[52F] Experiencing sore throat, nasal congestion, and body chills

Patient Description

A 52-year-old female presents with a sore throat, nasal congestion, and a constant feeling of internal coldness and weakness, which has been ongoing for 4 days. She reports a fever that fluctuated but is currently normal, and a dry, slight cough due to breathing through the mouth as a result of nasal congestion. Additionally, she has a red, hot rash extending from her stomach to her face, which started 2 days ago and has slightly improved with Zyrtec. The patient also experiences a headache with pressure above the eyes, jaw pressure, and tenderness in the neck. She has a white to yellowish mucusy film on the middle and back of her tongue. Her medical history includes Hashimoto's disease, diagnosed two months ago, with hypothyroidism present for 22 years and recent discovery of thyroid nodules. She is currently taking NP thyroid and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you may be experiencing:

  • A viral upper respiratory infection: This is commonly known as the common cold. The symptoms usually include a sore throat, nasal congestion, and a cough. The weakness and chills you're experiencing could be due to the body's response to the virus. The coated tongue could also be a result of mouth breathing due to nasal congestion.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to alleviate symptoms.
  • Allergic reaction or dermatitis: The red, hot rash you described could be due to an allergic reaction or dermatitis, especially since you mentioned it improved slightly with Zyrtec, an antihistamine. This could be due to a new environment or substance you've come into contact with recently, such as during your visit to the hotel and water park.

    • Treatment typically involves avoiding the allergen or irritant and using over-the-counter or prescription creams to alleviate symptoms.
  • Hashimoto's thyroiditis: This is an autoimmune condition where the body's immune system attacks the thyroid, leading to hypothyroidism. You mentioned you were diagnosed with this recently. Some of your symptoms, such as feeling cold and weak, could be related to this condition.

    • Treatment typically involves hormone replacement therapy, which you're currently on (NP Thyroid).

What you can do

  1. Continue to rest and stay hydrated. Over-the-counter remedies can help alleviate symptoms of a cold.
  2. Continue taking Zyrtec as directed for your rash. If the rash worsens or doesn't improve, seek medical attention.
  3. Monitor your thyroid symptoms and discuss them with your doctor, who may adjust your medication dosage if necessary.
  4. If your symptoms worsen or you develop new symptoms, seek medical attention.

What you should look out for

  • Difficulty breathing or shortness of breath
  • High fever (over 102°F)
  • Severe headache or neck stiffness
  • Rash that spreads rapidly or is accompanied by other severe symptoms
  • Severe weakness or fatigue that prevents you from performing daily activities

Please remember that this advice is based on the information you've provided and is not a substitute for professional medical advice. Always seek the advice of your healthcare provider with any questions you may have regarding your medical condition.

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11 mo ago

People Also Ask


What are common symptoms of a viral upper respiratory infection?

Common symptoms of a viral upper respiratory infection, such as the common cold, include a sore throat, nasal congestion, cough, mild fever, body aches, and fatigue. These symptoms usually resolve on their own within a week or two.


How can I differentiate between a rash caused by an allergic reaction and other types of rashes?

An allergic rash often appears as red, itchy, and swollen patches on the skin and may improve with antihistamines like Zyrtec. Other rashes may not respond to antihistamines and could be due to infections, autoimmune conditions, or other causes. Consulting a healthcare provider can help determine the cause.


What are the typical symptoms of Hashimoto's thyroiditis?

Hashimoto's thyroiditis can cause symptoms such as fatigue, weight gain, feeling cold, dry skin, hair loss, and muscle weakness. These symptoms are due to the underactive thyroid gland resulting from the autoimmune attack.


How can I manage nasal congestion effectively at home?

To manage nasal congestion at home, you can use saline nasal sprays, stay hydrated, use a humidifier, and try steam inhalation. Over-the-counter decongestants may also help, but consult with a healthcare provider if symptoms persist.


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