Conversation: The conversation between human and AI assistant.
[|Human|] HI I had Chiari surgery in 2008 and I am currently 21. I have also had an external shunt put in and out. Both where my scull was taken out and the top where they drilled the hole for the shunt hurt frequently and to touch. I also get pimple like bumps on the scares is this normal?
[|AI|]  Hello! Welcome on Chat Doctor! Your symptoms could be related to an infection. The pimples are caused by inflammation or infection. The fact that there is a scull hole, makes the situation concerning about a possible spreading of the infection. Coming to this point, I would recommend consulting with your attending physician for a physical exam and performing some tests: - a complete blood count- sedimentation rate and PCR for inflammation- a brain MRI. Hope to have been helpful! Wishing all the best,