Medical records of a third party

University of Michigan Certification

E Michigan H Univers 2 System. Page 1 of 3 : 030713680. MRN: Patient Full Name: A Document Type: HIM ROI Authorization 0307/3480 RECEIVED 1st copy - Witness AUG 0 8 2012 3rd copy - Ekra Approved, SCAO CASE NO. HEALTHPORT STATE OF MICHIGAN 12--776- -PZ JUDICIAL DISTRICT Order to Appear and/or Produce JUDICIAL CIRCUIT 22nd COUNTY PROBATE David S. Swartz court telephiore no: Court address Police Report No. (if applicable) > 101 B. Huron, P.O. Box 8645, Ann Arbor, Michigan 48107 (734) 222-3383 Defendani(s)/Respondent(s) Plain'iff(s)/Petllioner(s) I People of the State of Michigan V IN RE: UNIVERSITY OF MICHIGAN HEALTH SYSTEM CCriminal Charge Civil Probate in the matter of IntheNameofthePeopleoftheStateofMichigan.TO: UNIVERSITY OF MICHIGAN HBALTH SYSTEM, 1500 E. MEDICAL CENTER DR., ANN ARBOR, MI 48109 If you requlre speclal accommodattons to use the court because of disablilles, please contact the court Immedletely to make arrangemenls. YOU ARE ORDERED: 1. to appear personally at the time and placa stated below: You may be requfred to appear from time to time and day o day unill excused. IThe court address above lOther: Date Đay Time 2. Testify at trial / examination / hearing. .213.Produce/permitinspectionorcopyingofthefollowingitenis:Anyandallmedicairecords,reports,andtestresults f am 2005 through 2010 regarding patient Aarthi Rao, D/O/B: 12/23/1973, Address: 3118 Village Circle, Ann Arbor, MI 48108. 14. Testify as to your assets, and bring with you the items llsted in line 3 above. 5. Testify at deposition. 16. MCL 600.6104(2), 600.6116, or 600.6119 prohibition against transferting or disposing of property is attached. 37. Other: Person requesting subpoena Telephone no. 78. MICI «ЕчЕНо DAVID R. DRAPER (P43750) (313) 885-6800 EISTIIAM Address 18580 MACK AVENUE Slate Zp Clty GROSSE POINTE FARMS 48236 MI NOTE: If requesting a debtor's examinallon under MCL 600.6110, or an Injunction under item 8. this subpoena must be issued by a judge. For a debtor examination, the affdavit of debtor examinatton on the other side of this S tormmustaisobecompleted.Debtor'sassetscanalsobediscoveredthroughMCR2.305wlthouttheneedfor LANSING an affidavit of debtor examinatlon or issuance of this subppene by a judge. FAII 'IRE TO OBEY THE COMMANDS OF THE SUBPOENA OR APPEAR AT THE STATED TIME AND PLACE MAY SUBJECT YOU TO RENALTY FOR CONTEMPT OF COURT. O10 AUG 08 2012 Court use only Not served Served Judgelytdr Bấr nõ. Date MCL.600.1455,600.1701.600.6110,600.6119,MCR2.506 MC11(6/04)SUBPOENA,OrdertoAppearand/orProduce

Page 2 of 3 MRN: 0 h System. e: AARTHI R . CSN: Document Type: HIM ROI Authorization SUBPOENA Case No. -PZ PROOF OF SERVICE TO PROCESS SERVER: You must make and file your return with the court clerk. If you are unable to complete service, you must CERTIFICATE/ AFFIDAVIT OF SERVICE / NON-SERVICE I OFFICER CERTIFICATE OR AFFIDAVIT OF PROCESS SERVER Icertitythatlamasheriff,deputysheriff,bpailif,appointed Being first duly sworn, I state that i am a legally competent court officer, or attorney for a party [MCR 2.104(A)(2)], and adult who is not a party or an officer of a corporate party, and :(notarlzation not required) that: that: (notarization required) JI sorved a copy of the subpoena, together with ._(including any required fees) by Altachment personal service registeredorcertifiedmail(copyofreturnreceiptattached) on: Name(s) Complete address(es) of service Day, date, time I have personaly attempted to serve the subpoena and required fees, if any, together with onthe following person and have been unable to complete service. Altachment Name(s) Complete address(es) of service Day, date, time Miles traveled Signature Service fee Mileage fee Total fee $ $ $ Title Subscribed and sworn to before me on County, Michigan. Date My commission expires: Signature: Date Depulycourtcserk/Notarypublic Notary public, State of Michigan, County of ACKNOWLEDGMENT OF SERVICE IacknowiedgethatIhavereceivedserviceofthesubpoenaandrequiredfees,Ifany,togetherwith Altachment on Day, date, lime on behalf of Signature AFFIDAVIT FOR JUDGMENT DEBTOR EXAMINATION I request that the court issue a subpoena which orders the party named on this form to be examined under oath before a judge concerning the money or property of: for the following reasons: Signature Sub cribed and sworn to before me on County, Michigan. Date My commission expires: Signature: Depuly couri clerk/Notary public Date Notary public, State of Michigan, County of MGR-2.105

Page 3 of 3 n Health S Univers MRN: 0 h System. Patient Full Name: A Document Type: HIM ROI Authorization STATE OF MICHIGAN IN THE TRIAL COURT FOR THE COUNTY OF WASHTENAW 12- IN RE: UNIVERSITY OF MICHIGAN :770 HEALTH SYSTEM HON. David S. Swartz SRINITHYANANDASWAMI,Petitioner David R. Draper (P43750) THE DRAPER LAW FIRM Attorney for Petitioner 18580 Mack Avenue Grosse Pointe Farms, MI 48236 (313) 885-6800 / ORDER GRANTING PETITIONER'S MOTION TO COMPEL DISCOVERY- MEDICAL RECORDS At a session of said Court held in the City of Ann Arbor, County of Washtenaw, State of Michigan, on AUG 0 8 2012 DAVID S. SWARTZ PRESENT: HON. TRIAL COURT JUDGE Argunenthavingbeenheard,andtheCourtbeingfullyadvised; ITISHEREBYORDEREDthatphotocopiesofAarthiRao'sUniversityofMichigan Health System medical records be provided to Petitioner's counsel, David R. Draper. ITISFURTHERORDEREDthatthisinformationbeprovidedwithinfourteen(14) days from the date of entry of this Order. IT IS SO ORDERED. TRIAL 8UMPODGEANRTZ

M University of Michigan Health System Health Information Management Release of Information Unit 2901 Hubbard Rd #2722 University of Michigan Honlth Systom Ann Arbor, Michigan 48109-2435 Phone: (734) 936-5490 Fax: (734) 936-8571 CERTIFICATION OF MEDICAL RECORDS Aarthi Rao> Patient N lala3l3 Date of Birth: Registration Number: 3071 34.80 Tammi TOH certify that the enclosed records are a true copy of original I, universty or Mi'chican records kept in the normal course of business for: Andthatacompleteandtruecopyofmedicalrecordsforthefollowingdatesofservices 2005-2012 , have been provided. In the case that any records have been omited, the records and reason for omission are listd below: Records confeted Athoroughsearchofourfilescariedoutundermydirectionandcontrolrevealedthatnorecords pertaining to the above individual can be located. TAMU TaN Signed By: Custodian of records 8/aana Job Title: 0910912012 NOTARY PUBLIC unshtenaw In the State of Michigan, County of Contney Genham o,aNotaryPublicofsaidcounty,docertiftythatthieforegoing 1, Se ptembel, 2012 9 instrument was acknowledged before/me on thif day, Lngadny A Signature of Notary 91613014 My commission expires on:

State of Michigan County of Washtenaw Trial Court Subpoena/Order

Original - Return 1st copy - Witness 3rd copy - Extra Approved, SCAO CASE NO. STATE OF MICHIGAN -PZ 12-776 SUBPOENA JUDICIAL DISTRICT Order to Appear and/or Produce JUDICIAL CIRCUIT 22nd COUNTY PROBATE Court telephr te no. 101E.Huro,P.O.Bx645,Am<Dervid.SvSwartz(734)22-3383 Police Report No. (if applicable) Defendant(s)/Respondent(s) Plain'iff(s)/Petitioner(s) INRE:UNIVERSITYOFMICHIGANHEALTH SYSTEM Charge Criminal Civil Probate In the matter of IntheNameofthePeopleoftheStateofMichigan.TO: UNIVERSITYOFMICHIGANHEALTHSYSTEM,1500E.MEDICALCENTERDR.,ANNARBOR,MI48109 Ifyourequirespecialaccomnodationstousethecourtbecauseofdsabils,foasecorntactthecourtrnmetdiatelytomnkearangemernts. YOU ARE ORDERED: 1.toappearpersonallyatthetimeandplacestatedbelow,Youmaybrerequiredtoappearfotimeotimneanddeytodayuntilescused. Other: | The court address above Time Date Day [32. Testify at trial / examination / hearing. 23.Produce/permitinspectionorcopyingofthefollowingitems:Anyandallmedicalrecords,reports,andtcstresuts fum2005through2010regardingpatientAarthiRao,DIO/B:12/23/1973,Address:3118VilageCircle,AnnArbor,MI48108. RECEIVED AUG 0 8 2012 74.Testtfyastoyourassets,andbringwithyoutheitemslistedinline3above. HEALTHPORT 75. Testify at deposition. 16.MCL600.6104(2),600.6116,or600.6119prohibitionagainsttransteringordisposingofpropertyisattached.. 17. Other: Telephone no. 718. (313) 885-6800 DAVID R. DRAPER (P43750) EUSTTTIAM Address 18580 MACK AVENUE "Zip Stale City 48236 MI GROSSE POINTE FARMS must be isued by a judge. For a debtor exarninaton, the affidavit of debtof examination on the oher side of this NS LANSING anaffidavitofdebtorexaminationorissuanceofthissubpoenabyaJudge. FAIIIRETOOBEYTHECOMMANDSOFTHESUBPOENAORAPPEARATTHESTATED 0110 Court use only AUG 0 8 2012 Not served J Served Bar no. Judge/texนddx Date MCL.600.1455,600.1701,600.6110,600.6119,MCR2.506 MC11(6/04)SUBPOENA,OrdertoAppearandlorProduce

STATE OF MICHIGAN IN THE TRIAL COURT FOR THE COUNTY OF WASHTENAW IN RE: UNIVERSITY OF MICHIGAN CASE NO.: /2 -PZ 774 HEALTH SYSTEM HON. David S. Swartz SRI NITHYANANDA SWAMI, Petitioner David R. Draper (P43750) THE DRAPER LAW FIRM Attorney for Petitioner 18580 Mack Avenue Grosse Pointe Farms, MI 48236 (313) 885-6800 ORDER GRANTING PETITIONER'S MOTION TO COMPEL DISCOVERY - MEDICAL RECORDS At a session of said Court held in CAUG O y a2012 State of Michigan, on DAVID S. SWARTZ PRESENT: HON. TRIAL COURT JUDGE Argumenthavingbeenheard,andtheCourtbeingfullyadvised; ITISHEREBYORDEREDthatphotocopiesofAathiRao'sUniversityofMichigan Health System medical records be provided to Petitioner's counsel, David R. Draper. IT IS FURTHER ORDERED that this information be provided within fourteen (14) days from the date of entry of this Order. IT IS SO ORDERED. /S/ DAVID S. SWARTZ TRIAL COURT JUDGE

(', (: ,6A/^' I\ r^//-t 9;'l/ A_7 21 / '/ ,/ *') **r++**AUTO..A6L3L pgs OOO2O2 -E-FOR ROC +at 000000202 11 AB 2.330 ATTN:DAVID DRAPER :r-- DRAPER I-l:LAW FIRM 18580 MACK AVE GROSSE POINTE FARMS MI !-i'-E-r 48236-3251 rrtll!.rlt,htIhll,l,,lilllltll,,t,lt,t!,t.tt,tt.lhtt,tllll,t! !{-- !r- ni<t-- x /O - :r--r E: Er- : r-- - ATTENTION :r-!-I-- E Confidential -r information enclosed. To be viewed by authorized persons only. - -- lf you havg, questioLs..regqrding any.information you have requested, Please call the phone - number on the ehclosed invoice Health inlormalion is reoroduced by HealthPorl. a h€allh hrformation outsourcing service. your with HealthPorl to process healthcare auttroriiieir ioiiCs 6imeOicii rffi;iG.--" --'--- lacility contracts Beproduclions are made lrom the rnedical facility's qfigifrgl r.ecords. bv The rederal confidentiality and slale of these laws and records regulalions, inctuJng thE *i;ttii;;ra;;ffiffiid'IiJAJ"E-r".tl[ii'iifiaislt otiroljt!e}cftefd lf you requesled items that ar€ not maintained in lhe m€dical record, your appropriate.department request lor those items was and will toruyarded be to sent th unoer teDaiai;covd. uELiiiJ, i'nrdrmliion iiiiiitiii'iit6?io e another addreSs is sent separately. nave detivered to This package may or may not conlain medical records, depending on what was requesled and how il was processed. w* \\\ \ >b00* B isi #+');).) $ COl\lFIOTI\l IIAI

( ( , t N d,4, *N;I- NmmRt&x ."s* Thank you for your recent request for medical records from the University of Michigan Hospitals and Health Centers. Please review the attached packet of information. lf you have any questions about the content of the package, please contact the Release of lnformation office at (734)936-5490. Patient Name: Aarthi Rao Patient DOB: l2l 23 I 197 3 Patient ernail (for eDelivery only): Bill to Ship to: Draper Law Firm 18580 Mack Avenue Grosse Pointe Farms Ml 48236 f-ffifi ( i*ilz COIVF IDiI\IIIAL

,tffi* PMR (Printed Medical Record) 4:r ?11 This is NOT the Original Medical Record (OMR) Do NOT attach any loose sheets to this packet!! PMR is to be shredded after use! PMR Content and Order (Note: Content of each PMR depends upon the selection(s) made at run time.) l. PMR Cover ShecVDcmographics: inchded 2. Medical f)ocume-nts: All wirhin 0l/01/2005 ro l23ll2010 3. laboratory Reporrs: All within 0l0l/2fi)5 ro nnln}l} 4. Radiology Reports: All within 0l/012005 to t2/3V20t0 5. Orher Rcporrs: All wittrin 0l/01/2005 to l2ll31/2010 6. pFT: All wirhin 010l/2005 b ta3ln0to 7. Imaged Documenrs: AII within 010l/2005 ro l2:/3l20l0 Universi$ of Michigan Hospitals and Health Centers Demographics : 30713680 Name: RAO. AARTHI DOB: 12/23/1973 Sex: F Age: 38 Years Address: 3 I l8 VILLAGE CIR Tel# - primary e34)274-9320 Cell (734)277-5a28 City: ANN ARBOR State: MI Z,ip:. 48108-2245 Work County: Washtenaw , Race: O-Asian Country: US Refigion: HIN - HINDU SS#: ###-##-4654 Marital Status: M - Married Risk Code: Mother's Neme: MURTHY, NIRMALA Isolation'fype: Fathers's Norne: JANARDHANRAO, SETIIUMADHA Visit Role Doctor# Name TeL iiJii* ATTEND 099999 PHYS,DEFAULTATTENDING O27g PCP 004728 KRAUSE, CHRJSTINE WARD (734W7_s640 O27g 24 Frank Lloyd Wright Dr Domino's Farms Ann Arbor, MI, 48105-9484 RET'ER OO4'128 KRAUSE, CTIRISTINE WARD O27g [iiit].IftsUf*Eia,iIfi f orml|!Q[if =rll :,,,,r,,,:,ii,,,1:i, Comoanv Start Exoire COB Insured Name BOA - BLUE CROSS OUT AREA 0t/0t/2007 I NARAYANAN, MANICKAM Delivered to:_ f$f*i TONF iOTl\l IIAL Date Printed: 0812212012 - 02:20: l3 PM Page I of38 Ccnsrrcd by xslFop

