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Master Thesis

Signes physiques objectivables lors d’une téléconsultation en médecine générale

Abstract : Context: The COVID-19 pandemic has seen a spectacular rise in the number of video consultations performed by health care professionals. Today, most general practitioners use teleconsultation on a regular basis. However, the difficulty of accomplishing a physical examination, essential to most decision making, is one of the major limitations to its use. Objective: To determine which physical signs can be objectified during video consultation. Method: We employed a method designed to reach consensus through two rounds of questions, known as the Delphi method. During the first round, a panel of 16 expert general practitioners was questioned on the possibility of objectifying 105 physical signs amongst those regularly assessed in general medicine. The second round enabled the experts to confront their opinions and to revise their answers when necessary in order to reach consensus. Results: Amongst the suggested physical signs, it was judged that 15 could be objectified, 55 could not be objectified and 35 were uncertain or did not obtain consensus. The physical signs that were validated allow for an appreciation of the patient’s general state of health, as well as identifying a limited number of emergencies (respiratory distress, confusion, some neurological deficits) and frequent complaints (rhinitis, conjunctivitis). However, most other physical signs including signs of severity and routine examinations appear not very accessible to teleconsultation. Conclusion: The possibility of carrying out a physical examination during a teleconsultation is currently limited but allows a first assessment of the patient.
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Master Thesis
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Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Thursday, April 8, 2021 - 5:33:16 PM
Last modification on : Sunday, April 11, 2021 - 3:17:08 AM


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  • HAL Id : dumas-03193376, version 1


Émilie Luciani, Nicolas Du Pontavice. Signes physiques objectivables lors d’une téléconsultation en médecine générale. Médecine humaine et pathologie. 2021. ⟨dumas-03193376⟩



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