HEALTHYWAVE HOSPITAL

Rizal Avenue, Batangas City

Batangas (4200)
ISO 9001: 2016 CERTIFIED

Keeping you well

PATIENT DATABASE

PATIENT INFORMATION

Patient ID: 110599

Full Legal Name (First, Middle, Last, Suffix) :

MICHELLE DY CASTILLO

Gender: Female Marital Status: Married

Age: 45 years old

Date of Birth Race Preferred language

12-May-75 FILIPINO TAGALOG

Complete Mailing Address (Street, City, State, Zip Code, County)

TALAMBIRAS ST. BARANGAY 20, BATANGAS CITY, BATANGAS (4200), PHILIPPINES

Contact Number: 09459918754 Email: michelledc@gmail.com

Weight: 52 kg Height: 150 cm

A. VITAL SIGNS

Temperature: 36.2 Degree Celcius Respiratory Rate: 18 cpm

Pulse Rate: 86 bpm Blood Pressure: 120/90 mmHg

B. MEDICAL HISTORY
Are you in good health? ___Yes X No
Any allergic reactions to medications or other substances? ___Yes X No

Do you exercise regularly? X Yes ___No

•If so, what type of exercise and how frequent? Zumba Exercise, 3 times a week
Do you smoke? ___Yes X No How much? N/A
Do you drink alcohol? ___ Yes X No How much? N/A
Do you take medications? X Yes ___ No Please list names & how often ?

MEDICATIONS:

PRINIVIL TABS 20 MG (LISINOPRIL) 1 po qd

Last Refill: #30 x 2 : Carl Savem MD (08/27/2010)
HUMULIN INJ 70/30 (INSULIN REG & ISOPHANE (HUMAN)) 20 units ac breakfast
Last Refill: #600 u x 0 : Carl Savem MD (08/27/2010)

C. HEALTH HISTORY
X Diabetes ___ Glaucoma ___ High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
___ Liver Diseases ___ Stroke ___ Heart Attack
___ Cancer OTHERS (specify):

a. Diabetes Management  b. Sympathomimetic Symptoms 

Hyperglycemic Symptoms  Diaphoresis:  No
Polyuria:  No Agitation:  No
Polydipsia: No Tremor:  No
Blurred vision:  No Palpitations:  No
Insomnia: No

c. Neuroglycopenic Symptoms 
Confusion:  No
Lethargy:  No
Somnolence  No
Amnesia: No
Stupor:  No
Seizures:  No

D. FAMILY HISTORY
X Diabetes ___ Glaucoma ___ High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
___ Liver Diseases X Stroke X Heart Attack
___ Cancer ___ Others (Specify)-

E . REVIEW OF SYSTEMS

General:  denies fatigue, malaise, fever, weight loss

Eyes:  denies blurring, diplopia, irritation, discharge
Ear/Nose/Throat:  denies ear pain or discharge, nasal obstruction
or discharge, sore throat
Cardiovascular:  denies chest pain, palpitations, paroxysmal nocturnal dyspnea,
orthopnea, edema
Respiratory: denies coughing, wheezing, dyspnea, hemoptysis
by cold air, exercise or exposure to allergens
Gastrointestinal:  denies abdominal pain, dysphagia, nausea, vomiting, diarrhea,
constipation
Genitourinary:  denies hematuria, frequency, urgency, dysuria, discharge,
impotence, incontinence
Musculoskeletal:  denies back pain, joint swelling, joint stiffness, joint pain
Skin:  denies rashes, itching, lumps, sores, lesions, color change
Neurologic: denies syncope, seizures, transient paralysis, weakness
Psychiatric: denies depression, anxiety, mental disturbance, difficulty
 sleeping, suicidal ideation, hallucinations, paranoia
Endocrine: denies polyuria, polydipsia, polyphagia, weight change,
heat or cold intolerance
Heme/Lymphatic:  denies easy or excessive bruising, history of blood transfusions,
anemia, bleeding disorders, adenopathy, chills, sweats
Allergic/Immunologic:  denies urticaria, hay fever, frequent UTIs; denies HIV high
risk behaviors

