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12/03/2020

What does trichomoniasis look like on wet mount?

What does trichomoniasis look like on wet mount?

Abnormal: A white, lumpy discharge that looks like cottage cheese may mean a vaginal yeast infection is present. A yellow-green, foamy discharge that has a bad odor may mean trichomoniasis is present….Vaginal pH.

Normal: Vaginal pH is about 3.8–4.5.
Abnormal: Vaginal pH is higher than 4.5.

What does KOH do to the wet mount specimen?

KOH slide. A sample of the vaginal discharge is placed on a slide and mixed with a solution of potassium hydroxide (KOH). The KOH makes it easier to see yeast cells.

What do clue cells look like?

Clue cells are certain cells in the vagina (vaginal epithelial cells) that appear fuzzy without sharp edges under a microscope. Clue cells change to this fuzzy look when they are coated with bacteria.

What is KOH & wet clue cells?

A sample of the vaginal discharge is placed on a slide and mixed with a solution of potassium hydroxide (KOH). The KOH kills bacteria and cells from the vagina, leaving only yeast for a yeast infection. Vaginal pH. The normal vaginal pH is 3.8 to 4.5.

Can you see trich on a wet prep?

Trichomonas and yeast may be detected by examining a wet mount of material from a swab of the vaginal area for the presence of the typical jerky motile organisms of trichomonas or budding yeast. In addition, “clue cells” may be present which are indicative of the bacterial infection of Gardnerella vaginalis.

Why is KOH more preferred over saline wet mount?

In the present observation, it was observed that KOH has a high detection rate compared to other wet mount preparations. So, the use of KOH preparation along with saline wet mount preparation in a routine pathology laboratory is a good practice. KOH wet mount is simple, the reagent are inexpensive and easily prepared.

What is KOH Prep used for?

A KOH prep test is a simple, non-invasive procedure for diagnosing fungal infections of the skin or nails. Cells are obtained from the affected area, placed on a slide with a solution consisting of potassium hydroxide, and examined under a microscope to look for signs of a fungus.

How do you identify a clue cell?

A “clue cell” is typically identified through direct, microscopic examination of a wet- mount smear from a vaginal discharge or secretion, which reveals squamous epithelial cells with cohesive organisms that are gram- negative to gram-variable coccobacilli (Image 1).

How do you see clue cells?

Clue cells are epithelial cells covered by adherent gram-negative rods, observed in vaginal smears from women with bacterial vaginosis. Immunofluorescence studies were used to identify the gram-negative bacteria adhering to clue cells.

What does it mean if clue cells are present?

If clue cells are present, it means you may have bacterial vaginosis. Whiff test. A sample of discharge is checked to see if a strong fishy odour is created when a special solution is added.

How are clue cells determined in wet prep?

can be determined by the presence of clue cells in the vaginal wet prep. Clue cells are large, squamous epithelial cells covered with small bacilli. The affected cells will have a fuzzy, grainy, or peppery appearance, and the border of the cell should be obscured by the attached bacteria.

When is wet prep considered to be positive?

A wet prep is considered positive when more than 20% of the epithelial cells present in the microscopic field are clue cells. It may be tempting for inexperienced practitioners to call any epithelial cell with adherent bacteria a clue cell.

How are clue cells found in the vagina?

A “clue cell” is typically identified through direct, microscopic examination of a wet- mount smear from a vaginal discharge or secretion, which reveals squamous epithelial cells with cohesive organisms that are gram- negative to gram-variable coccobacilli (Image 1).

How does a wet mount test for infection?

A vaginal sample may be tested by: Wet mount. A sample of the vaginal discharge is placed on a glass slide and mixed with a salt solution. The slide is looked at under a microscope for bacteria, yeast cells, trichomoniasis (trichomonads), white blood cells that show an infection, or clue cells that show bacterial vaginosis.