I ( ( fi,+ Reg#:30713680 Name: RAO, AARTHI DOB: 12/23/1973 Sex: F Age: 38 Years if !1i l University of Michigan Hospitals and Health Centers Medical Documents Type Case Date Doctor Patient Serrice Admit DischarSed Signed Service Dept Dete Date LET/NOTE-RV 10106/2010 HOLMSTROM, HEATHER LEE DFM.DF FP Y RESULTS MGT NT 06I16/2010 KRAUSE, CHRISTINE WARD DFM.DF FP Y PHONENO'[E 06/ I I I2OIO KLINKMAN, MICH,AEL SCOT'T BFP FP Y PI{ONE NOTE 06/09 I2OIO KRAUSE, CHRISTINE WARI) DFM-DF FP Y HME 06/0312010 KRAUSE, CHRISTINE WARD DFM-DF FP Y LET/NOTE-RV IO/O2I2OO9 WILLIAMS, JOY CAROL DFM-DF FP Y CONSULT-OUT 06/03 I2OO9 HARTING, MANDY GEN-DF DERM Y HME 05/I2I2AO9 KRAUSE, CHRISTINE WARD DFM-DF FP Y LET/NOTE.RV 04/15/2009 LITTLE, SAHOKO HIRANO DFM-DF FP Y PHONENO'I'E O4/O2I2OO9 ARGENTA, SUSAN J. DFM-DF FP Y LETNOTE-RV O3I25I2OO9 GOLD, KATHERINE JO DFM-DF FP Y RESULTS MGTNT II/261200'7 KININGHAM, ROBERT B DFM-DF FP Y LET/NOTE-RV II/15/2OO'I KININGHAM, ROBERT B DFM.DF FP Y NO-SHOW/CANC 06I I4I2OO7 KRAUSE, CIIRISTINE WARD DFM-DF FP Y EL PHONENOTE 08/08/2006 KRAUSE, CHRISTINE WARD EFP EAA Y LET/NOTE-RV 08/03 12006 KR-AUSE, CHRISTINE WARD DFM-DF FP Y LET/NOTE-RV II/3OI2OO5 KAUFMAN, AMANDA JOY EFP EAA Y LET/NOTE-RV II/2212005 KRAUSE, CHzuSTINE WARD EFP EAA Y LET/NOTE-RV O7II9I2OO5 KRAUSE, CHRISTINE WARD EFP EAA Y HME 06/1612005 KRAUSE, CHzuSTINE WARD EFP EAA Y IOl\li iUIt\IIAL Date Printed: 0812212012 - 02:20:l3 PM Page 2 of38 Gcndrcd by rslFop

( ( 4n ry" Reg#: 30713580 Name: I{AO, AARTIII DOB: l2l23l19'13 Sex: F Age: 38 Years sI t University of Michigan Hospitals and Health Centers Medical Documents .j.iiii.iii,li..iii,.ii.li.:.;.ji :l:l. ::l:i.:lli:. LET/NO'IE-RV 10/0612010 HOLMSTROM, HEATHER LEE DFM-DF FP Re: Itao, Aarthi Reg No: 30713680 Date of Service: 10/06/2010 CtllEF COMPLAINT: Swollen lip for two weeks and knee pain. Aarthi is a 36-year-old female who presents today for the above issues. She reports that about two weeks ago, she noticed some swelling and lumps on her top lip. They were never blisters or pustules. There has been no pain. She has them on both sides of her upper lip. She has been applying ChapStick frequently. Initially, she thought these bumps were insect bites, but finds that they have not completely resolved. She also complains of knee pain. It has occurred for the past three months. She has a history of meniscus surgery on her right knee. On the left knee, there was no trauma, either recent or distant. The worse pain occurs when she has been sitting with her knee in a flex position and goes to stand or when she has positioned herself such that her foot is behind her with her knee fully bent. She has had no numbness, weakness, or tingling. She has not tried anything for her symptoms. She does do some lunges and squats at times. MEDICATIONS: Valtrex as needed afdZnviax. DRUG ALLERGIES: None. Past medical history is reviewed in the PSL. REVIEW OF SYSTEMS: Negative other than above. No fever. Weight l29.2,blod pressure 102/70, pulse 78. She is a well-nourished female, in no acute distress. On her upper lip, she has approximately four or five mildly swollen, nonerythematous, non-vesicular, non-pustular, raised areas that are approximately 2 to 3 millimeters in diameter. They did not cross the vermilion border. She has mild tenderness over the anteromedial knee. There is no joint line tendemess. She has full range of motion of the knee. Lachman's, McMurray maneuvers are negative in the seated position. No joint effirsion palpable. ASSESSMENT AND PLAN: l. Swollen areas on upper lip which are likely a contact dermatitis. I asked her to consider particular chemicals or irritants that she may have used in this area. We will have her use some over-the-counter cortisone cream at night for the next 3 nights as well as take Benadryl at bedtime. If she finds her symptoms are not improving, she should contact us and I will actually refer her to Dermatology. I would be happy to take care of this over the phone without seeing her for the same lesion. Because it crosses the midline, I doubt that it is a viral infection of herpetic nature, although she has a history of that. Certainly, if symptoms worsen, she should contact us. 2. Knee pain, likely secondary to patellofemoral syndrome. Handout provided. She can take anti-inflammatories and fclllowup if symptoms worsen, progressed, or is not improving in the expected amount of time. She is advised to avoid activities where the knee is flexed and then loaded. Department Of Family Medicine Family Medicine at Dominos Farms Heather L. Holmstrom, MD ffi"ryq\ Clinical Lecturer _ffi [0|tjI rr:[ tu IIAL Date Printed: 0812212012 - 02:20:l3 PM s3";;-/ Page 3 of38 Gcnd.tcd by xsllop

( "N ,-, Ao Reg#:30713680 Name: RAO, AARTHI DOBI l2l23ll9'13 /7 Ser: F Age:38 \ Years' i/, University of Michigan Hospitals and Health Centers Medical Documents //Electronically signed by Heather L. Holmstrom, MD on l0lllll0 llt26tl5 PMI Dictated by: Heather Holmslrom, MD/l?001 Dictate Date/Time: 10/06/2010 06:29:53 PM Sent to EHR Date/Time: l0/07/2010 06:10:03 lmport Source: cBay on escaiption DocumentlD: 000807l8lCBE Last Edit Date/Time: l0llll2ol0 2326 15 *.rr**. END OF DOCUMENT .4..... [Ot\jF IOEl\lTIAL Drte Printcd: 08/2212012 - 02:20:13 PM Page 4 of38

) ( ( ,# Reg#: 30713680 Name: I{AO, AARTHI DOB: 12/23/1973 Sex: F Age:38Y"*. vit )C\ Universi$ of Michigan Hospitals and Health Centers Medical Documents RESULTS MGT NT 06116/2010 KRAUSE, CHRISTINE WARD DFM-DF FP Re: Rao, Aarthi Reg No: 30713680 Date of Service: O6/16120lo Patient Name: RAO, AARTHI Reg #: 30713680 DOB:1212311973 - Age: 36 Years Gender: F Daytime Phone (Home) #: (734)274-9320 Alternate Phone (Contact) #: Q3$277-5a28 Provider Comments: Normal cholesterol. Neg HIV test. Lab Results ACCN Number Order Test Code Order Test Name Last Updated ACCN: l0-t65-02055 Collected:06/l 4/2010 07 :56AHMNTI-HMpdated:06/14/201 0 I 6:30 Secure Order ACCN: l0-165-02055 Collected:06/l 4/2010 07:S6CHDCORONARY HEART DISEASE PROFILEUpdated:06/1412010 l3:02 CHoLESTEROL (CHOL)l7l l-200 MG/DL TzuCLYCERIDES (TRIG)46 I-I5O MG/DL HIGH DENSITY LIPOPROTEIN CHOL (HDL)55 40-60 MG/DL LOW DENSITY LIPOPROTEIN CHOL (LDLC)IO7 I.I29 MG/DL NCEP RECOMMENDED GUIDELINES Total Cholesterol: <200 mg/dl Desirable 200 - 239 mg/dl tsorderline High >240 mgldl High Triglycerides: <150 mg/dl Normal 150 - 199 mg/dl Borderline High 200 - 499 mgldl High >500 mg/dl Very High HDl-Cholesterol: <40 mg/dl Lowfundesirable 40 - 60 mg/dl Normal >60 mg/dl High/Desirable (= negative risk for CHD) LDl-Cholesterol: <100 mg/dl Optimal 100 - 129 mgldl Near Optimal 130 - 159 mg/dl Borderline High 160- l89mg/dl High >190 mg/dl Very High COtT IilENTIAL cHouHDL RATIO (CHOL/HDL)3. I 0.04.s Date Printed: 0812212012 - 02:20:I3 PM Page 5 of38 Gmaa.d by ElFop

/ I ( q,'.^6 .. Regr:30713680 N.me: RAO, AARTHI Dolrt l2l23ll9'13 Ser: l- t g: ltl"*" ]q/ University of lVlichigan Hospitals and Health Centers Medical Documents KRAUSE, CHRISTINE W (CWKRAUSE) O6fi6t2lt0 O2:29 pM 3pm mltrc FARRELL, LEE A (FARRELLL) 06/16/2010 03:02 PM LMTRC. GALLAWAY, LISA (LISGALLA) 0611712010 O9:54 AM GALLAWAY, LISA (LISGALLA) 06118/2010 08:14 AM PatieDt retumed call 734,389-5550 PHILLIPS, CHARLENE (CHACURRY) 06122t2O10 08:2t AM Patient notified ofabove and verbalized understanding. LGallaway, LPN Depanment Of Family Medicine Family Medicirc at Dominos Farms Ch stine W. Icause, MD Clioical lnstructor //Electronically signed by Christine W. Krause, MD on 07/Ol/t0 lt:52:.32pWl 06222010IAT9II 222010 o7 0 t20 I 0 I 47 28/ O',t O I 20 I 0 041884055CW8 r*'}.r.lENDoFDoCUMENTr.r.... IOl\JF IilENIIAL Dste Prinled: 08/2212012 - 02:20: l3 PM Page 6 of38

/ ,) t/# ( al, Rcg#:30713680 Name: I{AO, AARIHI DOBt 12/23/1973 Sex: F Age: 38 Years /t-,c\ ) University of Michigan Hospitals and Health Centers Medical Documents PHONE NOTE 06/II/2010 KLINKMAN, MICTIAEL SCOTT BFP FP Re: Rao, Aarthi RegNo: 30713680 DOB: 12/23/1973 Date of Service:. 061 lll20l0 called by patient at 2019h. Has been treated for chalazion (see last note), was initially told that did not need antibiotics, with increased swelling and redness prescription was called in. When she picked it up she was confused as it was an antibiotic. Now, over past 24h her eyelid has improved without antibx, less red, less tender. Has not used antibiotic drops. Does she still need? Discussed. OK to continue without using antibx, can use compresses plus gentle scrubbing. If worsens, can then add antibx. mk Department Of Family Medicine Briarwood Family Medicine Michael S. Klinkman, MD, MS Associate Professor Briarwood Family Practice //Electronically signed by Michael S. Klinkman, MD, MS onOT116/10 10:53:41 AtW/ 061 120 t0 I 3023/06 l r 20 I 0 07 t 620 1013023 / 07 t 620 t0 04l75342lCWB r*****,i END OF DOCUMENT ******* IU[tr rLJiN IiAL Date Printed: 0812212012 - O2: Page 7 of38 Gcn6.a€d by rrlrop

( V,f, I Reg#:30713680 Name: I{AO, AARTHI - tl\DOB:12123/1973 Ser: F Age: 38 y"u.r' 7 \ ' university of Michigan ,aa Hospitals and Health centers Medical Documents #pH+oNtXE Ntt$O:TXE:: :lirtr:ii;rr:t i:r,X+r *tiffiit:it+*rti o6/o9t2oto ;iXiiliriffiXili,,i.',l*iX xnausr, CHmSfnve wa[b-" DFM-DF Re: Rao, Aarthi RegNo: 30713680 DOU: t2/23/1973 Date of Servic e: 06/09 120 l0 REASON FOR CALL Vr. 3.0 PatientName: RAO, AARTHI Provider: krause Reason for Call: Pt was seen by CK last thursday 06-03-10 for a stye in her eye. At that time CK did not think med was required. pt now worsening, gctting states it is bigger and much more uncomfortable. She asks if a med be given to her or called or is into there her pharmacy, something else she should do. Pharmacy: cvs Ph #:734-973-7402 BIGELOW, SUSAN E (SBIGELO) OltOgtZOtO 0l:48 pM Spoke to patient who states left eye is much more swollen,red and contast pain around the chalazion. Should pat ient be seen at DFM? Referral to Ophthalmology now? or Warm compresses for 5 to l0 minutes, 3 or 4 times a day; gentle massage to express the glandular secretions. Careweb note 06/03/t0 Medical Decision Making: Chalazion, left upper eyelid. Improving. If symptoms do not resolve in 3 weeks, she will call our oflice for a referral to Ophthalmology Clinic at the University Michigan of to be seen as available. Diagnosis would be Chalazion, onset 05/30/2010, which has not resolved. Please advise. S.Argenta RN ARGENTA, SUSAN J (SSIMMONS) 06t0gtZOtO 02:02 pM yes do warm compress as above. Gentle massage is ok too. Since area is now red and tender call in rx sodium sulamyd l0% soln 2 gtts L eye g24hr while awake x 5 days. pSL NKDA' If says worsening or not improving next week please send her to "Jme day"-urgent care type opthy clinic to be seen week. next Ifchalazionnotresolvedby6/2lll0refertoopthy. dx:Chalazionnotresolvingonset5/30/10.tobeseenasavailable. ck KRAUSE, CHRISTINE w (CWKRAUSE) o6ltot2}t} 10:45 pM 734-389-55s0 LMTRC Daytime Phone (Home) #: (734)274-9320 LMTRC Alternate Phone (Contact) #: (734)277-542g Husbands work S.Argenta RN ARGENTA, SUSAN J (SSIMMONS) 06lll/2010 09:30 AM [iJ[\t.ril[t\llAL Pt returned Susan's call-seb -06-ll-l09j BTGELOW, SUSAN E (SB :54 AM Date Printed: 08t22/2OlZ - Ocnotcd by xdFop Page 8 of38

( ( .^-.#42", t Reg#: 30713680 Name: RAO, AARTHI DOB: l2l23ll9'13 Sex: F Age: 38 9\q """rr' t, University of Michigan Hospitals and Health Centers Medical Documents Spoke to patient who states her left eye is alittle better. Instructed patient since it is now red and tender Dr.Krause recommends rx sodium sulamyd l0% soln 2 gtts L eye q24 hr while awake x 5 days. Instructed patient to call if further concems or questions. Patient verbalized understanding. S.Argenta RN Dr.Krause should the referal still be sent to Opthy or wait and see if Chalazion is resolved since patient states it is starting to get better? Please advise. S.Argenta RN ARGENTA, SUSAN J (SSIMMONS) o6lrl/20t0 I l:16 AM Urgent visit to Opthy not needed since she is improving. As neexled visit to Opthy can hold while we wait and see if Chalazion resolves. KRAUSE, CHRISTINE W (CWKRAUSE) 06lttl2oto 04:03 PM Spoke to patient and instructed that you do not need a referral to Opthy since your improving.Will wait to see if Chalazion resolves.Please call with concerns or questions.Patient verbalized understanding. S.Argenta RN Department Of Family Medicine Family Medicine at Dominos Farms Christine W. Krause, MD Clinical Instructor Susan J. Argenta, RN Registered Nurse //Electronically signed by Christine W. Krause, MD on 07/0'lll0 02:25:04 PW/ 061 12010/Dx3 l/061 12010 07 0't 20 | 0 I 47 28/ 07 07 20 I 0 04l66002scwB ******* END OF DOCUMENT ******* TIJII IDINIIAL $-Y* \ ":Jltv / Date Printed: 08/22120 Page 9 of38 Gctra.tcd by xslFop