General  well developed, well nourished, no acute distress

Appearance:
Eyes:  conjunctiva and lids normal, PERRLA
Ears, Nose, Mouth, Throat:  TM clear, nares clear, oral exam WNL
Respiratory:  clear to auscultation and percussion, respiratory effort normal
Cardiovascular:  regular rate and rhythm, S1-S2, no murmur, rub or gallop,
no bruits, peripheral pulses normal and symmetric, no cyanosis,
clubbing, edema or varicosities
Skin:  clear, good turgor, color WNL, no rashes, lesions, or ulcerations
AC breakfast 110 to 220
AC breakfast mean 142
AC dinner 100 to 250
AC dinner mean 120

H. ORDERS
a. Urine Analysis
b. Metabolic Panel
c. Health Education/counseling (time) : 5 minutes
d. Coordination of Health Care (time): 20 minutes
e. Follow -up/ Return Visit: 3 months

I. LABORATORY RESULTS

a. Metabolic Panel(ML-03CHEM)
ALK PHOS 72 35-100
BG  RANDOM 125  mg/dl 70-125
BUN 16  mg/dl 25-Jul
CALCIUM  9.6  mg/dl 8.2-10.2
CHLORIDE   101  mmol/l  96-109
CO2 27  mmol/l  23-29
CREATININE  0.7  mg/dl    0.6-1.2
PO4  2.9  mg/dl  2.5-4.5
POTASSIUM  4.5  mmol/l  3.5-5.3
SGOT  (AST)  31  U/L   0-40
BILI  TOTAL 0.7  mg/dl 0.0-1.3
URIC  ACID   4.8  mg/dl 3.4-7.0
LDH,  TOTAL     136  IU/L   0-200
SODIUM 135  mmol/l 135-145

b. HbA1c Test
HbA1c level 6.0%
c. Lipid Profile
Cholesterol, Total   210 mg/dl
Triglycerides           236 mg/dl
HDL Cholesterol    36
LDL Cholesterol     107 

HEIGHT (in) 64
WEIGHT (lb) 140
TEMPERATURE (deg F) 98
TEMP SITE oral
PULSE RATE (/min) 72
PULSE RHYTHM
RESP RATE (/min) 16
BP SYSTOLIC (mm Hg) 158
BP DIASTOLIC (mm Hg) 90
CHOLESTEROL (mg/dL)
HDL (mg/dL)
LDL (mg/dL)
BG RANDOM (mg/dL) 125
CXR
EKG
PAP SMEAR
BREAST EXAM
MAMMOGRAM
HEMOCCULT neg
FLU VAX
PNEUMOVAX
TD BOOSTER 0.5 ml g
Foot Exam
Eye Exam Complete
 HEALTHYWAVE HOSPITAL
Rizal Avenue, Batangas City
Batangas (4200)
ISO 9001: 2016 CERTIFIED

Keeping you well

PATIENT DATABASE
PATIENT INFORMATION

Patient ID: 081194

Full Legal Name (First, Middle, Last, Suffix) :

LEA ALVAREZ SANTOS

Gender: FEMALE Marital Status: SINGLE

Age: 32 years old

Date of Birth Race Preferred Language

18-May-88 FILIPINO TAGALOG

Complete Mailing Address (Street, City, State, Zip Code, County)

OLD SAN VICENTE LIBJO, BATANGAS CITY (4200), PHILIPPINES

Contact Number: 0965-329-5933 Email: lea_santos@gmail.com

Weight: 58 kg Height: 160 cm

A. VITAL SIGNS

Temperature: 36.5 Degree Celcius Respiratory Rate: 23 cpm

Pulse Rate: 89 bpm Blood Pressure: 120/80 mmHg

B. MEDICAL HISTORY
Are you in good health? X Yes ___ No
Any allergic reactions to medications or other substances? ___Yes X No
Do you exercise regularly? X Yes ___No
•If so, what type of exercise and how frequent? Jogging, 3 times a week
Do you smoke? ___Yes X No How much? N/A
Do you drink alcohol? ___ Yes X No How much? N/A
Do you take medications? X Yes ___ No Please list names & how often ?

