[21F] Experiencing severe cough, headache, and chills

Patient Description

A 21-year-old female presents with a severe cough that started abruptly two days ago, alongside a persistent headache rated 4/10 in severity, located at the front/top of the head. The patient has been experiencing these headaches twice a week. Additionally, she reports chills and sweats that occur with any movement or position change, starting today. She is also experiencing fatigue and chest discomfort but no shortness of breath, confusion, stiff neck, or rash. The patient is currently taking Spironolactone, birth control, and Wellbutrin, with no known allergies or adverse reactions to medications, and no pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Influenza (Flu): The flu is a common viral infection that can cause fever, chills, cough, and body aches. It usually comes on suddenly and can cause severe fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms. Antiviral medication may be prescribed by a doctor if the flu is caught early.
  • COVID-19: This is a viral infection caused by the SARS-CoV-2 virus. Symptoms can vary widely but often include fever, cough, and fatigue. Some people may also experience chills or sweats.

    • Treatment involves supportive care to manage symptoms and may require isolation to prevent the spread of the virus. In severe cases, hospitalization may be necessary.
  • Common Cold: This is a viral infection that affects your nose and throat. It's usually harmless and symptoms improve within a week to ten days.

    • Treatment involves rest, hydration, and over-the-counter medication to manage symptoms.

It's important to note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional who can evaluate your symptoms and medical history in a comprehensive manner.

What you can do

  1. Rest and stay hydrated. Both are crucial for recovery from any viral infection.
  2. Monitor your symptoms. If they worsen or you develop new symptoms, seek medical attention.
  3. Consider getting tested for COVID-19, given the current pandemic and your symptoms.
  4. Over-the-counter medication can help manage your symptoms. However, always follow the instructions on the packaging and consult a healthcare professional if you're unsure.

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
  • Inability to wake or stay awake
  • 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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10 mo ago

People Also Ask


What are the common symptoms of the flu and how can it be treated?

Common symptoms of the flu include fever, chills, cough, body aches, and severe fatigue. Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms. Antiviral medication may be prescribed if the flu is caught early.


How can I differentiate between COVID-19 and a common cold based on symptoms?

COVID-19 and the common cold can have overlapping symptoms like cough and fatigue. However, COVID-19 may also include symptoms like fever, chills, and loss of taste or smell, which are less common in a cold. Testing is the most reliable way to differentiate between the two.


What should I do if my symptoms worsen or I develop new symptoms?

If your symptoms worsen or you develop new symptoms, it's important to seek medical attention. This could involve contacting your healthcare provider for further evaluation and possibly getting tested for COVID-19.


Are there any specific symptoms that require immediate medical attention?

Immediate medical attention is required if you experience difficulty breathing, persistent chest pain or pressure, new confusion, inability to wake or stay awake, or bluish lips or face.


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