[19F] Experiencing a range of flu-like symptoms with pronounced fatigue

Patient Description

A 19-year-old female presents with a one-week history of flu-like symptoms including fever, headache, productive cough, sore throat, runny nose, and stomach ache. The patient reports significant fatigue, which is impacting her ability to focus and attend classes, and describes a sensation of feeling unreal. The fatigue is exacerbated by her daily activities. No alleviating factors were mentioned. The patient is not pregnant and there is no mention of any pre-existing health conditions or medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you may be experiencing one of the following:

  • 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, headache, tiredness, dry cough, sore throat, nasal congestion, and body aches.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for comfort. Antiviral medication may be prescribed in some cases.
  • Mononucleosis: Often called "mono" or "the kissing disease," this infection is caused by the Epstein-Barr virus and can cause fatigue, fever, sore throat, and swollen lymph nodes. Fatigue can be particularly severe and last several weeks.

    • Treatment usually involves plenty of rest, good nutrition, and drinking lots of fluids. Over-the-counter medications can help with symptoms.
  • COVID-19: This is a novel coronavirus that has become a global pandemic. It's symptoms can range from mild to severe illness, and appear 2-14 days after exposure. Symptoms can include fever, cough, and shortness of breath, and fatigue.

    • Treatment involves supportive care to help relieve symptoms and for severe cases, hospitalization may be required.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the current global pandemic, it's important to get tested for COVID-19 if you haven't already, especially if you've been in contact with someone who has tested positive.

In the meantime, here are some things you can do to help manage your symptoms:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body recover from any potential infection.
  2. Over-the-counter medication: Over-the-counter cold and flu remedies can help manage your symptoms. Always follow the instructions on the packaging.
  3. Isolate: If you're feeling unwell and especially if you have a fever, it's important to stay home and avoid contact with others to prevent spreading any potential infection.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

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.

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11 mo ago

People Also Ask


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

Common symptoms of influenza include fever, headache, tiredness, dry cough, sore throat, nasal congestion, and body aches. Treatment typically involves rest, hydration, and over-the-counter remedies for comfort. Antiviral medication may be prescribed in some cases.


How can I differentiate between the flu and mononucleosis?

While both the flu and mononucleosis can cause fever, sore throat, and fatigue, mononucleosis often causes more severe and prolonged fatigue, swollen lymph nodes, and sometimes a rash. A blood test can help differentiate between the two.


What should I do if I suspect I have COVID-19?

If you suspect you have COVID-19, it's important to get tested, especially if you've been in contact with someone who has tested positive. In the meantime, rest, hydrate, and isolate yourself to prevent spreading the virus. Seek medical attention if you experience severe symptoms.


How long does fatigue typically last with mononucleosis?

Fatigue from mononucleosis can be particularly severe and may last several weeks, sometimes even longer. It's important to rest and allow your body time to recover.


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