MEDICATIONS:
Budesonide (Pulmicort) once a day
 C. MEDICAL PROBLEM
___ Diabetes ___ Glaucoma ___ High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
___ Liver Diseases ___ Stroke ___ Heart Attack
___ Cancer X OTHERS (specify): asthma

b. Sympathomimetic Symptoms 
a. Hyperglycemic Symptoms  Diaphoresis:  No
Polyuria:  No Agitation:  No
Polydipsia: No Tremor:  No
Blurred vision: No Palpitations: No
Insomnia: No

c. Neuroglycopenic Symptoms 
Confusion:  No
Lethargy:  No
Somnolence:  No
Amnesia: No
Stupor:  No
Seizures:  No

D. FAMILY HISTORY
___ Diabetes ___ Glaucoma ___ High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
___ Liver Diseases ___ Stroke ___ Heart Attack
___ Cancer

E . REVIEW OF SYSTEMS

General:  denies fatigue, malaise, fever, weight loss

Eyes:  denies blurring, diplopia, irritation, discharge
Ear/Nose/Throat:  denies ear pain or discharge, nasal obstruction
or discharge, sore throat
Cardiovascular:  denies chest pain, palpitations, paroxysmal nocturnal dyspnea,
orthopnea, edema
Respiratory: Trouble breathing, chest tightness, symptoms that are triggered
by cold air, exercise or exposure to allergens
Gastrointestinal:  denies abdominal pain, dysphagia, nausea, vomiting, diarrhea,
constipation
Genitourinary:  denies hematuria, frequency, urgency, dysuria, discharge,
impotence, incontinence
Musculoskeletal:  denies back pain, joint swelling, joint stiffness, joint pain
Skin:  denies rashes, itching, lumps, sores, lesions, color change
Neurologic: denies syncope, seizures, transient paralysis, weakness
Psychiatric: denies depression, anxiety, mental disturbance, difficulty
 sleeping, suicidal ideation, hallucinations, paranoia
Endocrine: denies polyuria, polydipsia, polyphagia, weight change,
heat or cold intolerance
Heme/Lymphatic:  denies easy or excessive bruising, history of blood transfusions,
anemia, bleeding disorders, adenopathy, chills, sweats
Allergic/Immunologic:  denies urticaria, hay fever, frequent UTIs; denies HIV high
risk behaviors

F. PHYSICAL EXAM

General Appearance: well developed, well nourished, no acute distress

Eyes:  conjunctiva and lids normal, PERRLA
Ears, Nose, Mouth, Throat:  TM clear, nares clear, oral exam WNL
Respiratory:  Louder or faster than normal breathing
Cardiovascular:  regular rate and rhythm, S1-S2, no murmur, rub or gallop,
no bruits, peripheral pulses normal and symmetric, no cyanosis,
clubbing, edema or varicosities
Skin:  clear, good turgor, color WNL, no rashes, lesions, or ulcerations

G. ORDERS
a. Exhaled nitric oxide test
b. Spirometry
c. Health Education/counseling (time) : 10 minutes
d. Coordination of Health Care (time): 20 minutes
e. Follow -up/ Return Visit: 6 months

H. LABORATORY RESULTS

Chest X-ray
Posteroanterior chest radiograph demonstrates a pneumomediastinum in bronchial asthma.
Mediastinal air is noted adjacent to the anteroposterior window and airtrapping extends
to the neck, especially on the right side.
 HEALTHYWAVE HOSPITAL
Rizal Avenue, Batangas City
Batangas (4200)
ISO 9001: 2016 CERTIFIED

Keeping you well

PATIENT DATABASE
PATIENT INFORMATION

Patient ID: 121890

Full Legal Name (First, Middle, Last, Suffix) :

JUSTINE MANALO ARELLANO

Gender: MALE Marital Status: MARRIED

Age: 43 years old

Date of Birth Race Preferred Language

09-Jan-77 FILIPINO TAGALOG

Complete Mailing Address (Street, City, State, Zip Code, County)

BINULIHAN, TALAHIB PANYDAYAN, BATANGAS CITY (4200), PHILIPPINES

Contact Number: 0930-132-6679 Email: N/A

Weight: 56 kg Height: 163 cm

A. VITAL SIGNS

Temperature: 36.5 Degree Celcius Respiratory Rate: 18 cpm

Pulse Rate: 84 bpm Blood Pressure: 130/100 mmHg

B. MEDICAL HISTORY
Are you in good health? ___Yes X No
Any allergic reactions to medications or other substances? ___Yes X No
Do you exercise regularly? ___ Yes X No
•If so, what type of exercise and how frequent? N/A
Do you smoke? ___Yes X No How much? N/A
Do you drink alcohol? X Yes ___ No How much? 4 drinks a week
Do you take medications? X Yes ___ No Please list names & how often ?

