April 16, 2012

1) Cuenco, Susan 65/F O/M 1638845 CC: follow-up O: 80, 170/90, 14, 36.6 A: Hypertension, Stage I uncontrolled, DM Type II MPS P: DM diet, LSLF Diet Inc. Fluid Intake Acute Mgt: Given Captopril, 25mg/tab once, BP monitored after 15mins. Home Meds: Losartan 50mg/tab OD Metformin+HCTz 500mg/tab TID Captopril 25mg/tab SL prn for BP >160/100mmHg Vit.B+E Complex tab OD Tramadol+Paracetamol 37.5/375/tab q8 for pain Episone 50mg/tab BID for 5days Glimeperide 2mg/tab OD before Breakfast April 18, 2012 Repeat FBS,TG,TC after 1month 1) Loreto, Sarita 64/M O/M 1662625 TCB after 1 month CC: Hemoptysis Well advised O: 67, 140/100, 23, 36.1 A: Hypertensive Urgency, HPN St.II, PTB Suspect, 2) Elisa, Catalina 63/F N/NM Dyslipidemia CC: Epigastric pain P: LSLF diet, Adequate Fluid Intake O: 80, 150/100-130/90, 17, 36.9 Still for Sputum AFB (3x) A: Dyspepsia with Alarm, HPN St.II Acute Management: P: DM diet, LSLF Diet Given Olmesartan+Amlodipine 40/5mg tab, Adequate Fluid Intake BP monitoring after 30mins. Acute Mgt: Outcome: BP lowered to 120/80 Given Captopril, 25mg/tab once, BP Therapeutics: monitored after 15mins. Shift to Losartan 50mg/tab OD to Home Meds: Olmeasartan+Amlodipine OD before Losartan 50mg/tab OD breakfast Captopril 25mg/tab SL prn for BP Provastatin 40mg/tab OD >160/100mmHg Vit B Complex OD Omeprazole 20mg/tab OD 30mins before MV OD breakfast Exercise 30mins (3x/week) For UTZ (abdomen), CBC, UA, HDL, LDL,FBS,TG,TC, Healthy lifestyle Na, K, BUN, Crea Well advised TCB with results Well advised April 17, 2012 2) Vilaruel, MArita 52/F N/NM 1664298 CC: high BP (160/100) A: Hypertensive Urgency, HPN St.II

1) Ferrer, Emelda 60/F 1508994 CC: on and off inflamed middle finger O: 66,160/100, 17, 35 A: T/C OA, HPN St.II uncontrolled S/Pexcision breat mass, S/P LAP TAHBSO, S/P exicion lipoma, S/P incisional hernia P: LSLF diet, inc.fiber in diet Inc. OFI Acute Mgt: Given Captopril, 25mg/tab once, BP monitored after 15mins. Outcome: BP lowered to 120/100mmHg Home Meds: Meloxicam 15mg/tab prn for pain Enalapril+HCTz 500mg/tab TID Captopril 25mg/tab SL prn for BP >160/100mmHg Advised cessation of smoking Healthy lifestyle Well advised

P: LSLF Diet Inc. OFI Acute Mgt: Given Captopril, 25mg/tab once, BP monitored after 15mins. Outcome: BP lowered to 150/80 For CBC, UA, HDL, LDL,FBS,TG,TC, Na, K, BUN, Crea, 12L ECG, CXR PA Home Meds: Losartan 50mg/tab OD Captopril 25mg/tab SL prn for BP >160/100mmHg TCB with results Well advised 3) Comio, Cater 55/M O/M 2377172 CC: Chest pain O: 77, 180/120, 18, 36.5 A: Hypertensive Urgency, HPN St.II uncontrolled P: LSLF diet, Adequate Fluid intake For CBC, UA, HDL, LDL,FBS,TG,TC, Na, K, BUN, Crea, 12L ECG, CXR PA Acute Mgt: Given Captopril, 25mg/tab, BP monitored after 15mins. Outcome: BP lowered from 180/120 to 160/100 to 180/100, 170/100 After Acute Mgt : A: t/c Stable angina, HPN St.II uncontrolled TCB with results Well advised RIC: Dr. Magbitang/JI:Buton 4) Eduardo, Deleon 45/M N/M 1664296 CC: Urinary frequency O: 96, 170/100, 16, 36.2 A: HPN St.II poorly controlled, BPH, R/O DM type II P: LSLF diet, Inc. OFI For CBC, UA, HDL, LDL,FBS,TG,TC, Na, K, BUN, Crea, 12L ECG, CXR PA, Prostate UTZ Acute Mgt: Given Captopril, 25mg/tab SL, BP monitored after 15mins. Outcome: BP lowered from 180/120 to 160/100 to 180/100 Larm, 200/100 R arm Then, given Olmesartan+Amlodipine 40/5mg tab and Captopril (2x) 25mg/tab

