ae ad
fie te
Utirik 2208
AME
HOSPITAL OF THE MEDICAL RESEARCH CENTER,
BROOKHAVEN NATIONAL LABORATORY
UPTON, NEW YORK 11973
08-45-40R
{UNIT NO)
ta
Area Code 514 YAphank 4--6262
ADMITTED:
June Z, 1973
.
DISCHARGED:
June 10, 1973
This 54 year old Marshallese woman who had
been exposed to a slight amount of fallout
in 1954 was brought to the United States and admitted to this hospital for evaluation
of thyroid nodularity and physical status for possible thyroid surgery.
HISTORY:
|
Examination, this past March revealed 2
ce!
rather hard masses in the right lobe of
the thyroid. These had not been noted on previous examinations. No lymph nodes were
palpated andshe has always appeared euthyroid. Her T-4 level enyen was 3.7 Mgmd..
”
She was accidentally exposed in 1954 to
about 14 rad of Q&rimm radiation and an
estimated dose of 22 rads to the thyroid from fallout while she was living on Utirik
Island. She showed no affects to this slight exposure. Following her initial exam
inaction she was not again examined until 1969 at which time she was found to have blood
pressure readings of 200-220/100-110 and a systolic murmer was noted. Also reported
was an umbilical hernia and @ possible fibroid of the uterus. Her only complaints have
been headaches, chronic joint pains, particularly,of the right arm.
This intelligent, alert, somewhat obese
Marshallese lady appeared to be healthy
and euthyroid. The thyroid findings were as described above for the March examination.
Other findings included inversion of the nipple of the right breast; enlargement of
the heart with s harsh systolic murmur, heard best over the aorta and PMI areas; blood
pressure 180/86 with no evidence of decompensation; EKG was within normal limits;
tenderness around the umbilicus though the hernia was not actually palpated; Pelvic
examination revealed
3 amall areas of hyperplasia of the cervix.
,
AND
DATA:
JSRQRATORT
“
'
The thyroid scan showed a poorly function-
ing nodule im the lower half of the right
lobe. The: Fadiocective ‘fodine uptake was normal and the response to TSH stisulation
_was good. = T-4 report ia not yet in. Serum was non-reactive for antithyroid globuxbin
antibodies.*: X-Ray of the chest showed moderate cardiomegaly and arteriosclerosis.
The lungs. were clear. The-bhewogram was normal except for an ESR of 40 (high values
are noted in the Marshallese). Serology was negative. Serum proteins negative, and
electrolytes. generally normal... Urine was negative and liver and kidney function tests
st
«
~
~-
fae fet 38SS:
eet Trot! eee
~ TERMSRy cae
—
-
a
L
raga ae
—_
- Stee
Tex ee 2
ee
os: During. her 8-day hospital atay, she
“
;
:
temained generally a_syuptomatic except |
‘pein
and stiffness in her eight ara which was relieved with aspirin. Her
appetite- was good and she was completely ambulatory. Her blood pressure remained
normal after. the slight elevation noted on admission. She was discharged on June 10th
for travel toYCleveland .
De
te
te.
oe:
ao
-
~
1
- 126 -
“4
.
EXAMINATION :
:
oy
cae
,
’
soa, .
‘
‘
tems cas, oe wah deb eden etden illap cl lee bg ee
lee meneeee en wll es eeDe beeenleet Lt eile
DISCHARGE SUMMARY