7.4.2.1 Interval History The medical history should include name, place ofresidence, birth date, gender, education completed, occupation if employed, smoking history, alcohol consumption, medical history, family history of medical conditions, and descriptions ofilinesses, injuries and pregnancies since last examination. It is assumed that information concerning, location during fall-out, evacuation, and return to resident island has already been recorded. 7.4.2.2 Physical Examination The standardized examination data should be recorded on a standard form, and include height, weight, pulse, blood pressure, skin examination, eye examination, (including fundus photography and slit lamp examination as clinically indicated), general examination to include head and neck, chest, abdomen, skin, and extremities, and a prostate (males) or pelvic examination with PAP smear (females). 7.4.2.3 Clinical Laboratory Tests and Measurements The periodic standardized laboratory testing should include urinalysis to evaluate renal function and glucose metabolism; microscopic examination is recommended if blood, protein or other abnormalities are found. A hematologic profile that includes a complete blood count (CBC) with differential white cell counts, and a hematocrit, should be performed if logistical feasible. A thyroid profile that includes the TSH and T, assays, should be conducted routinely because of the increased incidence of thyroid function in this population (see Section 3). Additional tests of endocrine function, and blood chemistry determinations should be performed as clinically indicated in the judgementif the physician. 7.4.2.4 X-ray Examinations If clinically indicated, radiographic procedures should include a chest x-ray and other radiographic procedures. Women should be offered mammograms at the ages and the intervals recommended in the American Cancer Society protocol. ‘“ 901 EGS? 45