SL, BP monitored after 15mins. BP: 170/100 R&L arm Outcome: BP lowered to R 170/100 & L 160/90 April 19, 2012 1) Milagros Surbano 57/F N/M 1664398 CC: cough O: 74, 180/110, 17, 36.7 A: URTI prob viral t/c allergic cough, HPN St.II P: LSLF diet, Inc. OFI For CBC, UA, HDL, LDL,FBS,TG,TC, Na, K, BUN, Crea, 12L ECG, CXR PA Acute Mgt: Given Captopril, 25mg/tab SL (2x), Given Imidapril HCl+HCTz 10/12.5mg tab BP monitored q 15mins. Outcome: BP lowered to 160/100 R arm 2) Benedicto, Charito 72/F O/M 1620912 CC: Increase in BP O: 60, 17, 36.2, 180/90 (initial BP) A: HPN St.II, HCVD P: LSLF diet, Increase Fluid Intake Acute Management: Given Captopril, 25mg/tab, BP monitored after 15mins. Outcome: BP lowered from 180/120 to 160/90 to 130/90 Therapeutics: Losartan+HCTz (50mg/12.5mg)tab OD before breakfast Captopril 25mg/tab SL prn for BP >160/100mmHg ASA 80mg/tab Vit B Complex OD Simvastatin 30mg/tab OD HS Daily BP monitoring and record Exercise 30mins (3x/week)in the afternoon Healthy lifestyle Well advised RIC: Dr. Soriano/JI:Caoile

April 20, 2012 1) Cherry Ann Andres 33/F O/M 1664208 CC: dizziness and headache O: 68, 100/60, 19, 36.3 A: Lateral Neck mass t/c lymphadenopathy etiology to be determined P: DAT, Inc.OFI Still for neck UTZ, CBC Acute Mgt: Given Cinnarizine 25mg/tab PO ,twice Given Paracetamol 500mg/tab PO, once Outcome: (-)dizziness and headache after 1 Hour Home Meds: Cinnarizine 25mg/tab TID x 7days 500mg/tab 1 tab q6 for headache TCB with results Well advised 2) Danica Villanueva 20/F O/M CC: for follow-up O: 88, 38.3, 110/70, 17 A: Chronic Viral Hepatitis, AUB P: DAT, Inc. OFI Still for CBC with Pt Home Meds: Essentiale Forte 1cap TID Calamine lotion TID Paracetamol q6 prn for pain Tranexamic Acid TIDx3days 3) Joven Umali 20/M N/M 1664345 CC: Dyspnea O: 125, 90/70, 18, 37.1 A: Hyperthyroidism, Tachycardia P: DAT, Adequate Fluid intake For CBC, TSH, FT3, FT4, 12L ECG Acute Mgt: Given Propanolol 10mg/tab PO (2x) Outcome: (-)dyspnea, HR:97 bpm Home Meds: Paracetamol 500mg/tab q4 for fever >37.8 TCB for ff-up Well advised

4) Alejandro Robles 52/M O/M 166077 CC: Follow-up O: 83, 150/100, 18, 35.5 A: Cellulitis L foot, DM type II, HPN St.I P: LSLF diet, DM diet Adequate OFI Still for HBa1c, FBS Acute Mgt: Given Captopril, 25mg/tab SL (2x), BP monitored after 15mins. Outcome: BP lowered to 130/80 Home Meds: Clindamycin 300mg/cap