Acauliflower-like growth with foul-smelling discharges seen during an otoscopic exam of the left ear of an 8-year-old boy with a history of chronic otitis media. the tympanic membrane and ossicles are not visible, and the patient seems to be having difficulty hearing the nurse practitioner's instructions. which with the following conditions is best described?
(a) chronic perforation of the tympanic membrane with secondary bacterial infection.
(b) chronic mastoiditis.
(c) cholesteatoma.
(d) cancer of the middle ear.

Cognitive development discussion question: must be at least 1 paragraph. how can you demonstrate responsible personal and social behavior during physical activities? *example: responsible personal behavior- locating dangers in your surroundings on a field; i. e. man hole covers, brick signs, holes, broken glass, etc. *example - acknowledge the performance of others, no matter the outcome *example: responsible social behavior – learning to accept rulings from officials, handling stressful situations, knowing your team role and doing your job *example - practice conflict management and listening skills in a competitive atmosphere

What is one technique to a person get proper sleep? eat a heavy meal before bed. exercise intensely before bed. practice relaxation breathing before bed. use electronics before bed.

Your an average, moderately active adult female . therefore , you should consume approximately calories and 60 grams of fat.