The patient and her family lived approximately 20 km away and were evacuated from the area after one week. They are aware of no medical consequences. On physical examination the patient is a tired-appearing woman in no acute distress. The skin is somewhat dry and sallow. Neck is supple with no masses.
Lungs are clear and the heart shows a regular rate and rhythm with no murmurs, rubs, or gallops.
The breast exam shows normal breast tissue with no masses. A small amount of whitish liquid can be expressed from the nipples. The abdomen is unremarkable. The gynecologic exam shows normal external genitalia. The bimanual examination reveals no masses.