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.
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901 EGS?
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