Case 153

Medical history

A 12-year-old female attends to the Center of Information and Toxicology Assistance in Belo Horizonte (CIAT-BH) complaining of severe pain in the left hand after catching a ball that have fallen into the woods, nearby her house, and stated she did not know what caused the injury. Refers burning pain, affecting the left upper limb as a whole. At the physical exam, presented HR:110bpm, RR:30cpm, Sat02:98% and a skin rash as in the attached image, with no further findings.

Based on the clinical picture, the most correct workup would be:

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