EXECUTIVE HEALTH EXAMINATION REPORT

MR. ALDEA, MARVIN

CHIRA PHARMACEUTICALS INC. RBC Corporate Center Don Jesus Boulevard., Alabang H Muntinlupa City 1770 Phils.

Ground Floor Waltermart Balibago, Sta. Rosa, Laguna Tel. No. (049) 534-4603-04/wellcare_sta.rosa@yahoo.com

Dear Mr. Aldea,

Thank you for choosing WELLCARE CLINICS & LABORATORY, INC. as your partner in maintaining, if not enhancing your health and wellness. We hope that we were able to assist and deliver the services required to your delight and

expectation. Your health and wellness is our utmost interest and will exert efforts in
delivering it to your delight and relaxation. The examination that you just underwent is a good source of reassurance of your state of health and well being. It is oftentimes considered as an alarm system, to catch health problems before they become serious especially in this time of our fast pace of life. This also provides you a great opportunity to refocus your wellness efforts from a mode that is curative to that of preventive which is more expensive and oftentimes lead to detrimental and fatal conditions. Enclosed is the report on the assessments and recommendations as a result of the examinations conducted on you, which will be explained to you thoroughly by our Primary Care Physician. We would like to assure you that the information and data in this report will be kept in outmost confidentiality. This packet will also include suggested measures which we hope will be able to help you in your endeavor of enhancing your health and wellness. Again thank you for trusting Wellcare Clinics and we look forward to serving you again in your next check-up.

Wellcare Clinic Staff

TABLE OF CONTENTS Health Evaluation & Recommendations For MR. ALDEA, MARVIN

i. ii.

Examination Package Health & Wellness Executive Summary

iii. Personal Info, Vital Signs & Medical History iv. Physical Exam Findings & Evaluation v. Diagnostic Tests Results

vi. Advance Wellness Evaluation

vii. Detailed Assessment & Recommendation viii. Wellness & Health Management

EXECUTIVE CHECK-UP PACKAGE For Ms. ALDEA, MARVIN

1. 2.

History Taking Physical Examination

3.

Laboratory Tests
Routine Tests CBC, urinalysis, fecalysis Blood Chemistry FBS, BUN, BUA, Lipid Profile, Creatinine, , SGPT,SGOT, TSH, FT4 Sodium, Potassium,

4.

Imaging Procedures Chest X-ray

5.

Other Conventional Diagnostic Tests ECG

HEALTH & WELLNESS EXECUTIVE SUMMARY Ms. ALDEA, MARVIN APRIL 10, 2014
The completion of your routine check-up were reviewed, analyzed and assessed. The aim of the whole process is to provide you valuable information on the state of your health and wellbeing. We encourage you to carefully study the content and seriously discussed it with your Primary Care Physician who would be able to help and assist you in regaining , maintaining and sustaining your health. The succeeding pages of this report contains the details and basis for the classification, assessment & recommendations below: OVERALL ASSESSMENT Your blood chemistry results show certain things you need to deal with: High LDL (Bad Cholesterol) = 4.40 mmol/L Because LDL cholesterol is a major risk factor for heart disease, it's the main focus of cholesterollowering treatment. Your target LDL number can vary, depending on your underlying risk of heart disease. Most people should aim for an LDL level below 130 mg/dL (3.4 mmol/L). If you have other risk factors for heart disease, your target LDL may be below 100 mg/dL (2.6 mmol/L). If you're at very high risk of heart disease, you may need to aim for an LDL level below 70 mg/dL (1.8 mmol/L). In general, the lower your LDL cholesterol level is, the better. There is no evidence that really low LDL cholesterol levels are harmful. You're considered to be at a high risk of heart disease if you have or have had any of the following: A previous heart attack or stroke Artery blockages in your neck (carotid artery disease) Artery blockages in your arms or legs (peripheral artery disease) Diabetes In addition, two or more of the following risk factors also might place you in the very high risk group: Smoking High blood pressure Low HDL cholesterol Family history of early heart disease Age older than 45 if you're a man, or older than 55 if you're a woman Elevated lipoprotein (a), another type of fat (lipid) in your blood

HEALTH & WELLNESS EXECUTIVE SUMMARY Mr. ALDEA, MARVIN APRIL 10, 2014

Elevated Cholesterol = 6.54 mmol/L High Blood Uric Acid =504.14 mmol/L Elevated SGPT= 48.99 U/L Elevated Serum Sodium = 148 mmol/L High F.T.4 = 2.04 ng/dl

HEALTH & WELLNESS EXECUTIVE SUMMARY Mr. ALDEA, MARVIN APRIL 10, 2014

PERSONAL INFO, MEDICAL HISTORY & VITAL SIGNS of Ms. ALDEA, MARVIN

PERSONAL INFORMATION Gender -Male Birth date March 16, 1985 Civil Status Single Age 29 Blood Type Nationality Filipino

PERSONAL & FAMILY MEDICAL HISTORY Family Medical History Personal Medical History Allergies Hospitalization History Surgical Operations Lifestyle Current Health Complaints Current Medication Her Parents has a History of Hypertension None None Cyst on tendon Cyst on tendon Does smoke and take alcoholic drinks None None

VITAL SIGNS Weight - 79.7 kgs Blood Pressure 120/80 mmHg Snellen- 20/20 ( R): 20/20 (L) Height - 57 inches Pulse Rate 81 bpm BMI - 25 Respiration Rate 20cpm

