Rongelap unexposed 829 HOSPITAL OF THE MEOICAL ALMARCH CENTER, pul) MOOKHAVIN NATIONAL LABOLATORY UPTON, NEW YORK itf7) Ares Todo 516 VAphanh 4-6262 08-45-3998 QT NO) DISCHARGE SUMMARY ADMITTED: 6/2/73 DISCHARCED: 6/10/73 During the March medical survey in the Marshall Islands, this 36 year-old Marshallese woman who is part of the comparison population unexposed to fallout was found to heave @ thyroid nodule and was brought to the United States and admitted to this hospital for thyroid studies and evaluation of physical status foc possible thyroid aucgery. . thant MEDICALHISTORY During the March examination a nodule, a discrece apherical mass was detected which was moderately E£lrm, movable and slightly cender to palpation. No lymphadenopathy was noted. She appeared euthyroid and previous examinations showed nu evidence of thyroid abnormalicies, Along with the population exposed to fallouc she has been examined as part of the comparison population for the past 16 years, She is the mother of Il children and has been healthy. With only a few Findings of any significance + slight anemia az one time, one miscarriage, cervical erosion and occasional the skin. Her FAMILY and SOCLAL HISTORY are non-contributory. fungus infections of PHYSICALEXAMINATION 5 This slender, well nourished Marshallese lady appeared alert and euthyroid. The thyroid findings were the same as those reported above during the March examination, The remainder of the physical examination was essentially negative except for slight abdominal tenderness and discomfort which she experiences prior to menstruation. AND DATA: Thyroid scans showed a 2 ca, poorly functioning nodule in the lower left lobe of the gland, Radioactive lodine uptake was normal and response to TSH stimulation was good. Serum was nonreactive for antithyroid globulin antibodies. Tests X-Ray and EXG were normal, The hemogram showed slight lymphocytosis and an elevation of the ESR to 38 (which is noe unusual in the Marshallese.) In view of her previous anemia it was inceresting that her &e and TIBC were within normal limits, Tests for liver and kidney function, electrolytes and lipids were normal, Serum proteins were somewhat high (9G) but the electrophretic pattern was not unusual for the Marshallese (high gamma globulin levels). The stools were negative for ova and paraslres, HOSPITALCOURSE: During Tie early part of her 8-day stay, here, she had premenstrual abdominal discomfort and anorexia, With onset of menstruation these symptoms disappeared and ahe remained a symptomatic for the rest of her hospital stay here, Just prior to discharge on June lOth, for travel ta Cleveland for surgery she was given 25 w Ci I3ly orally in order to carry out autoradiographic procedurea on thyroid tissues to be removed at surgery. At 7204 = 132 -