[18F] Experiencing severe cough with green mucus and chest soreness

Patient Description

An 18-year-old female presents with a severe cough that is described as rattly, producing green mucus, and has been persistent for less than a week. The cough is worse in the morning and at night, and is accompanied by a burning chest soreness rated at a 6 out of 10 in severity. The patient also reports experiencing fever and chills. The cough occurs both continuously and in bouts, with approximately 10 bouts of coughing per day. There is no mention of sharp or stabbing chest pain. The patient has indicated that there is slight relief for the chest soreness but has not specified what provides this relief.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Bronchitis: An inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. Symptoms of bronchitis include coughing up thickened mucus, which can be discolored. Chest discomfort and shortness of breath can also occur.

    • Treatment typically involves rest, fluids, and over-the-counter pain relievers and cough suppressants. Antibiotics may be necessary if the cause is bacterial.
  • Pneumonia: An infection that inflames the air sacs in one or both lungs, which may fill with fluid. Symptoms can be similar to bronchitis but are usually more severe and may include fever and chills.

    • Treatment usually involves antibiotics, fever reducers, and cough medicine. Hospitalization may be necessary in severe cases.
  • Asthma: A condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing, and shortness of breath.

    • Treatment involves the use of long-term control and quick-relief medicines to control symptoms.

Please note that these are only possible diagnoses. You should consult a healthcare professional for a formal diagnosis.

What you can do

  1. Rest and hydrate: Your body needs energy to fight off the virus. Getting enough sleep can help quicken your recovery. Staying hydrated helps to thin the mucus in your lungs, making it easier to cough up.

  2. Over-the-counter remedies: Over-the-counter cough suppressants can provide temporary relief from a cough.

  3. Avoid irritants: Smoke can worsen your cough and irritate your lungs.

What you should look out for

Seek immediate medical attention if:

  • Your cough or chest pain becomes severe or you cough up blood.
  • You have difficulty breathing or experience shortness of breath.
  • You have a high fever (>101.3°F).
  • You become confused or have difficulty staying awake.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of bronchitis and how is it treated?

Common symptoms of bronchitis include a persistent cough that produces thickened mucus, chest discomfort, and shortness of breath. Treatment typically involves rest, fluids, over-the-counter pain relievers, and cough suppressants. Antibiotics may be necessary if the cause is bacterial.


How can I differentiate between bronchitis and pneumonia based on symptoms?

Bronchitis and pneumonia can have similar symptoms, such as a cough and fever. However, pneumonia symptoms are usually more severe and may include high fever, chills, and difficulty breathing. A healthcare professional can provide a proper diagnosis.


What are some effective home remedies for managing a severe cough?

Effective home remedies for managing a severe cough include staying hydrated to thin mucus, using a humidifier to keep air moist, and taking over-the-counter cough suppressants. Rest is also important to help the body recover.


When should I seek medical attention for a cough and chest soreness?

You should seek medical attention if your cough or chest pain becomes severe, you cough up blood, have difficulty breathing, experience a high fever, or become confused or have difficulty staying awake.


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