After improving pediatric cancer survival from nearly nil in the 1950s to more than 85% today, health care providers face new challenges, especially long-term cognitive deficits associated with chemotherapy. In addition to attacking cancer cells, chemotherapy also can affect healthy cells, including those in the central nervous system. This can lead to a range of…
Although most pediatric syncope cases are benign, general providers should be able to distinguish red-flag symptoms and refer patients as necessary. “Providers should differentiate syncope from cardiac conditions, seizures, metabolic disturbances or psychogenic causes,” said Delwyn E. McOmber, M.D., pediatric cardiologist with Norton Children’s Heart Institute, affiliated with the UofL School of Medicine. By taking…
Chest pain in pediatric patients is a common complaint, yet less than 5% of cases are due to cardiac disease. However, providers always should conduct a broad differential diagnosis and remain aware of red-flag symptoms indicating possible cardiac involvement, referring patients to cardiology for further testing and evaluation as needed. Common causes of pediatric chest…
Karlie Bischoff, APRN Child Abuse Pediatrics
Common childhood respiratory illnesses such as influenza (flu), COVID-19 and respiratory syncytial virus (RSV) continue to pose significant health risks in children. Kristina K. Bryant, M.D., epidemiologist and pediatric infectious diseases physician with Norton Children’s Infectious Diseases, affiliated with the UofL School of Medicine, outlines strategies to help prevent the most common respiratory viruses and…
Failure of endoscopic third ventriculostomy (ETV) to relieve hydrocephalus in patients with midline brain tumors may be an early indication of an underlying histone H3K27M mutation, according to a recently published study.
The following guidance to health care providers has been issued by Norton Healthcare’s infection prevention and employee health department. Current situation in Kentucky On Jan. 16, 2025, the Centers for Disease Control and Prevention (CDC) issued a health advisory to encourage rapid subtyping for patients hospitalized with influenza A. The Kentucky Department for Public Health…
The following measles guidance for providers has been issued by Norton Healthcare’s department of infection prevention and employee health. When should children receive MMR (measles-mumps-rubella) vaccine? Do we need to vaccinate children early because of measles cases in the United States? All children are recommended to get two doses of the MMR vaccine, starting with…
Hydrocephalus in newborns represents one of the most challenging conditions faced in neonatal care. Early recognition and appropriate intervention are crucial for optimal outcomes. The key to managing newborn hydrocephalus lies in recognizing changes over time. “It’s not what the brain looks like at any moment. It’s what it looks like today versus previously,”…
Carrie A. French, Psy.D. Pediatric Psychology Virginia L. Menche, M.D. Pediatrics Katherine E. Price, Psy.D., HSP Clinical Child and Adolescent Psychology Johanna M. Said, D.O. Pediatric Emergency Medicine Crystal A Idstein, PA-C Pediatric Otolaryngology Andrew W. Rogers, PMHNP Pediatric Behavioral Health Lindsey D. Spivey, APRN Child Abuse Pediatrics Mckenzie M. Stieneker, APRN Pediatric Cardiology
Neonatal seizures represent one of the most common and challenging neurologic conditions encountered in the neonatal intensive care unit. The unique characteristics of the developing nervous system and their often subtle clinical manifestations complicate recognition and management, according to Lester M. “Max” Gallivan, M.D., a resident in pediatric neurology at the UofL School of Medicine and…
Pediatric oncology’s remarkable strides improving survival for children with cancer also has brought a new set of long-term health implications.