Adult Services, Neuroscience

When are headache symptoms a red flag for a more serious condition?

When are headache symptoms consistent with migraine or red flags of a condition warranting urgent or emergency medical attention? Migraine occurs in a recurring pattern and can be diagnosed clinically, without MRI or other tests, according to Brian M. Plato, D.O., neurologist and director of headache medicine at Norton Neuroscience Institute. Because migraine occurs in…

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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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Adult Services, Neuroscience

Is it a stroke or does it just present like one?

Ischemic stroke is the among the leading causes of death in the United States, but so-called stroke mimics and stroke chameleons also can be deadly. At a recent presentation, Bryan J. Eckerle, M.D., neurologist with Norton Neuroscience Institute, discussed the differences. “A stroke mimic initially presents like an acute ischemic stroke, but the final diagnosis…

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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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Adult Services, Medical Group

May 2022 Norton Medical Group new providers

Norton Medical Group welcomes these new providers. Amanda Cothern, M.D. Family Medicine Amy Farrell, M.D. Obstetrics/Gynecology Teresa B. Finke-Moreland, M.D. Hospital Medicine Samantha Beavin, PA-C Neurosurgery Barbara Carpenter, APRN Pulmonology Valarie Higgins, APRN Pulmonology Dennis L. Johnson II, APRN Behavioral Medicine Jessica Keller, PA-C General Surgery Allison Maher, APRN Family Medicine Courtney Moore, APRN Medical…

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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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Adult Services, Case Study, Neuro-Oncology

Case study: Awake brain tumor resection helps preserve healthy tissue

The patient A 39-year-old nursing student initially presented with complaints of a two-year history of intermittent numbness in the tips of the middle and ring finger on her left hand. Over the past six months, she developed episodic numbness in the left face and twitching in the left eye. An MRI scan demonstrated a brain…

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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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