[53F] Experiencing fever, cough, and severe headache

Patient Description

A 53-year-old female reports a fluctuating fever that has been steady at 101°F or above for the past 6 hours, a moderate dry hacking cough persisting for one week, and a severe throbbing headache on the top of the head lasting for 2 days. The headache is exacerbated by movement, reading, and exposure to lights. Symptoms also include body aches. The patient denies any pre-existing conditions, allergies, or current medications. The patient has tested for Covid since the onset of the fever.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Influenza (Flu): The flu is a common viral infection that can be deadly, especially in high-risk groups. Symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and fatigue.

    • Antiviral drugs can lessen symptoms and shorten the time you are sick by 1 or 2 days. They also can prevent serious flu complications, like pneumonia.
  • COVID-19: Given the current pandemic, it's also possible that your symptoms could be due to COVID-19. Symptoms can range from mild to severe illness, and appear 2-14 days after exposure to the virus. The most common symptoms include fever, cough, and difficulty breathing.

    • There is currently no specific treatment for COVID-19. Most people with mild symptoms will recover on their own by drinking plenty of fluids, resting, and taking pain relievers.
  • Other Viral Respiratory Illnesses: There are many other viruses that can cause upper respiratory infections, presenting with similar symptoms.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body recover more quickly.
  2. Over-the-counter medication: Over-the-counter cold and flu medications can help alleviate your symptoms.
  3. Isolate: If you haven't already, make sure to isolate yourself from others to prevent spreading the virus.

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, while I can provide information based on your symptoms, I'm not a doctor and this isn't a formal diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of influenza?

Common symptoms of influenza include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and fatigue.


How can I differentiate between COVID-19 and the flu based on symptoms?

While both COVID-19 and the flu share symptoms like fever and cough, COVID-19 may also include symptoms such as loss of taste or smell, and it can lead to more severe respiratory issues. Testing is the most reliable way to differentiate between the two.


What over-the-counter medications can help alleviate flu symptoms?

Over-the-counter medications such as acetaminophen or ibuprofen can help reduce fever and relieve body aches. Cough suppressants and decongestants may also be used to alleviate cough and nasal congestion.


When should I seek medical attention for respiratory symptoms?

You should seek medical attention if you experience difficulty breathing, persistent chest pain or pressure, new confusion, inability to stay awake, or bluish lips or face.


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