Appendix 10 Hospltal Records of Thyroid Cases, 1972-1974 Rongelap 75 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BIQOKHAVEN NATIONAL LABORATORY WTO, Kiw WORK 11973 pani 08-42-33) B Area Code S16 Yaghank 4-426] RT MO) OISCHARGE SUMMARY ADMITTED: 7? November 1972 DISCHARGED: 13 November 1972 This 29-year-old Marshallese lady was admitted co this Hospital for evaluation of thyrot{d nodularity and physical status for thyroid surgery, HISTORY OF PRESENT TLLNESS: She was brought to thie Hospital from the Marshall Islands with another Rongelap girl who also had thyrotd nodularity, Both had been exposed to radioactive fallouc in 1954, They were accompanied by a Marshallese interpreter, Thorough thyro{d studies and evaluation of her general physical atatua prior to Surgery were carried our, Before the detection of her thyroid abnormality in September 1972, the thyro{d examinations have always been negative and she had always appeared euthyroid with normal chyroxin levels, The patient was exposed to a whole body dose of 175 rads of gasma radiation and the thyroid gland recetved an estimated dose of 500 rads, largely from absorption of radio.odines in the fallout, Following her exposure to fallout, the patient experienced slight nausea and She developed supericial beta burns over some itching and burning of the skin. parcs of her body which healed within a few months, She also had transitory placelet depression and mild leukocyte depression which recurned to normal levels within a year, Until the development of thyrold lesions, her pase history had been generally negative except for the occurrence of virus pneumonia as a child. Her growth and development had been normal and she has had s(x normal deliveries aoj one miscarriape, Her FaMILY and SOCTAL HISTORY were noncontrlbutary, PHYSICAL, EX\MINATION: Tre patient is a well-developed and well-nourished, alert and cooperative Individual, Excepe for thyrold findings, the physical cxamination was essentially negative. The thyroid examination revealed a 2-cm mass in che upper right lobe which was non-tender and only moderately hard, The Lower part of the righe lobe was enlarged but the lefe lobe was barely palpable. No nodes were palpated except for a small one in the posterior cervical chain, LABORATORY & X-RAY DATA? fn che right lobe of the gland, increase afcer TSH stimulation, Thyroid scan w.th 99me. showed both functioning and non-funcetloning nodules T+ level was normal (8.3 ug%) and showed good Before TSH administration (10 units) the 1247 uptuke was J9,9% and after the administration of che hormone the uptake was 55,57, Thyroxin levels will be recorded later, BMR and cholesterol were normal. The remainder of the Laboratory and X-Ray Workup was negative, except for the Presence of trichuris trichuria and ascaris lumbricoides «Le wa 7204 - 118 - in che stools.