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. 2; oe ; Oe: . ee 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 a =l- . Set ot | . L tow hen ne PHYSICAL EXAMINATION: wet cadet oe alee oe aaah Ring waked Ae ee ewe wntec ge es a soe, ahs ae 1tatintcke me ae 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 - 136 -