Utirik 2208
AME
HOSPITAL OF THE MEDICAL RESEARCH CENTER,
BROOKHAVEN NATIONAL LABORATORY
08-45-40R
UPTON, NEW YORK 11973
(UNIT NO)
Area Code 516 YAphank 4-6262
DISCHARGE SUMMARY
ADMITTED:
June 2, 1973
DISCHARGED:
June 10, 1973
This 54 year old Marshallese woman who had
been exposed to a slight amount of fallout
in 1954 was brought to the United States and admitted to this hospital for evaluation
of thyroid nodularity and physical status for possible thyroid surgery.
HISTORY:
the thyroid.
Examination, this past March revealed 2
rather hard masses in the right lobe of
These had not been noted on previous examinations. No lymph nodes were
palpated and she has always appeared euthyroid.
Her T-4 level enMvercn was 3.7 werk.
She was accidentally exposed in 1954 to
about 14 rad of g@&rima@ radiation and an
estimated dose of 22 rads to the thyroid from fallout while she was living on Utirik
Island.
She showed no affects to this slight exposure.
Following her initial exam
ination she was not again examined until 1969 at which time she was found to have biood
pressure readings of 200-220/100-110 and a systolic murmer was noted. Also reported
was an umbilical hernia and a possible fibroid of the uterus. Her only complaints have
been headaches, chronic joint pains, particularly of the right arm.
EXAMINATION :
This intelligent, alert, somewhat obese
.
Marshallese lady appeared to be healthy
and euthyroid. The thyroid findings were as described above for the March examination.
Other findings included inversion of the nipple of the right breast; enlargement of
the heart with ea harsh systolic murmur, heard best over the aorta and PMI areas;
blood
pressure 180/86 with no evidence of decompensation; EKG was within normal limits;
tenderness around the umbilicus though the hernia was not actually palpated;
Pelvic
examination revealed
3 small areas of hyperplasia of the cervix.
AND DATA:
The thyroid scan showed a poorly functioning nodule in che lower half of the right
lobe. The radioactive iodine uptake was normal and the response to TSH stimulation
was good. T*4 report is not yet in. Serum was non-reactive for antithyroid globutin
antibodies. X-Ray of the cheat showed moderate cardiomegaly and arteriosclerosis.
The lungs were clear.
The hemogram was normal except for an ESR of 40 (high valuea
are noted in the Marshallese).
electrolytes generally normal.
normal.
HOSPITAL :
Serology waa negative. Serum proteins negative, and
Urine was negative and liver and kidney function tests
During her 8-day hospital stay, she
remained generally a_symptomatic except
for some pain and stiffnees in her right arm which was relieved with aspirin.
Her
appetite was good and she was completely ambulatory.
Her blood preasure remained
normal after the alight elevation noted on admission.
She was discharged on June 10th
for travel to Cleveland.
ONL 720A
- 126 -