You are working a beautiful sunny day in Pennsylvania when the next chart gets put in your rack. It is a 2 year-old male with a leg injury.

Initial Vitals:

HR: 112

BP: 97/67

Temp: 99.2F

RR: 20

O2: 97% Room Air

Critical Actions:

* Consider Non-Accidental Trauma

* Evaluate for Septic Arthritis

* Treat the Childs Pain

* Diagnose Lyme Disease

* Prescribe Antibiotics (Avoid Doxycycline)