How to prepare for a telemedicine visit about Bruising

Audience: adult

Bruising happens when small blood vessels under the skin break, causing discoloration. It can result from injury, certain medications, or health conditions. A telemedicine visit can help you understand the cause of your bruising and decide if you need further care. During the visit, your healthcare provider will ask about your bruising history, any injuries, medications you take, and other symptoms. Telemedicine is useful for initial assessments, especially when bruises are mild and not linked to serious symptoms. However, if bruising is sudden, widespread, or accompanied by other concerning signs, in-person care is important. Preparing for your telemedicine visit by gathering information and photos can help your provider give better advice. This guide will help you know what to expect and how to get ready for your telemedicine appointment about bruising.

Red flags — go in person / ER

• Sudden appearance of multiple bruises without injury — seek urgent medical evaluation.
• Large or painful bruises that are spreading rapidly — get in-person care promptly.
• Bruising accompanied by heavy bleeding, bleeding from gums or nose, or blood in urine/stool — seek emergency care immediately.

What telemedicine can do

• Initial assessment of mild bruising with no serious symptoms.
• Review of medication and health history related to bruising.
• Providing advice on home care and when to seek further care.
• Determining if laboratory tests or referrals are needed.

What telemedicine cannot do

• Emergency situations with heavy bleeding or severe pain.
• Physical examination requiring palpation or detailed inspection beyond video capability.
• Procedures such as blood draws or imaging tests.
• Management of life-threatening bleeding or complex clotting disorders.

What causes bruising?

Bruising occurs when tiny blood vessels under your skin break and leak blood. Common causes include bumps, falls, or injuries. Some medicines, like blood thinners, can make bruising easier. Certain health conditions, such as clotting disorders or vitamin deficiencies, may also cause bruising without an obvious injury.

When is telemedicine appropriate for bruising?

Telemedicine can help you discuss your bruising with a healthcare provider without leaving home. It's often suitable for mild bruising that is not spreading rapidly and has no other serious symptoms. Your provider can assess your history, medications, and symptoms to suggest next steps or reassure you.

What information should you prepare?

Before your telemedicine visit, gather details such as:

Having this information ready helps your provider understand your situation better.

When to seek in-person care

If you notice any of the following, seek in-person medical care promptly:

These signs may indicate a serious condition requiring urgent evaluation.

How to prepare for your telemedicine visit

Choose a quiet, well-lit place for your appointment. Ensure your device is charged and connected to the internet. Have your medical history and medication list nearby. Be ready to show the bruises clearly on camera if asked. Write down any questions or concerns you want to discuss.

What to expect during the telemedicine visit

Your healthcare provider will ask about your bruising and related symptoms. They may request to see the bruises via video or photos. Based on your information, they might suggest blood tests, changes in medication, or recommend an in-person visit if needed. They will also advise on how to care for your bruises at home.

How to prepare for your tele-visit

• Find a quiet, well-lit place for your telemedicine visit.
• Ensure your device (phone, tablet, or computer) is charged and connected to the internet.
• Have a list of your current medications and supplements ready.
• Take clear photos of your bruises from different angles.
• Note when the bruising started and any related symptoms.
• Write down any questions or concerns you want to discuss.
• Be prepared to describe any recent injuries or medical conditions.

After your tele-visit

• Follow any advice or prescriptions given by your healthcare provider.
• Monitor your bruises for changes in size, color, or pain.
• Keep a record of any new bruises or symptoms.
• Schedule follow-up appointments if recommended.
• Seek immediate care if you notice red flags such as heavy bleeding or sudden widespread bruising.
• Avoid activities that may cause further injury until cleared by your provider.

FAQs

Can telemedicine diagnose the cause of my bruising?

Telemedicine can help your healthcare provider gather important information about your bruising and suggest possible causes. However, some causes may require physical exams or tests that need to be done in person.

What should I do if my bruising gets worse after the telemedicine visit?

If your bruising worsens, spreads rapidly, or you develop new symptoms like heavy bleeding or severe pain, seek in-person medical care promptly or go to the emergency department.

Are there any home treatments for bruising?

Yes, you can apply cold packs to the bruised area to reduce swelling and pain. Keep the bruised area elevated if possible. Avoid massaging the bruise. Your healthcare provider may give you more specific advice based on your situation.

Will I need blood tests during a telemedicine visit?

Your provider may recommend blood tests to check for clotting problems or other causes of bruising. These tests usually require an in-person visit to a lab or clinic.

Can medications cause bruising?

Yes, some medications like blood thinners, aspirin, or steroids can make bruising more likely. Always inform your provider about all medications and supplements you take during your telemedicine visit.

Sources

1. Bruising — MedlinePlus, U.S. National Library of Medicine / NIH.
2. Easy Bruising and Bleeding — Mayo Clinic.
3. Bleeding and Bruising — Centers for Disease Control and Prevention (CDC).
4. Easy Bruising — Merck Manuals Consumer Version.

This information is for educational purposes only and is not a substitute for professional medical care. Telemedicine can provide guidance but does not replace in-person evaluation when needed. If you experience any severe symptoms or red flags, seek immediate medical attention.