A diagnostic approach is possible as well as referrals to practitioners or specialized institutions if necessary. Therapeutic monitoring, cons-expertise face a care path initiated by a colleague when a major decision is involved (surgery, drug toxicity, alternative therapy, nosocomial accident …). Further information about processing or additional exploration. Translation / health document explanation in English, Arabic for expatriates in particular. We caution that it belongs to the potential candidate for telemedicine to distinguish urgent situation from that which is not. In this sense, medical advice urgently (15-911 …) should always be sought in order not to delay a therapeutic management.