[18M] Experiencing back pain, headache, chest pain, and sore throat

Patient Description

An 18-year-old male reports severe back pain across the lower back, rated 8/10, which feels like a need to pop and is exacerbated by lifting. The patient also experiences a throbbing headache rated 4/10, which occurs when coughing, and sharp chest pain rated 7-8/10, also triggered by coughing. The patient has a sore throat that is painful when swallowing and coughing, accompanied by chills, a mild fever, and slight difficulty breathing. Nausea is present, particularly when moving around or after eating. The patient has been around someone who was sick and uses tobacco products. Current medications include DayQuil, Zofran (4mg), and Colace, all started one day ago. No known medical history, allergies, or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu is different from a cold. Flu symptoms usually come on suddenly and may include fever, body aches, and fatigue.

    • Treatment typically involves rest and hydration. Over-the-counter remedies can help with symptoms. An annual vaccine can help prevent the flu and limit its complications.
  • COVID-19: This is a novel coronavirus that has been causing a pandemic. It typically presents with a fever, cough, and difficulty breathing, but can also cause body aches and nausea.

    • Treatment involves supportive care to help relieve symptoms. It is important to stay in isolation to avoid spreading the virus to others.
  • Acute Bronchitis: This is an inflammation of the bronchial tubes in your lungs. It causes coughing and can also cause chest pain, especially with deep breaths or coughing.

    • Treatment typically involves rest, fluids, and over-the-counter pain relievers and cough suppressants. Antibiotics are not usually needed unless the cause is bacterial.
  • Muscle Strain: This occurs when muscles are over-stretched or torn, often due to physical overexertion. It can cause pain and limited movement in the affected muscles.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers can also help.

Please note that this is not an exhaustive list and other diagnoses are also possible. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body recover from a viral infection and can also help with muscle strain.

  2. Over-the-counter medication: Continue taking DayQuil as directed on the package. This can help with symptoms such as fever, body aches, and cough.

  3. Monitor your symptoms: Keep track of your symptoms and seek medical attention if they worsen or don't improve within a few days.

  4. Isolate: If you suspect you might have COVID-19, it's important to stay away from others as much as possible to avoid spreading the virus.

What you should look out for

  • Difficulty breathing: If you're having trouble breathing, seek medical attention immediately. This could be a sign of a more serious condition, such as pneumonia.

  • High fever: A high fever can be a sign of a serious infection. If your fever is above 103°F (39.4°C) or doesn't improve with medication, seek medical attention.

  • Severe pain: If your pain is severe and isn't relieved by over-the-counter medication, seek medical attention. This could be a sign of a more serious condition.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

People Also Ask


What are the common symptoms of influenza and how can it be treated?

Common symptoms of influenza include sudden onset of fever, body aches, fatigue, sore throat, and cough. Treatment usually involves rest, hydration, and over-the-counter medications to relieve symptoms. An annual flu vaccine can help prevent the flu.


How can I differentiate between COVID-19 and a common cold?

COVID-19 often presents with fever, cough, and difficulty breathing, and can also cause body aches and nausea. A common cold usually has milder symptoms like a runny nose and sore throat without severe respiratory issues. Testing is the most reliable way to differentiate between the two.


What are the signs of acute bronchitis and how is it typically managed?

Acute bronchitis is characterized by a persistent cough, chest pain, and sometimes shortness of breath. It is usually managed with rest, fluids, and over-the-counter pain relievers and cough suppressants. Antibiotics are not typically needed unless a bacterial infection is suspected.


What should I do if I suspect I have a muscle strain in my back?

If you suspect a muscle strain in your back, you should rest the affected area, apply ice to reduce swelling, use compression if needed, and elevate the area if possible. Over-the-counter pain relievers can help manage pain. If symptoms persist, consult a healthcare provider.


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