Centro Preventivo

Jared Hernández Langa

CP8235

03/22/2024
22 de marzo de 2024

Jared Hernández Langa

Villas de Carraízo
Calle 51 S-50
Trujillo Alto, PR 00976

Estimado señor Hernández:

Wellness Alliance le presenta los resultados de su evaluación Centro Preventivo.

Su historial médico no refleja enfermedades crónicas.

Su presión arterial es 96/53 mmHg y está normal. Su peso actual es 163 libras y su índice de masa
corporal es 25.53, lo cual indica que está en sobrepeso.

Las pruebas de hematología realizadas nos muestran que tanto sus células rojas como blancas están
normales. La hemoglobina es normal y sus plaquetas son normales.

La química sanguínea demuestra:

• Su glucosa es normal.
• La función de los riñones (BUN y Creatinina) es normal.
• Las enzimas del hígado, AST y ALT están normales.
• Los niveles de electrolitos sodio, potasio y cloro son normales.
• Su fosfatasa alcalina es normal.
• La bilirrubina total es normal.

El nivel de colesterol total es normal. El colesterol HDL (bueno) es normal. El colesterol LDL (malo) es
normal. El colesterol VLDL es normal. El nivel de Triglicéridos es normal.

El Urianálisis demuestra que la glucosa en orina es normal. Las proteínas en orina son negativas. La
sangre en orina es negativa. Los nitritos y leucocitos en orina están negativos.

El nivel de TSH evalúa el estado de la glándula tiroidea, y se encuentra normal.

La alianza de salud para su empresa

90 carr 165 suite 504 Centro Internacional de Mercadeo II Guaynabo, PR 00968-8067

[Link]
La prueba de Hepatitis C es no reactiva.

Las pruebas de enfermedades de transmisión sexual HIV, sífilis, Clamidia y gonorrea son negativas.

La prueba de visión es deficiente en visión cercana. La prueba de audición es normal.

Su cernimiento de Salud Mental es negativo para Depresión.

Después de evaluar los hallazgos del Programa Centro Preventivo surgen las siguientes
recomendaciones:

1. Evaluación con su médico primario para el manejo de la globulina disminuida.

2. Programa de ejercicio cardiovascular.
3. Evaluación con su oftalmólogo.
4. Se recomienda vacunarse contra Influenza anualmente y administrar refuerza de Vacuna contra
el Tétano cada 10 años.

Atentamente,

Ángel L. Soto Vega, MD, MPH

Director Médico
Wellness Alliance

La alianza de salud para su empresa

90 carr 165 suite 504 Centro Internacional de Mercadeo II Guaynabo, PR 00968-8067

[Link]
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033941133 8/09/2000 23 Años M 1de 1

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033941133 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 6:54PM CVV MTD

Test Units Results Flags Normal Range

CBC

WHITE BLOOD CELL (WBC) X10E3/uL 5.66 4.80 10.80

RBC X10E6/uL 5.11 4.50 6.10
HEMOGLOBIN (HGB) g/dL 15.1 14.0 18.0
HEMATOCRIT (HCT) % 45.3 42.0 54.0
MCV fL 88.6 81.0 99.0
MCH pg 29.5 25.6 32.2
MCHC g/dl 33.3 31.0 37.0
RDW % 13.7 11.6 14.8
PLATELET COUNT x10E3/uL 252.0 150.0 450.0
MPV FL 10.8 HIGH 7.4 10.4

AUTOMATED DIFFERENTIAL:

NEUTROPHILS % 53.5 42.0 75.0

LYMPHOCYTES % 35.2 20.0 50.0
MONOCYTES % 9.2 1.7 9.3
EOSINOPHILS % 1.6 0.0 5.4
BASOPHILS % 0.5 0.0 2.0
IMMATURE GRANULOCITES % 0.2 0.0 0.5
NEUT # x10E3 3.03 2.00 6.90
LYMPH # x10E3 1.99 0.60 3.40
MONO # x10E3 0.52 0.11 0.59
EOS # x10E3 0.09 0.00 0.70
BASO # x10E3 0.03 0.00 0.20
IMMATURE GRANULOCITES x10E3 0.01 0.00 0.50
BY XN-2000
TEST VALIDATED BY: L:8749-MARIA TORRES 3/22/2024 6:54PM
Sample ID: 034004348 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033942775 8/09/2000 23 Años M 1de 1

