Health Case X-Ray

Health case details

Client personal details

Family name: CHERECHI

Given names: ESTHER NNONYECHI

Gender: FEMALE

Date of birth: 16 Apr 1999

Country of birth: NIGERIA

Client identity details

Identity document presented: Original Passport

Identity document number: B50357557

Issuing country: NIGERIA

Date of issue: 13 Sep 2023

Date of expiry: 12 Sep 2028

Source: Clinic

Client visa details

IME: Non EDE

Upfront medical type: Worker

IME# 20928290

UMI# U011079120

Additional Information

Preferred language

English

Contact channels

Contact type Contact details Primary Comments

E-mail (Personal) ****************@*****.*** Yes - Address (Home) NO 26, CHRIST ANGLICAN CHURCH, OYIBO, PORT HARCOURT, RIVERS STATE, NIGERIA

Yes -

Client Declaration

The client stated that they read and understood the department's use of the information they have provided. Examinations required for this visa application

Exam Status Clinic

501 Medical Examination Completed Qlife Family Clinic 502 Chest X-ray Examination Completed Qlife Family Clinic 707 HIV test Completed Qlife Family Clinic

712 Syphilis Test (VDRL or RPR) Completed Qlife Family Clinic 704 Serum Creatinine Completed Qlife Family Clinic Health Case attachment

Document Type Attached

Other Yes

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Signed eMedical client declaration Yes

501 Medical Examination

Exam description Full physical medical examination report required Exam status Finalised

Reason requested Required under policy

Clinic Qlife Family Clinic

Exam date 25-Jun-2024

Confirm Identity

Issuing country NIGERIA

Identity document presented Original Passport

Identity document number B50357557

Date of issue 13 Sep 2023

Date of expiry 12 Sep 2028

Do you have identity concerns? No

Medical History

Tuberculosis (TB), treatment for tuberculosis? No

Close household contact with Tuberculosis (TB)? No Prolonged medical treatment and/or repeated hospital admissions for any reason, including a major operation or psychiatric illness

No

Psychological/Psychiatric Disorder (including major depression, bipolar disorder or schizophrenia)

No

An abnormal or reactive HIV blood test No

An abnormal or reactive Hepatitis B or Hepatitis C blood test? No Cancer or Malignancy in the last 5 years No

Diabetes No

Heart condition including coronary disease, hypertension, valve or congenital disease No Blood condition (including thalassemia) No

Kidney or Bladder Disease No

An ongoing physical or intellectual disability affecting your current or future ability to function independently or be able to work full-time (including autism or developmental delay) No

An addiction to drugs or alcohol No

Are you taking any prescribed pills or medication (excluding oral contraceptives, over-the counter medication and natural supplements)? Please list No

Are you pregnant? No

Client Declaration

The client has provided true and correct medical history information. Doctor declaration

Doctor Olutayo Olasimbo LABIYI has discussed the client's medical history with the client. Attachments

Document Type Attached

- -

Basic questions

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Chaperone

Chaperone present? No - offer declined

Interpreter

Interpreter used?: No - not required

Height & Weight

Height : 163

Height percentile : -

-

Weight : 95

Weight percentile: -

-

Body Mass Index (BMI) : 35

Head circumference

Head circumference: -

Head circumference percentile: -

Blood pressure

Initial blood pressure

Systolic: 117

Diastolic: 67

Eyes

Visual acuity with or without correction: At least one eye is 6/6, 6/9, 6/12 or 6/18 Best distance visual acuity (with or without correction): Left eye: -

Right eye: -

Urinalysis

Initial exam

Exam date: 25 Jun 2024

Type of test: Dipstick

Blood: Negative

Protein: Negative

Glucose: Negative

Detailed questions

All systems

Cardiovascular system Normal

Respiratory system Normal

Nervous system: Sequelae of stroke or cerebral palsy, other neurological disabilities Normal Gastrointestinal system Normal

Musculoskeletal system (including mobility for all persons 60 or more years of age) Normal Endocrine system Normal

Brain and cognition

Mental and cognitive status Normal

Intellectual ability Normal

Ears, nose, throat and mouth

Eyes (including fundoscopy) Normal

Ear/nose/throat/mouth Normal

Hearing Normal

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Miscellaneous

Skin and lymph nodes Normal

Breast examination where clinically indicated N/A

Are there any physical or mental conditions which may prevent this person from attending a mainstream school, gaining full employment or living independently now or in the future? No

