How to prepare for a video visit about Syphilis (Suspected) - Testing Pathway

Audience: pediatric

If your child may have syphilis, a video visit with a healthcare provider can help guide testing and care. Syphilis is an infection usually spread through close contact, including during pregnancy or early childhood in rare cases. During the video visit, the provider will ask about symptoms, medical history, and possible exposures. They may recommend specific tests to confirm if syphilis is present. Preparing well for the visit helps make the most of the time with the provider. This guide explains what to expect, how to prepare, and when to seek urgent care. Remember, telemedicine can support education and triage but cannot replace in-person exams or treatments when needed. If your child has serious symptoms, seek emergency care immediately.

Red flags — go in person / ER

• High fever with severe headache — seek emergency care immediately.
• Difficulty breathing or swallowing — call emergency services right away.
• Confusion, seizures, or sudden severe rash — urgent medical attention needed.

What telemedicine can do

• Initial symptom discussion and history taking.
• Visual inspection of visible skin signs via camera.
• Providing education about syphilis and testing options.
• Guidance on where and how to get lab tests.
• Discussing test results and treatment plans when appropriate.

What telemedicine cannot do

• Performing physical exams that require touch or detailed inspection.
• Collecting blood or other specimens for testing.
• Administering treatments or injections.
• Managing severe or emergency symptoms.
• Diagnosing complex cases without in-person evaluation.

What is Syphilis and How is it Tested?

Syphilis is an infection caused by bacteria that can affect many parts of the body. It often spreads through close contact with sores during sexual activity, but in children, it can sometimes be passed from mother to baby during pregnancy. Testing usually involves a blood test to look for signs of infection. Sometimes, samples from sores or other body fluids may be needed. Early detection helps prevent serious health problems.

What to Expect During Your Video Visit

During the video visit, the healthcare provider will ask about your child's symptoms, any possible exposures, and medical history. They may ask to see any visible sores or rashes through the camera if possible. The provider will explain which tests are recommended and how to get them. They will also discuss next steps depending on the results. Make sure to have a quiet, private space for the visit and a device with a working camera and microphone.

How to Prepare for the Video Visit

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When to Seek Immediate Care

If your child has any of the following, seek emergency medical care right away:

These symptoms may indicate a serious infection or complication that needs urgent treatment.

After the Video Visit: Next Steps

Follow the provider's instructions carefully. This may include:

Keep track of any new symptoms and report them promptly.

How to prepare for your tele-visit

• List your child's symptoms with start dates.
• Note any possible recent exposures or contacts.
• Prepare a list of current medications and allergies.
• Have questions ready to ask the healthcare provider.
• Ensure your device has a working camera and microphone.
• Find a quiet, private space with good lighting for the visit.

After your tele-visit

• Complete any recommended lab testing promptly.
• Follow treatment instructions if prescribed.
• Monitor your child's symptoms and report changes.
• Schedule follow-up appointments as advised.
• Inform close contacts if recommended by the provider.

FAQs

What tests will my child need for suspected syphilis?

Your healthcare provider will likely recommend a blood test to check for syphilis infection. In some cases, samples from any sores or rashes may also be tested. These tests help confirm the diagnosis so appropriate treatment can begin.

Can syphilis be cured in children?

Yes, syphilis can usually be cured with the right antibiotics, especially when caught early. It is important to follow the healthcare provider’s treatment plan fully to ensure the infection is cleared.

Is it safe to have a video visit for suspected syphilis?

Video visits are a safe way to discuss symptoms, get advice, and plan testing. However, some parts of care, like physical exams and lab tests, must be done in person. If your child has serious symptoms, in-person care is needed immediately.

How can syphilis affect my child if untreated?

If not treated, syphilis can cause serious health problems over time, including damage to the heart, brain, and other organs. Early diagnosis and treatment help prevent these complications.

What should I do if my child has a sore or rash?

Show the sore or rash to the healthcare provider during the video visit if possible. Avoid touching or picking at it. Follow any care instructions given and seek in-person care if symptoms worsen or new symptoms appear.

Sources

1. Syphilis - MedlinePlus — U.S. National Library of Medicine / National Institutes of Health.
2. Syphilis - Centers for Disease Control and Prevention (CDC) — U.S. Department of Health and Human Services.
3. Syphilis - Mayo Clinic — Mayo Clinic.
4. Syphilis - Merck Manuals Consumer Version — Merck & Co., Inc..

This telemedicine guidance is for education and triage only. It is not a substitute for in-person medical care, diagnosis, or treatment. If your child has severe symptoms or an emergency, seek immediate medical attention.