Paediatricscommon
An 18-month-old girl is brought to the emergency department with two days of fever and irritability. She sits quietly on her mother's knee watching you, and starts to cry and arch away whenever you step closer. Her nappy has not been changed since the morning. You have washed your hands, crouched to her eye level and warmed your stethoscope, and she has settled again on her mother's chest. Every part of the examination listed below needs to be done during this consultation. Which one of these should you do first?