Differential Diagnosis for a 17-year-old female with 2 weeks of cold symptoms
- The patient presents with cough, congestion, sinus headache, and ear pain, which are common symptoms of various respiratory and infectious conditions.
Single most likely diagnosis
- Viral Upper Respiratory Infection (URTI): This is the most likely diagnosis, as the patient's symptoms are consistent with a common cold, and the duration of 2 weeks is typical for a viral URTI. The symptoms of cough, congestion, sinus headache, and ear pain are all commonly seen in this condition.
Other Likely diagnoses
- Acute Sinusitis: This diagnosis is likely, as the patient's symptoms of sinus headache, congestion, and cough are consistent with an infection of the sinuses. The duration of 2 weeks is also consistent with acute sinusitis.
- Acute Otitis Media: This diagnosis is possible, given the patient's ear pain, which could be indicative of a middle ear infection. The presence of other cold symptoms, such as cough and congestion, also supports this diagnosis.
- Allergic Rhinitis: This diagnosis is possible, especially if the patient has a history of allergies. The symptoms of congestion, sinus headache, and cough could be consistent with an allergic reaction.
Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Influenza: Although the patient's symptoms have been present for 2 weeks, influenza can present with similar symptoms, and it is essential to consider this diagnosis, especially during flu season.
- Pneumonia: This diagnosis is less likely, but it is crucial to consider, as pneumonia can present with similar symptoms, such as cough and congestion. A chest X-ray and further evaluation would be necessary to rule out this diagnosis.
- Meningitis: This diagnosis is unlikely, but it is essential to consider, as meningitis can present with symptoms such as headache and ear pain. A thorough physical examination and further evaluation, including a lumbar puncture, would be necessary to rule out this diagnosis.
Rare diagnoses
- Tuberculosis (TB): This diagnosis is rare, but it is essential to consider, especially if the patient has been exposed to someone with TB or has traveled to an area with high TB prevalence. A chest X-ray and further evaluation would be necessary to rule out this diagnosis.
- Lemierre's Syndrome: This diagnosis is rare, but it is essential to consider, as it can present with symptoms such as sore throat, ear pain, and cough. This condition is a rare complication of bacterial pharyngitis and can lead to serious complications if not treated promptly.