meat products, fruits and vegetables are a great place to startwhen you're replacing those foodsyour diet. The next step to overcome acid reflux is youhave to start using certain supplements. And
the best supplements that can help you aretaking a digestive enzyme supplement, two caps with meals of digestive enzymes alongwith taking something called HCL with pepsin. That's hyochloric acid with pepsin and whatyou'll do with hyochloric acid is you'll take one capsule and you'll only take thiswhen you consume meat or a form of protein and see if you get a warm feelingyourstomach. And then eventually you'll go to two caps into three, but hyochloric acidis the acid your stomach produces that helps to break down food, so actually getting moreof that acid will help you with digestion. But really digestive enzymes are the firstplace to start.
If the enzymes help all the way, you don'tneed to do hyochloric acid but if that still isn't enough then you can addthose inas well. The third step is lifestyle; you really need to eat less at your meals. Sooftentimes, acid reflux is caused from stuffing yourself, eating too much, eating too fast.So eating too much, eating too fast is a major cause of acid reflux. And step number fourto naturally cure acid reflux, is to start using apple cider vinegar. This is the numberone natural cure or home remedy is apple cider vinegar and what you'll do is take one numbertablespoona small amount of water and ink that before your meal. About ten minutesbefore your meal and apple cider vinegar contains
probiotics enzymes and certain acids likeacidic acid which actually helps you digest your food. So this apple cider vinegar is the numberone natural remedy for acid reflux that you'll want to start using. And you want to makesure that when you're buying apple cider vinegar that it has some of the cloudiness you cansee there on the bottom. It's called the motherit, you can see there it says organic,raw and filtered with the mother. This is what you'll want to start getting and of allthe things, this is the most beneficial thing you can do to naturally overcome and healacid reflux is start doing one tablespoon