[19F] Experiencing sore throat, fever, fatigue, and oral lesions

Patient Description

A 19-year-old female presents with a sore throat, fever, fatigue, and oral lesions characterized by a white, scalloped tongue and white patches on the back of the throat. These symptoms have been present for approximately 2-3 days. The patient reports difficulty swallowing but no severe pain or difficulty breathing. No rash or swollen glands are noted. The patient has an adverse reaction to Ibuprofen, which causes an itchy throat, and is currently taking Tylenol. There is no significant past medical history, known allergies, or other medications reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Strep Throat: This is a bacterial infection that can cause a sore throat, fever, and white patches in the throat. The bacteria can also cause a white, coated tongue.

    • Treatment typically involves antibiotics to clear the infection.
  • Oral Thrush: This is a yeast infection in the mouth that can cause a white, coated tongue and white patches in the mouth or throat. It can also cause a sore throat and difficulty swallowing.

    • Treatment typically involves antifungal medication.
  • Mononucleosis: This viral infection can cause a sore throat, fever, fatigue, and white patches in the throat. It can also cause a white, coated tongue.

    • Treatment typically involves rest, hydration, and over-the-counter medication for symptom relief.

What you can do

You should seek medical attention as soon as possible. Your healthcare provider can perform a physical examination and order tests to determine the cause of your symptoms. In the meantime, you can try the following to help alleviate your symptoms:

  1. Drink plenty of fluids to stay hydrated.
  2. Gargle with warm salt water to help soothe your sore throat.
  3. Avoid spicy or acidic foods that can irritate your mouth and throat.
  4. Continue taking Tylenol as directed to help reduce your fever and alleviate pain.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Severe pain, especially in the throat or neck
  • High fever (over 101.5°F)
  • Symptoms that worsen or do not improve after a few days

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common symptoms of strep throat?

Common symptoms of strep throat include a sore throat, fever, red and swollen tonsils, white patches or streaks of pus on the tonsils, and tiny red spots on the roof of the mouth. It may also cause a headache, nausea, or a rash.


How is oral thrush different from other throat infections?

Oral thrush is a yeast infection that causes creamy white lesions, usually on the tongue or inner cheeks. It can spread to the roof of the mouth, gums, tonsils, or the back of the throat. Unlike bacterial infections, it is caused by an overgrowth of Candida fungus and is treated with antifungal medications.


What are the typical signs of mononucleosis?

Typical signs of mononucleosis include extreme fatigue, fever, sore throat, swollen lymph nodes in the neck and armpits, swollen tonsils, headache, skin rash, and a soft, swollen spleen. It is often caused by the Epstein-Barr virus.


What should I do if I have an adverse reaction to common pain relievers like Ibuprofen?

If you have an adverse reaction to Ibuprofen, such as an itchy throat, you should avoid taking it and consult with a healthcare provider for alternative pain relief options. Acetaminophen (Tylenol) is often recommended as an alternative, but always check with your doctor to ensure it's safe for you.


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