Rongelap unexposed 841
(NAME)
HOSPITAL OF THE MEDICAL RESEARCH CENTER,
BROOKHAVEN NATIONAL LABORATORY
UPTON, NEW YORK 11973
Aree Code 516 YAphanh 44262
08-50-53 R
OISCHARGE SUMMARY
ADMITTED:
UNIT NO)
CIRC 63
27 May 1974
DISCHARGED:
3 June
1974
This 41-year-old Marshallese woman was
admitted to this hospital for thyroid
MEDICAL HISTORY:
In March 1974, during routine physical
SO
examination, the patient was found
to have e firm nodule in the lower left pole of the thyroid gland and possibly
ancther tiny nodule in the upper right lobe. ‘The nodules were non-tender and
no lymphadenopathy was noted, She appeared to be euthyroid, The patient is one
of the unexposed pecple in the Rongelap compariosn population. Since exams
began in 1957 on this group, her health has been generally good, but with an
increasing tendency to obesity and a recent development of hypertension. Her
weight {increased from 145 1b in 1957 to 170 lb at present. The past few years
she has had frequent headaches, and the BP has becoms elevated to around
170-180/100-115.
She has had about annual pregnancies, resulting in 9 healthy
children, 2 miscarriages, and 1 child dying at the age of 1 year. Except for
occasional joint pains and presence of worms in her stools, har history is
otherwise negative generally. She has had no symptoms referable to kidney
disease.
.
“toe
LABORATORY & X-RAY DATA:
No scans or thyroid uptake studies
tat
wm emer et >
_, were performed because of her
pregnancy. X ray~of the chest showed the heart to be top-normel in size, but
.
otherwise negative... EKG was normal. Cholesterol was 336 mg%, and triglycerides —
. were 182 mgZ, Creatinine clearance was slightly low. Aldosterone was 50 mg/
- 24 br. . VMA vas normal... The urine showed 20 mg albumin, but was otherwise
/ negative. .eee examinetions revealed the presence of
£ whip worms and.
chura.:
yl
and lege well.
to 160/110.
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;
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During her hospitalization, the
See,
patient remained asymptomatic, and ate .
She was completely ambulatory. Her BP varied from 130/90
From the lab findings a diagnosis of mild essential hypertension
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PHYSICAL EXAMINATION:
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The patient is somewhat obese and is
20-22 weeks pregnant,
She appears
euthyroid and generally in good health. Exam of the thyroid reveals a 1 ca
nodule in the lower Left lobe with a companion nodule also in the mid right
lobe, The nodules were non-tender and no lymphadenonpthy was noted. Her BP
was 150-180/105-115. The heart and lungs appeared normal, as well as the
peripheral vascular system. Funduscopic exam was generally negative except for
slight increase in light reflex. The physical examwas otherwise negative
except for the preseace of a cystocele and rectocele,
,
Pe a
surgery.
Pre en es
studies due to nodularity in che gland, and evaluation for possible thyroid
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