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
Yeast Infection Sign of pregnancy
it affect the East Candida and trash canbe eliminated permanentlyyeastinfectionsignofpregnancy0:00:04.490,0:00:07.609and you can do this easily from thecomfort of your own home I myself am a former yeast infectionsuffer and I know how it can disrupt yourpersonal lifeorder to cure yeast infection you must treat the root cause not the symptoms if you are a female youprobably know what a vaginal yeast infection flareup or diaper rashes and you wouldprobably go to your 's have some ugs prescribed and yeastinfection clears up
right the symptoms vary from individualto individual one may suffer from that channelirritation underarm rash painful urination whilefor others it could cause depression insomnia weight gain energy deficiency premature aging and whatnot butregardless if the symptoms taking ugs treat symptoms leaving hestill presentyour body meanwhile he's causes great damage toyour health between flareups the good news is thatyou don't need any overthecounter
ugs and spend a lot of money on latestmedical breakthroughs on how to cure a yeast infection if you are suffering from yeastinfection here's my number one recommended natural remedy atyeastinfectionsignofpregnancy click the link below to cure your yeastinfection nowfree resources.
How to Check Your Cervix for Signs of Pregnancy
I want to know how to check your cervix forsigns of pregnancy. That's not exactly something easy to check. I've heard you could check, without relyingon a or nurse and sittingstirrups. It is normally low and hard. Well lower, sincetoo low is a prolapse, which is bad. I heard that during ovulation, it is usuallylower than normal. And that it feels like a nose tip. If you got pregnant, it will rise back uptoward its normal level. It does that if I did not get pregnant too,before my period starts.
It will become softer, which is called ripening. As long as it does not smell. Pregnant women are prone to more yeast infections. I do not know if I'm pregnant yet. The cervix will be soft when it rises backup, but not as hard and continually softening. What makes it softé After the embryo implants, it bloats withblood. However, it sometimes rises up high enough that women cannot feel that physicalchange with their long middle finger.
And I do not want to have sex again to gethis opinion of the feeling. I know what you can feel for yourself. I'm afraid to ask. The cervical mucus is watery and nearly clearwhen you ovulate. That's to let the sperm through. The cervical mucus is more white and thickerwhen you're not pregnant. I'd only know that I'm not pregnant bythe cervical mucus if I tracked that before. If you got pregnant, you'd see more cervicaldischarge. However, whether it is watery and
clear or heavy and light depends on your bodytype. Will it be like a periodé No, but if you have your period, you knowyou are not pregnant. I've heard pregnancy can cause light spotting. If you see red opsthe cervical mucus,you probably implanted. If the mucus has an orange tint from blood ops mixing with themucus, that may be a sign of pregnancy. Or an STD. How else can I tellé Stop trying to divine bodily fluids and gobuy an early pregnancy test.
I'll be testing for a while before I'mcertain of the answer. Wait a couple of months, and you may be askingme about the cervix changes that indie that you're going into labor.