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….
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…
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….
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…
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…
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…
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…
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
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)…
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…
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…
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…