Ground Floor WaltermartBalibago, Sta. Rosa, LagunaTel. No. (049) 534-4603-04/wellcare_sta.rosa@yahoo.comEXECUTIVE HEALTH EXAMINATION REPORT

MR. ALDEA, MARVINCHIRA PHARMACEUTICALS INC.RBC Corporate Center Don Jesus Boulevard., Alabang Hills Muntinlupa City 1770 Phils.

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 CONTENTSHealth Evaluation & RecommendationsFor MR. ALDEA, MARVINExamination PackageHealth & Wellness Executive SummaryPersonal Info, Vital Signs & Medical HistoryPhysical Exam Findings & EvaluationDiagnostic Tests ResultsAdvance Wellness EvaluationDetailed Assessment & RecommendationWellness & Health Management

EXECUTIVE CHECK-UP PACKAGEFor Ms. ALDEA, MARVINHistory TakingPhysical ExaminationLaboratory TestsRoutine Tests CBC, urinalysis, fecalysis Blood Chemistry FBS, BUN, BUA, Lipid Profile, Creatinine, , SGPT,SGOT, TSH, FT4 Sodium, Potassium,

Imaging Procedures Chest X-ray

Other Conventional Diagnostic TestsECG

HEALTH & WELLNESS EXECUTIVE SUMMARYMs. ALDEA, MARVINAPRIL 10, 2014The 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 ASSESSMENTYour blood chemistry results show certain things you need to deal with:

High LDL (Bad Cholesterol) = 4.40 mmol/LBecause LDL cholesterol is a major risk factor for heart disease, it's the main focus of cholesterol-lowering 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 strokeArtery blockages in your neck (carotid artery disease)Artery blockages in your arms or legs (peripheral artery disease)DiabetesIn addition, two or more of the following risk factors also might place you in the very high risk group: SmokingHigh blood pressureLow HDL cholesterolFamily history of early heart diseaseAge older than 45 if you're a man, or older than 55 if you're a womanElevated lipoprotein (a), another type of fat (lipid) in your blood

HEALTH & WELLNESS EXECUTIVE SUMMARYMr. ALDEA, MARVINAPRIL 10, 2014Elevated 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 SUMMARYMr. ALDEA, MARVINAPRIL 10, 2014

PERSONAL INFO, MEDICAL HISTORY & VITAL SIGNSof Ms. ALDEA, MARVINPERSONAL & FAMILY MEDICAL HISTORYPERSONAL INFORMATIONVITAL SIGNS

Gender -MaleCivil Status SingleBlood Type - Birth date March 16, 1985Age 29Nationality Filipino

Family Medical HistoryHer Parents has a History of HypertensionPersonal Medical HistoryNoneAllergiesNoneHospitalization HistoryCyst on tendonSurgical OperationsCyst on tendonLifestyle Does smoke and take alcoholic drinksCurrent Health ComplaintsNoneCurrent MedicationNone

Weight - 79.7 kgsHeight - 57 inches BMI - 25Blood Pressure 120/80 mmHgPulse Rate 81 bpmRespiration Rate 20cpmSnellen- 20/20 ( R): 20/20 (L)

PHYSICAL EXAM FINDINGS & EVALUATIONFor Mr. ALDEA, MARVINAPRIL 10, 2014Your 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

AREAFINDINGSEVALUATIONGeneralBMI of 25overweightEyes20/20 (R); 20/20 (L)NormalEarsnormal, without discharges, symmetricalNo significant findingsNosenormalThroat/necknormalHematologicnormalEndocrinenormalNeurologicalnormalCardio- VascularSinus bradycardiaFor Cardio consult for further evaluation

PHYSICAL EXAM FINDINGS & EVALUATIONFor Mr. ALDEA, MARVINAPRIL 10, 2014RESULT OF PHYSICAL EXAMINATION (contd)

AREAFINDINGSEVALUATIONPulmonarynormalBreastnormalSkinnormalGastrointestinalnormalGenitourinarynormalMusculo- skeletalnormal

DIAGNOSTIC TESTS RESULT & EVALUATIONFor Ms. ALDEA, MARVINAPRIL 10, 2014RESULTS OF THE DIAGNOSTIC TESTS

TESTVALUESFINDINGSUrinalysisPus cells: 5-7 Urinary Tract InfectionFecalysisNo stool SpecimenN/ABlood ChemistryCBC - HemoglobinCBC - HematocritBUNBUA

CreatinineTriglycerideFBS

SGOTSGPTCholesterol

HDLLDLHDL RATIOVLDL 1600.472.40504.14

73.922.314.54

28.7148.996.54

1.524.404.300.27No significant findingsNo significant findingsNo significant findings Elevated

No significant findingsElevatedNo significant findings

No significant findingsElevatedElevated

No significant findingsElevatedNo significant findingsNo significant findings

SodiumPotassium1484.5ElevatedNo significant findingsTSHF.T.4.0.6642.04Elevated

DIAGNOSTIC TESTS RESULT & EVALUATIONFor Ms. ALDEA, MARVINAPRIL 10, 2014RESULTS OF THE DIAGNOSTIC TESTS

TESTVALUESFINDINGSChest X-ray

Lung fields are clear.Heart is not enlarged. The rest of the visualized structures are unremarkable.Normal Chest studyECGSinus Bradycardia;Non Specific ST wave changes

DETAILED ASSESSMENT & RECOMMENDATION For Mr. ALDEA, MARVINAPRIL 10, 2014As 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.

ASSESSMENTRECOMMENDATION1.0To consider Urinary Tract InfectionIncrease Oral fluid intake; Repeat urinalysis then follow up.2.0To consider overweightAdvised on weight reduction , low calories and Increase physical activity.3.0To consider dyslipidemia; hyperuricemia; liver disease.Advised consult with an Internist for further evaluation and management.4.0To consider Pre hypertensionAdvised on regular blood pressure monitoring advised on a low fat, low salt, high fiber diet and regular 30 minutes daily execise.

5.0To consider thyroid diseaseAdvised consult with an Endocrinologist/Internist for managent.

WELLNESS & HEALTH MANAGEMENT For Ms. ALDEA, MARVINThe 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.

ASSESSMENTNURSES HEALTH TEACHINGS and RECOMMENDATIONSOBJECTIVE: Overweight as a result of 25 in his Body Mass Index.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-135lbsOBJECTIVE: Liver DiseaseEat a balanced and healthy diet, Foods like oatmeal, fruit and vegetables, yogurt, cottage cheese, whole grains, beans and nuts.Avoid eating fatty foods. Increase yourphysical 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: Hyperuricemia

WELLNESS & HEALTH MANAGEMENT For Mr. ALDEA, MARVINAPRIL 10, 2014The 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)

ASSESSMENTNURSES HEALTH TEACHINGSOBJECTIVE: Dyslipidemia Have a Regular exerciseDietary Modification, Eat Green Leafy Vegetables ,lowfat diet, non-dairy, high in soluble fiber. Weight ReductionSmoking cessationAlcohol restriction OBJECTIVE: Urinary Tract Infection as a result in his urinalysis of pus cells: 5-7 HPFIncrease oral fluid intake and repeat urinalysis after 7 daysEncourage to urinate every 2-3 hrs when it suddenly felt to prevent recurrence of infectionEncourage to do perineal care everyday to reduce risk of contamination.Avoid salty foodsOBJECTIVE:Thyroid Disease