TY - JOUR T1 - Role of parent-initiated digital imaging in paediatric clinical practice JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 1044 LP - 1046 DO - 10.1136/archdischild-2020-321032 VL - 106 IS - 11 AU - Mahmoud Motawea AU - Maria Digby AU - Russell Banks AU - Marilyn Whittle AU - Govind V S Murthi Y1 - 2021/11/01 UR - http://adc.bmj.com/content/106/11/1044.abstract N2 - Parent-initiated digital photographs are being increasingly provided to clinicians and allied health professionals (AHPs) by parents as a complement to the history of their child’s clinical illness (figure 1). This can be in the form of a photo or video shown to the clinician or AHP in a face-to-face setting or remotely via email transfer or by screen sharing during a video consultation. Such digital images may also be contained within a referral letter. Such images can assist with the treatment of new referrals and follow-up of patients as well. On receipt of such images, the clinician is obliged to act on it as felt appropriate—as with conventional forms of clinical information—and arrange a response that could be an email response, remote consultation (phone/skype/video call) or a face-to-face meeting (emergency or elective). In our practice, we have noted that even if the information contained within such parent-initiated images may be incomplete or irrelevant to the clinical question being asked, to provide a timely response to an expectant parent is best practice.Figure 1 Collage of pictures taken by parents that have helped with diagnosis. (A) ‘Lump’ that appeared following defecation and was associated with pain and bleeding—patient underwent ileocolonoscopy to remove a solitary large rectal polyp; (B) significant bleeding per rectum in a 7-month-old male infant—laparoscopy detected a Meckel’s diverticulum which was resected; (C) ingrowing toe-nail with recurrent inflammation and granulation—patient was listed for surgery via telephone clinic appointment on the basis of this photo; (D) left inguinal hernia … ER -