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admin | Bv Homeopathic Treatment | 06.03.2016
Wet Prep (AKA Wet Mount Test) – microscopic examination of vaginal discharge used to differentiate between different types of vulvovaginitis. When Saline is added it makes it easier to view clue cells for BV & flagellated motile cells for trichomonas.
KOH is also alkalotic so it can be used for a “Whiff Test.” In this scenario when the alkalotic KOH is added to a sample containing BV it will create an amine or fishy smell.
The normal vaginal pH for a reproductive age woman is about 4, while the normal vaginal pH before puberty and after menopause is about 7.
Bacterial Vaginosis (AKA BV) is a polymicrobial infection caused by the overgrowth of normal flora. Severe inflammation leads to bright red erythema, vulvar pruritus (severe itching), burning, dysuria (painful urination) & dyspareunia (painful intercourse).
Trichomoniasis (AKA Trichomonas Vaginalis) is a very contagious STD, therefore the question stem will almost always mention unprotected sexual activity.
Disclaimer:This material is meant for medical students studying for the USMLE Step 1 Medical Board Exam. 2 Vaginal Environment The vagina is a dynamic ecosystem that contains approximately 10 9 bacterial colony- forming units.
36 Risk Reduction The clinician should: Assess patient’s potential for behavior change Discuss individualized risk-reduction plans with the patient Discuss prevention strategies such as abstinence, monogamy, use of condoms, and limiting the number of sex partners Latex condoms, when used consistently and correctly, can reduce the risk of transmission of T.
This item will be sent through the Global Shipping Programme and includes international tracking. Items delivered internationally may be subject to customs processing depending on the item's declared value. Seller has stated it will dispatch the item within 1 working day upon receipt of cleared payment - opens in a new window or tab. Items may be returned unused and unopened for a full refund within a 14 day period less postage costs.


Most purchases from business sellers are protected by the Consumer Contract Regulations 2013 which give you the right to cancel the purchase within 14 days after the day you receive the item. Will usually dispatch within 1 working day of receiving cleared payment - opens in a new window or tab. By submitting your bid, you'll be contractually committing to buy this item from the seller if you are the winning bidder. By submitting your bid, you're committing to buy this item from the seller if you're the winning bidder. The vaginal specimen is obtained using a speculum and a que tip similar to how one gets a pap smear.
This makes it easier to view the psuedohyphae and budding yeast present during vulvovaginal candidiasis. This is a similar principle behind how the smell of BV can increase after unprotected sex since semen is alkalotic.
A Clue Cell is a sloughed mucosal squamous epithelial cell covered in many adherent coccoid bacteria (Gardenerella Vaginalis).
This smell is intensified after unprotected intercourse or when KOH is added (AKA Positive Whiff Test).
The most common subtype of candida infections in the vaginal tract is Albicans, but you also see Glabrata and Tropicalis (especially if it is resistant to treatment).
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During this video we will focus on the three most important causes of vulvovaginitis for the medical board exam (trichomonas, candida and BV). These bacteria break down glycogen into lactic acid which lowers pH from about 7 to about 4. This material should NOT be used for direct medical management and is NOT a substitute for care by a medical professional. If you reside in an EU member state besides UK, import VAT on this purchase is not recoverable.
However, you should know that other types of vaginitis include mechanical irritation, allergic reactions (to soaps or feminine products) and a variety of other infections.
One half of the slide has a drop of saline added to it while the other half of the slide has a drop of 10-20% KOH (Potassium hydroxide) added to it.
IF YOU ARE A PATIENT PLEASE DIRECT YOUR QUESTIONS TO YOUR DOCTOR or visit a website that is designed for patient education.
Gonorrhea and Chlamydia present primarily with cervicitis, but it can also cause vulvovaginitis.
Atrophic Vaginitis is a common cause of vaginitis in post-menopausal women and we will cover that in a later video in the GYN section.



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