### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have had a low grade fever 99.6-100.3 and generally feel fatigued all the time. I also have begun to suffer sever Night sweats. So bad my sheets are wet when I wake in the morning. Ive also lost about 10lbs in 2 weeks. No appetite. Ive had several CBCs as well as other test. My white count is up and down some times it will be normal and 3 days later it will be hi. Today my Dr ordered a peripheral blood smear. What should be my main concerns? I am a 36 year old white male 57 153# . Only medical history is hypertension and divertiqulosis, with a family history of bone cancer in my sister who was dead 5 weeks after diagnosis.

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from-?TB of the lungs/ or Lymph glandsSecond opinion from Chest Specialist and Surgeon, to fix the differential diagnosis by proper investigation. All symptom complex with weight loss is characteristic of-TB infection. Blood IRA with Chest -X-ray would clinch the diagnosis. Other causes-need to be ruled out-as NHL / Or HL with hidden masses which could also present as Night sweats and low grade fever. PBS advised would fix the type of tumour-Lymphoma cells and would fix the cause. History of bone cancer in sister, makes possibility of NHL/HL to be ruled out by CT neck and CT abdomen along with PET studies after the physical check-ups by Physician. Lymph node biopsy along with this study would confirm the cause of the night sweats with weight loss in your case. Pelvic bone marrow test smear study-to confirm type of leukemia is also suggested to rule out CLL(chronic lymphoid leukemia)Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS