Candidiasis

00:01 Here in the female reproductive unit, we'll be taking a look at sexually transmitted infections.

00:07 We'd behoove you to take a look at your microbiology as well so you know the details about some of the organisms that I shall be diving into.

00:16 We'll begin our discussion by looking at the important topic of vaginosis.

00:21 There'll be three different families of vaginoses that you'll be responsible for.

00:26 Fungal, bacterial, protozoal.

00:32 Our topic here first begins with the fungal candidal infections.

00:37 10% of women are carriers of vulvovaginal fungi, 10%.

00:43 White patches is what you'd expect to find but that should be of no surprise because wherever candida is infecting you, you would expect to find white patches.

00:53 Here, the discharge that the female would be having will be called leukorrhea.

00:58 And along with this, there is pretty intense itching that is accompanied with it.

01:05 The predisposing factors in which your patient will be developing candidal infection would be -- well, what if there is increased glucose for the organism to munch upon? Welcome to diabetes mellitus.

01:18 Also, oral contraceptives in pregnancy may enhance the development of the infection.

01:23 Now, what you need to keep in mind is I showed you earlier a normal cervix.

01:29 And whenever there's an infection, that cervix will then appear as being fiery red.

01:34 Fiery red.

01:35 So the underlying tissue will be infected and so therefore undergo an inflammatory process and that will be red.

01:41 However, the actual substance that is being secreted will be leukorrhea and white.

01:46 What we're looking at here upon your wet mount would be budding yeast and pseudohyphae.

01:53 They are yeast that have been then elongated and so therefore, you call this pseudohyphae.

01:58 That is an important description.

02:00 You either know it by description or you know it by picture as you see here in the image.