[59F] With fever, severe headache, and cough
Patient Description
A 59-year-old female presents with a sudden onset of fever, severe headache, and cough. The fever, which started suddenly, tends to worsen in the afternoon and comes and goes. The headache is described as sharp and throbbing, very painful, and exacerbated by coughing. The cough began last week, initially dry and now congestive, described as moderate. The patient also reports severe chills, unusual fatigue, shortness of breath, and chest tightness, but no wheezing. She has a history of COPD, for which she uses inhalers as prescribed, with no recent changes in symptoms. She has a significant smoking history of 40 years, currently smoking 10 cigarettes a day. Last year, she was hospitalized for cellulitis and sepsis. Current medications include Lasix for swelling and potassium, taken as needed. No known drug allergies.
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Arora's Assessment
What might be happening
Based on your symptoms and history, here are some possibilities:
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Viral Respiratory Infection: Your symptoms, including fever, headache, and cough, could be due to a viral infection like the flu or a cold. These infections can cause sudden fever and respiratory symptoms.
- Treatment: Rest, hydration, and over-the-counter medications to relieve symptoms.
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COPD Exacerbation: Your COPD could be worsening due to an infection or irritant, leading to increased cough and shortness of breath.
- Treatment: Use your inhalers as prescribed and consult your doctor for further management.
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Sinusitis: The headache and cough could be related to sinus inflammation, especially if you have congestion.
- Treatment: Decongestants and saline nasal sprays may help.
What you can do
- Stay Hydrated: Drink plenty of fluids to help thin mucus and stay hydrated.
- Rest: Ensure you get plenty of rest to help your body fight the infection.
- Monitor Symptoms: Keep track of your symptoms using MDandMe to share with your healthcare provider.
- Avoid Smoking: Try to reduce or quit smoking, as it can worsen respiratory symptoms.
What you should look out for
- Seek Medical Attention: If your symptoms worsen, especially shortness of breath or chest tightness, contact your healthcare provider.
- Watch for Severe Symptoms: If you experience high fever, confusion, or severe chest pain, seek immediate medical care.
Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.
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2 mo ago