[59F] Experiencing fatigue, night sweats, fever, abdominal fullness, and tender sternum

Patient Description

A 59-year-old female reports experiencing a constellation of symptoms including persistent fatigue, night sweats, fever, a sensation of abdominal fullness, and tenderness over the sternum. The patient has not specified the duration or onset of these symptoms, nor have any exacerbating or alleviating factors been mentioned. There is no additional information provided on the patient's medical history, current medications, or other relevant health issues.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be possible:

  • Infectious Mononucleosis: This is often caused by the Epstein-Barr virus. Symptoms can include fatigue, fever, night sweats, and a tender sternum, which could be due to an enlarged spleen or swollen lymph nodes.

    • Diagnostic tests typically include a physical examination and blood tests. Treatment usually involves rest, hydration, and over-the-counter remedies for pain and fever.
  • Lymphoma: This is a type of cancer that begins in the lymphatic system. Symptoms can include fatigue, night sweats, fever, and abdominal fullness due to an enlarged spleen or swollen lymph nodes. A tender sternum could be due to involvement of the chest lymph nodes.

    • Diagnostic tests typically include a physical examination, imaging tests, and a biopsy of the affected lymph nodes. Treatment usually involves chemotherapy, radiation therapy, or other specialized treatments.
  • Leukemia: This is a type of cancer that affects the blood and bone marrow. Symptoms can include fatigue, night sweats, fever, and a tender sternum due to bone marrow expansion.

    • Diagnostic tests typically include a physical examination, blood tests, and a bone marrow biopsy. Treatment usually involves chemotherapy, radiation therapy, or other specialized treatments.

Please note that these are possibilities based on the symptoms you've reported. It's important to consult with a healthcare professional for a formal diagnosis.

What you can do

Given the severity of your symptoms, it's crucial that you seek immediate medical attention. They can provide a formal assessment and order relevant tests if necessary.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Severe abdominal pain
  • Difficulty breathing or shortness of breath
  • Sudden weight loss
  • Persistent high fever
  • Unexplained bruising or bleeding

Remember, I'm an AI and can't replace a real doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of infectious mononucleosis?

Common symptoms of infectious mononucleosis include fatigue, fever, sore throat, swollen lymph nodes, night sweats, and sometimes a tender sternum due to an enlarged spleen.


How is lymphoma diagnosed and treated?

Lymphoma is diagnosed through a combination of physical examinations, imaging tests like CT or PET scans, and a biopsy of the affected lymph nodes. Treatment typically involves chemotherapy, radiation therapy, or targeted therapies depending on the type and stage of lymphoma.


What are the typical signs of leukemia?

Typical signs of leukemia include persistent fatigue, frequent infections, fever, night sweats, unexplained weight loss, and tenderness or pain in the bones, such as the sternum, due to bone marrow expansion.


When should I seek immediate medical attention for these symptoms?

You should seek immediate medical attention if you experience severe abdominal pain, difficulty breathing, sudden weight loss, persistent high fever, or unexplained bruising or bleeding.


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