[57F] Experiencing fever, headache, and skin soreness

Patient Description

A 57-year-old female presents with a 101-degree fever, a dull and throbbing headache rated at a severity of 5/10, and skin soreness without redness or rash, described as a burning sensation. These symptoms have been ongoing for a few hours. The patient has a medical history of seizures, GERD, chronic headaches, spondylosis, arthritis, obesity, and degenerative scoliosis, with diagnoses dating back to 2006 and conditions like arthritis and scoliosis identified at least 4 years ago. The patient is on Lamotrigine 200mg, Doxepin 100mg, and Pantoprazole 40mg daily, starting in 2006 for the first two medications and 2020 for the last, with no reported side effects. There is no known drug allergy. The patient has been in contact with someone who is sick.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Influenza (Flu): This is a common viral infection that can cause fever, headache, chills, and body aches. The skin sensitivity you're experiencing might be due to the fever and chills associated with the flu.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms. Antiviral medication may be prescribed by a doctor if the flu is caught early.
  • Viral Syndrome: This is a general term for a number of different viruses that can cause similar symptoms, including fever, headache, and body aches.

    • Treatment typically involves managing symptoms with rest, hydration, and over-the-counter medication.
  • COVID-19: This is a viral infection caused by the SARS-CoV-2 virus. Symptoms can vary widely, but often include fever, headache, and body aches. Some people also report skin sensitivity.

    • Treatment typically involves managing symptoms. In severe cases, hospitalization may be necessary.

Please note that these are just possible explanations and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

While waiting for your appointment with a healthcare provider, here are some things you can do:

  1. Rest and stay hydrated. This can help your body fight off the infection and manage symptoms.
  2. Over-the-counter medication can help manage your fever and headache. Be sure to follow the instructions on the package.
  3. Monitor your symptoms. If they get worse or you develop new symptoms, seek medical attention immediately.

What you should look out for

Seek immediate medical attention if you experience any of the following:

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

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 accurate information.

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10 mo ago

People Also Ask


What are common symptoms of the flu and how can they be managed?

Common symptoms of the flu include fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue. Management typically involves rest, hydration, and over-the-counter medications like acetaminophen or ibuprofen to reduce fever and relieve pain.


How can I differentiate between COVID-19 and other viral infections like the flu?

COVID-19 and the flu share many symptoms, such as fever, cough, and body aches. However, COVID-19 may also cause loss of taste or smell, which is less common with the flu. Testing is the most reliable way to differentiate between them.


What are the potential side effects of Lamotrigine, Doxepin, and Pantoprazole?

Lamotrigine can cause dizziness, headache, blurred vision, and rash. Doxepin may lead to drowsiness, dry mouth, and weight gain. Pantoprazole can cause headache, diarrhea, and nausea. It's important to discuss any concerns with a healthcare provider.


How can skin sensitivity be related to viral infections?

Skin sensitivity during viral infections can be due to the body's immune response, which may cause inflammation and heightened sensitivity. Fever and chills can also contribute to this sensation.


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