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.
Can Male Yeast Infections Involve The Penis And Scrotum
Hi there, Eric Bakker, naturopath, authorof Candida Crusher. Thank you for tuning into this tutorial today. You may have seen some of my previous tutorialsregarding menls yeast infections. Ilve made a few recently regarding jock itch. Anotherpopular tutorial which many people have looked at is one regarding small white bumps on thepenis. In this tutorial today, Ilm going to talk about a condition I see quite a lotmalesand is basically an itching area of the private parts again of the penis and also scrotaland analrectal areas. These tutorial clips Ilm going to do becausetheylre very important and you can understand
why Ilve disabled comments on many of my tutorials.Many YouTube clips I look at are from health care professionals like myself that have gottenvery inappropriate comments. Thatls why I donlt believe I should enable comments onthese tutorials. Pardon me for taking that liberty. Letls continue on. This is an important tutorialbecause this is a condition I seemany men, and this is a condition that not manypeople talk about due to fear or embarrassment. But I can tell you people out there now, womensuffer from yeast infections; we know that, but lots of guys suffer from them, too. Andthey hate them. Theylre embarrassing. Theylre uncomfortable. They just find them awful,but they live with them; they deal with them.
And they go and see their and oftenget a cream and itls ineffective. The causes arenlt adessed and the condition goes onunabated and sometimes for years, and it can ruin a guyls life entirely. Ilve seen dozens and dozens, huneds of menwith this condition. Let me tell you now folks, this affects men from all backgrounds, allincomes, all cultures; it makes no difference whether you are Indian, Muslim, American,or Irish, it makes no difference. If youlre a male and youlve got a penis, youlve gota â€“ obviously you have if youlre a male â€“ a typical guy can be prone to a yeastinfection if the conditions are right. Remember,
yeast likes dark; it likes moist; it likeswarmth. And for this reason, obviously, the groin and the private area and the armpits,these are prime targets for Candida yeast infections. The guys Ilve seen with yeast infections rangeover a wide range of men that Ilve seen with this condition. Ilve seen lots of mechanicswith it. Constructions workers, geologists, taxi ivers, bus ivers, truck ivers;Ilve seen airline pilots with it. Ilve even seen scientists with it and lab workers. Ilvegot a couple of high court judges and many police officers; many, many different menhave this condition. And thatls because men
are men. Men like beer. They like wine. Theylike spirits. They like eating the foods that guys like to eat. They like football. Theylike hunting. They like all the things that guys like to do. As I say, it will not discriminate.This condition is not specific to a particular bluecollar worker or a laborer; it makesno difference what type of guy you are. How is a man going to get the infectioné Well,the typical things we find are imbalancesthe lifestyle. You may have read the casehistory of my fathermy book. Dad liked sweet foods. He wasnlt really a big alcoholinker, but he loved sugary foods. He liked a cigarette. He liked snacking on foods. Andhe didnlt pay a lot of attention to what the
said because the was king, wasgod, the gave ugs, the never mentioned about a lifestyle, which his unfortunate. Men, for example, who ink alcohol, are primetargets for yeast infections, particularly, when they start taking antibiotics or pharmaceuticalsregularly. Men who take ugs for acidifiion of the stomach â€“ these acid blockers â€“ arealso prime targets. Guys who take any type of pharmaceutical ug over time. Guys whotend to work long hours or shift workers. Men who wear tight clothing, coveralls, forexample, or sit for long periods of time, who eat at weird times, wholve got shift work,who push their bodies hard. They go hunting
What Are The Signs A Man Would Have If He Contracted A Yeast Infection
Hi there, Eric Bakker, naturopath, authorof Candida Crusher. Here's a guy question for a change. What are the signs a man would have if hecontracted a yeast infectioné Well, depends on part of the body your guyscontracted a yeast infection. If it'sthe groin region, most likely he's going to dowhat a lot of guys do and scratch his groin because it'll be itchy. And a common areafor guys to have a yeast infection is around the scrotum orthe inner thigh area. I'veseen many cases of men wearing coveralls or what we call overalls with the yeast infections.The guys who play sport, ride bicycles professionally;
I've seen yeast infectionsall sorts ofpeople. I have welders, pilots, truck ivers, taxi ivers, guys who ten to where, you know,clothing for long periods of timeclose proximity to the groin. They can certainlybe more prime. So a man is going to be itching or scratchingand many times he won't tell his friends. Unlike females, he'll keep on inking hisbeer or eating his pizza and keep on scratching, and, yeah, these are the sort of typical thingsthat you will seea male. I hope that answers your question. Thank you.