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033942775 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 8:50PM CVV VAS

Test Units Results Flags Normal Range

COMPREHENSIVE METABOLIC PANEL

FBS mg/dL 80 70 100

BUN mg/dL 21 9 21
CREATININE mg/dL 1.12 0.40 1.30
BUN/CREATININE RATIO 18.75
SODIUM mmol/L 137 135 150
POTASSIUM mmol/L 4.5 3.4 5.1
CHLORIDE mmol/L 104 90 115
CO2 mmol/L 29.0 20.0 34.0
ANION GAP 8.50 7.00 25.00
CALCIUM mg/dL 9.8 8.0 10.5
TOTAL BILIRUBIN mg/dL 1.1 0.1 1.5
TOTAL PROTEIN g/dL 6.3 6.0 8.8
ALBUMIN g/dL 4.3 3.4 5.3
GLOBULIN g/dL 2.00 LOW 2.10 3.70
ALBUMIN/GLOBULIN RATIO 2.15 1.00 2.80
AST U/L 40 5 59
ALT U/L 28 0 72
ALKP U/L 79 38 150
eGFR mL/min/BSA 81.25
eGFR AFRO-AMERICANS mL/min/BSA >90.00
BY ALINITY c
____________________________________________________________________________
TEST VALIDATED BY: L:9347-VICMARY AROCHO 3/22/2024 8:49PM
Sample ID: 034004350 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033942462 8/09/2000 23 Años M 1de 1

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033942462 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 8:31PM CVV DDN

Test Units Results Flags Normal Range

LIPID PANEL

CHOLESTEROL mg/dL 127

Reference Values
Desirable < 200
Borderline High 200 - 239
High > or = 240
TRIGLYCERIDES mg/dL 47 10 150
ULTRA HDL mg/dL 46
Reference Values
Negative Risk > or = 40
Major Risk < 40
VLDL mg/dL 9.40 5.00 40.00
LDL mg/dL 71.60 0.00 100.00
CHOLESTEROL/HDL 2.76
Female Male
Risk 1/2 Average 3.27 3.43
Risk Average 4.44 4.97
Risk 2X Average 7.05 9.55
LDL/HDL 1.56
Female Male
Risk 1/2 Average 1.47 1.00
Risk Average 3.22 3.55
Risk 2X Average 5.03 6.26
____________________________________________________________________________
BY ALINITY c
TEST VALIDATED BY: L:9153-DESIREE DE JESUS 3/22/2024 8:24PM
Sample ID: 034004350 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033943081 8/09/2000 23 Años M 1de 2

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033943081 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 8:59PM CVV DDN

Test Units Results Flags Normal Range

CHEMISTRY

ULTRA hTSH THIRD GENERATION uIU/mL 1.440 0.300 3.000

Diagnostic Normal Range: 0.350 - 4.940
AACE Range: 0.300 - 3.000
American Association of Clinical Endocrinologists guidelines are that any
patients with TSH outside AACE has an abnormal level which should be
carefully follow but not necessarily treated.
Age
Premature (26-32w) 0.800 - 6.900
Full-term Day 4 1.300 - 16.000
1-11month 0.900 - 7.700
Prepubertal 0.600 - 5.500
Pubertal Children 0.500 - 4.800
BY ALINITY i
____________________________________________________________________________

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033941452 8/09/2000 23 Años M 1de 1

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033941452 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 7:13PM CVV MTD