Evidence of drug taking (for example venous puncture marks) Absent Examiner Declaration

I declare that this health examination report is a true and correct record of my findings: Doctor Olutayo Olasimbo LABIYI

Date of Declaration: 03 Jul 2024

Provide Grading

Grading: A Grading

502 Chest X-ray Examination

Exam description Full chest x-ray examination report and x-ray is required. Exam status Finalised

Reason requested Required under policy

Clinic Qlife Family Clinic

Exam date 25-Jun-2024

Confirm Identity

Issuing country NIGERIA

Identity document presented Original Passport

Identity document number B50357557

Date of issue 13 Sep 2023

Date of expiry 12 Sep 2028

Do you have identity concerns? No

Pregnancy

Is the client pregnant? No

When does the client expect to give birth? -

Does the client wish to proceed with the required X-ray examination(s)?

-

Client wishes to undergo the x-ray and must agree to the declaration:

-

Pregnancy declaration: -

Attachments

Document Type Attached

Chest x-ray image Yes

X-ray Images

Date of x-ray 25 Jun 2024

Chaperone

Chaperone present? No - offer declined

Interpreter

Interpreter used?: No - not required

Detailed question

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Skeleton and soft tissue: Normal

Cardiac shadow: Normal

Hilar and lymphatic glands: Normal

Hemidiaphragms and costophrenic angles: Normal

Lung fields: Normal

Evidence of Tuberculosis (TB): Absent

Are there strong suspicions of active Tuberculosis (TB)?: No Special findings

Minor findings

Single fibrous streak/band/scar (1.1) No

Bony islets (1.2) No

Apical pleural capping with a smooth inferior border (<1cm, thick at all points) (2.1) No Unilateral or bilateral costophrenic angle blunting (below the horizontal) (2.2) No Calcified nodule(s) in the hilum/mediastinum with no pulmonary granulomas (2.3) No Minor findings (sometimes associated with TB infection) Solitary Granuloma (<1cm and of any lobe) with an unremarkable hilum (3.1) No Solitary Granuloma (<1cm and of any lobe) with calcified/enlarged hilar lymph nodes (3.2) No Single/Multiple calcified pulmonary nodules/micro-nodules with distinct borders (3.3) No Calcified pleural lesions (3.4) No

Costophrenic angle blunting (either side above the horizontal) (3.5) No Findings sometimes seen in active TB or other conditions Notable apical pleural capping (rough or ragged inferior border and/or greater than or equals to 1cm thick at any point) (4.0)

No

Apical fibro-nodular/fibrocalcific lesions or apical micro-calcifications (4.1) No Multiple/single pulmonary nodules/micro-nodules (non-calcified or poorly defined) (4.2) No Isolated hilar or mediastinal mass/lymphadenopathy (non-calcified) (4.3) No Single/multiple pulmonary nodules/masses >= 1cm (4.4) No Non-calcified pleural fibrosis and/or effusion (4.5) No Interstitial fibrosis/parenchymal lung disease/acute pulmonary disease (4.6) No Any cavitating lesion or Fluffy or Soft lesions felt likely to represent active TB (4.7) No Examiner Declaration

I declare that this health examination report is a true and correct record of my findings: Dr Abiodun Oluwole FATADE

Date of Declaration: 01 Jul 2024

Provide Grading

Grading: A Grading

712 Syphilis Test (VDRL or RPR)

Exam description Syphilis testing and results are required Exam status Finalised

Reason requested Required under policy

Clinic Qlife Family Clinic

Exam date 25-Jun-2024

Confirm identity

Confirm identity Yes

-

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Record results

Syphilis test result Non-reactive

Repeat Syphilis test result

Attachments

Document Type Attached

Syphilis laboratory report Yes

707 HIV test

Exam description HIV testing and laboratory results are required. Exam status Finalised

Reason requested Required under policy

Clinic Qlife Family Clinic

Exam date 25-Jun-2024

Confirm identity

Was the client's identity confirmed? Yes

Record results

HIV test result Non-reactive

Repeat HIV test result -

Post test counselling provided -

Attachments

Document Type Attached

HIV test report Yes

704 Serum Creatinine

Exam description Please provide serum creatinine results. Exam status Finalised

Reason requested Required under policy

Clinic Qlife Family Clinic

Exam date 25-Jun-2024

Confirm identity

Was the client's identity confirmed? Yes

Record results

Exam date 25-Jun-2024

Exam description -

Exam results Normal

Attachments

Document Type Attached

Serum Creatinine Yes

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