Utirik 2221 HOSPITAL OF THE MEDICAL RESEARCH CENTER. BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 Area Code 516 YAphank 4-6262 8-45-37 N AME) (UNIT NO) DISCHARGE SUMMARY =2HOSPITAL COURSE : Her 8-day stay at this Hospital was uneventful and she remained generally asymptomatic except for a few non-specific muscle pains. Her cardiovascular/renal disease was not considered sufficiently advanced to preclude surgery and she was discharged June 10th,1973, and taken to Cleveland. Just prior to discharge, she was given 25 pCi of 131g to ensure complete removal of the thyroid at surgery and for study of activity of thyroid tissues removed. At the Cleveland Metropolitan General Hospital, Dr. Brown Dobyns performed thyroid surgery on June llth. A 1.5 cm nodule was removed from the right lobe and a right lobectomy was performed. The pathological diagnosis was "thyroid adenomata".She withstood surgery well, with no complications. Post-operative convalescence was uneventful and she waa discharged June 18th for return to the Marshall Islands. The hospital summary and pathological reports from the Cleveland Hospital are inserted in her BNL record. FINAL DIAGNOSIS: Thyroid adenomata. Hypertension. Reduced kidney function, secondary to hypertension. DISCHARGE MEDICATION: In view of her low thyroid reserve and right lobectomy performed, supplementary thyroxin treatment was considered but, in view of her hypertension and age, it was considered better to observe her and see if supplemental therapy was necessary. She will, therefore, be observed at regular intervals on her return home to check on her thyroid status. RAC /bwa Dict: 6/27/73 Robert A. Conard, M.D. Typed: 6/28/73 Ont 720A - 131 -