MEDICATIONS:
Budesonide (Pulmicort) once a day

C. MEDICAL PROBLEM
___ Diabetes ___ Glaucoma X High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
X Liver Diseases ___ Stroke ___ Heart Attack
___ Cancer ___ OTHERS (specify):

b. Sympathomimetic Symptoms 
a. Hyperglycemic Symptoms  Diaphoresis:  No
Polyuria:  No Agitation:  No
Polydipsia: No Tremor:  No
Blurred vision: No Palpitations: No
Insomnia: No

c. Neuroglycopenic Symptoms 
Confusion:  No
Lethargy:  No
Somnolence:  No
Amnesia: No
Stupor:  No
Seizures:  No

D. FAMILY HISTORY
___ Diabetes ___ Glaucoma X High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
X Liver Diseases ___ Stroke ___ Heart Attack
___ Cancer

E . REVIEW OF SYSTEMS

General:  denies fatigue, malaise, fever, weight loss

Eyes:  denies blurring, diplopia, irritation, discharge
Ear/Nose/Throat:  denies ear pain or discharge, nasal obstruction
or discharge, sore throat
Cardiovascular:  denies chest pain, palpitations, paroxysmal nocturnal dyspnea,
orthopnea, edema
Respiratory: denies coughing, wheezing, dyspnea, hemoptysis
Gastrointestinal:  reports abdominal pain, dysphagia, nausea, vomiting, diarrhea,
swelling of the abdomen (ascites) and in the hip,
Genitourinary:  denies hematuria, frequency, urgency, dysuria, discharge,
impotence, incontinence
Musculoskeletal:  denies back pain, joint swelling, joint stiffness, joint pain
Skin:  reports itching, denies rashes, lumps, sores, lesions, color change
Neurologic: denies syncope, seizures, transient paralysis, weakness
Psychiatric: denies depression, anxiety, mental disturbance, difficulty
 sleeping, suicidal ideation, hallucinations, paranoia
Endocrine: denies polyuria, polydipsia, polyphagia, weight change,
heat or cold intolerance
Heme/Lymphatic:  denies easy or excessive bruising, history of blood transfusions,
anemia, bleeding disorders, adenopathy, chills, sweats
Allergic/Immunologic:  denies urticaria, hay fever, frequent UTIs; denies HIV high
risk behaviors

F. PHYSICAL EXAM

General Appearance: appears to be weak, and experience loss of appetite

Eyes:  yellowish
Ears, Nose, Mouth, Throat:  TM clear, nares clear, oral exam WNL
Respiratory:  clear to auscultation and percussion, respiratory effort normal
Cardiovascular:  regular rate and rhythm, S1-S2, no murmur, rub or gallop,
no bruits, peripheral pulses normal and symmetric, no cyanosis,
clubbing, edema or varicosities
Skin:  clear, good turgor, color WNL, no rashes, lesions, or ulcerations

G. ORDERS
a. Liver panel
b. Health Education/counseling (time) : 10 minutes
c. Coordination of Health Care (time): 20 minutes
d. Follow -up/ Return Visit: 6 months

H. LABORATORY RESULTS

Liver function test

>Unconjugated bilirubin is taken up by the liver and then conjugated.
>Hyperbilirubinaemia may not always cause clinically-apparent jaundice (usually visible >60 umol/l).
>Inflammation triggering an acute phase response which temporarily decreases the liver’s
production of albumin
 PATIENT DATABASE

HEALTHYWAVE HOSPITAL
Rizal Avenue, Batangas City
Batangas (4200)
ISO 9001: 2016 CERTIFIED

Keeping you well

PATIENT DATABASE

PATIENT INFORMATION

Patient ID: 11142019

Full Legal Name (First, Middle, Last, Suffix) :

JOHN MICHAEL A. GARCIA

Gender: Female Marital status: Married

Age: 49 years old

Date of Birth Race Preferred language

03-Jun-71 FILIPINO TAGALOG

Complete Mailing Address (Street, City, State, Zip Code, County)

SAMPAGUITA ST. BARANGAY 19, BATANGAS CITY, BATANGAS (4200), PHILIPPINES

Contact Number: 09654900804 Email: jmgarcia@gmail.com

Weight: 65 kg Height: 172 cm

A. VITAL SIGNS

Temperature: 36.1 Degree Celcius Respiratory Rate: 20 cycles per minute

Pulse Rate: 72 bpm Blood Pressure: 150/100 mmHg

B. MEDICAL HISTORY
Are you in good health? xYes ___No
Any allergic reactions to medications or other substances? ___Yes X No

Do you exercise regularly? X Yes ___No

•If so, what type of exercise and how frequent? Aerobic Exercise, 2 times a week
Do you smoke? ___Yes X No How much? N/A
Do you drink alcohol? ___ Yes X No How much? N/A
Do you take medications? X Yes ___ No Please list names & how often ?