( ( Reg#: 30713680 Name: RAO, AARTIII DOBI 12123/1973 Sex: F Age: 38 Years u . University of Michigan Hospitals and Health Centers Medical Documents ;-r+g€ii.i.i.ii;....i'..... FIME 06/0312010 KRAUSE, CHRISTINE WARD DFM.DF FP Re: Rao, Aarthi RegNo: 30713680 DOB: t2/23/1973 Date of Service: 0610312o10 Health Maintenance Examination History of Present lllness: Routine health maintenance exam. No concerns; chronic conditions stable except as noted below. The patient has had swelling and a lump on her left eyelid for I week. Past Medical, Family, and Social History: Past medical history, family history, and genogram updated on green sheet. The patient's past medical history, medications, and allergies are updated on problem summary list. Family history is significant for diabetes and heart attack in grandfather at age 70. SEXUAL HISTORY: The patient's last menstrual cycle was 0610312010. Menarche age 15. The patient's cycles occur every 30 days and are 3 days in duration. She is a G l, P0 with no plans for pregnancy. She has a history of herpes simplex virus and uses condoms for contraception. She does have some concems about her sexual functioning and is in a sexual relationship. She does wish to continue condoms for contraception. The patient is concemed she had exposure to a new partner I year ago and reports using condoms for conEaception. She wonders ifthrough oral sex or that episodes ofvaginal intercourse she was exposed to sexually transmitted disease. Neither patient nor her husband have any genital discharge or symptoms. SOCIAL HISTORY: The patient is a homemaker. She exercises 2 to 3 times per week. No alcohol, no tobacco. No street drugs. The patient lives with her husband. No specific stressors at this time. REVIEW OF SYSTEMS: The patient has a lump on her left upper eyelid for the last I week. Please see addendum below. PHYSICAL EXAMINATION: General: Blood pressure 92/64,weight is 124.9 pounds, height is 63.8 inches, body mass index of 20, pulse was 64. The patient in no distress. Eyes: Conjunctivae, lids, and irides appeared normal; pupils were equal. ENT: Extemal ears and nose were normal. Mucous membranes were moist. Mouth and throat were normal. Neck: Symmeric and zupple, without masses or thyromegaly. Lungs: Clear, with normal effort. Heart Regular rate and rhythm, without munnur. Breast Exam: Symmetric breasts with dense breast tissue throughout. There is no mass, nipple discharge, nor axillary adenopathy. Genital exam shows normal-appearing labia majora, minora, clitoris, and urethra. Normal perineum and anus. Vaginal mucosa is well-estrogenized. Cervix is normal in appearance, but difficult to fully see secondary to blood consistent with menses in the vaginal vault. Pap smear was IiJ N F IDTl\l IIA L obtained. GC, chlamydia cultures obtained. Cervix did not appear to have any mucopurulent discharge. Bi motion tendemess. No tendemess or masses with adnexal area Date Printed: 0812212012 Page l0 of38 Casal.d by rrlFop

( ( 1-W Reg#:30713680 1\ ,' Nrme: ttAO, AAR-IHl DOBt l2l23ll9'13 Ser: F Age: 18 Years arL\ d University of Michigan Hospitals and Health Centers Medical Documents Uterine size difficult to ewluate secondaq/ to retroversion. Pulses wer€ norrnal, and there was no extremity edema. Abdomen: Soft, nontender, nondistended, and bowel sounds nolmal. No masses or organomegaly. Lymphatic: No cervical or inguinal lymphalenopathy. Musculoskeletal: Gait and posture were normal. 1'here was no clubbing or cyanosis. Skin: Normal turgor aod appearanc€. Psychiatric; Alert aod orieDted, with normal mood and affect. LABORATORY DATA: Reviewed labs throuSh 2009. MEDICAL DECISION MAKING: I . Healthy 36-year-old woman with no plan for pregnancy in the next year. 2. Family planning, continue condoms. f. Genital herp€s. Refilled topical Zovirax ointment and advised valacyclovir for I year supply. 4. Sexually transmitted infection exposure I year ago. HIV counseling was performed and consent signed. Consent will be will be electronically scanned into her electronic chart. If GC or chlamydia retums positiye, we will provide trealment. No pharyngeal or vaginal signs of gooorrhea or chlamydia exam. Nursing will call the patient with HIV rcsults. 5. ImmuDizations. The patient was provided Tdap and Twinrix today. Continue Twinrix to complete series per nurse protocol. PLAN: Discussed diet, exercise, and healthy lifestyle. ADDENDUM: Th€ patient I week ago had new onset ofa lump on the lateral upper left eyelid. The area was app.oximalely the size ofa large pea, red, and painful. The area is no longer painful or rd aod has decreased in size. The patient wonders ifshe needs to b€ seen by an ophthalmologist. The patient has no eye pain, and had no change in her vision. Eye exam . long I centimcter proximal to lhe lid maryin on the left superolateral lid, there is a nonteDder suMemal nodule approximately 9 millimeten x 3 millimete$ in siz€. When the patient everls the eyelid, I see no sign ofpurulence nor abnormality. Medical Decision Making: Chalaziorl lefl upper eyelid lmproving. If symptoms do not resolve in 3 weeks, she \yill call our oflice for a rcferral to Ophthalmology Clinic at the University of Michigan to be seen as available. Diagnosis would be Chalazion, onset 05/30/2010, which has not resolved. Depatment Of Family Medicine Family Medicine at Dominos Farms Christine W. Krause, MD Clinical lnstructor //Elcctronically signed by Christine W. Krausq MD-o105/09/10 lO:25:38 Atvr/ 06042010/c803 o'13't to6o52oto ....-, 1-: ;rii .. Tt]fuFiD[N TIAL l// *l ii1,4/"t ;* "'L'"\ 9\ .'r-V^:l!t \\*%7-,\ ,qI\ Date Priated: 0812212012 - o'mr'd tv dro' 02:20:13 PM I r. '.1 Page I I of38 .., N-7 . e,.,/,i 8',i/ i1+)\:__)/. / \v4cnna -/

v-xr\$ Reg#: 30713680 Name: RAO, AAR'I'II| DORI. t2/23 9.13 Sex: F Age: 38 Years University of Michigan Hospitals and Health Centers IVledical Documents 000384220C8E ..+rr.. END OF DOCUMFNT rrr.*r* IINT iDEl\lTIAL Drt€ Prinled: Page l2 of38

/ ( t .d'nl Reg#:30713680 Name: RAO, AARTHI DOBz 1212311973 Sex: F Age: 38 Y"*, '7 ?') University of Michigan Hospitals and Health Centers Medical Documents tllfIOi!t::i.!:!.:.iii:.::ill::il.:::.:::::::ij:i:r:ii:::::::i::::i:::i:::ii Re: Rao, Aarthi RegNo:30713680 DOB: 12/2311973 Date of Service: 10/02/2009 SUBJECTM: The patient is a 35-year-old female with a history of periorbital dermatitis. She is here today, however, with concems about several papules that have developed on her right upper eyelid near the medial border. She says about a week ago, it started with just I and then subsequently 2 other papules developed. She started using a little bit of her Retin-A 0.05%o cream on and then also yesterday used some MehoGel. She says that seems to have caused the skin to dry up which she has noticed today. She denies any pain or itching around the area. She has noticed that recently her oral dermatitis on her chin in the corners of her mouth has also flared up, but seems to be improving with treatment. No other acute concems today. Current medications were reviewed in CareWeb. No known medical allergies. PHYSICAL EXAM: Weight I l8 pounds, blood pressure 104174, pulse 76. Genetal, alert in no acute distress. Skin exam, on her chin and near her mouth, she has several erythematous papules and I or 2 pustules on the area ofconcem on her right upper eyelid. She has actually some drying skin and 2 remaining papules. The initial lesion appears to be actually resolving with some postinflammatory hyperpigmentation. ASSESSMENT AND PLAN: l. Perioral and periorbital dermatitis. At this point, she can continue with MetroGel lYo and tretinoin 0.05%. Followup, however, if she develops more lesions on other parts ofher face. 2. Influenza vaccine given today. I)epartment Of Family Medicine Family Medicine at Dominos Farms Joy Williams, MD Clinical Lecturer //Electronically signed by Joy Williams, MD on l0ll3l09 07:39:.51 PW/ I 0022009/0 I 3987 6t0t39t92i I 0032009 t0132009 I t 52t2t t0 t32009 053609349CBD D OF DOCUMENT ****r** iilr!i it]INIIAL Date Printed: 0812212012 r Page l3 of38 Crtrq.tcd by x.lFop i

( 6^ ( \9, ^ Reg#: 30713680 Name: t(AO, AARTHI DOB:1212311973 Sex: F Age: 38 Years \Ct University of Michigan Hospitals and Health Centers ' Medical Documents CONSULT-OUT O6IO3/2m9 HARTING, MANDY GEN-DF DERM Re: Rao, Aarthi RegNo:30713680 DOB: 1212311973 Date of Service: O6/0312A09 Christine Ward Krause, M.D. Family Medicine at Domino's Farms 24 Frank Lloyd Wright Dr PO Box 431 Lobby H Ann Arbor, MI 48106 Dear Dr. Krause: Thank you for requesting consultation on your patient's skin problem. Please see below for our findings, including our impression and plan at the end of this letter. CHIEF COMPLAINT: Rash around mouth. HISTORY OF PRESENT ILLNESS: Ms. Rao is a 35-year-old Indian female presenting with a rash around mouth. She says this started towards the end of February with slightly red bumps that looked vesicular. Due to this, it was originally thought to be HSV (negative culture) and she was told to increase her daily Valtrex dosing to twice a day; however, this did not resolve her rash. She then went back to see her primary doctor and these lesions were evaluated again and thought to be flat warts. She was then given tretinoin cream to use on these areas which seemed to help, but they are not completely gone. Additionally, she started developing red pimple-like lesions around these areas as well. These lesions ar€ not itchy or cause her any symptoms in any other way. She is also asking if there is anything topically she can apply to the prominent veins that she sees on her legs. REVIEW OF SYSTEMS: Integument: No other itching, bleeding, or changing skin lesions cunently. No easy bleeding or bruising. ALLERGIES: No known allergies. MEDICATIONS RELEVANT TO PATIENTS COMPLAINTS: Daily Valrrex. RELEVANT PAST MEDICAL HISTORY: Genital warts. RELEVANT FAMILY HISTORY: No history of rosacea or skin cancer in the family. RELEVANT SOCIAL HISTORY: None. PHYSICAL EXAM: The patient is well appearing and in no acute distress. Skin exam of the face and bilateral thighs is performed with the following findings. There are small skin-colored to slightly erythematous papules scattered around periorally. She has also flesh-colored flat papules on her CONF I[iLl(T IAL are spider veins on her biraterar thighs. rr"6y:i*f*\ Daateteprpinrtiendt:e 0d8:to228t2t2ot 2t-2 ooz:tz2o i- ozp:zvo.,afpeu',s{6 '.e**ON-\ tiqil Gc@rdbrErroa Page l4 of38 WlX/ta.'/'\*-.\9

/ ( 4' Reg#:30713680 DOBI 1212311 Age:38 Years r Nrme: RAO, AARTI{I 973 Ser: F I University of Michigan Hospitals and Health Centers Medical Documents IMPRESSION AND PLAN: l. Perioral dermatitis veBus flal wafis. Clinicalty, this appears to be perioral dermatitis, but therc is a secood morphology to the lesions on her chin that can res€mble flat w&ts. We will teat her for perioial d€rmatitis first with doxyryclinc l0O milligrams p.o. b,i.d. for the next 3 wceks, as well as application ofMetroGet b.i.d. Ifthis completely improves her lesions, then she does have p€rioral dermatitis. Ifitdoes no! sh€ is torctum back to dermatology in about a month for rc€valu&tion. 2. Spido veins. We advised her that th€re are no topical treatmenc for spider veins and varicosities. She can pursue cosmetic sclerotherapy for this if she desires in the future. She was advised that it will not be covered by insurance. P.r.D. retum visit was scheduled. Thank you for allowing us to consult on the care ofyour paticnt. ADDITIONAL PAST HISTORY: Medication list was reviewed with th€ patient, aod an updated list war giveo to the patient. This list is available in ore electronic medical record. Domino s Farm, C2. COMPLIANCE DOCUMENTA'f ION. Dr. Ha ing was physically present for the evaluation ofthe patient. Sincerely, I was physically present ftrr thc E/M servic! provided. I agce with llouse Officer note and plan which I have reviewed snd edited where apgopriste. I was physically prescnt for the key portions of the service provided. DEPARTMENT OF DERMATOLOGY General Derm at Dominos Farms Mandy Harting, MD Assistant Prof€ssor Susan Leu, MD Residert Physiciar //Electronically signed by Msndy Hartin& MD on 06,/l l/09 02:23:31 Plvt// 060309/0063372006137 2l cbry I O@409 060509/16143/060509 060509/l6l4t/060s09 Ii]NT IDt NTIAL 061m9/16143/061009 061m9/16143/061009 061109/16106/06l t09 Drte Prhted: 08/222012 - Page l5 of 38

tr ( ( K's Reg#: 30713680 Name: RAO, AARTHI Age: 38 Years I DOBt 12/2311973 Ser: F l,) University of lVlichigan Hospitals and Health Centers ' Medical Documents HME 0silA2009 KRAUSE, CHRISTINE WARD DFM-DF FP Re: Rao, Aarthi RegNo: 307t3680 DOB: 1212311973 Date of Service: 051 l2l2OO9 TIEALTH MAINTENANCE EXAMINATION Ilistory of Present Illness: Routine health maintenance exam. No concems; chronic conditions stable except as noted below. The patient continues to have rash around her mouth and wonders ifshe can have a referral to dermatology. She also has questions about her genital wart suppression. Past Medical llistory: Significant for monthly recurrent genital herpes. Surgeries: Meniscus tear, right knee status post arthroscopy. Family History: Hypertension, diabetes, and heart disease. Gynecologic Care: Last menses 0511112009. Menarche age 15. Menses occur every 30 days for 4-day duration. She is a G l, P0 with one abortion in her past. She does have a history of herpes simplex for which she takes suppressive Valtrex. She and her husband use condoms to try to prevent exposure to her husband. No concems about sexual functioning. Medications and Allergies: Updated on problem summary list. Social: The patient is a homemaker. She exercises 3 to 4 times per week. No tobacco. No alcohol. She lives with her husband. No specific stressors. The patient and her husband plan to move to India next year to be closer to family. Review of Systems: Negative. Physical Examination: General: Blood pressure is 88/60, height 63.75 inches, weight is I 19 pounds, pulse of 60. Patient in no distress. Eyes: Conjunctivae, lids, and irides appeared normal; pupils were equal. ENT: External ears and nose were normal. Mucous membranes were moist. Mouth and throat were normal. Neck: Symmetric and supple, without masses or thyromegaly. Lungs: Clear, with normal effort. Heart: Regular rate and rhythm, without murmur. Pulses were normal, and there was no extremity edema. AMomen: Soft, nontender, nondistended, and bowel sounds normal. No masses or organomegaly. Lymphatic: No cervical or inguinal lymphadenopathy. Musculoskeletal: Gait and posture were normal. There was no clubbing or ryanosis. Skin: Normal turgor and app€arance. The patient has dry-appearing scale over the entire chin. No pustules, but there are erlrthematous appearing color to the base skin and 4 erythematous papules at the right side. No pustules. Skin intact. No papules arourd the circumference of her lips. Psychiaric: Alert and oriented, with normal mood and affect. Breast exam {,Ufui iUL IV IiAL shows symmetic breasts. No specific mass, nipple discharge. No axillary adenopathy. Genital exam: The patient has one erythematous papule with vesicle at 12 to I o'clock position I .5 centimeters from the anus. Otherwise, normal labia majora, minora, clitoris, uretlrr4 and perineum. Vaginal mucosa Date Printed: 0812212012 - 02:20: l3 PM ,;5#f oFf rryi5\ Page l7 of38 Gcmt.d by xrlrop x(-f,3:iro )".?i) o X.;;" //?

