A 49-year-old woman presents to the emergency room complaining of a two-day hist

Question

A 49-year-old woman presents to the emergency room complaining of a two-day history of fever. She had been well until two months ago when she presented to her primary care physician with palpitations and heat intolerance. She was diagnosed with hyperthyroidism. Her palpitations and heat intolerance symptoms improved with treatment, and one week prior to presentation, she reported no significant symptoms. Two days ago she noted the onset of a sore throat with fatigue. Yesterday she developed a fever to 100.8° F (38.2° C). She took acetaminophen with resolution of her fever. Today she developed a temperature of 101° F (38.3° C) with associated chills and lightheadedness. She therefore came to the emergency room. Vitals: Temp 100.5° F (38.1° C) BP 101/68 HR 105 O2 sat 98%

She is a thin woman, appearing fatigued but in no acute distress.

1. Do you expect to find any abnormalities in her lymphocyte population? Why or why not? If so, what specific abnormalities?

2. Would you expect someone in her demographic to be susceptible to the cause of her fever? Why or why not?

Explanation / Answer

1- Yes there is chance of abnormalities in lymphocyte as it is a part of immune system and antibodies are one of the reason which make thyroid to prodicue more amount of T4 and T3 hormone so due to immune disorder there is a chance of abnomarl lymphocyte.

2- If we talk about demography of that women then therea are chance if this an genetic disorder then this fever is due to because of this genetic diseases carried by her other reason can be if she has taken high salt or some epidemic in her area which cause her to fall ill and due to which her immune system become activate and produce antibodies which generate thyroid to produce more hormone level of T3 and T4.

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