MEDICATIONS:

Losartan TABS 50 MG 1 po qd
 PATIENT DATABASE
C. MEDICAL PROBLEMS
x Diabetes ___Glaucoma __ Retinal Detachment
__Macular Degeneration ___ Cataracts ___Heart Attack
___Liver Diseases ___Stroke ___ Hypertension
__Cancer ___Others (specify)

b. Sympathomimetic Symptoms 
a. Hyperglycemic Symptoms  Diaphoresis: No
Polyuria: No Agitation: No
Polydipsia: No Tremor: No
Blurred vision: No Palpitations: No
Insomnia:No

c. Neuroglycopenic Symptoms 
Confusion: No
Lethargy: No
Somnolence: No
Amnesia: No
Stupor: No
Seizures: No

D. FAMILY HISTORY
xDiabetes ___Glaucoma x High blood pressure
__Macular Degeneration ___ Cataracts __ Retinal Detachment
__Liver Diseases x Stroke x Heart Attack
__Cancer

E. REVIEW OF SYSTEMS

General: denies fatigue, malaise, fever, weight loss

Eyes: verbalized blurring, denies diplopia, irritation, discharge
Ear/Nose/Throat: denies ear pain or discharge, nasal obstruction
or discharge, sore throat
Cardiovascular: verbalized chest pain, palpitations, deniesparoxysmal nocturnal dyspnea,
orthopnea, edema
Respiratory: denies coughing, wheezing, dyspnea, hemoptysis
Gastrointestinal: denies abdominal pain, dysphagia, nausea, vomiting,
diarrhea, constipation
Genitourinary: denies hematuria, frequency, urgency, dysuria, discharge,
impotence, incontinence
Musculoskeletal: denies back pain, joint swelling, joint stiffness, joint pain
Skin: denies rashes, itching, lumps, sores, lesions, color change
Neurologic: denies syncope, seizures, transient paralysis, weakness, paresthesias
Psychiatric: denies depression, anxiety, mental disturbance, difficulty sleeping,
suicidal ideation, hallucinations, paranoia
Endocrine: denies polyuria, polydipsia, polyphagia, weight change,
heat or cold intolerance
 PATIENT DATABASE
Heme/Lymphatic: denies easy or excessive bruising, history of blood transfusions, anemia,
bleeding disorders, adenopathy, chills, sweats
Allergic/Immunologic: denies urticaria, hay fever, frequent UTIs; denies HIV high risk behaviors

F. PHYSICAL EXAM

General Appearance: well developed, well nourished, no acute distress

Eyes: conjunctiva and lids normal, PERRLA, EOMI, fundi WNL
Ears, Nose, Mouth, Throat: TM clear, nares clear, oral exam WNL
Respiratory: clear to auscultation and percussion, respiratory effort normal
Cardiovascular: irregular rate and rhythm, no cyanosis, clubbing, edema or varicosities
Skin: clear, good turgor, color WNL, no rashes, lesions, or ulcerations

G. ORDERS
a. Urinalysis
b. Electrocardiogram
c. Health Education/counseling (time) : 10 minutes
d. Coordination of Health Care (time): 20 minutes
e. Follow -up/ Return Visit: 2 weeks

H. LABORATORY RESULTS

a. Electrocardiogram
PATIENT DATABASE
 PATIENT DATABASE

k behaviors
 HEALTHYWAVE HOSPITAL
Rizal Avenue, Batangas City
Batangas (4200)
ISO 9001: 2016 CERTIFIED

Keeping you well

PATIENT DATABASE

PATIENT INFORMATION

Patient ID: 09231999

Full Legal Name (First, Middle, Last, Suffix) :

JAKE CRUZ RAMOS

Gender: Male Marital Status: Married

Age: 56 years old

Date of Birth Race Preffered language
18-Mar-64 FILIPINO TAGALOG

Complete Mailing Address (Street, City, State, Zip Code, County)

