[24F] With swollen lymph nodes and sore throat

Patient Description

A 24-year-old female presents with a swollen and painful lymph node on the right side of her neck, tonsil stones, and a slight post nasal drip. These symptoms began approximately two days ago and improve with increased water intake. The patient experiences difficulty swallowing and has observed white patches on her tonsils and redness in her throat, indicative of an infection. She reports a slight sore throat but no significant fever, with a temperature of 99.1°F. The patient's medical history is unremarkable, with no known allergies or chronic illnesses. She is currently taking Prozac 20 mg and Tri-Sprintec for management of other conditions. No other symptoms or medications were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

  • Tonsillitis: This is an infection of the tonsils that can cause symptoms such as a sore throat, swollen tonsils, difficulty swallowing, and swollen lymph nodes in the neck. The presence of white patches on your tonsils and redness in your throat are common signs of this condition.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. If the cause is bacterial, antibiotics may be prescribed by a healthcare provider.
  • Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection that can cause symptoms such as a sore throat, swollen lymph nodes in the neck, and fatigue. It's less likely given your current symptoms, but it's still a possibility.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers.
  • Post-nasal drip: This is when excess mucus from the nose goes down the back of the throat. This can cause a sore throat and can contribute to tonsil stones.

    • Treatment typically involves addressing the cause of the excess mucus, which could be allergies, a sinus infection, or a cold. Over-the-counter decongestants or antihistamines may be helpful.

What you can do

It's important to get a formal evaluation from a healthcare provider, as they can provide a definitive diagnosis and appropriate treatment. In the meantime, here are some things you can do to help manage your symptoms:

  1. Stay hydrated: Drinking plenty of fluids can help soothe a sore throat and can help your body fight off infections.
  2. Rest: Getting plenty of sleep can help your body recover.
  3. Over-the-counter pain relievers: These can help manage pain and reduce fever.
  4. Gargle with warm salt water: This can help soothe a sore throat.

What you should look out for

If your symptoms worsen or you develop new symptoms, it's important to seek medical attention. Here are some signs that you should seek medical care immediately:

  • Difficulty breathing or swallowing
  • A high fever (over 101°F)
  • Severe throat pain
  • A rash
  • Joint pain
  • Blood in your saliva or phlegm
  • A lump in your neck
  • Unexplained weight loss

Remember, while this advice can provide guidance, it's not a substitute for professional medical advice. Please reach out to a healthcare provider for an evaluation.

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11 mo ago

People Also Ask


What are the common causes of swollen lymph nodes in the neck?

Swollen lymph nodes in the neck are commonly caused by infections such as colds, flu, tonsillitis, or mononucleosis. They can also be due to other conditions like allergies or, less commonly, more serious conditions such as cancer.


How can I differentiate between tonsillitis and mononucleosis?

Tonsillitis often presents with a sore throat, difficulty swallowing, and white patches on the tonsils, while mononucleosis may include fatigue, swollen lymph nodes, and sometimes a rash. A healthcare provider can perform specific tests to differentiate between the two.


What are tonsil stones and how can they be treated?

Tonsil stones, or tonsilloliths, are calcified deposits that form in the crevices of the tonsils. They can be treated by maintaining good oral hygiene, gargling with salt water, or in some cases, a healthcare provider may need to remove them.


When should I seek medical attention for a sore throat?

You should seek medical attention for a sore throat if you experience difficulty breathing or swallowing, a high fever over 101°F, severe throat pain, a rash, joint pain, blood in saliva or phlegm, a lump in your neck, or unexplained weight loss.


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