Management Of Fever Accompanied By Headaches, Nasal Mucus And Cough With Phlegm?

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male – 50 years old with complaints of fever, nasal congestion, runny headaches, sneezing, and cough with phlegm. The complaint has been felt for 3 days. He told me that he had just moved house a week ago and had to clean up his new home and claimed that he had a history of dust allergy. In addition, he also said that he was exposed to hypertension and diabetes due to work and unhealthy lifestyles, so he had to consume lisinopril 40 mg and metformin 1000 mg. The patient has not taken any medication for his condition. Examination results at the pharmacy. TD: 130/80 mmHgHR: 78 times / minute T: 37.8ÂșCGDP: 117 mg / dLD Discuss the scenarios above, including: definition, epidemiology, etiology, pathophysiology, symptoms and clinical signs, therapeutic goals, therapeutic strategies, and treatment procedures supported by references, and drug mechanisms.

1 Answer:

Hello! Thank you for the question on HealthReplies.com

To be able to know the proper management of a person, of course, the diagnosis of the disease must be known first. And to determine the diagnosis, in-depth interviews are needed regarding complaints and disease history, a complete physical examination, and supporting examinations if necessary.

Complaints experienced by patients in your story, may refer to the following medical conditions:


Upper respiratory tract infection. Symptoms include fever, cough, runny nose, sore throat. Often caused by a virus, but can also be caused by bacteria
Allergic rhinitis (inflammation of the nose due to allergic mechanisms). If allergies have an effect on the throat, cough symptoms can also occur.
Sinusitis (inflammation of the sinuses)
Respiratory tract infections due to conditions of decreased immunity, for example in HIV disease
As stated before, a diagnosis cannot be made if there is no physical examination / support if necessary.
For this reason, if indeed this condition occurs in someone, it is good to consult a general practitioner first. If further examination is needed, the doctor will refer to certain specialist doctors for more in-depth tracking.

As for what should be done by these patients are:

Use a mask, especially if coughing and sneezing still occur to prevent transmission, if indeed due to infection
Keep hydration by consuming about 2 liters of water per day
Eat nutritious foods as needed, especially increase fruits and vegetables to increase immunity
Get enough rest
Avoid stress
Avoid foods or substances that cause allergic reactions, if present and are already known.


Regarding the pathophysiology, etiology, epidemiology, etc. as you ask, certainly cannot be determined without knowing the diagnosis of the patient's condition. And as mentioned above also, the diagnosis cannot be made only on the basis of brief patient exposure, but must be accompanied by data on in-depth complaint exposure, the results of physical examination of the patient, and supporting examinations if any.

That's all the explanation from me, hopefully it helps and useful :)

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