A 1-year-old girl presents with fever, irritability and a purpuric non-blanching rash on her legs. She appears unwell with a capillary refill time of ...

Question

A 1-year-old girl presents with fever, irritability and a purpuric non-blanching rash on her legs. She appears unwell with a capillary refill time of 4 seconds. What is the most appropriate immediate action in primary care?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange emergency transfer to hospital

Answer

Prescribe oral Amoxicillin and review in 4 hours

Answer

Arrange a routine paediatric outpatient appointment

Answer

Reassure the parents and provide safety-netting only

Answer

Treat as Henoch–Schönlein purpura with oral steroids

uk-plab-1 MCQ (SBA): Meningococcal sepsis in a child

A 1-year-old girl presents with fever, irritability and a purpuric non-blanching rash on her legs. She appears unwell with a capillary refill time of 4 seconds. What is the most appropriate immediate action in primary care?