3-year-old girl brought to the clinic by her mother. Previously healthy, up to date on immunizations. No known allergies.
Mother reports the child has had a fever of 39.5°C (103°F) for 2 days, is lethargic, and has not been drinking much.
You are taking the child's vital signs. She is sleepy but responsive. Temperature: 39.5°C, HR 140, RR 32. Mother is anxious.
"She's usually so active... she won't even play with her toys today..."