[55F] Experiencing sore throat, swollen lymph nodes, and body aches

Patient Description

A 55-year-old female presents with a sore throat described as scratchy and painful, especially when swallowing, accompanied by swollen lymph nodes in the neck and body aches. The sore throat has been present for approximately two days. The patient reports chills but has not noted any specific time of day when the sore throat feels worse. There has been no relief from any treatments tried so far. There is no mention of fever, cough, or other respiratory symptoms. The patient has not provided information on the appearance of the throat or any additional symptoms.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Viral Pharyngitis: This is an inflammation of the pharynx (the part of the throat between the tonsils and the larynx). It's most commonly caused by viral infections, such as the common cold or flu. Symptoms can include a sore throat, difficulty swallowing, and body aches.

    • Treatment typically involves rest, hydration, and over-the-counter pain relievers. Antibiotics are not effective against viruses.
  • Bacterial Pharyngitis (Strep Throat): This is caused by a bacterial infection, most commonly Streptococcus pyogenes. Symptoms are similar to viral pharyngitis but may also include fever, swollen lymph nodes in the neck, and white patches on the tonsils or in the throat.

    • Treatment usually involves antibiotics to clear the infection.
  • Mononucleosis: This is a viral infection caused by the Epstein-Barr virus. Symptoms can include a sore throat, swollen lymph nodes, fatigue, and body aches.

    • Treatment involves rest, hydration, and over-the-counter pain relievers. There is no specific treatment for the virus itself.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are key to recovery. Try to get plenty of sleep and drink lots of fluids.
  2. Over-the-counter pain relievers: These can help with the sore throat and body aches. Follow the instructions on the package for use.
  3. Warm salt water gargles: This can help soothe a sore throat.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a few days.
  • You have difficulty breathing or swallowing.
  • You develop a high fever.

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 recommendations.

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10 mo ago

People Also Ask


What are the common causes of a sore throat with swollen lymph nodes?

Common causes of a sore throat with swollen lymph nodes include viral infections like the common cold or flu, bacterial infections such as strep throat, and viral infections like mononucleosis.


How can I differentiate between viral and bacterial pharyngitis?

Viral pharyngitis often presents with symptoms like a sore throat, body aches, and sometimes a cough, while bacterial pharyngitis (strep throat) may include a high fever, swollen lymph nodes, and white patches on the tonsils. A throat culture or rapid strep test can confirm bacterial pharyngitis.


What home remedies can help alleviate a sore throat?

Home remedies for a sore throat include staying hydrated, using over-the-counter pain relievers, and gargling with warm salt water. These can help soothe the throat and reduce discomfort.


When should I seek medical attention for a sore throat?

You should seek medical attention if your sore throat worsens, does not improve after a few days, if you have difficulty breathing or swallowing, or if you develop a high fever.


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