4 The Definition of Professional Boundaries â¢ Mutually understood, unspoken physical and emotional limits of the relationship between the client and the counselor. â¢ When altered, what is allowed in the relationship becomes ambiguous.
Cholesteatoma usually affects only one ear (it is unilateral). The most common initial symptoms are a smelly discharge from the ear, and some hearing loss. You are also likely to have had previous problems with ear infections. Other symptoms that may occur include a ringing sound in the ear (tinnitus) and headache.
The following signs and symptoms may be present when the mother has cholestasis of pregnancy: 1  Very intense itching, especially on the palms of the hands and soles of the feet. 2  Dark urine. 3  Light-colored feces (stools, bowel movements).  Jaundice - whites of the eyes, skin and tongue may take on a yellowish/orangey tinge.