PHYSICAL EXAM FINDINGS & EVALUATION For Mr. ALDEA, MARVIN APRIL 10, 2014
Your health, wellness and well-Being, is a birthright that you are able to claim in creating, building and sustaining your quality of life. Your health is in your hands and Wellcare Clinics with its pool of experts are here to assists you in this endeavour. The goal of the examination in promoting your health and improving your well-being. The following is the summary of the results of the tests performed and the implications of these results to your health. RESULT OF PHYSICAL EXAMINATION AREA General Eyes Ears Nose Throat/neck Hematologic Endocrine Neurological Cardio- Vascular BMI of 25 20/20 (R); 20/20 (L) normal, without discharges, symmetrical normal normal normal normal normal Sinus bradycardia For Cardio consult for further evaluation FINDINGS Normal No significant findings EVALUATION overweight

PHYSICAL EXAM FINDINGS & EVALUATION For Mr. ALDEA, MARVIN APRIL 10, 2014

RESULT OF PHYSICAL EXAMINATION (contd) AREA Pulmonary Breast Skin Gastrointestinal Genitourinary Musculo- skeletal normal normal normal normal normal normal FINDINGS EVALUATION

DIAGNOSTIC TESTS RESULT & EVALUATION For Ms. ALDEA, MARVIN APRIL 10, 2014
RESULTS OF THE DIAGNOSTIC TESTS TEST Urinalysis Fecalysis Blood Chemistry CBC - Hemoglobin CBC - Hematocrit BUN BUA Creatinine Triglyceride FBS SGOT SGPT Cholesterol HDL LDL HDL RATIO VLDL Sodium Potassium TSH F.T.4. VALUES Pus cells: 5-7 No stool Specimen 160 0.47 2.40 504.14 73.92 2.31 4.54 28.71 48.99 6.54 1.52 4.40 4.30 0.27 148 4.5 0.664 2.04 FINDINGS Urinary Tract Infection N/A No significant findings No significant findings No significant findings Elevated No significant findings Elevated No significant findings No significant findings Elevated Elevated No significant findings Elevated No significant findings No significant findings Elevated No significant findings

Elevated

DIAGNOSTIC TESTS RESULT & EVALUATION For Ms. ALDEA, MARVIN APRIL 10, 2014

RESULTS OF THE DIAGNOSTIC TESTS TEST Chest X-ray VALUES Lung fields are clear. Heart is not enlarged. The rest of the visualized structures are unremarkable. FINDINGS Normal Chest study

ECG

Sinus Bradycardia; Non Specific ST wave changes

DETAILED ASSESSMENT & RECOMMENDATION For Mr. ALDEA, MARVIN APRIL 10, 2014
As a result of the tests, procedures and information gathered the following are the details of the findings and the corresponding recommendation to them. It is advised that the following assessments be seriously taken into consideration and the recommended management care be followed.
ASSESSMENT 1.0 2.0 To consider Urinary Tract Infection To consider overweight RECOMMENDATION Increase Oral fluid intake; Repeat urinalysis then follow up. Advised on weight reduction , low calories and Increase physical activity. Advised consult with an Internist for further evaluation and management. Advised on regular blood pressure monitoring advised on a low fat, low salt, high fiber diet and regular 30 minutes daily execise.

3.0

To consider dyslipidemia; hyperuricemia; liver disease. To consider Pre hypertension

4.0

5.0

To consider thyroid disease

Advised consult with an Endocrinologist/I nternist for managent.

WELLNESS & HEALTH MANAGEMENT For Ms. ALDEA, MARVIN

The nursing process begins at the first meeting with the client. Nurses conduct patient interviews detailing past medical history and current health status. We gather information from all available sources and evaluate the data. Once we have a full picture of the client, The interventions are implemented through a care plan and evaluated regularly to determine if the interventions are working or the goals need to be updated. ASSESSMENT
OBJECTIVE: Overweight as a result of 25 in his Body Mass Index.

NURSES HEALTH TEACHINGS and RECOMMENDATIONS

Advised on a balanced diet, Eat nutritious foods like vegetables and fruits. Decrease caloric intake, Increase physical activity like 10 minutes walking, jogging and Increase oral fluid intake at least 10 to 12 glasses of water daily. Your ideal weight is 120lbs-135lbs Eat a balanced and healthy diet, Foods like oatmeal, fruit and vegetables, yogurt, cottage cheese, whole grains, beans and nuts. Avoid eating fatty foods. Increase your physical activity. Limiting calories, avoid diets rich in refined, rapidly digested carbohydrates. This includes limiting foods such as bread, grits, rice, potatoes, corn, and concentrated sugar that is found in sports drinks and juice. Advised to achieved Ideal Body Weight Limit Alcoholic beverages intake, Suggest Lifestyle Modification.

OBJECTIVE: Liver Disease

OBJECTIVE: Hyperuricemia

WELLNESS & HEALTH MANAGEMENT For Mr. ALDEA, MARVIN APRIL 10, 2014
The nursing process begins at the first meeting with the patient. Nurses conduct patient interviews detailing past medical history and current health status. We gather information from all available sources and evaluate the data. Once we have a full picture of the patient, The interventions are implemented through a care plan and evaluated regularly to determine if the interventions are working or the goals need to be updated. (CONTINUATION)

ASSESSMENT
OBJECTIVE: Dyslipidemia

NURSES HEALTH TEACHINGS

Have a Regular exercise Dietary Modification, Eat Green Leafy Vegetables ,lowfat diet, non-dairy, high in soluble fiber. Weight Reduction Smoking cessation Alcohol restriction Increase oral fluid intake and repeat urinalysis after 7 days Encourage to urinate every 2-3 hrs when it suddenly felt to prevent recurrence of infection Encourage to do perineal care everyday to reduce risk of contamination. Avoid salty foods

OBJECTIVE: Urinary Tract Infection as a result in his urinalysis of pus cells: 5-7 HPF

OBJECTIVE:Thyroid Disease