[18F] Experiencing chills, hot flashes, nasal congestion, and headache

Patient Description

An 18-year-old female presents with a combination of symptoms including chills, hot flashes, nasal congestion, and a throbbing headache that started yesterday afternoon. The hot flashes and chills have been occurring every few minutes for the past two days. She also reports a stiff neck pain rated 3/10 in severity, but no recent injuries. The patient experienced nausea yesterday and has been exposed to a sick contact on Monday. She has confirmed that she is up to date with vaccinations, including the COVID-19 vaccine, and has a history of seasonal allergies. She is currently taking over-the-counter medication for her symptoms. There are no known drug allergies or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, the following conditions could be possible:

  • Common Cold: This is a viral infection that primarily affects the nose and throat. It's characterized by a runny or stuffy nose, sneezing, mild headache, and general malaise. Over-the-counter cold remedies can help alleviate symptoms.

  • Influenza (Flu): This is a more severe viral infection that can cause fever, chills, body aches, and similar symptoms to a common cold. Antiviral medication may be prescribed if the flu is caught early enough.

  • COVID-19: Given the current pandemic, it's important to consider COVID-19. Symptoms can range from mild to severe and can include fever, chills, headache, and nasal congestion. You mentioned exposure to a sick person, which increases the likelihood. Testing is necessary to confirm this diagnosis.

  • Meningitis: This is a serious condition that involves inflammation of the membranes surrounding the brain and spinal cord. It can cause headaches, neck stiffness, and nausea. However, it's less likely given the absence of high fever, confusion, or a rash.

What you can do

  1. Rest and hydrate: Regardless of the cause, getting plenty of sleep and staying hydrated can help your body recover.

  2. Over-the-counter medication: Continue taking over-the-counter medication to manage your symptoms. However, avoid taking more than the recommended dose.

  3. Isolate: If you've been exposed to a sick person recently, it's best to isolate yourself until you can get tested for COVID-19.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal situation. Always consult with a healthcare provider for accurate information.

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1 yr ago

People Also Ask


What are the common symptoms of a cold and how can they be managed?

Common symptoms of a cold include a runny or stuffy nose, sneezing, mild headache, and general malaise. These can be managed with rest, hydration, and over-the-counter cold remedies to alleviate symptoms.


How can I differentiate between the flu and COVID-19 symptoms?

Both the flu and COVID-19 can cause fever, chills, headache, and nasal congestion. However, COVID-19 may also include symptoms like loss of taste or smell, and testing is necessary to confirm the diagnosis. The flu often comes on suddenly with more severe body aches.


What are the warning signs of meningitis that require immediate medical attention?

Warning signs of meningitis include a high fever, severe headache, neck stiffness, sensitivity to light, confusion, and a rash. If you experience these symptoms, seek immediate medical attention.


What precautions should I take if I've been exposed to someone who is sick?

If you've been exposed to someone who is sick, it's important to isolate yourself to prevent potential spread, monitor your symptoms closely, and get tested for COVID-19 if necessary. Continue practicing good hygiene and follow public health guidelines.


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