What is the most critical diagnostic step in the child

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Reference no: EM133746330

Problem

Your new patient is a 12-month old child who has not been seen by any outpatient provider since her 1 week well visit. She is unimmunized. Her parents are concerned because she has had a high fever, irritability, decreased appetite and voiding and a rash that looks like she is bleeding under her skin. On exam, you notice a diffuse petechial rash and the child screams when you try to move her neck (consistent with nuchal rigidity). What is the most critical diagnostic step in the child?

Reference no: EM133746330

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