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
Will A Male Yeast Infection Go Away On Its Own
Here's a question. Will a male yeast infectiongo away on its owné It can. In fact, it is possible if it's a very slight yeast infectionand not much is done about it. Particularly, if the guy makes a few changes to his dietand lifestyle and starts to realize that he's really gone off track and makes a few changesand then the body will pick up; the immune system will get on top of it. Butmostcases, it will not go away unless the guy makes a significant change or starts usingsome kind of cream or pill to suppress the symptom, but those treatments are only temporary,and they can harm your bodythe long term because you're still doing the things thatmaintain the Candida and now you're taking
a ug, whether it's topical or oral, to tryto get rid of the problem. I've always been a great believeridentifyingthe cause and treating the cause, and if you understand that with Candida we've usuallygot an exciting cause or something that starts the yeast infection and then we've got a maintainingcause, something that keeps it going. For example, you may have had an antibiotic foran illness or an infection and that could've started your jock itch like it did with me.I had a chest infection. I workeda flourmill as a young guy doing rotating shifts, I gotvery sick and developed a bad bronchial infection and the gave me antibiotics. And Iwent on a few rounds of them and then I started
getting itchy skin and the jock itch and itdidn't go away. And how did I maintain ité Well, I was inkingbeer like all guys do. We all ink beer. And I ank stupid things like CocaCola andI had a poor diet backthose days. I liveda house that was quite moldy. It was ina lowlying area and when it rained I used to get sometimes watermy beoom. Therewas even like a black mold on the walls, so I was sleepinga moldy environment. I waseating poor foods. I was livinga high stress sort of job with rotating shifts, midnight,working days, and the midnights and crazy hours, so all these stresses on the body maintainedthe jock itch.
These are the sort of things that you've gotto look at. You won't get rid of this problem unless you make major changes, so I got ridof my job, just got rid of it. I moved out of that house, moved away, and I saw a naturopath,which was the start of my naturopathic career. The naturopath helped me to understand thatall that Candida was was a combination of all of these factors that I had to make changes.And when I made the changes, the jock itch slowly went away after about a year. So this is what you need to do. Identify whatcaused it and what's maintaining it and deal with this problem correctly. When you do that,you'll put an end to this nightmare. That's
how you get rid of it. It won't go away onits own accord. You need to make those changes. Check on my other tutorials and do the yeastinfection quiz, the world's best one, on yeastinfection you'll find links to that or CandidaCrusher will take you directly to my quiz. Thanks for tuning in.
Will My Bad Breath Go Away When I Cure My Yeast Infection
Good day there, Eric Bakker, naturopath, authorof Candida Crusher with a question. My breath is really bad and I have a yeastinfection. Will the bad breath go away when I'm curedé Well, bad breath can come from many differentreasons. Look at your diet, for example. Are you eating the right kind of foodsé Are youkeeping your teeth and gums cleané What does your tongue look likeé Is it pale; is it whiteé I'm going to do a lot more tutorials on tonguesigns and symptoms, but suffice it to say, if you've got bad breath, look at your tongue.If there's a white coating on it, you've probably
got poor bacteria and yeastyour digestivesystem. So coating at the back of the tongue will signify a problem further down; the sigmoidcolon or rectum. So with bad breath, try these tricks. Lookafter your gums and teeth quite well. Don't forget to brush your tongue, something a lotof people don't do. Pop your toothbrusha bit of water with hyogen peroxide at nightto kill any bacteria, and make sure you floss your teeth quite well and look after yourgums. It's very important. Chew your food properly. Take some digestive enzymes. Don'teatfront of screens. Onefive peopleAmerica now have one of their meals ofthe dayfront of Facebook, and a lot of
people have their evening meal watching thesix o'clock news. It's not a good idea. So make sure you develop some good habits andchew food properly and slowly away from screens. And take your time when you're eating yourmeal. Eating a good wholesome, fresh foods dietis going to help a lot to prevent bad breath. I've seen quite a few patients just live onmeat and potatoes, for example, and have not many vegetablestheir diet. Seventeen percentof peopleEngland don't even eat any fruit or vegetables. That's quite a lot isn't itéTry and develop some good healthy habits first before you start looking further afield withhalitosis, another word for bad breath.
A key thing I look forpeople is stomachproblems. You could well have an infection called, helicobacter pylori or Hpylori, andI'll do some tutorials on Hpylori and explain this concept moredetail. So there's a big chance that your bad breathwill go away when your digestion's cleared up. So I hope that answers your question aboutbad breath and yeast infections. Thank you.