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.