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.
Candida Mouth And Throat Yeast Infections Oral Yeast Infections
Greetings there. It's New Zealand naturopath,Eric Bakker. Author of Candida Crusher, formulator of the Canxida range of products. Thanks fortuning into my tutorial. I really appreciate it. Thank you all the people who've subscribedto my channel. There are many subscribers coming on board now from many different partsof the world. I keep getting lots of increasing comments on YouTube and I'm getting lots ofemail. So just please be aware that I can't really reply to all of the emails I get. Iget tons of emails. Occasionally, I'll pick out an email and I'll respond to it, but thereare many emails I just can't reply to anymore. My priority obviously goes to the patientswho see methe , on Skype or Face
Time. They take up the share of my work. Itry to communie with people really effectively through the YouTube channel.I've got a question here from a manMissouri, America. This man's name is Johnathan Wainright.Johnathan'shis 60s and he wears dentures. Johnathan is asking me about mouth yeast infections.What can he doé Let's talk about mouth and throat yeast infections with this tutorial. I'llgive you some understanding on a little bit on what to do and some of the best possiblesolutions for it. I'm going to read some out of my book and I'll also talk along with thatas well. To reduce your chances of developing and maintaining a mouth or throat yeast infection,I highly recommend you follow these 10 rules.
You'll notice that quite a few dietary andlifestyle recommendations are based on the fact that oral and throat yeast infectionswill thrivean environment that is warm, dark, moist and is fed on sugars and yeastyfoods. Sometimes also pharmaceutical ugs as we'll see can affect the mucosa.Knowing this, think about excellent oral hygiene, take away the food supply for the yeast, sotake the sugars away. Make it more hostile for the yeast to really thrivethe areaand keep the area clean. It's also pleasant for people around you if you haven't got likea stinky breath, but you've got like a sweet smelling breath. When you've got a good amountof lactic acid and beneficial bacteria in
your mouth, you'll have a breath that smellsquite okay. Sweet smelling breath. It won't be stinky. There's nothing worse than beingnear someone whose mouth smells really like a public toilet or something, and believeme, there are some stinky breaths out there. I know. I've had a few people over the years.This may be part of the reason why I like Skype because I can't really smell that muchon Skype. I'm not saying that all you guys have stinky breath out there. But if you havegot a smell, bad breath or what we call halitosis, a medical term, sometimes you won't even knowit yourself. Do not be afraid to ask people around you if your breath stinks because itcan be quite offensive and embarrassing for
you if you don't know.Number one, observe good oral hygiene. It makes good sense to observe very good oralhygiene since this is the entry to the digestive tract. I recommend that you rinse your mouthfirst and then brush your teeth. You can floss it, but gently. Be careful not to floss toohard because you can really damage the gums. I use a tea tree oil toothpaste, but you canalso use a bit of baking soda with water or a bit of sea salt or you can use a commercialtoothpaste, but try to get more of a natural one without too many chemicalsit. Thebest time to brush your tongue is when you brush your teeththe morning. Bacteriaand yeast will multiply more on the tongue
overnight than during the day. You may beable to find a good herbal mouthwash at your local health food shop as well. Be carefulwith the commercial mouthwashes highalcohol because they can destroy a lot of the beneficialbacteriayour mouth. Not a good idea. To avoid reinfecting yourself when brushingyour teeth, try disinfecting your toothbrush regularly by placing the toothbrusha littlebit of hyogen peroxide for a few minutes before and after tooth brushing. This is especiallyrelevant if you have gum disease, if you've got a lot of white coating on your tongue.It's important to keep your toothbrush clean. A couple of points I'd like to explain toyou also with teeth. Many people spend a lot