/ b; I ( Reg#:30713680 Nrme: RAO, AARTHI DOBz 1212311973 Ser: F Age: 38 Y"-,Y** \f (,, ) University of Michigan Hospitals and Health Centers I Medical Documents 047lzl4839CBD '..'r+'r'r* END oF DOCUMENT *.+++*:i luiui lijI i\l ilAL Date Printed: 0812A2012 - 02:20:13 PM Page 16 of38 Ocrot d by xtlFop

I ( (o Age: 38 Years Reg#: 30713680 N.me: RAO, AARTIII DOR| l2J21ll9'13 Ser: F University of Michigan Hospitals and Health Centers Medical Documents is well estrogenized. I see no ulcerations. Cervix is norm3l and nulliparous in app€arance. Very scant amount ofbleeding with dabb€d Sently and Pap smear obtained. Bimanual exarn shows no ceryical motion tendemess. No tcndemess or masses in the adnexa. Reviewed labs thtough 2006. Medical Decision Making: Healthy 35-year-old woman. New intolerance written into her allergies regarding exposure to orange lentils at age 9 causing "nerve paralysis on the right side of my face." Herpes simplex typ€ 2, culture positive on l€sion ar Senital and buttock' Discussed risks, alternalives, and benefits, and the Parieot would like to continue her Valtrex 500 millignms daily for suppression. If her husbmd is seen at our office, I would be happy to order herpes simpl€x B?inB to s€e if he is €xposed to HSv 2. lfhe has been exposed' they would not ne€d to continue condoms to prcvent exposure. Current decrease in approximately 257' of attacks, decrease in number ofvesicles (3 to l), and deqease in duration (5 days to 3 days) is significant and we plan to continue suppressive therapy' Immunizations up to date. Refer to Travel Clinic iffiepatient wishes in the Itture. Plan: Discussed diet, exercise, and healthy Iifestyle. Addendum The pati€nt since February 2009 has had a rash along the entire bottom ofher chin which was initially diaSnosed at our otfice as possible herpes simplex' Minimal vesicle contents wele evaluated and neSative for HSV. Secord evaluation gave likely diagnosis offlat warts and she has been using hetinoin 0.057o cream once a day with full resolution of the flat area arcund the base of her chin. She was quite pleased with improvement until red bumPs appearcd 2 or 3 days ago on the right lower chin. No similar outbrea& in the past. The patient has noticed quite a bit of drying of her skin and some erythema from the topical tretinoin. Examination: As above. Plan: Dermatitis, uoclear etiology, right chin Possible periorbital dermatitis versus reaction to tretinoin. I see no sign offlat warts 8t this time. Discontinue all medications and proceed only with gentle face wash and moisturizing. Refer for second opinion to dermatology if symPtoms do not improve significantly over the next I we€k. Department Of Family Medicine Family Medicine at Dominos Farms Cfuistine w. Krause, MD Clinical lnstructor IUhr IDENTIAL //Elecuonically siSned by Christine W. Krause MD on 05/22109 l}:28:l2Ply'Ul D.te Printed: 08/2212012 - 02:20:13 PM Page l8 of 38

K^ ( ( vP",.. Reg#:30713680 Name: RAO, AARTHI DOB:1212311973 Sex: F Age:38 Years \0"' E' University of Michigan Hospitals and Health Centers Medical Documents 0s l 209/00633 29 /05 t309 052209t4728t0s2209 045986649C8D ****t'|* END OF DOCUMENT,r***r*,r tut\r iilINTtAL Date Printed: 08/22/20 Page 19 Gcnaatcd of38 by xrlFop

( ( wthl Reg#: 30713680 Name: RAO, AARTHI DOBt 1212311973 Sex: F Age: 38 Years \& 4t,.) University of Michigan Hospitals and Health Centers Medical Documents ii::':,:,:,:,lt, ::lli l::;::i:::ll:: LET/NOTE.RV O4II5I2OO9 LITTLE, SAHOKO HIRANO DFM.DF FP Re: Rao, Aarthi Reg No: 30713680 Date of Service: 041 l5l2009 S: Ms. Rao is a 35 year-old woman with a history of genital herpes presenting with a 7 week history of rash around the month. The rash started at the right comer of her mouth and then spread across her chin while she was traveling in India 7 weeks ago. She visited a dermatologist in India who diagnosed the rash as an allergic reaction and prescribed Silver Sulfadiazine. The rash did not improve. At her appointment here on 3/25, the lesions were thought to be most likely due to herpes and she was advised to take Valtrex 500 MG BID for 7 days and use using Zovirax ointment. A culture was done of a larger papule was negative for herpes. After she completed 7 days ofvaltrex, she has been taking valtrex 500 mg once daily. She states that they were never painful, no tingling or itching. They do not bother her except for the appearance. The lesions werc essentially unchanged for 7 weeks. MEDs: Zovirax ointment 5% thin coat TOPICAL Q2-4H valtrex 500mg I tab PO daily ALL: No Known Allergies O: VS: BP 100/70, HR 72, WT l23.3lb GEN: no apparent distress SKIN: Multiple flesh colored papules present across her chin and around mouth. No pustules or vesicles. No reddness or scaliness. A/P: Multiple flesh colored papules on the chin. I think this is flat warts. Because they are small and many (>50) on the face, cryotherapy is not a good option for her. After much discussion, we decided to start 0.05% tretinoin cre:rm nightly. If the flat warts do not show improvement in 2 weeks she is advised to call the office. If she tolerate the medication and wish to increase the strength, she will call us as well. If the medication does not improve at all in 2 weeks, we will refer for dermatology. Patient was advised that tretinoin is class 3 &ug for pregnancy, but it is desirable to avoid pregnancy during the treatment. DEPARTMENT OF FAMILY MEDICINE Family Medicine at Dominos Farms Sahoko Little, MD Clinical Lecturer It]NI I[jENIIAL /lElectronically signed by Sahoko I l:48:31 Ptvl// 041509/ls989lo4ls09 Date Printed: 0812?/2012 - Page 20 of38 Offrt.d by xttFop

( ( vrrt.\ eg#: 30? 13680 N.mc: RAO, AAR'IHI DOB: 12123/1913 Ser: F Age: l8 Ye.&s \\B T R Y, 'i ) University of Michigan Hospitals and Health Centers Medical Documents 029478059CWB *a*1il** END OF DOCUMENT *++r**r I[jNF IDINTIAL t"':Ya Date Prittted: 6rffiN*il Page 2l of38 | 'i ''' .'." :.,. \t; ii\ z, I I \' .,_','.. \. . . ; ttl)t1 .- .r f- t' ' ;.'.' I d (t;i:::-;"9 V tttt*4.t1 *//

, l t S- Reg,#:30713680 Name: RAO, AAR'I'I{I DOBz 1212311913 Sex: F Age: 38 Years E tt,) University of Michigan Hospitals and Health Centers Medical Documents :#Pg,:,:i:ii,::.:ii PHONENOTE o4t0a2N9 Re: Rao, Aarthi RegNo: 30713680 DOB: 12/2311973 Date of Servic e: 0410212009 REASON FOR CALL Vr' 3.0 PatientName: RAO, AARTHI Reg #: 30713680 Provider: krause Reason for Call: TEST RESULTS Vr. 3.0 Test results requested (speci!): culture from pt chin. Date of test: last week.. LOCKHART, LAKEIA M (L-AKEI"A) 0410212009 M:51 PM Spoke to pt to let her kno results ofchin culture. Pt verbalized understanding. FINAL REPORT 0312'1t09 RESULT: NO HERPES SIMPLEX I OR HERPES SIMPLEX 2 ISOLATED S.Argenta RN DEPARTMENT OF FAMILY MEDICINE Family Medicine at Dominos Farms Susan J. Argenta, RN Registered Nurse //Electronically signed by Susan J. Argent4 RN on 04/03/09 10:19l.24 AMll 040309/DX3r 1M0309 029138867CW8 *'l'l*r** END oF DOCUMENT 't*.**'j't iIJNI iiJLt\TIAL Date Page 22 of 38 Ccno.td by xtlFop

( ( "\erA Rce#:30713680 Nrme: RAO, AARTlll DOAI 17173/19'73 Sex; F Age:38 Years $ €,,, University of Michigan Hospitals and Health Centers Nledical Documcnts &pe garc Drtc Dqctor : Patleot SErylce Sortlcp Diot:,: LETNOTE-RV O3I25I2009 COLD, KATHERINE JO DI,M DI, Re: Rao, Aarthi RegNo:30?13680 DOB: 12/2311973 Date of Service: 03/2512009 ChiefComplaint: Chinrash. Subjective: Aa(hi Rao is a 35-year-old who comes in today complaining ofa nsh on her chin. She states it began apprcximately 3 weeks ago while she was having a 4-month stay in India lt began on the right part ofher chin, but has gradually spread across her chin. She denies there b€ing vesicles, but states that when a dry crust fell offone ofthe lesions, then was slightly weepy ard bled. She saw a dermatologist in lndia who thought it was an allergic reaction and prescribed silver sulfadiazioe; however, the rash has worsened rather than improved. She states that it does not huft or i!ch. She does describc a history ofnew soaps and shampoo, which she started 2 months prior to the rash and a new face cream which did cause a different kind ofrash (so she discontinued) and then a second new face crcam which she started I month prior to developing these symptoms. She denies any similar rashes previously. Ofnote, the patient does have a history ofgenital herpes and has had skin outbreaks as well, last in 2007. She takes Valtrex 500 milligams p.o. daily as prophylaxis; however, she continues to have monthly genital outbreaks at which poini she doubles her dose times I days. 'Ihe patient is also worried because I week ago, sh€ took a 36-hour plane ride retuming ftom India and the next day beSan having aching in her back at her Sl joilts. She reports that it is worse ifshe lies on her back or extends it significantly. Stretching and bending forward seem to help as do heat and massage. She thought she should get this checked out as it has persisted for a week- The patieot denies bowel or bladder symptoms, denies weakness or numbness or tingling in arms or legs. Social History: Nonsmoker. Physical Exam: Weight 123.1, blood pressure I02174, pulse 58, temp€r.ture 98.4. Skin on the chin is notable for multiple smalI grouped vesiclcs primarily on the right side ofthe chin, but extending in small clumps across the left as well. There is no erythema and these appeared slightly dried out. There is one newer vesicle, which does have er1nhema at the base, which we are able to unroofand send for culture. There are no similar rashes elsewhere on the skio. Back shows oormal range ofmotion. She has pain with direct palpation over the Sl joints bilaterally. There is no bony tendemess. lhere is no flank pain. Psych: A&O x 3. Mood: good; affect: anxious. Assessment and Plan: l. Herpes gladiatorum. I did discuss with the patient that the visual appearance ofthe rash is consistent with herpes. I did attempt to collect a herpes culture though didn't get much fluid ftom the vessicle. I discussed Ti]i\i IilL t\JTIAL with the patient that these do n_gLal*qls{fow in the laboratory, but I thouSht that even a neSalive resutr djdJrt0Rildir& flenOssiUilitf of n"rp"s given lhe clinical app€arance. Since \fie iss.y.m_pt.orm.d.d.6 'bXlo on prophylactic Valtrex, ,4.. I Dste Prin.ed: 08/22l2pJ 2 - O22O: I J Plvt t . . . 1,.' Page 23 of38 G.6'.d uY r.foD . . i-) , ttii' "'.,

t' l ( .dfl :30713680 Name: RAO,AARTTII DOBz 1212311973 Sex: F Age: 38 Years Reg4 \( qr university of Michigan Hospitals and Health centers Medical Documents didaskhertodoubleherdoseto500milligramsp.o.b.i.d.timesTdaysand she also has lopical Zovitaxwhich she will try' The Patient was veryanxious aboutthisdiagnosisandhadnumerousquestions,whichwediscussedinfull. She admittedihat even this month with h", -"n."., which occurred approximately a week ago, she did develop 3 days of symptomatig genital herpes 2. SI joiit strain. Discussed with the patient this diagnosis' Recommended stretciing, exercises, and heat as well as strengthening of core muscles' DEPARTMENT OF FAMILY MEDICINE Family Medicine at Dominos Farms Katherine Gold, MD Clinical Lecturer //Electronically signed by Katherine Gold, MD on O3126lO9 02:31.'34 PMll 03 2509/00307 3 | I 032609 032ffi91137821032609 0326091t3782t032609 042966279CBD *,|'3***,1 **r* END OF DOCUMENT :t** Utihtf TULitiTiAL Page 24 of38 Date Printed: OcE tol b, rrlFop

( ( DOB:1212311973 Sex: F Age:38 Year"ss'. Reg#:30713680 Name: RAO, AARTHI \ft ,l Universiff of l\flichigan Hospitals and Health Centers Medical Documents RESULTS MGT NT II/26/2007 KININGHAM, ROBERT B DFM.DF Patient Name: RAO, AARTHI Reg #: 30713680 DOB:1212311973 Age: 33 Years Gender: F Daytime Phone (Home) #: (734)277-5460 Alternate Phone (Contact) #: (734)277-5460 CELL Lab Results ACCN Number Order Test Code Order Test Name Last Updated ACCN: 0'l-320-024rs Collected: I I I I 5 l200't O0:5THSVCULTCULTURE FOR HERPES SIMPLEXUpd atedl I I 17 / 2001 I 6:21 CULTURE FOR HERPES SIMPLEXSOUTCC:VESICLE GLUTEAL FINAL REPORT tvl7l07 t62t **** Result: PoSITM **** ** *,* * * * ***** * * * HERPES SIMPLEX VIRUS ISOLATED *** ***'r* *'r Please call and tell her ofthe positive herpes culture. I have already prescribed medication - how is she doing? Bob Kiningham, MD Pt notified of positive results. Verbalized understanding. M Lee LPN Robert B. Kiningham, MD Clinical Associate Professor Melissa Lee, LPN Licensed Practical Nurse //Electronically signed by Robert B. Kiningham, MD on l2ll9l0'l 10,'54:.32 ll n2607/RQ62llt2607 12t907t5t321121907 0l70l8343CWB ******r END OF DOCUMENT :l:|'i**r* TL]hlFIilT[lTIAL 1,cu N '1+ \ 'u,r^\ Date Printed: 0A22n012 - 02:20:13 PM -., Page 25 of38 Gcndxicd by x.lFop : U) (- t-- {/

