Rongelap unexposed 829
HOSPITAL OF THE MEDICAL RESEARCH CENTER,
BROOKHAVEN NATIONAL LASORATORY
UPTON, NEW YORK 11973
Area Code 516 YAphenk 4-6262
(NAME)
OB 45-08
ONY NO)
DISCHARGE SUMMARY
ADMITTED:
6/2/73
DISCHARGED:
6/10/73
During the March medical survey in the
Marshall Islands, this 36 years-old
Marshallese woman who is part of the comparison population unexposed to fallout was
found to have a thyroid nodule and was brought to the United States and admitted to
this hospital for thyroid studies and evaluation of physical status for possible thyroid
surgery.
thant
MEDICALHISTORY
During the March examination a,nodule,
a discrete spherical mass was
detected
which was moderately firm, movable and slightly tender to palpation. No lymphadenopathy was noted.
She appeared euthyroid and previous examinations showed no evidence
of thyroid abnormalities.
Along with the population exposed to
fallout she has been examined as part of
the comparison population for the past 16 years.
She is the mother of 11 children
and has been healthy.
With only a few findings of any significance - slight anemia
at one time, one miscarriage, cervical erosion and occasional fungus infections of
the skin.
Her FAMILY and SOCIAL HISTORY are non-contributory.
PHYSICALEXAMINATION:
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 DAT :
of the gland,
Thyroid scans showed a 2 cm, poorly
functioning nodule in the lower left lobe
Radioactive ifodine uptake was normal and response to TSH stimulation
was good.
Serum was nonreactive for antithyroid globulin antibodies.
Tests X-Ray
and EKG were normal.
The hemogram showed slight lymphocytosis and an elevation of
the ESR to 38 (which is not unusual in the Marshallese.) In view of her previous
anemia it was interesting that her fe and TIBC were within normal limits. Tests for
liver and kidney function, electrolytes and lipides were normal. Serum proteins were
somewhat high (9G) but the electrophretic pattern was not unusual for the Marshallese
(righ gamma globulin levels).
HOSPITALCOURSE:
discomfort and anorexia.
The stools were negative for ova and parasites.
During Fae early part of her 8-day stay,
here, she had premenstrual abdominal
With onset of menstruation these symptoms disappeared and
she remained a symptomatic for the rest of her hospital stay here. Just prior to
discharge on June 10th, for travel to Cleveland for surgery she was given 25 4 Ci 131,
orally in order to carry out autoradiographic procedures on thyroid tissues to be
removed at surgery.
BM 720A
- 132 -