[24F] with sore throat, ear pain, and joint pain

Patient Description

A 24-year-old female presents with a sore and swollen throat, ear pain, fatigue, joint pain, and chills for the past two days. The sore throat is painful when swallowing and the neck feels stiff. The ear pain is exacerbated by swallowing and slight touch. The patient experiences body aches, with wrists and shoulders hurting upon movement, rating the joint pain as 6.5/10. There is difficulty swallowing but no fever, shortness of breath, or high fever. Past medical history includes ADHD and an adverse reaction to Risperdal. The patient is currently taking Spironolactone and has no known allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, here are some possible conditions:

  • Viral Pharyngitis: This is an inflammation of the pharynx, which is in the back of the throat. It's most often caused by viral infections like the common cold or flu. Symptoms can include a sore throat, difficulty swallowing, fatigue, and joint pain.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to soothe the throat and reduce pain.
  • Mononucleosis: Also known as "mono" or the "kissing disease," this is a viral infection caused by the Epstein-Barr virus. Symptoms can include a sore throat, swollen lymph nodes, fatigue, and joint pain. It can also cause a stiff neck.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms. Most people recover in 2 to 4 weeks, but fatigue may last longer.
  • Streptococcal Pharyngitis: Also known as "strep throat," this is a bacterial infection that can cause a sore throat, difficulty swallowing, and fever. However, you've mentioned that you don't have a fever, which is common with strep throat.

    • Treatment usually involves antibiotics to kill the bacteria.

What you can do

Please consult with a healthcare provider for a formal diagnosis and treatment. In the meantime, you can try the following to manage your symptoms:

  1. Rest and hydrate: Drink plenty of fluids and get plenty of sleep to help your body recover.
  2. Over-the-counter remedies: Throat lozenges or sprays may help soothe your sore throat. Over-the-counter pain relievers can also help manage your joint pain.
  3. Warm salt water: Gargling with warm salt water can help soothe a sore throat.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • High fever (temperature over 100.4°F)
  • Severe pain or discomfort
  • Symptoms that worsen or do not improve after a week

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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1 yr ago

Top picked over-the-counter products for Sore Throat: At-Home Management

People Also Ask


What are the common symptoms of viral pharyngitis?

Common symptoms of viral pharyngitis include a sore throat, difficulty swallowing, fatigue, joint pain, and sometimes a stiff neck. It is often caused by viral infections like the common cold or flu.


How is mononucleosis different from a common sore throat?

Mononucleosis, caused by the Epstein-Barr virus, often presents with a sore throat, swollen lymph nodes, fatigue, and joint pain. Unlike a common sore throat, mono can cause prolonged fatigue and may also lead to a stiff neck.


What are the typical treatments for joint pain associated with viral infections?

Typical treatments for joint pain associated with viral infections include rest, hydration, and over-the-counter pain relievers such as ibuprofen or acetaminophen to reduce pain and inflammation.


When should I seek medical attention for a sore throat?

You should seek medical attention for a sore throat if you experience difficulty breathing, a high fever over 100.4°F, severe pain, or if symptoms worsen or do not improve after a week.


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