Test Units Results Flags Normal Range

URINALYSIS BY UN 2000

COLOR Yellow YELLOW

TURBIDITY Clear CLEAR
SPECIFIC GRAVITY 1.029 1.003 - 1.035
REACTION PH 5.5 5.0 - 8.0
GLUCOSE mg/dL Negative NEGATIVE
BILIRUBIN mg/dL Negative NEGATIVE
KETONE Negative NEGATIVE
BLOOD Negative NEGATIVE
PROTEIN mg/dL Negative NEGATIVE
UROBILINOGEN EU/dL 0.2 0.2 - 1.0
NITRITE Negative NEGATIVE
LEUKOCYTES Negative NEGATIVE
MICROSCOPIC ANALYSIS FLOW CYTOMETRY
RBC /uL 0.4 0.0 20.8
RBC HPF 0.07 0.00 3.74
WBC /uL 4.2 0.0 23.2
WBC HPF 0.76 0.00 4.18
SQUAMOUS CELLS /uL 1.2 0.0 38.8
BACTERIA /uL 8.2 0.0 1933.2
BACTERIA HPF 1.48 0.00 347.98
HYALINE CAST /uL 0.14 0.00 1.40
HYALINE CAST LPF 0.41 0.00 4.06
TEST VALIDATED BY: L:8749-MARIA TORRES 3/22/2024 7:13PM
Sample ID: 034004349 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033954408 8/09/2000 23 Años M 1de 1

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033954408 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 25,2024 10:11AM CVV BLAJ

Test Units Results Flags Normal Range

CHLAMYDIA / GC DNA URINE

CHLAMYDIA TRACHOMATIS DNA NEGATIVE NEGATIVE

NEISSERIA GONORRHOEAE DNA NEGATIVE NEGATIVE
Negative Results:
DNA not detected. Specimen is presumtive negative. A negative
results does not rule out infection because results depend on
adecuate specimen collection, abscence of inhibitors, and
sufficient DNA to be detected.
Positive Results:
DNA detected. Organism viability and or infectivity cannot be
inferred since target DNA may persits in the absence of viable
organism.
BY RT-PCR COBAS 4800 ( ) COBAS 6800 ( X )
ROCHE DIAGNOSTICS
TEST VALIDATED BY: L:5795-BRENDA L ARROYO 3/25/2024 10:11AM
Sample ID: 034004351 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033943991 8/09/2000 23 Años M 1de 1

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033943991 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 9:37PM CVV MMT

Test Units Results Flags Normal Range

INMUNOLOGY

SYPHILIS ABS (TREPONEMAL) NON REACTIVE NON REACTIVE

The Reverse Sequence Syphilis Sreening algorithm begins with a treponemal
assay. Reactive results are followed by a nontreponemal assay.
Negative treponemal result: patient can be ruled out for infection.
Positive treponemal result: follow with a nontreponemal assay (RPR).
Non treponemal and treponemal assays are companion test in the diagnosis of
syphilis. The reverse algorithm changes the order of testing, using the
treponemal assay first and non treponemal results if needed.
TEST VALIDATED BY: L:9062-MARANGELIZ MIRANDA 3/22/2024 9:37PM
Sample ID: 034004352 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033943081 8/09/2000 23 Años M 2de 2

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033943081 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 8:59PM CVV DDN

Test Units Results Flags Normal Range

IMMUNOLOGY

HIV Ag/Ab 1/2 FOURTH GENERATION NON REACTIVE NON REACTIVE

Interpretation:
NON REACTIVE: HIV-1 p24 Ag and HIV-1/HIV-2 Ab not detected
REACTIVE: Presumptive evidence of HIV-1 p24 Ag and /or HIV-1/HIV-2 Ab;
perform supplemental confirmatory assays.
A test result that is non reactive does not exclude the possibility of
exposure to or infection with HIV-1 and/or HIV-2. A specimen with a reactive
result should be investigated further with supplemental confirmatory
HIV-specific test, such as immunoblots, antigen tests, and HIV nucleic acid
tests. Pregnant women may give false reactive due to cross reactivity with
anti-hla antibodies produced during pregnancy. Heterophilic antibodies in
human serum can react with immunoglobulins, interfering with in vitro assays
The performance of this assay has not been established for individuals
younger than 2 years of age. Nearly all infants born to HIV-infected
mothers passevely acquire maternal antibody and, in some cases, will
test antibody positive until age 18 months regardless of whether they
are infected. This assay is not intended for use in screening blood,
plasma or tissue donors.
BY ALINITY i HIV CHEMILUMINESCENT MICROPARTICLE ASSAY
TEST VALIDATED BY: L:9153-DESIREE DE JESUS 3/22/2024 8:57PM
Sample ID: 034004350 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Client Information
LABORATORIO CLINICO TOLEDO
CALLE PALMA 51 Col. Tec. Med. P.R. 000908-WELLNESS ALLIANCE - GUAYNABO
Pat. No.: 0000054
ARECIBO, PR 612-4582 Paid 5 Cents Date of Birth Age Sex Page
Exp: 1/31/2025
Num: 033943385 8/09/2000 23 Años M 1de 1

