Diagnosis: meningococcal septicaemia.Bloods sent for FBC, glucose, biochemistry, U&E, clotting.
15 year old boy non-specifically unwell for a day. Woke with a widespread purpuric rash and taken straight to hospital. (click for larger graph)
ED assessment:Temp 39.0, HR 120, RR 20, BP 90/60. Alert no meningism; purpuric rash spreading.