[20M] Experiencing severe weakness and pain in limbs with flu-like symptoms

Patient Description

A 20-year-old male reports acute onset of significant weakness in the arms and legs, to the point of difficulty walking and handling objects, such as a water bottle. This is in conjunction with a constellation of flu-like symptoms including a very dry and red throat, severe cough, intense headaches, hot flashes, episodes of feeling extremely cold, nausea, and general fatigue. The patient notes that the muscle weakness has escalated recently, and the symptoms overall have worsened. There is no mention of any pre-existing conditions or recent events that could be related to the current symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Influenza (Flu): This viral infection can cause fever, chills, body aches, fatigue, sore throat, and headache. The severity of the flu can vary from mild to severe.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral medication may be prescribed by a doctor in some cases.
  • Mononucleosis: Often caused by the Epstein-Barr virus, this condition can cause fatigue, sore throat, fever, and muscle weakness.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Strep Throat: A bacterial infection that can cause a sore, red throat, fever, and weakness. It can sometimes be accompanied by a rash.

    • Treatment typically involves antibiotics prescribed by a doctor.
  • COVID-19: The novel coronavirus can cause a wide range of symptoms, including fever, cough, fatigue, body aches, and sore throat. Some people may experience a worsening of symptoms after a few days.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. In severe cases, hospitalization may be required.

What you can do

You should seek immediate medical attention given the severity of your symptoms. In the meantime, ensure you stay hydrated, rest as much as possible, and take over-the-counter pain relievers to help manage your symptoms.

What you should look out for

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

Please remember that while I strive to provide accurate information, I am not a doctor. You should seek care from a healthcare professional for a formal diagnosis and treatment.

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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, chills, body aches, fatigue, sore throat, and headache. Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral medication may be prescribed by a doctor in some cases.


How can I differentiate between mononucleosis and other viral infections?

Mononucleosis often presents with fatigue, sore throat, fever, and muscle weakness. It is usually caused by the Epstein-Barr virus. Differentiating it from other viral infections can be challenging without a blood test, so consulting a healthcare provider is recommended.


What are the signs that strep throat might be the cause of my symptoms?

Strep throat is characterized by a sore, red throat, fever, and weakness. It can sometimes be accompanied by a rash. A rapid strep test or throat culture performed by a healthcare provider can confirm the diagnosis, and treatment typically involves antibiotics.


How can I tell if my symptoms are related to COVID-19 and what should I do?

COVID-19 symptoms can include fever, cough, fatigue, body aches, and sore throat. If you suspect COVID-19, it is important to get tested and follow public health guidelines. Treatment involves rest, hydration, and over-the-counter remedies, but severe cases may require medical attention.


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