[18F] With severe headache and neck ache

Patient Description

An 18-year-old female is experiencing a severe aching headache that is exacerbated by movement, particularly when turning the head or bending over, to the point of nearly passing out. The headache is located at the back of the head and has been persistent for 2 days, with an intensity rated at 9 out of 10. The patient also reports fatigue, swollen lymph nodes, excessive night sweats, chills, and some nausea. No relief from the headache has been found with medication. This is the first occurrence of such a headache, with no changes in vision or consciousness. No recent weight changes have been noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, here are some possible conditions:

  • Meningitis: This is an inflammation of the protective membranes covering the brain and spinal cord. Symptoms often include severe headache, neck stiffness, fever, and nausea. It's a serious condition that requires immediate medical attention.

    • Treatment typically involves antibiotics and sometimes antiviral medications.
  • Mononucleosis: Also known as "mono" or the "kissing disease", this is a viral infection that can cause fatigue, sore throat, fever, swollen lymph nodes, headaches, and night sweats.

    • There's no specific treatment for mono. Rest, good nutrition, and drinking plenty of fluids are your best bets.
  • Lyme Disease: This is a bacterial infection you get from the bite of an infected tick. The first symptom is usually a rash, which may look like a bull's eye. As the infection spreads, you might have a fever, a headache, muscle and joint aches, a stiff neck, and fatigue.

    • Treatment involves antibiotics.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Given the severity of your headache and the presence of other symptoms such as neck ache, swollen lymph nodes, night sweats, and chills, it's important to seek medical attention as soon as possible.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • A sudden, severe headache that's different from past headaches.
  • A headache accompanied by a stiff neck, fever, confusion, loss of consciousness, or seizures.
  • A headache after a head injury, especially if the headache gets worse.
  • A chronic headache that is worse after coughing, exertion, straining, or a sudden movement.
  • New headache pain if you're over 50.

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult with a healthcare provider.

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1 yr ago

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People Also Ask


What are the common symptoms of meningitis?

Common symptoms of meningitis include a severe headache, neck stiffness, fever, nausea, vomiting, sensitivity to light, and confusion. It is a serious condition that requires immediate medical attention.


How is mononucleosis diagnosed and treated?

Mononucleosis is typically diagnosed through a physical examination and blood tests, such as the monospot test or EBV antibody test. There is no specific treatment for mono; management focuses on relieving symptoms with rest, hydration, and over-the-counter pain relievers.


What are the early signs of Lyme disease?

Early signs of Lyme disease often include a rash that may look like a bull's eye, fever, headache, muscle and joint aches, and fatigue. If you suspect Lyme disease, it's important to seek medical attention for appropriate testing and treatment with antibiotics.


When should I seek immediate medical attention for a headache?

You should seek immediate medical attention for a headache if it is sudden and severe, different from past headaches, accompanied by a stiff neck, fever, confusion, loss of consciousness, or seizures, or if it occurs after a head injury and worsens.


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