several extra days and thought that the blesding was more then wanl but not <alirient to Tebie 2.1—Pasisem Tresed With Aatibiotio meaer i 23 Came we | 360 wR Dave pe eee URI and broashitis with high senuper- t URI, severe, with phacyngitie and 3 ature. | Penicillin ! | Penicillin } 2 Feniciifia Peniciliia 3 Penict}lin 8 Rapid progressing 3 ® Traumatic af fant. 7 Penicillin S| Gantrasin 1 - Penicillin | 12 undermining im- Cystitis, =. 2.33 Hemecsecrit Changes In radiation injury an anemia can be proiluced by three phenomena: a. Partial or complete suppression of erythropoiesis: b. Hem- orrhage: c. Hemolyaim. (9). The existence of high temperature. 4,6 Tuct® extraction.... é Deep extensive slough of epidermis of foot. 7 « Iafleamed tonsils with high temperature and URI. te cause them concern. — | Furuncle on buttock | Furuncle on fore head. 2? | Penicillin Peniciilin te deacribed in detail above. Each appeared to have evidence of a bacterial component associated with URI and antibiotics would have been indicated had they not been irradiated. All other individuals were not neutropenic at the time of treatment and were given antibiotics for specific mdications. There was no instance in which it wax considered necessary to give the latter is not universally accepted as a characteristic part of radiation injury. Since hemorrhagic phenomena were not observed a severe anemia would have been expected only if erythropoiesis were suppressed severely for a long time. With complete suppression of erythropoiesis and an unchanged life span of the red cell one would expect a deficit of 0.88 percent per day since the human red blood celt has a life span of approximately 120 days. Nineteen individuals in Groups I and IT hed hematocrits between 31 and 35 percent. Nine of the 19 were children, aged 1 to 5 years and would be expected to have a lower hematocrit than normal adults: four were over 7) years of age, in which age group a decreased hematocrit is frequently present without obvious cause. Two of the 19 had had menorrhagia prior to the determination, two were 3 to 4 months preg- nant and had not received supplementary iron, and two were young women. These hematocrits could be ascribed to physiological variations rather than to the effects of irradiation prophylactic antibiotics for neutropenia per ae. on hematopoiesis. Supplementary iron was the only therapy used for the mild anemias ob 2.32 erythropoietic suppression was observed even in Clinical Observations and Piacelet Counts All individuals with a platelet count of 100,000 or less were examined daily for evidence of hemorrhage into the sktu, mucous mem- branes and retinae. Urine was examined daily for red cells and albumin, and women were questioned concerning excessive menstruation. There was no evidence of any hemorrhage even though $1 individuals reached platelet levels between 35,000 and 65,000, Two women menmtruated when their platelet counts were 154),000 and 1M) respectively. Hoth menstruated served. Thus no definite evidence of prolonged individuals who had received 175 ¢ whole body radiation. 2.4 An Epidemic of Upper Respiratory Infection Occurring During the 4th and 5th Post-Exposure Weeks Berween Tee 2th amd the 42nd post-exposure days an epidenue of upper respiratory dispane (URE) occurred. The respiratory in- fection consisted of maderate malaise, pharyn- ds govecTs oF leCTING RADIATION 2

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