[25F] With respiratory and gastrointestinal symptoms post-skiing trip

Patient Description

A 25-year-old female presents with a sudden onset of sore throat, swollen lymph nodes in the throat, cough, congestion, loss of taste and smell, nausea, and body aches. These symptoms began three days ago following a skiing trip. The patient reports mild chest pain and slight fatigue but denies fever, shortness of breath, or recent contact with individuals known to have COVID-19. She has not been tested for COVID-19. The sore throat is somewhat relieved by Tylenol. No white patches or pus on the tonsils were observed. The patient did not take precautions such as wearing a mask during the skiing trip.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Viral Upper Respiratory Infection (Common Cold or Flu): Your symptoms, including sore throat, congestion, cough, body aches, and loss of taste and smell, are consistent with a viral infection. These infections are common and usually resolve on their own with rest and supportive care.

    • Typical treatment involves rest, hydration, and over-the-counter medications like Tylenol to manage symptoms.
  • COVID-19: Given the loss of taste and smell, along with your other symptoms, COVID-19 is a possibility. It's important to get tested to confirm or rule out this infection.

    • Testing is the best way to confirm COVID-19. If positive, isolation and monitoring of symptoms are recommended.
  • Sinusitis: This is an inflammation of the sinuses that can occur after a cold or due to allergies. It can cause congestion, sore throat, and loss of taste and smell.

    • Treatment may include decongestants, nasal sprays, and sometimes antibiotics if a bacterial infection is suspected.

What you can do

  1. Get Tested for COVID-19: Since your symptoms align with COVID-19, consider getting tested to confirm or rule out this possibility.
  2. Rest and Hydrate: Ensure you get plenty of rest and stay hydrated to help your body recover.
  3. Symptom Management: Continue using Tylenol for pain relief and consider using saline nasal sprays or humidifiers to ease congestion.
  4. Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you notice any changes and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Persistent chest pain or pressure
  • Confusion or inability to stay awake
  • Bluish lips or face

Remember, while this advice is based on the information provided, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have any more questions or need further assistance, feel free to ask!

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1 mo ago

People Also Ask


What are the common symptoms of a viral upper respiratory infection?

Common symptoms of a viral upper respiratory infection include sore throat, congestion, cough, body aches, and sometimes loss of taste and smell. These infections are usually self-limiting and resolve with rest and supportive care.


How can I differentiate between a common cold and COVID-19?

While both a common cold and COVID-19 can present with similar symptoms like sore throat, cough, and congestion, COVID-19 is more likely to cause a loss of taste and smell. Testing is the most reliable way to differentiate between the two.


What are the recommended treatments for sinusitis?

Treatment for sinusitis may include decongestants, nasal sprays, and sometimes antibiotics if a bacterial infection is suspected. It's important to consult a healthcare provider for a proper diagnosis and treatment plan.


When should I seek medical attention for my symptoms?

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


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