[19F] Experiencing severe body aches, headache, and swollen tonsils

Patient Description

A 19-year-old female is experiencing severe body aches rated 7 out of 10 in severity, which are constant and worsened by movement such as walking, turning over in bed, standing, and straightening legs. She also reports an aching headache rated 5 out of 10, swollen tonsils, fatigue, and difficulty with breathing and swallowing. The patient has been experiencing these symptoms for approximately 2 days. She has no known allergies, no current medications, and no pre-existing conditions. The patient does not have a thermometer to check for fever and is unsure about recent contact with sick individuals.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • 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, fatigue, and dry cough.

    • Symptomatic treatment for the flu includes rest, hydration, and over-the-counter flu remedies. Antiviral medications are also available if started within the first 48 hours of symptoms.
  • Mononucleosis: Also known as "mono" or "the kissing disease," this is an infection usually caused by the Epstein-Barr virus. The virus spreads through saliva, which is why it's often called "the kissing disease." Mono occurs most often in 15 to 17-year-olds, however, you can get it at any age. Symptoms include fatigue, sore throat, fever, and swollen lymph nodes.

    • Treatment for mono is focused on relieving your symptoms and may include plenty of rest, a healthy diet, and plenty of fluids. Over-the-counter treatments can help with fever and aches.
  • COVID-19: This is a novel coronavirus that has been causing global pandemic. It can range from a mild illness to severe or fatal disease. Symptoms may appear 2-14 days after exposure to the virus and can include fever, cough, shortness of breath, fatigue, body aches, and sore throat.

    • Treatment for mild cases of COVID-19 is supportive and includes rest, hydration, and over-the-counter remedies. More severe cases may require hospitalization.
  • Strep Throat: This is a bacterial infection that can make your throat feel sore and scratchy. Strep throat accounts for only a small portion of sore throats. If untreated, strep throat can cause complications, such as kidney inflammation or rheumatic fever.

    • Treatment for strep throat is typically a course of antibiotics to kill the bacteria causing the infection. Over-the-counter remedies can help with the sore throat and aches.

What you can do

You should seek medical attention as soon as possible. Your doctor will be able to provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve 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 remedies: Over-the-counter pain relievers, decongestants, and cough suppressants may help you feel better, but they won't treat a viral infection.
  3. Isolate yourself: If you have a fever and a cough, consider self-isolating until you've seen a doctor. This can help prevent the spread of any potential infection.

What you should look out for

Seek immediate medical attention if you experience:

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

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's important to consult with a healthcare professional who can evaluate your condition.

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9 mo 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, and dry cough. Treatment involves rest, hydration, and over-the-counter remedies. Antiviral medications can be effective if started within the first 48 hours of symptoms.


How is mononucleosis transmitted and what are its typical symptoms?

Mononucleosis is transmitted through saliva and is often called 'the kissing disease.' Typical symptoms include fatigue, sore throat, fever, and swollen lymph nodes. Treatment focuses on symptom relief, including rest, a healthy diet, and plenty of fluids.


What are the early symptoms of COVID-19 and how should one manage them?

Early symptoms of COVID-19 can include fever, cough, shortness of breath, fatigue, body aches, and sore throat. Management for mild cases includes rest, hydration, and over-the-counter remedies, while severe cases may require hospitalization.


What are the signs of strep throat and how is it treated?

Signs of strep throat include a sore and scratchy throat, fever, and swollen lymph nodes. It is treated with antibiotics to kill the bacteria causing the infection, and over-the-counter remedies can help alleviate symptoms.


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