Conversation: The conversation between human and AI assistant.
[|Human|] Have a 7 month old infant born 4 weeks premature, recently began symptoms of a cold, is on amoxicilin. She is under weight at 13.5 lbs, a few days ago her fontanale became somewhat bulged and firm, and her pulse couldnt be felt there. CT scan at hospital showed nothing specific. She also has reflux and has changed formula. Today her soft spot once aqgain became enlarged and somewhat hard, for well over an hour it stayed that way and you couldnt feel her pulse. Her temp was 100.2 nd she was not lethargic. She has been sleeping much more than usual and doesn t have much appetite. By the time we got to Dr, it was once again nearly normal. Dr is reluctant to do further testing at this time, ie MRI or Spinal Tap. Her stools became very frequent an watery this afternoon also, but probably a result of the antibiotic. Of course now we have to watch for dehydration. We are concerned if we continue to just watch and wait there may be an underlying neurological disorder not yet detected, which could become worse with time. We would like to have a second opinion, however, any attempts to get her in another Pediatric office in the next day or so have been futile. What would you advise? Thank you from a concerned Mom and Grandma
[|AI|]  Hi.... if I were your pediatrician I would not waste another minute in doing a spinal tap. I feel that you a kid is having probable meningitis. This can be accurately diagnosed only by spinal tap and analysis of the spinal fluid. The kid might have shown some initial improvement because of the antibiotics administered without doing proper culture or spinal tap. I suggest that you get her to the nearest Emergency Room of a pediatric Specialty Hospital. Regards -