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.
I Have Little White Bumps On My Penis Could This Be A Yeast Infection
Hi there, Eric Bakker, naturopath, authorof Candida Crusher with another question. I have little painless white bumps on my penis.Could this be a yeast infectioné It most probably is. A good thing to do ifyou're uncircumcised is to roll the foreskin back and have a look. If it's intensely itchyin particular, and small white bumps, it could well be a yeast infection. Ifdoubt, getchecked out. That's my saying. So go and see your and get a swab and get the areachecked and to see if the can culture any yeast. If Candida albicans can be culturedfrom this swab, then it most certainly is a yeast infection. But you could be dealingwith any one of different types of conditions.
But itchiness, irritability to that area,small white bumps, generally will signify a yeast infection. A good home treatment would be to give ita good wash with tea tree oil soap and to keep it y and clean. And to take precautionswith sexual relations, use condoms of course, until you really know what you're dealingwith. So to answer that question, would these littlewhite bumps on the penis be a yeast infectioné They probably are, but get checked out justto be sure. And if you're told they are yeast infection, always consider internal treatmentas well as external treatment.
You can read a lot morethe fourth chapterin my book, Candida Crusher, if you're a male particularly with what to do with these typesof infections. They'll give you lots of different solutions and ideas, so do read that chapterin my book. So I hope that answers your question. Thankyou.
Learn About Yeast Infection York Pharmacy 876 9063108
As a family another very common complain that we seem to get is a very common Yeast infection a lot of times the women would come to,come to the practice and complain of having a Yeast Infectionwhich is really a very common term and perhaps need to spendsome time to talk a lit bit about this very commonYeast Infection whenever a female has a vagina
discharge very very often thisdischarge is automatically referred to as a Yeast Infection and I would say most, most visits to the family is for this socalled Yeast Infection it turns out that very often it may not be a yeast infection per saybecause a yeast infection tend to be of a specific nature and I couldprobably just spend some time to just try
outline what, what a common yeast infection is usually if is a yeast infection, there isa discharge but the type of discharge is what makesa difference. The discharge tend to be white and somewhatcreamy and is associated with vaginal itching. Sometimes on the outside of the vagina or, or sometimes even, even within and that is the usual classic yeast infection.
However sometimes there is a vaginaldischarge and, and is just I meana blanket way is referredto as yeast. But when a discharge is, is more watery is, is yellow perhapscolour and as a mal odour are a very bad odour. That is notusually a yeast infection. So you have differenttypes of vaginal discharged. And it would, it would be results fromvarious different
other, other causes. Which wouldneed a totally different approachterms of,terms of treatment. The the concern I suppose is to know which infection is sexually transmitted andwhich is not. Or which are the dangerously, are the dangeroussexually transmitted infections that most women would, would perhaps notwant to, to get. Of course you know these are thingslike gonorrhoea
or trichomoniasis or even chlamydia. These infections tend to be not as obvious as the common yeast infection youtend to have more of a yellow discharge. And you may or may not have an odourassociated with those infections One comment as wellthe case of men, the male who has a yeast,because they can also have a yeast infection as well. However often what you'd find is that the tip ofthe penis or what we call the glands