DIRECTOR: LCDA. ILIA M TOLEDO GARCIA Ordering Physician

LIC # 774 CLIA # 40D0657994 TEL: (787) 880-0444 FAX: (787) 880-7281
021119050 1033943385 0047-000908-000-8830 SOTO-VEGA, ANGEL L.
Patient Name Patient ID Collection Date Order Date
HERNANDEZ-LANGA, JARED CP8235 MAR 22,2024 MAR 22,202410:23AM
C/O WELLNESS ALLIANCE - GUAYNABO
Reported On Supervisor M.T.
MAR 22,2024 9:17PM CVV MMT

Test Units Results Flags Normal Range

HEPATITIS

HEP C AB NON REACTIVE NON REACTIVE

A reactive result indicates past, present infection or possibly
a carrier state, but does not substantiate infectivity or immunity.
However, a patient with repeatedly reactive results should be
considered infectious.
The absence of antibodies does not rule out infection with hepatitis
therefore, when the diagnostic of hepatitis is strongly suspected,
sequential repeat testing for hepatitis antibodies is recommended.
Reactive results of hepatitis C should be confirmed by PCR or
supplemental method. Assay performance characteristics have not been
established for newborns, infants, children, or populations of
immunocompromised or immunosuppressed patients. This assay is not
intended for use in screening blood, plasma, or tissue donors.
Heterophilic antibodies in human serum can react with reagent
immunoglobulins, interference with in vitro immunoassays.
BY INDIRECT SANDWICH IMMUNOASSAY
TEST VALIDATED BY: L:9062-MARANGELIZ MIRANDA 3/22/2024 9:17PM
Sample ID: 034004353 Collected: 3/22/2024 *Lab Received: 3/22/2024 6:17PM

ORIGINAL V6.51x
 Cernimiento Visual
Jared Hernández Langa CP8235 3/22/2024

Utiliza espejuelos: No Lejos Cerca

Pass (3) Pass (3)
Agudeza Visual Bilateral 20/25 20/35
Agudeza Visual (derecha) 20/30 20/30
Agudeza Visual (Izquierda) 20/30 20/50
Resultado:
Deficiente en visión cercana
 3/22/2024
Subject Information:
Company: WELLNESS ALLIANCE Hire Date:
Subject ID: 100-00-8235 Language: English
Name: HERNANDEZ LANGA, JARED Location:
Birth Date: 8/ 9/2000
Sex: M
Status: Active
In Program: Yes
Comment:
Audiograms: ANSI S3.6-1989
Date Time Baseline Left Thresholds Right Thresholds 2K, 3K, 4K Results
500 1K 2K 3K 4K 6K 8K 500 1K 2K 3K 4K 6K 8K Left Right
3/22/2024 8:06:50 - 25 20 5 10 10 10 15 15 15 5 5 15 15 5 Missing or invalid d Missing or invalid d
Most Recent Test:
Examiner: Serial: 75390
Model: CCA-200m Cal Date: 12/ 1/2023
Hours Since Last Exposure: Protector Use:
Exposure: Lf Otoscope:
Department: Rt Otoscope:
Job: Training:
Shift: Refer Subject:
Protector Type: Self Eval:
Facility:
Comment:
Most Recent Analysis: Left Right
Standard Threshold Shift (with Age Correction): No No
Possible OSHA Recordable Shift: 29 CFR 1904.10 - 2002 No No
Current OSHA STS Trend (2,3,4K Avg.): 8 8
Speech Frequency Average (.5,1,2,3K Avg.): 15 Normal 10 Normal
High Frequency Average (4,6,8K Avg.) 11 Normal 11 Normal

Left Audiogram Right Audiogram

Hearing Level (dB)
Hearing Level (dB)

Frequency (Hz) Frequency (Hz)

Left Right Baseline

Examiner Date Subject Date

Subject Summary