[58M] Experiencing respiratory and general symptoms

Patient Description

A 58-year-old male has been experiencing a persistent moderate cough for a week, which worsens at night and occasionally leads to vomiting. The cough produces thick yellow-green mucus. Accompanying symptoms include a fever, fatigue, shortness of breath, and a mild aching headache centered at the top of the head, which persists most of the day without Motrin. The patient also reports a loss of appetite and nausea after eating for the past 5 days, as well as dizziness and a feeling of unsteadiness that began at the same time. Additionally, the patient has burning eyes but no specific triggers were mentioned. The patient has a history of asthma and is currently taking Advair. There are no known allergies or adverse reactions to medications, and no recent changes in weight were noted.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. The fact that you have a history of asthma could make you more susceptible to respiratory infections like pneumonia.

    • Treatment usually involves antibiotics, fever reducers, and cough medicine. It's important to rest and stay hydrated.
  • Bronchitis: This is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. People with bronchitis often cough up thickened mucus, which can be discolored. Bronchitis may be either acute (improving within a few weeks) or chronic (lasting several months and, in some cases, years).

    • Treatment typically involves rest, fluids, and medication to manage symptoms. In some cases, antibiotics may be needed.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system — your nose, throat and lungs. Influenza is commonly called the flu, but it's not the same as stomach "flu" viruses that cause diarrhea and vomiting. Your symptoms could be consistent with a severe case of the flu.

    • Treatment usually involves rest, fluids, and over-the-counter medication to manage symptoms. Antiviral medication may be prescribed in some cases.
  • COVID-19: Given the current pandemic, it's important to consider COVID-19, which can present with a cough, fever, fatigue, loss of appetite, and shortness of breath. The virus can also cause additional symptoms like your headache and dizziness.

    • Treatment involves supportive care to help relieve symptoms and, in severe cases, hospital care.

What you can do

You should seek immediate medical attention given your symptoms. In the meantime, here are some things you can do:

  1. Rest and stay hydrated.
  2. Continue taking your asthma medication as prescribed.
  3. Monitor your symptoms and seek immediate medical attention if they worsen.

What you should look out for

You should 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

Please note that this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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1 yr ago

People Also Ask


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

Common symptoms of pneumonia include cough with phlegm or pus, fever, chills, and difficulty breathing. Treatment typically involves antibiotics, fever reducers, and cough medicine, along with rest and hydration.


How can I differentiate between bronchitis and the flu based on symptoms?

Bronchitis often involves a persistent cough with thick mucus, while the flu typically includes fever, body aches, and fatigue. Both can cause respiratory symptoms, but the flu is more likely to cause systemic symptoms like fever and body aches.


What should I do if I suspect I have COVID-19 with these symptoms?

If you suspect you have COVID-19, you should get tested as soon as possible and isolate yourself to prevent spreading the virus. Seek medical attention if symptoms worsen, and follow public health guidelines.


How does asthma affect the risk of developing respiratory infections like pneumonia?

Asthma can increase the risk of respiratory infections like pneumonia because it involves chronic inflammation of the airways, which can make them more susceptible to infections. Managing asthma effectively can help reduce this risk.


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