[18M] Experiencing severe cough, headaches, chest pain, dizziness, and dehydration

Patient Description

An 18-year-old male presents with a persistent, severe dry cough rated 8/10 in intensity, lasting for 2 days, which worsens when the patient is stationary. Accompanying symptoms include long-lasting, throbbing headaches on the front and side of the head, also rated 8/10 in intensity, which are somewhat alleviated by painkillers. The patient reports moderate chest pain, frequent dizziness, and persistent dehydration. The patient also experiences fever and chills. There is no identified trigger for the cough, and the patient has a history of headaches. No other medical history, medication use, or allergies have been reported.

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Arora's Assessment

What might be happening

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

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. Symptoms include a cough, headache, and fever.

    • Treatment: Rest, hydration, and over-the-counter remedies can help, but if caught early, antiviral medication may be prescribed by your doctor.
  • COVID-19: This is a viral infection caused by a new coronavirus introduced to humans for the first time. It is spread from person to person mainly through the droplets produced when an infected person speaks, coughs or sneezes.

    • Treatment: Most people with mild symptoms can recover at home. If you feel worse, call your doctor. For severe symptoms (including a fever above 100°, trouble breathing, or chest pain), call 911.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing a cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment: Antibiotics can treat many forms of pneumonia. Some forms of pneumonia can be prevented by vaccines.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep at night and rest during the day. Stay hydrated by drinking lots of fluids.

  2. Over-the-counter medication: Over-the-counter medication can help with symptoms. For example, pain relievers, decongestants and cough suppressants can provide some symptom relief.

  3. Seek medical attention: Given your symptoms, it's important to seek medical attention as soon as possible. You may need to be tested for COVID-19.

What you should look out for

If your symptoms worsen or you experience difficulty breathing, persistent pain or pressure in your chest, new confusion, inability to wake or stay awake, or bluish lips or face, seek medical attention immediately.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of influenza?

Common symptoms of influenza include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.


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

Both COVID-19 and the flu can cause fever, cough, and fatigue, but COVID-19 may also cause loss of taste or smell, which is less common with the flu. Testing is the most reliable way to differentiate between the two.


What are the signs that pneumonia might be developing?

Signs of pneumonia include a persistent cough with phlegm, fever, chills, difficulty breathing, and chest pain. If you experience these symptoms, seek medical attention.


What should I do if my symptoms worsen or I experience severe symptoms?

If your symptoms worsen or you experience severe symptoms such as difficulty breathing, persistent chest pain, confusion, or bluish lips or face, seek medical attention immediately.


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