Conversation: The conversation between human and AI assistant.
[|Human|] when i bathed my 4 year old daughter tonight i noticed she had a bruise on hlower back almost in the shape of a butterfly below the back of her neck with each bruise pattern appearing to look like large wings on either side of her spine this is concerning because she has been complaining of stomach pain for about the past 5 nights and finally vomited tonight. the flew has been going around here but the appearnace of strange bruising has me really concerned im not sure if a hospital visit should be in order or not. She has a history of low iron and is on meds for that but other than that normal.
[|AI|]  Hi, thanks for reaching out. I understand your concern. Bruises in little ones are usually common. There may be various causes for the bruises depending on how frequent they are, location, associating signs, color of the bruise, etc. Differentials may be injury, bleeding disorders (if associated with a nosebleed), thrombocytopenia, HSP (associated with lower abdominal pain, bruise like patches over the arms, legs, buttocks), hemophilia(factor deficiency), ITP, also a few Chat Doctor.  For frequent bruising or abnormal bruising associated with signs it is best to get blood diagnostic tests done. Hope this answers your queries. Take care.