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hi Im dr. Tanya Elliot and Im going to walk you through how to do a physical examination through telemedicine so it was William Osler that said that medicine is all about the art of observation so the first thing I do after I connect with the patient and consent them to do the video consultation is evaluate their general appearance or the ill appearing do they have pallor are they diaphoretic are they flushed then if I feel like I need vital signs I ask them if they have a thermometer at home and just to go ahead and take their temperature to show me what the reading is and then I can document what the result is some patients also have a home blood pressure cuff so thats another thing Ill ask them to go ahead and get to take their blood pressure and pulse if its relevant if patients dont have one and theres somebody that you see chronically and youd like to have that as a regular vital sign you can just ask them to go ahead and pick up a straightforward blood pressure cuff and