( ( .&, Reg#:30713680 Name: I{AO, AARTIII DOB:1212311973 Sex: F Age: 38 Vears qr\ l' University of Michigan Hospitals and Health Centers Medical Documents LETNOTE.RV IIII5/2007 zuNINGHAM, ROBERT B DFM.Df FP Ms. Rao is a 33-year-old who comes in today because of lesions on her right buttocks. She has noticed this since the past 3 or 4 days. She has a history of HSV type 2 in the genital region. She has outbreaks every month with her menses. She has been prescribed Valtrex in the past, but has not taken medication. However, 34 days ago, she developed a small cluster of lesions in her right buttock region, over her sacrum. She says she has had folliculitis in her buttocks region in the past but this has felt different because ofclusters. She had a positive herpes simplex culture done on her right thigh in 2006. This was at a slightly different location. Physical Exam: She is afebrile. Illood pressure 90/64. ln general, she is a well-appearing woman in no acute distress. Her lungs are clear to auscultation, given all fields. Abdomen is benign. Examination of her skin reveals 2 small clusters of vesicular lesions with some surrounding erythema in the right gluteal region. Procedure: Three of these vesicular lesions were unroofed and I obtained some fluid for HSV culture. Antibiotic ointment and a Band-Aid were placed over the lesions. Assessment and Plan: Probable HSV. I obtained a sample today and sent for culture. In the meantime, I have told her that they clinically looked very much like herpes and I have suggested she go back on the Valhex. She should take 500 mg twice a day for the next 3 days and then I pill a day everyday for prophylaxis. lf the area is getting worse, she will let us know. Any signs or symptoms of bacterial infection, she will let us know. Robert B. Kiningham, MD Clinical Associate Professor //Electronically signed by Robert B. Kiningham, MD on l2ll0l07 15:14:14 ll r l r 507/0030770fitt607 l2tw7lsr32fi2tm7 0426903t7CBD .*.**r,r END OF DOCUMENT *'.rl*'l** Tilt\F iilEt\lTIAL ' \ ,.' Date Printed: O8t22t2\l2 - 02:20:13 PM Page 26 of38 Gcnatcd by BlFop

( ( -{^ Reg#:30713680 Name: RAO, AARTHI DOB: 12/2311973 Sex: F Age: 38 Y,ears \Ni li University of Michigan Hospitals and Health Centers Medical Documents ffiX.ii,iii:X::irl::Xi'l:n:::riX::iXi:i.,::.iii:iiiii:X :ill;iiiti:i ::iXi.:iXi:XiiXit:*iX.r,i.iiii:ir:riiiii:.ri.iil..;tj.:iirli::i ,,::i..:,:,::::.',:, :,: ,,,:,,,,::::,:,::,:,::, NO-SHOWCANC EL O6II4I2W7 ,,., ,,,:,::,,::. KRAUSE, CHRISTINE WARD DFM_DF FP NO SHOW NOTE vr 1.0 Patient Name: RAO, AARTHI Reg #: 30713680 Daytime Phone (Home) #: (734)161-6388 RAO, AARTHI did not keep a scheduled appointment. CLINICAL STAFF/PROVIDER ACTION [X] No-Show letter sent to the patient [] Certified letter sent to patient [] Phone call by the physiciar/nurse [] No follow-up is required Name/Title: Emily Franks/Ir4A Christine W. Krause, MD Clinical Instructor //Electronically signed by Christine W. Krause, MD on 07/l3l0i 18:19 14 // 061 807/RS2s/06t807 0't t307 t4728/07130'7 013777069CW8 *'r**:l,l* END oF DOCUMENT ******,i IUi\i rr;i il I iAL I3 PM [email protected] Page27 by ElFop of38

( / ,c 0713680 Name: RAO, AARTHI DOB:1212311973 Sex: F Age: 38 Years Reg#: 3 \$ universiry of Michigan Hospitals and Health centers Medical Documents lffi XiiiXi!ii...,.. iti. +t*rtiiiru PHONENOTE 08/08/2006 KRAUSE, CHRISTINE WARD REASON FOR CALL vl.O PatientName: RAO, AARTHI Reg #: 30713680 Daytime Phone (Home) #: (?34)761-6388 Aliernate Phone (Contact) #: (734)761-6388 Provider: Dr. Christine Krause Reason for Call: I left a message on the patient's cell phone informing her ofher lab test results. I told her that the sote on her leg is Herpes Simplex and not a zoster, that she did have a positive test for having had the chickenpox in the past' and that ,h" doo not have an acute herpes zoster infection' I left our office phone number and asked her to call ifshe had any questions' These iesults were given per Dr. Krause and the paper results will be mailed to her todaY. Emily Franks/MA Christine W. Krause, M.D. Clinical Instructor //Electronically signed by Christine W' Krause, M'D' on 08/10/06 ll:,25.51 ll 080806/RS25/080806 08 1006/4728i08 1006 008490567CW8 r'l***** END OF DOCUMENT ****',}** ilr;i\i iiiL i\ i iAL Page 28 of38 ccndatcd by rlrop

( ( Reg#:30713680 Neme: RAO, A'ARTIII DOBz 1212311973 " Sex: F Age: 38 Years s University of lVlichigan Hospitals and Health Centers Medical Documents LET/NOTE-RV 08/0312006 KRAUSE, CHRISTINE WARD DFM-DF FP The patient is a 32-year-old who thinks that she has a new onset of herpes on the back of her right leg by the buttocks. She first saw symptoms 5 days ago, when she noticed a small bump. It is not unusual for her over the last l0 years to get small bumps over the buttocks that go away. This area was a little bit different and that it started having more bump and when she evaluated it, she was concemed that it could be a herpes outb,reak. She normally uses Valtrex 500 mg by mouth twice a day for genital herpes outbreaks, which are occurring for once every 2 months to 3 times in 2 months. She also finds Zovirax cream of assistarrce. Geniul herpes outbreaks normally occur at the time of her menstrual cycle. At the current time, she has increased stress from planning a 6-month trip to India where she is going to take part in a meditation program, but otherwise says that she is doing well. Social history, nonsmoker. Allergies, none. Reviewed past medical history and updated medications. Examination, blood pressure is 98/7 6 with a height of 64 inches, and a weight of I l5 pounds. The patient has l0 coalescing vesicles just below the right buttock on her upper posterior thigh; around the area, there is no erythema. The area has roofed vesicles, which appear to be slightly cloudy. Minimal tendemess with palpation. Vesicles are unroofed, and herpes simplex virus culture sent. Medical decision-making would be herpes zoster verus new location for her herpes simplex virus, on right posterior proximal thigh. Continue Valtrex 500 mg I p.o. b.i.d. for a 3{ay duration to treat genital herpes outbreak. We provided 50 tablets, which should last for 6 months supply and I refill. Continue Zoviax ointment Soh, l5-g tube dispensed, to apply 7 times daily. Over-the-counter analgesics for discomfort. I discussed the pros and cons of taking a serum test for varicella IgG and IgM. I am unable to document if they are available to order the IgM antibody for this illness. The patient would like us to try drying that and understands that it may not definitively tell us what type of herpes virus is causing this problem. Messages about what her results show can be left on her cellphorc at734-277-5460. addendum 8/10/06 we are of genital HSV IONFIDIt\lIIAL while patient is traveli Page 29 of38

( ( \s ReB#:30713680 N.me: RAO, AARTHI DOBI 1212311913 Sexr F Ager 38 Yeals University of Michigan Hospitals and Health Centers Medical Documcnts Clinical Ins[uctor //Electronically signed by Cfuistine W. Krause, M.D. on 08/10/0612:26:.ll ll 080306/0 I 39642109 I 33/080406 081m6/4728l081006 051534556CBD lrll'rr END OF DOCUMENT *{... ItjNF ii]INTIAL Datc Printed: Page 30 of38

( I I \}*, Reg#: 30713680 Neme: RAO, AARTHI DOB: 12/2311973 Sex: F Age: 38 Years -- . ' , University of Michigan Hospitals and Health Centers Medical Documents i,**Bfi.:iii.,.iii:i. j.i:,li.iiil:iii .;li;, LET/NOTE-RV III3O/2005 KAUFMAN, AMANDA JOY EAA Subjective: Aarthi Rao is a 3l -year-old female with a past history significant for HSV who presents with a lesion on her right buttock. She noticed tingling of the perineal area over the last couple days and noticed outbreak of the perineum this moming. She began taking her Valtrex 500 mg p.o. b.i.d. this moming. In addition this morning, she felt an area of tendemess on the right buttock with swelling and induration, and wishes to have this area tested for possible herpes. She has had other areas similar to this on the buttocks and thighs occasionally. She is also worried about an area of itchy skin on her bilateral thighs. She is leaving tomorrow for a 4-month visit to India. She has no allergies to medications and is a nonsmoker. Objective: Weight 127 pounds, blood pressure 98/64, and pulse of 64. In general, she is a very healthy-appearing 3 I -year-old female in no acute distress. Examination of the right buttock notes a 5 mm diameter erythematous area with a small pustule centrally. Very little induration. Too small for any obvious fluctuarrce. There are no other surrounding lesions. Examination of the skin of the posterior thighs notes dry eczematous areas. No other lesions. Assessment and Plan: A 3 I -year-old female with benign pustule. Reviewed skin care for this area including warm compresses and likelihood of leaking fluid in resolution. Reviewed skin care to eczematous areas of the skin, though with her trip to India likely will avoid the dry winter skin common. She expressed understanding. Refilled her Zovirax cream and Valtrex prescriptions for her to bring on her trip. Amanda J. Kaufrrran, M.D. Clinical Lecturer //Electronically signed by Amanda J. Kaufrnan, M.D. on lU02l05 14:17.'37 /l I I 3005/00633 t 4t t2020s 12020sn4389fi2020s 04233930sC8D **'l***'; END OF DOCUMENT *r***** tiiNr lLjtiliTIAL l']age 3l of 38 Gcndltal by xrlle

( ( s Reg#:30713680 Name: IiAO, AARTHI DOB: 12/23/1973 Sex: F Age: 38 Years 't university of Michigan Hospitals and Health centers Medical Documents LET/NOTE-RV II/22/2m.5 r::i:iliiii::ii:;iiiX:iiiiii:iiir:ii,,,,1 :::l ::;::::l KRAUSE, CHRISTINE WARD EFP EAA I Iistory of Present Illness: The patient is a 3 l -year-old woman complaining of pain in her neck and low back for I month. The patient was traveling out of town a month ago and during that hip began having pain on the left side of her neck. The discomfort was approximately a7ll0 and returning home, changed her pillow or slept without a pillow and tried BenGay and had little-to-no improvement. The patient has never had this problem before. Overall, the discomfort continues at a 5/10. The neck pain is worse in the morning. The patient noticed the first onset ofacute new low back pain in the left lower backjust after returning to Ann Arbor between 3 and 4 weeks ago. She never had any muscle weakness or ra<liating symptoms. tler back pain initially was a 7/10 severiqr and now has decreased to a 3/10 severity. Palliative factors were 807o improvement after sleeping on the floor, and the patient says for both her neck and back that yoga or massage will improve both directly after shetching, but after approximately 2 hours the discomfort retums again. She does not feel sick in any other way. She is going to be traveling again in early December and is very concerned that she will be in a lot of discomfort during that trip. The patient wonders what pillow to buy, which might help her neck. Medications are Valtrex and Zovirax. Reviewed past medical history. Examination: Blood pressure is l0f,/72, pulse is 66, and weight 123 pounds. The patient is in no distress. On observation, the patient's shoulders are at equal height. She has some irrcreased muscle mass along the left mid trapezius. With palpation of the cervical and thoracic spine, the patient has no point tendemess, though tenderness with palpation over the rotator cuffbilaterally. No increased warmth or erythema. No point tendemess over the trapezius and anterior scalene musculafure on ttre left. Range of motion shows equal range of motion with rotation of the chin toward her shoulder, but pain is elicited with extreme rotation to 0re right and with right side bending, which is minimally decreased by l0 degrees on turning to the right. She has full flexion and extension of the neck. 'Ihe patient's low back shows no tenderness with palpation over the vertebral bodies. Her area of maximal discomfort is approximately 20 cm laterally to the lumbar spine and just above the left pelvic rim along the quadratus lumborum. Medical Decision Making: l. Trapezius muscle spasm and anterior scalene spasm, status post tiiNi tL,tNTiAL likely strain of this area. 2. Low back pain with quadratus lumborum spasm. Plan: Given the patient is traveling, we will ve her home exercises for cervical spine and low reviewed Date Printed: 0812212012 - 02: Page 32 of38 Crnaatd by xslFog / e, ,'/ ';;1

( ( Reg#:30713680 Name: RAO, AARTHI DOB:1212311973 Sex: F Age:38""".K' ) Universiff of Michigan Hospitals and Health Centers Medical Documents with her today. Ibuprofen and rehabilitation information were provided from patient care A to Z. Continue yoga class and stretching. Return to otfice in 3 to 4 weeks if the symptoms are not 10ff/o resolved. Evaluate multiple pillows, and the patient may consider if a medical supply store carries any pillow that would be ofassistance, and plan a referral to physical therapy ifnot 100% resolved or if the symptoms are worsening or changing. Christine W. Krause, M.D. Clinical Instructor //Electronically signed by Christine W. Krause, M.D. on l2ll3l05 08:23:39 ll t t220s I 0063347 I t 1240s 12t305t4728/12t305 04219I25CBD ******* END OF DOCUMENT 't**+*:*'r tUt\ri iilLNT iAL Date Printed: 0812212012 - 02:20: Page 33 of38 G.n@tcd by xllFop

4" ( ( w'., Reg#: 30713680 Narne: RAO, AARTHI DOB: 12/2311973 Sex: F Age:38 Years \f,tt University of Michigan Hospitals and Health Centers , llfledical Documents LET/NOTE-RV O7II9I2W5 KRAUSE, CHRISTINE WARD EFP EAA Chief Complaint: Blister on skin, outside of mouth, last week. HPI: Eight days ago, the patient had new onset of nonpainful, flesh-colored bumps with surface of clear covered fluid at the top. I'hey were quite small and multiple, occurred on the right side of her lips but not including the skin of her lips. She has never had similar problem in the past. No other family members or contracts with similar outbreak. Denies any fever, chills or malaise at the time. The patient believes that she may have associated spot on the surface of her mouth. The patient does have known genital herpes. She is monogamous in relationship with her husband. No eye symptoms. Social History: Nonsmoker. Examination: Blood pressure is 102/68 with a pulse of 16, and weight 121.5 pounds, in no distress. There are 14 flesh-cotore.d papules along the right cheek in a diffirse semicircle. These papules are I to 3 mm in diameter and round. No ulceratiors. Two on the superior aspect, 2 cm lateral to her nasal al4 and seem to have small amount of fluid within. These were uncovered with sterile # I 5 blade and sample obtained and sent for culture for Herpes simplex virus. Oral exam, oropharynx shows no erythema or exudate. There is a small area offissure nearupper right anteriormost molar. Medical Decision-making: Likely oral herpes on new onset at right cheek. Plan: The patient plans to await results of culture. I have offered her suppressive heatment wittr acyclovir 400 mg I orally twice a day, especially for genital and oral herpes, which she declines. Ifshe changes her mind, I would give her a l-year supply. The patient is to avoid touching her face and understand that the fluid in the blisters could pass on herpes to another person. There is no concern of asymptomatic shedding with lesions on the side of her face, but if she had ulcer in her mouth, the mucosal ulcer could have asymptomatic shedding or occur when she is not aware of its presence. Health Education Resource Center information on oral herpes provided to the patient. Erythema with likely fissure from dental floss in the right upper gingival margin. 8/5/05 HSV negative. ck [,;'lii: ii. i ''rl,i,tt- Christine W. Krause, M.D. Clinical Instructor //Electronically signed by 07 1905 I 0t 39 685/072005 Date Printed: 08122/2012 -, Page 34 of38 Ccn@tcd by xslFop t{G4 r, vII a Dt

( ( \*;rA ' Regf:30713680 Name: RAO, AARTHI DOB|. IAB/1971 Ser: F Age:38 Years iR University of Michigan Hospitals and Ilealth Centers Medical Documents 080505/4728l080505 089040175C8D r..rrr.,r END oF DoCUMENT r*....r [,:[lr i1;i61141- Date Prinled: 08/2212012 Page 35 of38

