Utirik 2221 HOSPITAL OF THE BROOKHAVEN UPTON, Area Code MEDICAL RESEARCH CENTER. NATIONAL LABORATORY NEW YORK 11973 516 YAphank 4=6262 (NAME) §-45+37R (UNIT NO.) DISCHARGE SUMMARY -2HOSPITAL COURSE: Her 8-day stay at this Hospital was un- eventful 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 uCi of L31Z 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 lith. 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-operacive convalescence was uneventful and she waa discharged June 18th for return to che Marshall Islanda. 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 wae considered but, in view of her hypertension and age, it was considered better to observe her and sea if supplemental therapy was necessary. She will, therefore, be cbserved at regular intervals on her return home to check on her thyroid status. abo RAC /bwa Dict: 6/27/73 Robert A. Conard, M.D. Typed: 6/28/73 BNA 720A - 131 - DO0b 22 F 2 Crew tei