[22F] Experiencing sore throat, fever, and watery vaginal discharge
Patient Description
A 22-year-old female presents with a sore throat that is particularly painful on the right side, rated 7 out of 10 in severity, with red tonsils and difficulty swallowing. She has been experiencing these symptoms for 1 day. Additionally, she reports a fever and weight loss. The patient has a history of testing positive for COVID-19 three times but has not had the flu. She has a pre-existing condition of pseudotumor cerebri diagnosed in 2018. The patient also mentions a long-standing issue with watery vaginal discharge that fills up her underwear and has an odor reminiscent of rotten milk. She is currently on birth control via injection every 3 months and reports skin reactions to various medications, including bumps on her face when taking new medications. No other medications, over-the-counter drugs, supplements, or herbal remedies are reported.
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Arora's Assessment
What might be happening
Based on the information you have provided, possible diagnoses include:
- Strep Throat or other bacterial throat infection: Your symptoms of a sore throat, especially on one side, fever, and swollen neck glands could be due to a bacterial infection such as strep throat. This is typically confirmed with a throat swab and treated with antibiotics.
- Viral Pharyngitis: This is inflammation of the throat caused by a virus. It can cause a sore throat, fever, and difficulty swallowing. There is no specific treatment for viral pharyngitis, but symptoms usually improve on their own within a week.
- Mononucleosis (Mono): This is a viral infection that can cause a severe sore throat, fever, fatigue, and swollen lymph nodes. It is diagnosed with a blood test and usually resolves on its own, although it can take several weeks to months.
- Bacterial Vaginosis (BV): This is a common vaginal infection in women of reproductive age. It happens when the normal balance of bacteria in the vagina is disrupted. BV can cause symptoms such as a thin, gray, white or green vaginal discharge, and a strong fishy odor, especially after sex. It is usually treated with antibiotics.
What you can do
- Rest and Hydrate: Make sure to get plenty of rest and stay hydrated. This can help your body fight off an infection and recover faster.
- Over-the-Counter Medications: Over-the-counter pain relievers can help with the sore throat and fever. Throat lozenges or sprays can also provide some relief.
- See a Doctor: Given the severity of your symptoms and their duration, it would be best to see a doctor. They can perform a physical examination, order tests if necessary, and provide appropriate treatment.
What you should look out for
If your symptoms worsen or if you develop new symptoms such as difficulty breathing, severe pain, or a rash, you should seek medical attention immediately.
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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11 mo ago
