Rongelap unexposed 829 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 Ares Code 514 YAphank 46262 (AMZ) 08-45-3908 WNT NO) DISCHARGE SUMMARY * ADMITTED: 6/2/73 | DISCHARGED: 6/10/73 During the March medical survey in the Marshall Islands, this 36 year-old Marshallese woman who is part of the comparison population unexposed to fallout was found to- have a thyroid nodule and was brought to the United States and admitted to this hospital for thyroid studies and evaluation of physical status for possible thyroid surgery... os . HISTORY hent During the March examination a,nodule, a discrete spherical mass was detected which was moderately firm, movable and slightly tender to palpation. Wo lymphadenopathy was noted. She appeared euthyroid and previous examinations showed no evidence ef thyroid abnormalities. le eel ce ee Along with the population exposed to fallout she has been examined as part of the comparison population for the past 16 years. She is the mother of 11 children and has been healthy.- With only a few findings of any significance - slight anemia at one time, one miscarriage, cervical erosion and occasional fungus infections of the skin. Her FAMILY and SOCIAL HISTORY are non-contributory. This slender, well nourished Marshallese lady appeared alert and euthyroid. The thyroid findings were the same as those reported above during the March examination, The remainder of the physical examination was essentially negative except for slight abdominal tenderness and discomfort which she experiences prior to menstruation. ne: ot ” During fic early part. of her 8-day stay, Teg © > > ene, she had premenstrual abdominal tes dlecomfort”‘cad enorexia-”‘With onset of menstruation these symptoma -_ she remained” a symptomatic for the rest of her hospital stay here. -- discharge.on June 10th,.for travel to Cleveland for surgery she was ‘orally teorder to carry out autoradiographic procedures on thyroid removed. at surgery. _s . - 132 - disappeared and Just prior to given 25 a Ci 13ly tissues to be ee - wt ‘ eat Menai s eines ea Me AND DATA= Thyroid scans showed a 2 cm, poorly thoy ot torre tt, functioning nodule in the lower left lobe of the gland, Radioactive iodine uptake was normal and response to TSH stimulation was good. Serum was nonreactive for antithyroid globulin antibodies. Tests X-Ray . and EKG were normal. -The hemogram showed slight lymphocytosis and an elevation of the ESR to 38 (which is not unusual in the Marshallese.) In view of her previous anemia it was interesting that her fe and TIBC were within normal limits. Tests for liver andkidney function, electrolytes and lipids were normal. Serum proteins were - somewhat high (9G) but: the. electrophretic pattern wag not unusual for the Marshallese (high game: globurtn- levels). The stools were negative for ova and parasites. ee me EXAMINATION =