MS. PHILIPPINES ST. BARANGAY 20, BATANGAS CITY, BATANGAS (4200), PHILIPPINES

Contact Number: 09207729111 Email: jakecramos@gmail.com

Weight: 60 kg Height: 147 cm

A. VITAL SIGNS

Temperature: 36.3 Degree Celcius Respiratory Rate: 17 cpm

Pulse Rate: 79 bpm Blood Pressure: 120/80 mmHg

B. MEDICAL HISTORY
Are you in good health? ___Yes X No
Any allergic reactions to medications or other substances? ___Yes X No

Do you exercise regularly? X Yes ___No

•If so, what type of exercise and how frequent? Aerobic Exercise, 2 times a week
Do you smoke? ___Yes X No How much? N/A
Do you drink alcohol? ___ Yes X No How much? N/A
Do you take medications? X Yes ___ No Please list names & how often ?

MEDICATIONS

Amlodipine/Benazepril, 2.5/10 ; 1 capsule by mouth every day

Niacin, 500 mg by mouth twice a day
Ezetimibe/Simvastatin, 10mg/40mg by mouth every night
Complementary/Alternative Medication: None

C. MEDICAL PROBLEMS
___ Diabetes ___ Glaucoma X High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
___ Liver Diseases ___ Stroke ___ Heart Attack
___ Cancer X Others (Specify)- Hypercholesterolemia, 2007 ,
Degenerative Disk Disease, 2000’s

b. Sympathomimetic Symptoms 
a. Hyperglycemic Symptoms  Diaphoresis: No
Polyuria: No Agitation: No
Polydipsia: No Tremor: No
Blurred vision: No Agitation: No
Insomnia:No

c. Neuroglycopenic Symptoms 
Confusion: No
Lethargy: No
Somnolence: No
Amnesia: No
Stupor: No
Seizures: No

FAMILY HISTORY
X Diabetes ___ Glaucoma ___ High blood pressure
___ Macular Degeneration ___ Cataracts ___ Retinal Detachment
___ Liver Diseases X Stroke X Heart Attack
___ Cancer

E . REVIEW OF SYSTEMS

General:  denies fatigue, malaise, fever, weight loss

Eyes:  denies blurring, diplopia, irritation, discharge
Ear/Nose/Throat:  denies ear pain or discharge, nasal obstruction
or discharge, sore throat
Cardiovascular:  denies chest pain, palpitations, paroxysmal nocturnal dyspnea,
orthopnea, edema
Respiratory: denies coughing, wheezing, dyspnea, hemoptysis
by cold air, exercise or exposure to allergens
Gastrointestinal:  denies abdominal pain, dysphagia, nausea, vomiting, diarrhea,
constipation
Genitourinary:  denies hematuria, frequency, urgency, dysuria, discharge,
impotence, incontinence
Musculoskeletal:  denies back pain, joint swelling, joint stiffness, joint pain
Skin:  denies rashes, itching, lumps, sores, lesions, color change
Neurologic: denies syncope, seizures, transient paralysis, weakness
Psychiatric: denies depression, anxiety, mental disturbance, difficulty
sleeping, suicidal ideation, hallucinations, paranoia
Endocrine: denies polyuria, polydipsia, polyphagia, weight change,
heat or cold intolerance
Heme/Lymphatic:  denies easy or excessive bruising, history of blood transfusions,
anemia, bleeding disorders, adenopathy, chills, sweats
Allergic/Immunologic: 
denies urticaria, hay fever, frequent UTIs; denies HIV high
risk behaviors

F. PHYSICAL EXAM

General
Appearance:  well developed, well nourished, no acute distress
Eyes:  conjunctiva and lids normal, PERRLA
Ears, Nose, Mouth, Throat: 
TM clear, nares clear, oral exam WNL
Respiratory:  clear to auscultation and percussion, respiratory effort normal
Cardiovascular:  regular rate and rhythm, S1-S2, no murmur, rub or gallop,
no bruits, peripheral pulses normal and symmetric, no cyanosis,
clubbing, edema or varicosities
Skin:  clear, good turgor, color WNL, no rashes, lesions, or ulcerations

H. ORDERS
a. Lipid Profile Test
b. Electrocardiogram
c. Health Education/counseling (time) : 5 minutes
d. Coordination of Health Care (time): 20 minutes
e. Follow -up/ Return Visit: 3 months

I. LABORATORY RESULTS

a. Lipid Profile