[21F] Experiencing severe muscle pain, dry cough, and additional symptoms

Patient Description

A 21-year-old female reports experiencing severe muscle pain, particularly in the neck and shoulders, which worsens with coughing, sitting, and standing. The pain has been present for over the course of the night and is rated as a 6 out of 10 in severity. Acetaminophen (500 mg) did not provide relief. The patient also describes significant weakness, making it extremely difficult to move and perform daily activities, with the weakness rated as a 7 out of 10 in severity. This weakness and muscle pain started gradually over approximately 10 hours. Additionally, the patient has had trouble sleeping for the last 3 nights, either with difficulty falling or staying asleep. A severe, loud dry cough that started yesterday is present, causing pain upon inhalation and a persistent tickle in the chest that is not relieved by coughing. The patient also reports experiencing fever and chills, severe chest pain described as feeling like something heavy is on the chest, and a headache that is most intense at the base of the skull, with the headache rated as a 4 out of 10 in severity. Dizziness, described as feeling lightheaded upon standing, has also been a concern since today. The patient has noticed an increase in the frequency of urination today but does not report increased thirst. No recent injuries, accidents, or known causes for these symptoms were reported.

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Arora's Assessment

What might be happening

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

  • 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 usually comes on suddenly and may include these symptoms: fever, cough, sore throat, runny or stuffy nose, muscle or body aches, headaches, fatigue, and some people may have vomiting and diarrhea.

    • Treatment of flu usually involves rest and hydration. Antiviral drugs may be prescribed in some cases.
  • COVID-19: This is a viral infection caused by a new coronavirus introduced to humans for the first time. It is spread from person to person mainly through the droplets produced when an infected person speaks, coughs or sneezes. Symptoms may include fever, cough, difficulty breathing, muscle pain, and new loss of taste or smell.

    • Treatment of COVID-19 involves supportive care to help relieve symptoms and for severe cases, there may be additional options for treatment, including medications and hospitalization.
  • Mononucleosis: This is a viral infection that causes persistent fatigue, sore throat, fever, and other symptoms. It's often spread through saliva and close contact, hence the nickname "kissing disease".

    • Treatment of mononucleosis involves rest, hydration, and over-the-counter remedies for pain and fever.

Please note that these are only possibilities and not a definitive diagnosis.

What you can do

  1. Seek immediate medical attention. Given your symptoms, it's important to get checked out by a healthcare professional as soon as possible. They may need to run some tests to confirm a diagnosis.

  2. Rest and hydrate. Regardless of the cause, rest and hydration are key to recovery.

  3. Monitor your symptoms. If your symptoms worsen or you develop new symptoms, seek medical attention immediately.

What you should look out for

Reasons to seek immediate medical attention:

  • 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 information you've given me. It's always important to consult with a healthcare professional for accurate information.

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8 mo ago


People Also Ask


What could be causing severe muscle pain and weakness along with a cough and fever?

Severe muscle pain and weakness, along with a cough and fever, could be caused by viral infections such as influenza, COVID-19, or mononucleosis. These conditions often present with similar symptoms, including muscle aches, fever, and respiratory issues.


How can I differentiate between flu, COVID-19, and mononucleosis based on symptoms?

Flu typically presents with sudden onset of fever, muscle aches, and fatigue. COVID-19 may include symptoms like cough, fever, and loss of taste or smell. Mononucleosis often causes extreme fatigue, sore throat, and fever. A healthcare professional can provide a definitive diagnosis through testing.


What should I do if over-the-counter medications like acetaminophen do not relieve my symptoms?

If over-the-counter medications like acetaminophen do not relieve your symptoms, it is important to consult a healthcare professional. They may recommend further evaluation or prescribe antiviral medications if a viral infection is suspected.


When should I seek immediate medical attention for symptoms like chest pain and dizziness?

You should seek immediate medical attention if you experience difficulty breathing, persistent chest pain or pressure, new confusion, inability to stay awake, or bluish lips or face. These could be signs of a serious condition requiring urgent care.

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