Case 67 – part 2

Here we have our second case!

A 5 year girl old presents to her A&E with her grandmother. She had been the park today and has now become generally unwell with abdominal pain, back pain, vomiting and feeling shivery.
HB 95g/l plt 300 neuts 7.0
What do you want to know from the history/examination? What would you do next?

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