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
What Is An Intracellular Latent Yeast Infection
Thanks for checking out my tutorial today. I'vegot a question today from a ladyNew York. Eric, what is a latent intracellular yeastinfectioné I've been reading a page on the internet and would like to know your takeon it. I just had a look at a page by a lady, Marjorie Crandall, actually, on latent intracellular yeast infection. This is something I've knownabout for probably about 15 years plus. And Crandall says here basically, it's a lowgradeyeast infection and it's not very active. It's also termed chronic atrophic erythematousCandidiasis, so atrophic means quot;not feeding.quot; It's not really growing and the erythematousmeans quot;redquot;. So redness, probably burning,
stinging pain, not growing, it sounds a littlebit like vulvodynia or a condition I see a lot with women where they'll get an area ofthe vulva red and inflamed. It's not active yeast but what happens isthe yeast will often get into the epithelial, deeper into the tissues. They'll stop growing,but they'll keep producing enzymes and also Candida byproducts like toxic metabolic byproducts.And this can create infection and inflammation on a deep level, and it can often create painlike burning, stinging. This is a typical pain that many women experience around thevulva region, a term called quot;vulvodynia,quot; pain around this area. It's latent, so it'snot very active.
What I'm not really happy with with what Crandall proposes is longterm use of some kind of a medical antifungal ug, probablyfluconazole, probably for 6 or 12 months and also continual use of topical hyocortisone.I think this is not a very good treatment, Crandall, because giving patients longtermantifungals and topical steroids, steroids are really bad to use long term with patients.They create aenal suppression. They weaken the aenal and the stress access. They makethe person more prone to infection down the track. They weaken the immune system. Theyweaken the skin tissue. Longterm fluconazole has proven not to be effective. It doesn'ttarget any bacterial parasites, purely Candida.
It's not a good idea. You're weakening theimmune system. A typical fluconazole resistance has been reportedliterature now for manyyears. So giving any ug or supplement for 12 months nonstop is a crazy idea.I've often said going into battle with guns and bombs and bullets and that, it's justnot really going to work. You're just basically upscaling. You're just creating more hostility,and counterattacks, is a good word to use. You can't fight Candida with guns or bombs.You just can't keep opping ugs on these people all the time. It's not the way to doit. What's the solution when we've got this latentintracellular yeast infectioné The first thing
I'd probably do is get the patient to makesome serious lifestyle changes. Crandall,her defense, did mention some lifestylechanges, but unfortunately, the first three or four things on the page were all aboutugs, ugs, ugs. Lifestyle changes are the key thing to do with these patients.I've successfully helped huneds of cases of vulvodynia of women get rid of this condition.Many, many times by looking at them very carefully, understanding that many of these women havegot high levels of anxiety and depression. They get relationship problems. I know allthis. I've seen it before. Many of them are working moms with a few chilen. They'rehigh stress. They've got poor sex lives. They've
got a lot of pain, irritability, and they'rereally sick and tired of feeling like this. They're sick and tired of going to the sand getting repeated ugs and no real results. These women often need a significant lifestylechange. I get them to cease all alcohol, all sweet foods, and all chocolates. A woman mightbe watching this and saying, quot;Done itquot;. Done it. Done it. It's not working. Been there,done that.' Okay, what you probably haven't done is made some other changes. You've gotto learn to say quot;noquot; to people. You've got to learn to relax more. You've got to taketime out because all this high stress and anxiety is only affecting your immune systemfurther and further. It's just pushing it
Woman Chants Yeast Infection At ProLifers
YOU MIGHT HAVE CHANGED YOURPROFILE PICTURE ON FACEBOOK TO STAND WITH PP. BUT THE BEST WAY TO Ã± IS TO TALKABOUT YOUR YEAST INFECTION. OVER THE LAST FEW WEEKS, THEREWAS A WOMAN HOLDING A SIGN THAT SAID ABORTION KILLS CHILDRENOUTSIDE THE PLANNED PARENTHOOD BUILDINGNEAR HER OFFICE. SHE IS A SUPPORTER OF PLANNEDPARENTHOOD BECAUSE THEY HELPED IN THE PAST.
SHE SAYS WHEN SHE WAS 20 YEARSOLD, THE CLINIC TREATED HER FOR UTIS AND YEAST INFECTIONS. THEY ALSO PROVIDED HER WITH HERFIRST BIRTH CONTROL PILLS. AFTER SEVERAL FAILED ATTEMPTS ATAPPROACHING THE PROTESTERS OUTSIDE HER LOCAL CLINIC TODISCUSS THEIR COMPLAINTS, SHE DECIDED TO TRY ADIFFERENT APPROACH. YOU ARE SEEING A PICTURE OFTHAT HERE. SHE SAYS DEAR PP. THANK YOU FOR HELPING WITHMY YEAST INFECTION.
THEN SHE CHANTED YEASTINFECTIONS OVER AND OVER AGAIN. INITIALLY THEY HAD SPREAD DOWNTHE SIDEWALKS ON BOTH SIDES OF THE STREET, BUT AFTER SOMEYELLING AND HIGH KICKS ON MY PART, THEY HUDDLED TOGETHER. THEY GLARED AT MY PRINCESS WAVEAND CHEERLEADER ENTHUSIASM AND THEY BEGAN A PRAYER CIRCLE.THIS IS WHEN I REALLY SHINED. I HAVE NEVER MADE MYVOICE LOUDER. ONE WOMAN TURNED AROUND TOSHAKE HER HEAD AT ME WHICH I
RESPONDED, quot;OMG, DO YOU HAVEA YEAST INFECTION Ã± I KNOW WHO CAN HELP YOU.quot;SHE COVERED HER KIDS EARS. GOD FORBID A KID HEAR ABOUTYEAST INFECTIONS WHEN YOU ARE AT AN ANTIABORTIONPROTEST. THIS IS FIGHTING FIRE WITHPERSISTENT ITCHING BURNING. LAUGHTER OFTENTIMES THEY BRINGPICTURES OF MANGLED FETUSES TO THOSE
PROTESTS. YOUR KID IS NOT BOTHERED BYTHAT, BUT BOTHERED BY THE CHANCE OF A YEAST INFECTION THATHE OR SHE PROBABLY DOESN'T EVEN KNOW WHAT IT MEANS. LOOK, I LOVE THAT SHE FIGUREDOUT THE SECRET ANSWER HERE. AS SHE IS CHANTING YEASTINFECTION, JESUS HEARS IT AND HIS EARS BURN. THIS ISN'T JUST SHOUTINGSOMETHING TO BOTHER THE
PROTESTERS. THIS IS EXACTLY THE POINT FORPEOPLE WHO ARE FIGHTING FOR PLANNED PARENTHOOD TO CONTINUETO RECEIVE FEDERAL FUNDING. THAT FUNDING GOES TO WOMEN'SHEALTH PROGRAMS. THE MONEY DOES NOT GO, IT ISNOT ALLOWED TO GO TOWARD ABORTIONS UNLESS IT IS INRESTRICTED CASES OF RAPE, INCEST, OR THE HEALTHOF THE MOTHER. UNLESS IT IS IN A STATE THATALLOWS YOU TO GIVE MONEY TO