( ( "?i Reg#: 30713680 Name: RAO, AARTHI DOBz 12123/1973 Sex: F Age: 38 Years '{ ' ' Medical Documents I{ME O6/16/2N5 KRAUSE, CHRISTINE WARD EFP EAA Health Maintenance Examination History of Present lllness: Routine health maintenance exam. No concems; chronic conditions stable except as noted below. Past Medical history and proceedures: See CareWeb. All were reviewed and updated. Social history:No regular alcohol nor tobacco. Married, husband never has had genital herpes. Condoms for contraception. No plan forpregnancy in the next I yr. Family history:No known inherited diseases. Medications: Updated in PSL. Allergies: Updated in PSL. Review of Systems: Review of ten systems was negative except as noted below. Blood Pressure: 104/56 Weight: l2l.5lb Height: 64 in Physical Examination: General: no acute distress. Eyes: Conjuctivae, lids and irides appeared normal; pupils were equal. ENT: Extemal ears and nose were normal. Mucous membranes were moist. Mouth and throat were normal. Neck: Supple, symmetrical without evidence of thyroid enlargement or mass. Breast exam: Inspection and palpation of breast and axillae were within normal limits. No evidence of nipple discharge. Heart: Regular rate and rhythm without murmur. No edema of extremities. Lungs: Clear to auscultation, with normal effiort. Abdomen: Soft, nontender, nondistended with normal bowel sounds. No masses or organomegaly noted. Lymphatic: No cervical, supraclavicu lar or ingui nal lymphadenopathy present. Pelvic exam: Normal female extemal genitalia, without lesion. The cervix is midline without lesion, no discharge noted. Bimanual exam without cervical motion tendemess or adnexal mass. Uterus is normal size, without enlargement. Urettua is visualized and normal anatomical position. Musculoskeletal exam: Full range of motion of all major muscle groups. Gait and posture normal. No evidence ofclubbing or cyanosis. Skin with normal turgor and appearance. Psychiatric: Alert, oriented with normal mood affect. Assessment/Plan; L Routine health maintenance. Reviewed health behaviors: diet, calcium intake, and physical activity. 2. Immunizations-tetanus next 2013, no need Hep A or B I ii\ir ii,' i\ 6r or rg4.- addendum 6115106 :.;-ij- Genital herpes infection monthly with menses for 3-days- Date Printed: 08122/2012 - 02:20:13 PM Page 36 of38 Gcn@tcd by xllFop

( ( v* fn4, Reg#:30713680 N.me: RAO, AAR'llll DOBt 1212311913 Sex: F Age:38 Years $ l-l University of Michigan Hospitals and Health Centers Medical Documents helps decrease pain ofblisters. Uncertain of husband's exposure history. Use condoms, declines for emergency conhaception.. exarn as above HSV II plan. No wisb for suppression therapy. No wish to us€ UCP to deqease number of menshual cycles per year. Cont ueal lesions when occur with valtrex tabs and cream. Christine W. Krause, M.D. Clinical lnstructor //Electronically signed by Christine W. Krause, M.D. on 07/06/05 // 061605/4728/061605 01050s141281070505 004240209CW8 *r*il*'lr END oF DOCUMENT .!r'*'*.. t[Jlli:tIE11141- Date Printed: Page 37 of 38

Reg#: 30713680 Name: RAo, AARTHI DOB:1212311973 Sex: F Age:38t"-K . ) University of Michigan Hospitals and Health Centers Laboratory Results Test Name/Date Result Normal Range Units 06/14/2010 04:30:00 PM NEGATIVE NEGATIVE See text i:i:::.:;::il;:ii:;l:lill:iilll:t;;::liil;:i:ii::l:ix:lliiiii::ii:.i:x:ilii:Ii::x,ii:lxix.il:,liiiii:lirili:llll::::iiijxi]iii::xii 0611412010 0l:02:00 PM 3.1 0.0-4.5 t7l l-200 MG/DL See text See text A See text See text A :..::::::::. :: :.r:::::::::.::::r.:':: : :::::r::: .::::::::::r::: 'i..-::.:.r:i1fj j:j::::::::: 06ll4l20l0 0l:02:00 PM 55 40.60 MG/DL 0611412010 0l:02:00 PM 107 l-129 MG/DL :::l:::::::::::::: ::::::::::::::::::: : l:iiiillllli:l:il::l::i:iillllll:lililiill:llllllililliil See text See text See text See text rnlG.I;,YGD8mfif;ji(I*I$iliiii:i::ii:::r,i::::r;:::i:iii::::-ti:i::::.::i::1 06ll4/2010 0l:02:00 PM 46 l-150 MG/DL vzv.1.tGG:1*l*trBCIn,g:,BY,,f, u,,{YzrvGE},.:,:.:, r.:,,r, See text See text L'ilNf iDtNl lAL : t)\:- I Page 38 of 38 Date Printed: 08122120\2 ?) cEnarcd bv r!l!@ E I ,:; I 6) t 1 i/fii

( ( ars Reg#: 30713680 Nrme; RAO, AARTHI DOB: l2l23l1973 Ser: F Age: l8 Ye University of Michigan Hospitals and Health Centers \r^$. Clinicrl Dep.rtment/Service: Document Cstegoryi Outside Recotds Documerlt Name: Other Documcnts - Outside Date of Service: o4/L't 12009 Im8ging Dste: 04/1712009 APR-1?-2009 FRI 01r40 Pl{ ull Farilr l1.d FOi l0' 73484?6534 P. 02 { PAOE l/00rl Pax E€lvtl sIL6os-l {/16/200s l':15:l? !i s(rrPre' B""ttt 6625 W ?Olh gnEl BLO9{5 obomLlglon l, 35ro9 Fax Memo Pao, boltLi Prcr fuirdLrloar Jol /)btro ooD t"fr/73 To; UTTLE, SAHOKo HTRANO FIOM: ESI PA 7659{ 9s6' 0f/16/l2o@ Frr: 73441 phorE: 7346/t758rc PA code: 75 - Your r.quD3l lor lho Dalotr prio' d'dhorErrbn h'! b'en APPFOVED 'nsr|b" P.lir Ndror MRTHI BAO Od.ol gnn: 12t23hs7tr dnber ONr TMA lD: CI T I TOYOTA MOTOR ETIO & MFG Dlrlg N.ne I TBErlNolN ExPlrdlon Dde: 0410/2010 Etlocllvc Dat€ I 20olo4-1 6 Oty rpp(oiod: 0.0 Flll (!): Unlimded Tho n ccssary a4uslrn'ltts have bl6l.n mad' b lor cov4'gle ot tllt Prtsctipdon 'Iot' l#,"'"ffi ;sffiIlBr;ffi Eilg*ffiiffilHr"# ffi"' * * 'ot tn iattrtc peeoipdon b'neii calq' [u\i i iiLl'i1 IAL Document I of2 Page I ofl Dote Prinled: o{, tz2,fii G€rerrl.d by lTert '

( ( Reg#: 307f3680 Nrme: RAO, AARTHI DOB: l2l23l1973 Ser: F Age: 38 Year$ University of Michigan Hospitals and Health Centers vto Clinicrl Deprrtment/Service: \\d- Document Crtegory: Refen"als Documellt Nlme: Clinical Referral Date ofServicei 05ll22m9 Imrging Drte: 05/lZ2m9 _ tlAy-12-2009 ruE_!.!ql _4I Un Farilr Hcd, FAx N0. ?3464?6534 p, t2/@ Ofipmicnt Coos t Rcqucst Form 30?13680 i RAO, AARTHI Urcr:CWI(nAUSE PlgcI ofI i alnrnD^l'E t2rrt973 sEX Unlvcllity o, t{ichlgah Horplt ls .nd H.l.[h C.nt Ir F Outp.Uont Consult R.qu.rt NAMI NNO, AA.R'IIT I RIG NO l07t!680 From CInhjta: Scrvlcg: Clr*:: cthb F rri (73)e47{534 To Sp.d.lly s..ri..: (b6ci.ltYclnldsr I Secsl& Ctnic: I Cllnl6.l CarDwob Documsnta lnformEllon M.d.d Ooclxqtti - Orb(!) ol S[vE6 5X 2/2009 &n s.d toertiertr. lrnagltrg t3boltEr - Olld!) o, s.wlca R.d/Nuc - D.E(3) of S(rtc. Non-C.r.rab Docunr.nt An.ghrd: DlagnolL 35 y! old rlEh rr.h A -utb .lncc !.b 2009. Noi r.lDoD.lw Eo ttoEol, Raason lor Consull oa Thrnpy T PT App@ed r.ih ttria rE$,.d Appoinlrn.nt R.qucaled O.d.rine KRAUSE, CIIRISTINE WARO 001728 Cllnioi.n'. cIirm }lrtu Slgnatu.a FoT PT, OT, Sp.ech Pati.nt / P.Icit'. O.yttrE Pho!* ( l) Prkn&v ln&ranc€ I vs: eOA-ELUE CROSS OUI AREA lntolmalion Ratomlrr: I lcog#: Pntlcni Yotr phylir.n h.r ,lcofiieMF! you bo dl by. lntormltion I rrorv r.,*o SoGcialtv Clhic Phon t f ' sp.chly F.u r I fa.rr Tr Yol, ?9oiltr.nt h.r b.ori r.hdtd ([h.rrry au*rt€d) r You yrn be co.Ected by thf spadaly clhb b -lt6dvL vorn o9oi lc. Pb.r6 ccl Rr sodru ctrtc lo sdFdulo F.r.prdntnent Note R.rs.rlng Ptryrjchn fiouu {h rra€ol $b consrrl rlqJo{ ln iho ps{onl6 modbrl Fcord 2?02134 RD,llO1m6, / HIM:oyoa--,( tr< M OrtFliant Con$lt R.qu.$ [[il\i tUii, ,L / ,' C^\')' ,-'14I / ,/ -n :$t\ ;.---.\; \ lttparlc.r,cbwc].t{r.tuui6h.€t Fral+!,O'qt, 5nuzw ,' /).:.. i H /r/ / ..1 II'." D.te Pr nred: 0t/2PJl2 t4:lll:16 PIlt i' \i;"\ ;l\ a- irted: oo Document 2 of2 Page I ofl , Cencrrt.d byt i't(.rt \ \ '. -,' .." 'l \ '\ = i rtr -- .\ -/ / t./ -* ct .///dt.r-. ..,, :i.rg \ r(./, --.+ --'- t* \'lic,qcR

Reg#: sozmooo Name: nnnrHtnno / DOB: Erz!$zr Sex: r Ag( ) Years User Name: TAMMITOT \\ 1-200iMG/OL 1-150 iMG/DL 40-60 iMG/DL 1-129 iMG/DL iNCEP RECOMMENDED GUIDELINES i itotal ctol"stserol: <2oo rrg/d1 Dcsirablc lzoo - z:g n'glaI Borderline High i >24o mgldl High iTriglycerides, <15o rgldl NorEl ilso - 199 r'gld1 Borderline High izoo - ess rqlat High | >5oo mg/dl very High iHDl-CholesEerol: <40 mgldl Low/undesirable ilo - oo nrg/at Nomal i rao nglal High/Desirable i (= negat.ive risk for CHD) i ilDl-choLesEerol: <1oo mg/dl opEiml iroo - rzr rng7at Near optimal ir:o - rss nglat Borderline High i15o - 18e m9ld1 High i Tsx32o ispecimen adequacy: saEiafacEory. An endocervical component is presenE. iExamination fo! neoplastic cells: NegaEive. i i ithe cervicovaginal Pap smear is a very imPorEant scrcening Eest Ehats is iextremely useful in the detecEion of cancerous and precancerous conditions of ithe uterine cervix. However, this Eest is noE perfecE and false negaEive iresult.s, in which cancer or a precancerous condition may be missed, rePresenE ia known and expected limiEation of Ehis tesE. Quality assuraDce studies iindi"at. an irreducible false negaEive fracEion of at least 5t. The Patient ishould be reminded Eo consulE her physician immediately if she experiences any isuspicious sj.gns or symptoms, regardlcss of her PaP test result. ittooroo, P312oo, Tg3ooo tliNi iilit\TtAL i :Kim LucketE, er(AscP) i (electronic signature) !.... -.--........*.......1 iAccN:,1GlBf.os?i6,,,:: :,,,' ;,,,; :1 I PCRCHL cnr,qMiorA TRACHouaiis br.ra i collwred:06/0u20 1 0 I 5:40 Date Printed:0812212012 - 02,29:43 W Page I of2

Reg#: :oztroso Name:MRTHIRAo f DOB: pmnszl Sex: F AgE Years User Name: TAMMITOT o6l04l1O 1s16 nrurr.trr{*t1oN TEsr REsuLT FoR THE PRESENCE oF cHLAtttYDrA TRACHOMTT'JS DNA IS NEGATIVE. TMTERPRETATION - - - - - - - - - - - - - - - - - - -' NO CHLAMYDIA TRACHOMATIS DNA WA,s DETEETED. A NEGATIVE REPORT DOES NOT EXCLUDE T}TE POSSIBILITY OF INFECTION BECAUSE RESULTS ARE DEPENDENT ON ADEQUATE SPECIMEN COLLECTION. OPIIMAL SPECIME}I SOURCES ARE CERVICAI, AND ENDOCERVICAL FOR FEMALES OR URETHRA FOR i MALES . i.. ".. " "" "" """ "" " " "": ":':: "::"': iACGN: 1tr154:082,16,,' i.,colt€cted:06/0y2o 10, :t s:+o i:i..:...1:!.1:i!i:.i.1...:....!l-1.!rll.l-.-li...il-':.1---.!..!. i trEtsseRn GoNoRRHoEAE DNA i ------.--- FINAL REPORT ioe/ollr.o rsra iaupr,rptcatroN TEsr RESULT FoR PRESENcE oF NErssERrA icoNoRRHoEAE DNA rs NEGATTVE. i ------------ TNTERPRETATToN ---- --------t iNO NETSSERTA GONORRHOEAE DNA WAS DETESTED. il NBcarrve REpoRT DoEs Nor ExcLuDE THE PossrBrLrrY oF i rrresrror BEcAUSE REsuLTs ARE DEPENDENT oN ADEQUATE isescruou colLacrroN. oprrMAL sPEcTMEN souRcEs ARE icenvrcel AlrD ENDocERvrcAL FlcR FE!,IALES oR URETHRA FoR i MALES. iACoN: cG49-15670 iront iThin Prep Fap : upoiteo: ,oslisrioog iq,st i e^u;roa.nq,I,rllrnno 1{ .16 i i : :..--........---..-.....-...- icvNBcorocrc slaeAR i sNDocx/crnvrcAL THrN LAYER ! i T8X32o ispecimen adeguacy: satisfactory. The specirnen is of relaEively lou icellu1arity. An end@ervical comlrnent is present. ;Examination for neoPlastic cells: Negative. i i iT1.e cervico.aginal pap srear is a very imlprt.anE screening tesE that is iextremely useful in the deEecEion of cancerous and precanceroue condilions of ith.,t..ir. cervix. However, thia test is noE pcrfect ud false negatsive iresulfs, in which cancer or a precalcerous condit.ion my be miseed, rePresent ia known and expecEed timiEation of this tesE- QuaIiEy a.rsurance sEudies iindicaEe u irreducj,blc false ncgative fraction of at leaet 5t. The PaticnE ishould be reminded Eo consulE hcr physician imrediaEely if she expericnces any isuspicious signs or symptoms, regardlese of her Pap test result' : i i iuootoo, P312oo, T83ooo ieinita Naylor, cT(AscP) i (electronic signature) I ieC6r'i:'O+OaSOr?36 iHSvC[Ur iCULTRE FOR I{ERPES SIMPLEX ,updated: :03t2712o@ 14.M ' ] iCaai,RE ion HeRpes sIMPLEX isource: SKINCHIN i i ------ ---- FrNAL REPoRT ioz/z'r/og rsaq i nesut,t ' iNo Henpes srMPLEx 1 oR HERPES srMPLEx 2 ISOI"ATED l.-...-....--...---.-.--...- tUNFniLl\TIAL / ,f.ojlnt c\'' '-"1t- ----'l-I- t-.".t"-' -" .'- P DetePrinted:0812212012 -02:29:43PM I C- age2 of2 ll ".'',' C l, i oo ,), -'tl- / --*

