[34F] With severe congestion, fever, and cough

Patient Description

A 34-year-old female presents with severe nasal congestion, fever, cough, sore throat, chills, headache, and sinus pain. The congestion is described as severe, with greenish-yellow nasal discharge, and is worse in the evening. The cough, which started last night, is moderate, sometimes productive, sometimes dry, and is exacerbated when lying down. The patient experiences chest pain when coughing. The headache is mild, dull, and located behind the eyes and sinuses. There is also a sore and scratchy throat. The patient has a history of autoimmune encephalitis and low-grade asthma diagnosed in 2010. There is no recent history of respiratory infection or known contact with sick individuals.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Common Cold: This is a viral infection that primarily affects your nose and throat. It's usually harmless and symptoms improve within a week to ten days. The greenish-yellow nasal discharge is a common symptom of a cold.

    • Treatment typically involves rest, hydration, and over-the-counter cold remedies.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can be caused by a cold, allergic rhinitis, or a nasal polyp. Your symptoms of severe congestion, facial pain, and a headache behind your eyes are common in sinusitis.

    • Treatment can involve nasal decongestants, antibiotics (if bacterial), and nasal corticosteroids.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system. Your symptoms of fever, cough, and chills are common in the flu.

    • Treatment typically involves rest, hydration, and antiviral drugs if necessary.
  • COVID-19: Given the current pandemic, it's important to consider COVID-19, which can present with a variety of symptoms including fever, cough, and difficulty breathing.

    • Testing is necessary for a definitive diagnosis.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids to help your body recover.
  2. Over-the-counter remedies: Decongestants, pain relievers, and cough suppressants may help alleviate some of your symptoms.
  3. Isolate: If you have a fever and a cough, it's important to stay away from others until you're no longer contagious.
  4. Seek medical attention: If your symptoms worsen or persist for more than a week, seek medical attention.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of sinusitis and how is it treated?

Common symptoms of sinusitis include severe nasal congestion, facial pain, headache, and greenish-yellow nasal discharge. Treatment may involve nasal decongestants, antibiotics if it's bacterial, and nasal corticosteroids.


How can I differentiate between a common cold and the flu?

The common cold usually presents with milder symptoms such as a runny nose and sore throat, while the flu often includes more severe symptoms like high fever, body aches, and chills. The flu can also lead to more serious complications.


What should I do if I suspect I have COVID-19?

If you suspect you have COVID-19, it's important to get tested for a definitive diagnosis. Meanwhile, isolate yourself from others, monitor your symptoms, and seek medical attention if they worsen.


How can asthma affect respiratory infections like colds or flu?

Asthma can exacerbate respiratory infections by causing increased airway inflammation and sensitivity, leading to more severe symptoms like wheezing and difficulty breathing. It's important to manage asthma effectively during such infections.


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