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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Pediatric Services

Metabolic syndrome criteria, risk factors and implications for cardiovascular disease

The criteria for metabolic syndrome include five factors with varying benchmarks for children and adults. Three out of five of the following criteria are necessary for a diagnosis of metabolic syndrome in children: Abdominal obesity, defined in children as waist circumference that is more than 90th percentile for gender, age and height High-density lipoprotein (HDL)…

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Case Study, Pediatric Services

Case study: MIS-C patient with complications seeks return to sports

The patient A young adolescent male who participates in competitive football and basketball and with history of recent COVID-19 infection was admitted to the pediatric intensive care unit at Norton Children’s Hospital. The initial workup was consistent with multisystem inflammatory syndrome in children (MIS-C), and clinical presentation was consistent with severe MIS-C with respiratory, liver…

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Behavioral and Mental Health, Pediatric Services

Kimberly B. Schauder, Ph.D., joins Norton Children’s Development Center and Norton Children’s Autism Center

Kimberly B. Schauder, Ph.D., who recently completed a postdoctoral fellowship in clinical psychology at the Center for Autism Spectrum Disorders at Children’s National in Rockville, Maryland, has joined Norton Children’s Autism Center and Norton Children’s Development Center. Both are affiliated with the UofL School of Medicine. Dr. Schauder received her doctor of philosophy in clinical…

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Pediatric Services

The acute lymphoblastic leukemia link to obesity

Survivors of the most common childhood cancer, acute lymphoblastic leukemia (ALL), need long-term monitoring for obesity and other ongoing health consequences of their disease and treatment. “The etiology of obesity among ALL survivors is not fully understood, but the primary tumor, hypothalamic-pituitary axis damage from cranial radiation or chemotherapy, lifestyle modifications, and genetics all may…

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Medical Group, Pediatric Services

March 2022 Norton Children’s Medical Group New Providers

Norton Children’s Medical Group welcomes these new providers. Emily Raisle Neal, APRN Pediatric Emergency Medicine Sarah L Duffey, LCSW Maternal and Fetal Medicine  

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Pediatric Services

Anti-CD20 monoclonal antibody therapy for relapsing MS in adult patients

Anti-CD20 monoclonal antibody therapy represents a major advance in treating relapsing multiple sclerosis (MS) in adult patients, reducing relapse risk and mitigating disability progression. These monoclonal antibody therapies deplete circulating B cells by targeting CD20, a surface marker expressed on pre-B cells, naïve B cells and memory B cells. A review article in CNS Drugs,…

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Pediatric Services

Don’t overlook child blood pressure readings

Providers are seeing younger children with higher blood pressure, making it more important than ever to monitor levels and ensure parents are aware of the effects on their child’s overall health. “Blood pressure measurements must be a part of all routine wellness checks and clinical examinations,” said Jyothi M. Matta, M.D., pediatric cardiologist with Norton…

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Gynecology, Pediatric Services

Yuan Yuan “Jackie” Gong, M.D., joins Norton Children’s Gynecology

Yuan Yuan “Jackie” Gong, M.D., has joined Norton Children’s Gynecology, affiliated with the UofL School of Medicine, and is practicing on the Norton Brownsboro Hospital campus, in St. Matthews and at the Novak Center for Children’s Health in downtown Louisville. Dr. Gong completed her pediatric and adolescent gynecology fellowship at Baylor College of Medicine and…

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