Reg#: :ozr:oao Name:MRTHIRAo f DOB: tztztngz: Sex: r Ag( Years User Name: TAMMITOT .4n t FINAL REPORT I I LL/L? /o7 r62t rrrr ResufE: POSITIVE *tt+ *t*rrrrr**t*rrr HERPES sIMpLEx VIRUS ISOLATED ra*rrrrrar is'::)r':'*':'s'\:s: IACCN:0S216-01574, , IHSVCUIT i cuLTURE FoR HERPES sir'.rpr-ex Updated: :08/05/2006 12:39 iCollecled:08/03200607:@,, i i.9..cn""1:9:_oP19L,'?.9$,.9.1.@..........,.:...:i.......,,...,.... i CULTURE FOR HERPES SIMPLEX i Source: THIGHRIGHT THIGH i: --------^^-------- -- FrINAL REPEOpRToRT i ioalosloe tzts i i rrr* pssqlg: pOSITIVE *rr* i :------i i i ******r*r***r** , HERpES SIMpLEX VIRUS ISOLATED rrtrrrrrr* i i li icollected:08/o3t2o622:32ii]:i:.:__ |VZV IGM ANTIBODY TITER iSource: SERUM i l---------- FrNAL REpoRT i ioe/os/oa tsqs iI :VARICELI.A ZOSTER VIRUS IGM ANTIBODY TITER ir**r a6"121g: <10 NEGATTVE rrri i ----------- INTERPRETATTON OF TITER i< 10 . .... NEGATTVE (No deEecEable anEibody) i>/= 10 ... PosITIvE (Detectable antibody present.) iVZV IGG ANTIBODY BY EtA Updated: :08/04t2006 14:13 f .l isource: SERUM i IGG AIIrIBODY- -QualitaEive Teat ... No varicella Igc antibody detected. tosITM .., Varicella Igc antsibody detected. i rcc vrRAL Aa jA serum obEained during the acuEe phase of infection when only fow titers iof IgM antibody are present may be negaEive by Ehis fgc tesE. ie primary Herpes simplex infection may sEirulate a heterologous mEibody i-'.::.r-::-::.*:.-T--d::i.t:1-t*t:-'-"-1::..-'.1L i:.::.::-*..?l-*y1-............... IUtirr l1.1L|1ilAL Date Printed : 08122/20 12 - 02:29 :5 4 );, Page I of I ,+

Reg#: 307136s0 Name: MRrHt RAo f DOBi 12t23fi973 Sex: r Ag1 ,r years User Name: TAMMITOT . AtcN .........'i ly.ll.I.. . Ordet T€d Cod6 . Aq(]Ni (lU-201-2511 HSVCULT Updated: :0712812005 16:53 Collected:0711 g/2005 0ai45 CULTURE FOR HERPES SIMPLEX Source: CHEEKR FINAL REPORT 01/25/ Os 1651 .rrr R.6u1r: NEGATM .rrr NO HERpES STXPLEX VrFUS isol.t.d |AUUN: UU.{'I.Z]!'J iTGYN I collecred:o€/ 16/2005 23i17 : l ,,,,, ,,,,,,,,, , ,,,,,,,..,,,, , j :Thrn Prep Pap . i ETDOCI/CERVICA! IIIN IAYAR iTaxl2o isFcim.D .d.quacy, s.tlsfactory. Arl .ndocerviclt cohPo.cnr is pr.s.rrt. iex.mination for n.oplastic c.I1.: I.g.rivc. Thc cervicovlginat pap ..,n !r is ! v.ry imporrsDt 6cr..Ding .xtremcly Ec6! thar uscful is in Ehe det.ctioD of c.Dc.rous .,ld pr.canccrous lh. utclinc ccrvix. condirtons of t oucw.r, rhis ccsr is nor p€!f€c!.na r.su1Es, fats. Deg.riv. in rrhich cancer or a prccanc.rous coDdttioD nay b€ a nissld, r.pres€nr kDoen and expcct.d limitlrion of rhls r.BE. eualiry assurance iDdicat. srudies an irieducibl. f.ls. negarivc frlctioD of at 1ca6t st. ?hc patient ahould be lemind.d ro coDsulr h.r phygiclan imrEdi.rlly it she suspiciou8 cxperi.Dc.s lny aig[n6 or sylnpcorrs, r.gardt..E of her p.p EcEt resutr. MO0100, P31,200, Ta300o rcnt D. Traylor, BS, CT(AsCp) (.Iectronic signarurc) Claire W. tilicha.l, M .D. Dlrector of qatoparhotogy Ii]NF IDEl\]TIAL

P.gc 1 of 1 otrl!€r.1ty of M1ch196D H.alth sylL.a Regrstlation rl\Dber: 030?13580 NatE: nAo, ,rAf servj.ce D.te: ( [email protected] - T.stirg / S@eNrg (Ilte-xrch{t) JUN_03_2010 THIJ 05:23 PI{ EAAHC FAIIILY IIEDICINT FA}{ N0, ?34 647 6534 P. 02 '(^ , .-J UNIVERSFTT (}; MICHIGAN HOSPITALS & t{Eii rLTH CENTERS HIY T EST CONSENT 'o) >zAlnt.d-t1^t,s My docto, has asked me t,) Ga\ : a s;lndl anount ol Uood to bo tastld. TI|€ have l:: jo1l3lrc r:v,1j .w.,n: rc:nr ]c, I bear. intr crod by lhe Human r.ru*OJ;"i.""v vi,.i tn aus€fs AIDS tA(q xrcd tmmung Dcrbigncy Syndromo). I undarstand thel a. a patr:nl l6ieuld cofisadc, HtV ledino if lmeel y lhe lollowing ol errmp1gs; unhsS I 1 haye nlrsed in tvdting or the P.ople law requites gr who have l,rd a sqxualy transmht€d permis di6cloqlr 2. t people diroeso. ewn w hou my corucnt. Th6 itw may who havs sf irrd neodt€s orwho have requne 0r permrl 3. a hblory o, drug ,icclo€urs to my local Men abuse. hea,th depanm€nt, who have had E6x .'|ilh oIhe, man. lhe Michgan 4. f,r:)artmonl ol Community Health, Mcn or €ex or women wtu: h. s had unprotecrcd ,lesdla.lha ng lilv sox tvith anyono who6e lrnn6,e, €.hoot dirtricla, polic€, 3tatG is unknrwl. fir6 or (Unprotectod scx meErE rtere n"r €meqency mcd cal technician persmn€lwho an ;n transporled orchange - 96mdl ot.,sginal secrotions I''e to 5. betweon plrtneas_) tho ho6p riJ, my potonuat spguso i, Peopb I am planning wha have h,d nr )r€ lhrn one rax panngL lo Inqrry, oa il a i:(urt orderr th€ diECIOSure. Asidr r,om lh6 9. :::ii" whq havE h. d .r{ x wirh prosrituros bw's /. (rhate o. ,emato). requircmerra, I raatto that no ons can ggaaanl!€ P0Opl6 who recelvc:l bl,: rd pro(fuc16 Or blood han6tAions between loi,al conlldentia rt /. 1987 and lggg. !. leople who exchen,ls r x for d,ug. I uode6tAod I or r,,oney. lhrtt I have lfle nght lo reruso P€ople Ihls lesr who at€ lnfe(ed xilh lubercutosts, qnytinE at 10, b€tor6 li|o lest b sdmin,ste/ed. ,a160 Peoplo who lEvc know lhal I hird ,r) posure lo rh" Uood clGomec|lle m6y €eek .nonrr rcus tetting be who ,nay !I the ,ocal publb tdect€d. health cllnrc Or Gl€ewht:rr. And I undsr$and 11. that Michigan law l::1,.. y*.lry. I rd ! cx w|th eny pcroon korn tha abovs tist, allor.lrs tsstlng rNi loul my cor}sent partacularly In cenaio caees il a wirh inle(ing ,n 9 (6€13. health pro(crsio.trt or other hcrlth tacilily 12. WofiEn omptoyee who ar6 prriyEr is i 9r who are cfiigidering prognancy. :rposed to my btcod or body r3. ltuid!. Womon who are dia,;rnc$ ,d with lnv&riw c€rvEd csncer T.sls Ior have b€en give. HIV inlgction i copy o, may oa r qured the booklet ,lmponant to h€tp my physiqian Healh dlaonose nlormrllon'. conorron mv 6nd care I h€v ,or rnc; r had tor jenaia gmploymenl a ciancE to ask questioats abo,ti ary), llor exampic, milit tn the he re3t, il I arh an tmmqrant b(.tr re donating Ulooa, qrgans,I".uq oi;rrnl flv anJ alOS, and I hqve Oofl€n satisfactory utslv€rs. I have lrien oivsn a copy o,lhlg congont :"^::::fq:"T:.1 bslng ,:har: ed wrh canaj^ crimes, lorm. I or by rne rav€ Lommunny uicnigan recoived prolesl Hgalth Dop6rlmrint. couns€llng and. I assuming I choo6e h6vg lhe test. I unde.Etand I will recoive qdditional Afler I hlve thii tcst a d the r,gsu r oun.allng cgm€ blck aftgr tro.n !! test .csutts lhe l€b. aro recefugd. ptovider my hsahh carc will cxplain th€ resulls k: mo, Like many othsr ttrS" not p.rrgct. i;,;ir8 l ;. Even i I havc tr.g in oction lhg testg rrtry U. ca-flod a "falsq ncaative.); anJ, !,( n€finF6 ltr. f"r" ..y O"" prgo"iiWf"". i;a" " rhs i ].-*-:::|l..v.: hlecrion ( "ratie posirivo"). My neatih care "r"n wu exp|atn Iheso o;;;; tacts to mq i.nd$ . lladr 4se of'er me,nore counserrng if rhe resurt b pgsitive. mclnd Th_e losl tesults havo several rr0: My I h€ahh carc provdet gst may adidge certain lollow.up cr.c that ha, e fulurs tesrirl0, or ttrar precauiiom I il ;;* liks Usang condoots h iex o a chira. rhir is bocau-se #,V; ; iJ#j.:.'##ri:-"1"ffi:1Htr contgmihrlgd negdlet, and h.m prrgnanl mother lo haI * unbgm provid.r b6bv. Mv ::i3 * may su.EEr; wayo to kcqp me ,rorn lntecring;the; I OECLtNtl To HAVE p€ople. THE nrv resr I undorstand lh6t lhere aro rl,rkE l, hqving the blood srmpla lest takon lo. the The physicat risk is th6t tronr r neodle erick (po8sibl, 0ru"",-rf*ffii, l1^T:]:::] .I rh":::tat nsk o, I p )sitive red is rhar I may b6 urousht lfiecleo ro; and could be tumrE dc$ l lor lire or h€atrh ;i-;;E.-.;r;-.iGt;&',l l:';,, . job, insurlnco. ho-ushg, or a schoot "d.-[U;i --.---- -:-- 6ven lhough sUdl , nds of discrininaIon a.y O" *-"J'"i tff ill6gsl. f f it t \ IIA L */

University of Michigan Ho{ rls and Health Centers DOB: I ]-1973 Age:38y Patient Care Orders Name: RAO, AARTHI Orders: All Since: I l-15-2007 Reg: 030713680 -qI FMC - Domino Family Gender: Female Visit ID: 0307f 36E07319 Medicine Culture For Herpes Simplex Requested Datetime Nov 15 2OO7 12:57 ID: 00I056MTL Routine collection Date: I l-15-2007 00:57 Collection Time: 12:57 ANI Order Status History ID Function When Entered/Requested New Status Reason l0l Specimen I l-16-2007 08:58 Entered By: interfaces, Specimen Filler Order ID: <058073727> Frller Received interfaces Interfaces (Analyst) / Received by Facility ID: <LAB> Requested By: Kiningham, Performing Robert 0051 32 (Physician) Department 102 Resulted ll-16-2007 14:30 Entered By: interfaces, I or more Final Filler Order ID: <058073727>Frller interfaces In(erfaces (Analyst) / Resuls Facility ID: <LAB> Requested By: Kiningharn, Received Robert m5 132 (Physician) 103 Resulted ll-17-2U)7 ft:21 Entered By: interfaces, I or more Final Filler Order ID: <058073727> Filler interfaces Interfaces (Analyst) / Results Facility ID: <LAB> Requested By: Kiningham, Received Robert 005 I 32 (Physician) tlLr\i iilit\TlAL 6:']S\ Requested by: Toth, Tammi (HIIvt) Prlnted from: UM-Carellnk Printed on: 08-22-201214:31 Page I of I POD-0071 Rev.02/06

University of Michigan Ho{ ''als and Health Centers Patient Car= Orders PoB' ( ^Ol,- 1AeA7RT1I_II_ Age:38y Name: R \ Orders: All Since: O3-25-2W l, Reg: : 030713680 I Unit/Rm/Bed: t'MC - Domino Family Gender: Female Visit ID:0307f 368D084 Medicine Cullure For Herpes Simplex Requested Datetime Mar 25 2009 8:35 A ID: 0OICKSZKV Routiue Collection Date: 03-25-2009 08:35 Collection Time: 8:35 AM Order Status History ID Functiou When Entered/Reouesred New Status Reason 101 Specimen 03-26-2009 08:35 Entered By: inlerfaces, Specimen Filler Order ID: <065650994> Filler Received interfaces Interfaces (Analyst) / Received by Facility ID: <LAB> Requested By: Gold, Katherine Performing 013782 (Physician) Department 102 Resulted 03-26-20O9 l5tl3 Entered By: i[terfaces, I or more Final Filler Order ID: <065650994> Filler interfaces Interfaces (Analyst) / Results Facility ID: <LAB> Requested By: Gold, Katherine Received 013782 (Physician) 103 Resulted 03-27 -2A09 14:44 Entered By: interfaces, I or more Final Filler Order ID: <065650994> Filler interfaces Interfaces (Analyst) / Results Facility ID: <LAB> Requested By: Gold, Katherine Received 013782 (Physician) tUt\i iil[l\iIiAL 6eIT\ ee\ Requested by: Toth, Tammi (HIM) Printed from: UM-CareLlnk Printedon: 08-22-201214t31 'r'b Page I of I 3'o\ POD-0071 Rev.02/06 \ l9!

