[24F] Experiencing headache, swelling, and body pain

Patient Description

A 24-year-old female presents with a sudden onset of an aching headache rated 7/10 in severity, localized to the front forehead area, worsening with coughing, and persisting for 3 days. She also reports puffy swelling in her fingers and ankles, cold feet, and sharp shoulder pain rated 10/10 in severity, all of which began 3 days ago. Additionally, she experiences cramping in her stomach, rated 5/10 in severity, with a feeling of hunger but an inability to eat, lasting for 5 days. The patient has sharp back pain, constant but worsening with coughing, rated 5/10 in severity, also present for 3 days. She notes redness associated with the swelling in her fingers. The patient has experienced changes in vision, neck stiffness, and fever. She denies nausea or vomiting. The patient reports possible recent exposure to fentanyl and is currently taking Abilify for borderline personality disorder. No known allergies, medical history, or other medications were reported.

Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

Viral Illness: Your symptoms of headache, body pain, and stomach cramps could be due to a viral illness, such as the flu. The sudden onset and the presence of multiple symptoms affecting different parts of the body are typical of viral illnesses.
- Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
Drug Reaction or Withdrawal: Given your recent use of fentanyl, it's possible that some of your symptoms could be related to drug use, reaction, or withdrawal. Symptoms can vary widely and can include changes in body temperature, swelling, and pain.
- Treatment involves discontinuing the drug (under medical supervision) and managing symptoms. In some cases, medication may be needed to manage withdrawal symptoms.
Side Effects of Abilify: Some of your symptoms may be side effects of your medication, Abilify. While it's less common, Abilify can cause symptoms like headache and stomach discomfort.
- Treatment involves discussing these side effects with your doctor, who may adjust your dosage or switch you to a different medication.

What you can do

Rest and hydrate: Regardless of the cause, rest and hydration can help your body recover. Try to get plenty of sleep and drink fluids throughout the day.
Over-the-counter medication: Over-the-counter pain relievers can help manage your headache and body pain. Be sure to follow the instructions on the package.
Monitor your symptoms: Keep track of your symptoms and any changes. This will be useful information for your doctor.
Consult a doctor: Given the severity and number of your symptoms, it's important to consult a healthcare professional. They can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if:

Your symptoms worsen or you develop new symptoms
You have difficulty breathing
You experience severe pain
You have a high fever (temperature over 100.4°F)

Please remember that while I strive to provide accurate information, I am not a doctor. Always consult a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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