Conversation: The conversation between human and AI assistant.
[|Human|] My child s spine sticks out on her back on the bottom and a rough brownish patch of scaly skin has developed on that area the size of a fifty cent coin. She has been complaining of back pain, neck pain, and shoulder pain. What is this? Should we see a doctor?
[|AI|]  Hello, Thank you for your query. Yes please, see her doctor immediately. This sounds like a spinal malformation. I would like to rule out spina bifida (spine fails to form completely and nerves are unprotected) She will need an MRI of her spine and a complete neurological assessment Please avoid any impact or pressure on her spine till she has been seen by a neurologist. Tylenol based on her weight can be given for pain. Hope this helps. Please let me know if there is anything else I can help you with. Wish you all good health