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.
How To Tell If You Have A Yeast Infection
A question I get asked regularly. How to tellif you have a yeast infection So how you can tell if you have a yeast infectionis generally by the signs and symptoms, and these can really vary from person to person.I see many different cases of yeast infection and not every single person will have necessarilythe exact same signs and symptom pattern. Typical things that I do see with a Candidayeast infection are itch, smell, burning, discomfort, pain, brain fog, fatigue is quitea large symptom that I see with people, sugar cravings, there are many different signs andsymptoms. So sometimes it's easy to tell if you have a yeast infection and sometimes it'smore difficult to tell if you have a yeast
infection. There can be very subtle signsand symptoms, particularly if someone has had it for many years, or there can be a lotof acute signs and symptoms, particularly if someone is struggling with it and beenthrowing a lot of ugs at it and antifungals at ittoo high a dosage that can have alot of discomfort. One of the best ways to tell if you have ayeast infection is to do my online quiz at CandidaCrusher . A very, very good quizthat took a long time and a lot of money to produce. It's the world's best online Candidayeast infection quiz. It can be completed by men, women and chilen. This is goingto give you an outcome score of low, moderate
or severe. I think you're going to find itquite an excellent way to determine the severity of your Candida yeast infection. If you find out that you do have a yeast infection,one of the best products you can take is called Canxida. Canxida took me a long time to develop.I've used many huneds of different antifungals from all manner of companies and found thatsome are good, some are okay, and some are very bad. So I decided with the help of afew expertsthe field to create the world's best antifungal product, and I truly believethat I've achieved that with Canxida. So check out Canxida . A good product totake if you're male or female. If you're in
an intimate relationship, it's good for bothpeople to take this product. If you want some of the best information on the internet aboutCandida yeast infections, please check out yeastinfection . Huneds of pages of very,very good information visited by many thousands of people every week, so a very a popularsite and thank you for all your fantastic feedback. So I hope that answers that question on howto tell if you have a yeast infection. Thank you for your attention.
I Think I Have A Yeast Infection
Here's another question I get asked quiteregularly. I think I have a yeast infection. So thinking about something and knowing somethingare two different things. Many people think they have a yeast infection that I see when,in fact, they don't have a yeast infection at all. They may just have a digestive disturbance.They may have aenal fatigue. They may be premenstrual. They may have anxiety or depression.There can be a whole lot of signs and symptoms that are presenting to the patient makingthem think that they have a yeast infection. It's all too easy to go to Google andtypea few symptoms or go to symptom finder online, you know, and they think, oh, no,I've got such and such a condition. So many
times I see people who think they have Candida,in fact, don't have Candida at all. Probably one of the smartest things you cando is to go to my online quiz on CandidaCrusher and complete the online screens to work outif you've got a mild to moderate or severe probability of having Candida yeast infection.This online quiz took a long time to complete and I've made sure that it has the most importantquestionsthere to ask you, whether you're a man, woman or a child, to ask you if youhave a yeast infection or not. So it's quite a clever thing for you to do. If you go to yeastinfection and have alook at the signs and symptoms of a yeast
infection, it's a very, very comprehensivepage. Have a good read through that. That will give you a good understanding as well.So please complete my online quiz on CandidaCrusher and have a look at yeastinfection . Thatwill give you quite a good idea whether you have Candida or not. Thank you very much.