SPS 2016 Program - Page 42

derness on palpation at McBurneys point and pain on forward flexion of hip, with no rebound tenderness. Results: A STAT CT abdomen and pelvis with contrast was ordered for suspicion of ovarian cyst rupture versus diverticular disease. CT demonstrated diverticulosis, prominent in the cecum with adjacent pericecal edema and trace free fluid compatible with uncomplicated diverticulitis. Adjacent appendix was shown to be normal. Conclusions: Telemedicine is most limited by the provider’s inability to complete a β€œhands-on” physical exam. Instead, in situations like this, the physician must walk the patient through a clinically reliable physician-guided exam. The efficacy of a physician-guided exam was demonstrated by the diagnostic outpatient imaging ordered by the physician, which confirmed suspected diverticulitis. This case is an example of the opportunity for broader application of telemedicine in assessing acute medical problems by e-visit. Results: Guided physical exam was used to assess patients for diabetic foot ulcers. Each patient received diabetic educatio ΈΈ… Α…Ρ₯•ΉΠΝ‘½έ•…Έ₯΅ΑΙ½Ω•΅•ΉΠ₯Έ•₯Ρ‘•Θ‰±½½)Ν՝…ȁ±½Μ½Θ! 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