A typical memory aid that helps in remembering the order in which sound travels from the peripheral to the central components of the auditory pathway would be E.C.O.L.I.M.A.
Sound (high or low-frequency sounds) at first gets to the hair cells of the Ear receptors (E) in Cochlea and cranial nerve number 8 (CN VII), then it gets to the Cochlear nuclei (C) which are cells dedicated to these high or low-frequency sounds.
At the Superior Olivary nucleus (O) sound is localized before it gets to the midbrain - Lateral lemniscus (L) and Inferior colliculus (I). The inferior colliculus receives auditory nerve fibers from ipsilateral superior olivary nuclei through the lateral lemniscus.
Sounds then get to the thalamus at the Medial geniculate body (M) which receives nerve fibers from the inferior colliculus; eventually sounds then get to the auditory cortex.
In summary, ECOLIMA is an easily understandable mnemonic device to help remember how sound waves move from the external ears to the auditory nerves and cortex.
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The living will is a document whose precise purpose is to allow individuals to record specific instructions about the type of healthcare they would like to receive in particular end-of-life situations.
An advance directive, commonly referred to as a living will, is a legal instrument that describes the kind of medical care a person wants or does not want in the event that they are unable to express their preferences verbally. Doctors and hospitals refer to the living will when a patient is asleep and has a terminal illness or a life-threatening accident to determine whether the patient wants life-sustaining treatment, such as aided breathing or tube feeding. In the absence of a living will, the spouse, family members, or other third parties are in charge of making decisions on medical treatment.
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The nursing diagnosis which relates to this client's condition of concern after being scheduled for coronary angioplasty include the following below:
- Ineffective coping related to anxiety and fear of surgery.
- Knowledge Deficit.
<h3>What is Coronary angioplasty?</h3>
This is referred to a medical procedure which involves widening of the narrowed or blocked coronary arteries in the body so as to ensure efficient pumping of the blood by the heart to other parts of the body.
The nursing diagnosis which relates to this client's condition is related to fear in which he is scared that he may die when the surgery is done which shows he is unable to cope with anxiety which comes with it.
Lack of knowledge about the treatment plans is also the reason why the individual may be scared about the surgery as the effect on the body isn't known yet and the nurse can provide detailed information about it to prevent this situation.
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(1) Cubitus varus is the most common long-term complication associated with the radiology finding.
The distal humerus is misaligned in cubitus varus (gunstock deformity), changing the arm and forearm's carrying angle from its physiological valgus alignment (5–15 degrees) to varus malalignment. It has historically occurred up to 30% of the time after supracondylar fractures.
The main issue is its look rather than functional impairment. A supracondylar fracture's misalignment is the cause of this malformation. Varus alignment may develop from the medial column collapsing due to comminution.
It could also happen if the distal shattered piece extends and rotates internally. Typically, this deformity is static and does not change over time.
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Question correction:
A 5-year-old girl presents after falling off a shopping cart, tripping, and then falling onto her right arm. On examination, temp is 98.7, pulse 97, respirations 18, blood pressure 127/80 mm Hg. She is alert, oriented, and in no acute distress. Significant findings related to the right arm, which was mildly swollen, deformed, and diffusely tender. There was decreased range of motion of the right elbow due to pain. Sensation was intact. Pulses are within normal limits bilaterally. A radiographic examination was performed.
What is the most common long-term complication associated with the radiology finding?
1 Cubitus varus
2 Myositis ossificans
3 Median nerve injury
4 Ulnar nerve injury
5 Volkmann contracture
