Fiver, Coughing with blood , kidney pain, cold, headache

Professional Clinical Assessment: Given the constellation of symptoms including hemoptysis (coughing blood), fever, kidney pain, and upper respiratory symptoms in an 18-year-old female, primary differential diagnoses include severe pneumonia (possibly atypical), pulmonary tuberculosis, systemic lupus erythematosus (SLE), or acute pyelonephritis with concurrent respiratory infection. The combination of kidney pain with hemoptysis raises concern for potential systemic vasculitis or autoimmune conditions, which have higher prevalence in young females. Pathophysiologically, the presentation suggests possible multi-system involvement with inflammatory processes affecting both respiratory and renal systems, warranting urgent evaluation. Recommended immediate diagnostics should include: - Complete blood count with differential - Chest X-ray/CT scan - Urinalysis and urine culture - Blood cultures - ANA testing and rheumatologic workup - Sputum culture and AFB testing - Renal function tests and inflammatory markers This presentation requires urgent medical evaluation given the presence of hemoptysis and systemic symptoms in a young patient.

Take Acetaminophen (500mg every 6 hours) to address the fever and headache, combined with an antibiotic like Amoxicillin (500mg three times daily for 7 days) to treat the likely respiratory infection causing the bloody cough. For kidney pain and related symptoms, take Ibuprofen (400mg every 6 hours) and increase fluid intake to at least 2-3 liters of water daily, while getting plenty of rest and avoiding strenuous activities. Apply a warm compress to the kidney area for additional pain relief. For additional treatment recommendations, ask in the chat.