Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website https://www.jocmr.org

Letter to the Editor

Volume 13, Number 10-11, November 2021, pages 515-516


Telemedicine in Pediatrics: Introduction of an Innovative New Tool to Diagnose and Treat Children in an Ambulatory Setting

Table

Table 1. Online Consultation Setting and Questionnaire
 
ECG: electrocardiography.
Telemedicine virtual setting
  Telemedicine setting will be established by iphone face time setting or other telemedicine services.
Questionnaire
  1) Age of child, problem the child attends the doctor (anamnesis includes fever, condition of the child, rash, time the problem started), exact fever analysis, two-time fever measurement.
  2) Clinical examination: starting from head to feet:
    a) Head: color face; lymph nodes, eyes, ears, mouth, and neck.
    b) Thorax: excursions, breathing, jugular withdrawals (obstructive?), distance belt, support of the auxiliary respiratory muscles (heart auscultation not possible but ECG and analysis of ECG with telemedicine).
    c) Abdomen: assistant examines the abdominal four quadrants by control of the doctor in telemedicine, examination of umbilicus to diagnose umbilical hernia or inguinal hernia (hernial sac).
    d) Check genitals: testicles inside the scrotum, redding of the scrotum, blue dot sign, hydrocele, inguinal hernia.
  3) Therapy: prescribed medications by telemedicine; nurse provides prescription in the ambulatory center; parents/patients go to pharmacy.