| 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
| 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. |