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PLAB01-180

Sally is 15 years old and is seen at the GP surgery after being sent home from school with a bad headache. Her mother is concerned as she has a fever of 38.5 °C and has vomited twice also. She is now complaining of neck stiffness and on examination she has a widespread non-blanching rash. She has no known drug allergies.

What is the most appropriate next step in management?

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