<s>[INST] My 11 year old girl has the following symptoms:headache, stomach ache, cold - these are kind of the usual, no fever - but a few things have happened in the last 24 hours that concern me. She fainted - flat out yesterday and has been lethargic for the last 36 hours. She also has a strange rash on the sides of her nose - little red dots. I did call her pediatrician and she said that if she faints again, obviously get her in but wanted to get some thoughts from you Thanks [/INST] Thanks for consulting in Chat Doctor. I wanted to ask you, did she eat before loss consciousness, it can be hungry fainting, the second thing,"What is her hemoglobin?" She may be had anemia, please do blood test and let me know. The third thing, she has some infection, which can give to her intoxication and weakness, her vessels are weak, she has some hemorrhagic rash on the nose, which I suggest appear after fainting. What we should do more-check her BP, if she has hypotonia, we should give to her some chocolate, black tea, in addition, you can do EEG at neurologist for exception to high intracranial pressure or epilepsy attacks or other. Do you know prophylaxis is the best?  For headache, you can give to her usual paracetamol, for stomach ache-give charcoal 3 tabs, if no effect then Alcatel 1 tablespoon 3 times after 1 hour before meal during 10 daysRecovery soon, take Carell the best Chat Doctor.  </s>