A medical team assessed a child (Anna) presenting with a petechial non-blanching rash, recent mosquito bite, and a history of severe headache and a prior unexplained neurological episode. The clinicians took a history from the family, performed a physical and neurological examination including checking for meningeal irritation, and explained that the exam findings were largely normal with no current signs of meningitis or encephalitis. They discussed uncertainty about whether the lesion was a rash or bruise, and noted a clotting test ordered by the GP had been normal. The team planned to discuss the case with colleagues and get back to the family.