Pediatric Services

Study finds transcatheter interventions can delay aortic coarctation repair surgery until infants grow

A new study published in Pediatric Cardiology found transcatheter intervention, including stent placement, is a feasible alternative to surgery for aortic coarctation in infants, with an acceptable adverse event profile. Coarctation of the aorta (CoA) is a common form of congenital heart disease, accounting for an estimated 5% to 8% of congenital heart defects. Surgery remains…

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Pediatric Services

Katelyn M. Rossow, M.D., joins Norton Children’s Development Center

Katelyn M. Rossow, M.D., has joined Norton Children’s Development Center, affiliated with the UofL School of Medicine, specializing in developmental and behavioral pediatrics. Dr. Rossow completed fellowships in clinical pharmacology at Vanderbilt University Medical Center in Nashville, Tennessee, and in developmental and behavioral pediatrics at Monroe Carell Jr. Children’s Hospital at Vanderbilt in Nashville. Dr….

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Medical Group, Pediatric Services

May 2022 Norton Children’s Medical Group New Providers

Norton Children’s Medical Group welcomes these new providers. Elisha McAlmont, APRN Pediatric Urology Kelsie L. Carly Sperzel, APRN Pediatrics Emily Kathleen Beckman, APRN Family Medicine

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Case Study, Diabetes, Pediatric Services

Diabetes mellitus case study: Yo-yo glucose in active teen

The patient A teenage male with Type 1 diabetes mellitus, who is very active in sports and physical activity: He was having extreme difficulty with blood glucose control. The challenge Patient’s blood glucose levels often were high before activity. Lows would occur during activity or after. Treatment of lows often would cause a rebound high…

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Pediatric Services

Evaluating and treating pediatric status epilepticus

Most seizures in newborns and children stop on their own, usually within about three minutes. The longer a seizure goes, however, the less likely it is to stop without treatment. Children who have continuous seizures lasting longer than five minutes or who have two or more seizures with incomplete recovery between them have status epilepticus….

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Pediatric Services

Classification and treatment of pediatric cancerous brain tumor, medulloblastoma

Medulloblastoma is one of the most common malignant brain tumors in children, with cases tending to surface around ages 4 or 5. Currently, the treatment protocol is resection of as much of the tumor as can be done safely, followed by concurrent radiation therapy and chemotherapy, according to Mustafa Barbour, M.D., pediatric hematologist/oncologist at Norton…

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Pediatric Services

Better detect bruising from child abuse by following updated TEN-4-FACESp guidelines

Every adult in Kentucky, regardless of profession, is required by law to report suspected child abuse or neglect.  Health care providers should follow the updated TEN-4 FACESp clinical decision rule any time they are evaluating a young child. The TEN-4 FACESp guidelines can improve the detection of abuse in young children who present with bruising….

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Behavioral and Mental Health, Pediatric Services

Kentucky pediatric providers report ADHD practice not consistent with clinical practice guidelines

Researchers with Cleveland Clinic, the University of Louisville School of Medicine and Norton Children’s recently conducted a survey of pediatric attention-deficit/hyperactivity disorder (ADHD) care in Kentucky and found areas of deviation from established practice patterns for diagnosing and managing ADHD and for pharmacotherapy strategies. “The results indicate that some key recommended practice guidelines were not…

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Case Study, Pediatric Services

Case Study: Uncovering a hidden case of pediatric septic arthritis

The patient A 14-month-old female presented to the emergency department with fever and refusal to bear weight. She had bilateral ear tube insertion 13 days previously and presented to her primary care provider (PCP) three days prior for a viral respiratory infection. She presented to her PCP the day before her admission for refusal to…

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Pediatric Services

Headache or migraine: How to spot the red flags

Not all headache or migraine symptoms in children signify red flags that require additional referrals or advanced treatment, said Elizabeth S. Doll, M.D., child neurologist at Norton Children’s Neuroscience Institute, affiliated with the UofL School of Medicine. “There are over 200 different types of headaches, but the majority of what we encounter in clinic are…

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Pediatric Services

Diagnosing and treating brain tumors in children

There are many types and subtypes of brain tumors in children, and heterogeneity is common among tumors with similar morphology, according to Mustafa Barbour, M.D., pediatric hematologist/oncologist at Norton Children’s Cancer Institute, affiliated with the UofL School of Medicine. Dr. Barbour is co-director of the Norton Children’s Cancer Institute Neuro-oncology Clinic. Many brain tumors in…

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Medical Group, Pediatric Services

April 2022 Norton Children’s Medical Group New Providers

Norton Children’s Medical Group welcomes these new providers. Julie A. Klensch, M.D. Pediatric Emergency Medicine Vasudha Mahajan, M.D. Pediatrics Kelsie L. Houchens, APRN Pediatric Emergency Medicine Sable C. Iglesias, APRN Medical Oncology Elisha McAlmont, APRN Pediatric Urology

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