University of Michigan nol rls and Health Centers I l-1973 Age:38y Patient Care Orders RAO, AARTHI Orders: All Since: 05-12-2A09 s Reg: 030713680 Unit/Rm/Bed: FMC - Domino Family Gender: Female visit ID: 0307136E09132 Medicine Thin Prep Pap Requested Datetime May 12 2009 I I : 15 ID: OOICVGPCL Routine Collection Date: 05-12-2009 I l:15 Collection Time: I l:15 AM Order Status History ID Function When Entered/Requested New Status Reason l0l Specimen 05-14-2009 I l: 14 Entered By: interfaces, Specimen Filler Order ID: <066359907> Filler Received interfaces Interfaces (Analyst) / Received by Facility ID: <LAB> Re4uested By: Krause, Christine Performing 004728 (Physician) Department 102 Resulted 05-18-2009 14:49 Entered By: interfaces, I or more Final Filler Order ID: <066359907> Filler interfaces Interfaces (AnalysD / Resuls Facility ID: <LAB> Requested By: Krause, Christine Received 00/'728 (Physician) iii\i iiilruilAL Requested by: Toth, Tammi (HIM) ,L)\ Printedon: \ Printed from: UM-CareLink 08-22-201214:32 '., uo Page I of I POD-007r Rev.02/06 tlcuL

University of Michigan Ho{r ''als and Health Centers r '3-1973 Age:38y Patient Car., Orders R aO, AARTHI # Orders: All Since: 06-03-2010 Reg: 030713680 l: ! Unit/Rm/Bed: FMC - Domino l-amily Gender: Female visit ID: 0307f 36E00r54 Medicine Chlamydia trachomatis DNA Requested Datetime Jun 03 2010 3:40 P ID: 0OIHBJTMZ Routine Collection Date: 0643-2010 l5:40 Collection Time: 3:40 PM Order Status History .L? function tirhen Entered/Requested New Status Reason l0l Specimen 0f,{.3-2OlD2l:.41 Entered By: 4interfaces, UMCL Specimen Filler Order lDt 47187r376>Filler Received OPERATIONS ACCT (Analyst) Received by Facility ID: <LAB> / Requested By: Krause, Performing Christine00/.TzS(Physician) Department 102 Resulted 06{4-2010 l5:16 Entered By:4inierfaces, UMCL I or more Final FillerOrder lD <071872376> Filler OPERATIONS ACSI (Analyst) Resulrs Facility ID: <LAB> / Re4uested By: Krause, Received Christine AM7 28 (Physiciau) Neisseria gonorrhoeae DNA Requested Datetime Jun 03 2010 3:40 p ID: 00IHBJTNB Routine Collection Date: 06-03-2010 l5:40 Collection Time: 3:40 PM Order Status History IP Funclion When Entered/Reouested New Status Reason l0l Specimen 06-03-2o102l:41 Entered By: 4interfaces, UMCL Specimen Filler Order lD: <071872377> Filler Received OPERATIONS ACCI (Analyst) Received by Facility ID: <LAB> / Requested By: Krause, Performing Christine00/.T2S(Physician) Department 102 Resulted 06-04-2010 15: 14 Entered By: 4inrerfaces, UMCL I or more Final Filler Order ID: <071872377> Filler OPERATIONS ACCT (Analyst) Results Facility ID: <LAB> / Requested By: Krause, Received Christine 00/.7 28 (Physic ian) Thin Prep Pap Requested Datetime Jun 03 2010 10:20 ID: O0lllBJVWR Routine Collection Dare: o6-03-2010 22:20 Collection Tirne: l0:20 PM Order Status History ID Function When Entered/Reauested New Status Reasop l0l Specimen 06-03-2010 22:20 Entered By: 4interfaces, UMCL Specimen Filler Order lD: <071872725> Filler Received OPERATIONS ACCT (Analyst) Received by Facility ID: <LAB> / Requested By: Krause, Performing Christine004.TzS(Physician) Department 102 Resulted 06{7-2010 15:21 Entered By: 4interfrces, UMCL I or nrore Final Filler Order lD: <O71872725> Filler OPERATIONS ACCT (Analyst) Results Facility ID: <LAB> / Requested By: Krause, Received Christine W7 28 (Physician) Itri Requested by: Toth, Tammi (HlM) o\ Prlnted from: UM-Carellnk Printedon: 08-22-201214232 C Page I of 2 POD-007r Rev.0?06 0 it ,'' *

University of Michigan ,ls and Health Centers DOB: t( -t973 Age:38y Patient Care Orders Name: RAO,AARTHI Orders: All Since: 06-03-2010 l' i Reg: 030713680 i UniURm/Bed: FMC - Domino Family Gender: Female Visit ID:0307r36Em154 Medicine Coronary lleart Disease Profile Requested Datetime Jun 14 2010 7:56 A ID: 0OIHDCGVN Routine Collection Date: 06-14-2010 07:56 Collection Time: 7:56 AM Order Status History ID Function When Entered/Requested New Status 'Rqason @-zoto0z:soEnteredBy:4interfaces,UMCLSpecimenFillerorderID:<072007548>Filler Received OPERATIONS ACCI (Analyst) Received by Facility ID: <LAB> / Requested By: Krause, Performing Christine0{]4.TzS(Physician) Department 102 Specimen 06-14-2010 12:36 Entercd By: 4interfaces, UMCL Specimen Filler Order lD: <O72007548> Filler Received OPERATIONS ACCT (Analyst) Received by Facility ID: <LAB> / Re4uested By: Krause, Performing Christine00/.TzS(Physician) Department 103 Resulted 06-14-2010 13:02 Entered By: 4interfaces, UMCL I or more Final Filler Order lD: <O72007548> Filler OPERATIONS ACCT (Analyst) Resuls Facility ID: <LAB> / Requested By: Krause, Received Christine W7 28 (Physician) Anti-HIV Requested Datetime Jun 14 2010 7:56 A ID: 0OIHDCGVP Routine Collection Date: 06-14-2010 07:56 Collection Time: 7:56 AM Order Status History ID Function When Entered/Requested New Slatus Reason tgt Specirnen OO-I+-ZOIO 07:56 Entered By: 4interfaces, UMCL Specimen Filler Clrder ID: <072007549> Filler Received OPERATIONS ACCT (Analyst) Received by Facility ID: <LAB> / Requested By: Krause, Performing ChristineC0ATZS(Physician) DePartment 102 Specimen 06-14-2010 12:36 Entered By: 4interfrces, UMCL Specimen Filler Order ID: <072007549> Filler Received OPERATIONS ACCT (Analyst) Received by Facility ID: <LAB> / Requested By: Krause, Performing ChristineC0ATZS(Physician) Department 103 Resulted 06-14-2010 16.29 Entercd By: 4interfaces, UMCL I or more Final Filler Order ID: <072007549> Filler OPERATIONS ACCT (Analyst) Results Facility ID: <LAB> / Requested By: Krause, Received Christine W7 28 (Physician) IiJ|\l F iilt r\jIIAL qil Requested by: Toth, Tammi (IIIM) ' 'i .r\ -O Printed from: UM-CareLink Printedon: 08-22-201214232 Page2 of 2 POD-007r Rev.02/06

University of Michigan Hosp -als and Health Centers OOS: r{ :-1973 Age: 3Ey Patient Information Report Name: RAO, AARTHI # Reg: 030713680 Unit/Rrn/Bed: FMC - Domino tr-amily Gender: Female Visit ID: 0307f36800279 Medicine Allergies Status Allergen Type Reaction Description Active No Known Allergies iCNTI[]INIIAL Requested by: Toth, Tammi (HIM) Printed from: UM-Carel.ink Page I of I POD-0075, REV:8/06

Patient Summary List - User:Tf MMITOT 30713680-RAO' AARTHI Page I of 2 ( R.:gf: 30713680 Name: HAO, AARTHI DOBI 12.123t1973 Sex: F Age:38 Years User: TAMMITOT pati#r Summary List Diagnosis - Hislory Return to Patient Summarv List TMPORTANT: This list only contains diagnoses recorded prior to 08115i2012. Please select the MiChart Pt. Summary button in the lelt navigation pane to see current patient information. Diagnoses Not Converted to Michart on OOl15l2O12 !7 Separale lree text diagnoses not Onset Dale / l menled Bv Created / Created by / Chronic Resolved Date Hislorv Docu Source Modilied tlodilied by = Comments for Dx Acquired pes planus Y 06t24t2003 oo4728 10t26t2010 Krause, 10t26/2010 Christine W (CWKBAUSE) Krause, Christine W Dermatitis 0/06/2010 0l 7001 10t26t2010 Holmstrom, 10/26t2010 Heather L (HHOLMSTB) Holmstrom, Heather L (HHOLMSTB) Fatigue 10/03/2000 oo472A 10/05/2000i Ruland, Diane 10/05/20001 (DKJJJ) Ruland, Diane (DKJJJ) Genital herpes 02,1612004 03l05/2004 Savoie, Kathy (KGBEENE) Savoie, Kathy (K9!F-El!E) Herpes genitalia 0210212004 000755 02t20t2004 Lee, Jae-Min 0i,20t2004 (JMLEE) Lee, Jae-Min (JMLEE) Herpes genitalis in women Y 02t16t2004 J000755 10126t2010 Hockwell, 10t26/2010 Pamela G (PBOCKWEL) i Rockwell, I Pamela G I (PBOCKWEL) Knee pain 10/06/20'10 0't 7001 1012612010 Holmstrom, 10t26t20',t0 Heather L (HHOLMSTH) Holmstrom, Heather L (HHOLMSTR) Jf = free text entry LUirii ,l Histgrical lna6tive OiagnOSeS |7 Separate ,ree text diagnoses (recorded prior to 04,15/2t 12) Created / Modified = Comments Back strain https://carewebwe3 8/2U2012

Patient Summary'( L ist - User:TAMMmOT 30713680-RAO, AARTHI Page 2 of 2 ( S' Concern about sexually transmilted 06/03/2010 oo4728 06n 6/2010 Krause, diseas€ in lemale without 06t1712010 Christine W diagnosis (CWKHAUSE) Krause, Christine W (CWKRAUSE) Herpe3 simplex 03/25t2009 013782 04t20/2009 Gold, 04t21t2009 Katherine J (KTGOLD) Gold. Kalherine J (KTGOLD) Low back pain without sciatica 11/22t2005 004724 12105/2005 Krause, 1?,0612005 Christine W (CWKRAUSE) Krause, Christine W (CWKHAUSE) Spraan and strain of sacroiliac ioint 03/25t200s 013782 Gold, 04t21t2009 Katherine J (KTGOLD) Gold, Katherine J (KTGOLD) Warts Flat 04t.t5t2009 015989 0412e12009 Little, Sahoko 04t29t2009 H(SAHOKO) Little, Sahoko H(SAHOKO) / = free text entry Historical Deleted Diagnoses 17 Sepa6te lree texr diagnoses {recorded prior io 08r't5i201:} Diaonosis Description :*, hP! i....., Chronic Onset Dale / = Comments Resolved Hislorv Oocumented Bv / Creaied / Created by i Date tor Source Dx Modilied Modilied by / = hee text entry TOl\iI i0il\lTIAL https://carewebwe3 8t22t2012

Patient Summary List - Historyl User:TAMMITOT 3071 3680-RAO, AARTHI Page I of I Reg#:307'13680 Name: RAo, MRTHI OOB: 12123/1973 Ser: F Age:38 Years User: rAMMrror \(" Pallentl:slmmary Lisl - Procedures Hislory IMPORTANT: This list contains PSL procedures recorded prior to 08/15/2012 & Michart billing procedures recorded altsI A2lA1l2O12. NOTE: MiChart billing procedures may not include all ol the patient's procedures. Please select the MiChart Pt. Summary button in the left nayigation pane to see current patient information. Procedures Procedure Created BY Creation Date Moditied Bv Moditied Date qglg irri.: Active Records (recorded in PSL prior to 0€y15m12 or lrom Michart billing after 02101/2012) Other local excision or o7 t06t2000 o7 t27 t2000 0712712000 destruction of lesion or tissue of skin and subcutaneous tissue Paring or cutting ol benign 07to6t2000 0712712000 07 t2712000 hyperkeratotic lesion (e9, corn or callus); two to four lesions Hislorical lnactive Records (recorded prior to 08/15/2012) Historical Deleted Records (recorded prbr to 0&15/2012) rL i\TIAL https://carewebwe3 'd\%=N 8t22t20t2

Patient Summary- (L(ist - User:TTAMMmOT 30713680-RAO, AARTHI Page I of 3 Reg#:30713680 Name: RAo, AARTHI DOB: 12123t1g73 Sex;F Age:38 Years user: fef,,ff.lffOT S.\ eitid|i Su.r"ry List Medications - History Modification Detaits I Return to Pati€nt summarv List W\\ IMPORTANT: This list only contains medications recorded prior to 0811512012 Please select the MiChart R. Summary button in ihe lelt navigation pane to see current patient information. Ailerl)ies and lnt()lerair(es: :.ee ldiOhad Pl :iumL'rary (,i al;rci-.rrk lDr curren! allergie$ Medications Converted to MiChart on 0,,,l15l2O12 C = Converted med : oi, Start Date Doc by / = Comments i 9n!t3 Stop Date Source acvclovir 5 96 Ointment (ZoviRAXl 004728 Apply thin coat to skin Every 2 to 4 hours prn 15 gram tubes sulfacetamide sodium l0 <% Eye Drops lnstill 2 drops lett in the eye Every 2lo 4 hours while awake lor 5 days. ValACYcloYir 500 mo Tab {VaITREX} oo472A Take 1 Tablet by mouth Dailv lor ol HSV / = free text entry C= Convened med Historical Discontinued Medications (recorde.l prior to 0B;15i2012) ,li: C= Converted med Qtv Unils Relills Starl Oate Doc by / Lasl Stop Date Source tlenetYed 2 1 004728 08/03i 2006 Apply thin coat to skin Every 2 to 4 hours prn 15 gram tubes acYclovir Top 1 08/03/2006 004728 08t03t2006 C Zovirax ointment 5% thin coal TOPICAL Every 2 to two 15 4 hours Befill: 1 gm tubes doxvcvcline hYclate 100 mq Tab 42 0 06/03/2009 016143 06/03/2009 Take Tablet by mouth Two times a day x 3 weeks Tablet 07103t2009 melroNlOMOLE I % Toeical Gel tMetrooel) 1 11 06/03/2009 0't6143 06/03/2009 Apply Gel to skin Two times a day for peri-oral large 06/03/20'10 tube tretinoin Top 0 0411512009 04n6t2009 C 0.05% tretinoin cream thin layer TOPICAL At 45 gram 06/03/20't0 bedtime PA4i 1 6/2009-4/16/201 0 unlimited fills Relill: 0 ValACYclovir 500 mo Tab (VaITREX) 30 1'1 08i08/2006 oo472A 11118t2004 Take 'l Tablet bv mouth Daily for sugression ol HSV Tablet ValACYclovir 500 mo Tab (VaITREX'I 30 11 08/08/2006 004728 04t28/2009 Take 1 Tablet by mouth Daily lor supression of HSV Tablet ValACYclovir 500 mq Tab (VaITBEX) 30 11 08/08/2006 0o4728 05t12t2009 Take 1 Tablet by mouth Daily ior supression ol HSV Tablet ValACYclovar 50O mo Tab (VaITREX) 30 1'l 08/08/2006 004728 06/03/2010 Take 1 Tablet by mouth Daily for supression ot HSV Tablet 0 004728 11t1At2004 C valtrex 5o0mg 1 tab PO Daily FoI suppression ol 30 HSV taxed 9737537 k.l Relill: 0 -/l=-r-.r c ^=\ 0.0596 tretinoin cream 5/2009 015989 I 0.05olo tretinoin cream thin gram i t% [],i|\i l'irINTl t https:/, .do?med=true 8t22t20t2 +

Patient Summary Lisr - User:TA MMITOT 30713680-RAO, (( AARTHI Pa-se 2 of 3 \+y Relill: O , ss' , u.u!.{ treltootn cream 0 C 5/2009 015989 04116/2009 0.057" tretinoin cream thin layer TOPICAL At 45 gram bedtime Belill: 0 / Ortho-Cept C o2t16/2004 Ortho-CeDt PO Oailv 21 dav Dack 1 / Ortho-C€pt C 000755 o2t16/2004 Ortho'Cept PO Daily 21 day pack 1 / Oriho-Cept 000755 I 02t02t2004 otlhg:c€p! io 2l geJ.p?cl -_DqiLy ! . , Ortho-Cept 004728 _c. o[Io:cF-pl..io.,D,-.'a!!y- . e|.9.?y p9.ck 1 ,., , / Ortho-Cept 28 dav packs C 07 t06t2000 004728 Onho-Cept 28 day packs / Orlho-Cept 28 dav packs o7106/2000 oo4728 9...... ..O.4h9:Cep! 28 day packs 3 cycles PO Daity f VallIex 02116t2004 C 000755 Valkex 500 mg PO fr,'/o times a day Befill; 5 6 / Vallrex 5 0?,16t2004 014389 06t16t2005 9-.........-V-9-l!l9I50g mg PO Two times a day Reti :5 6 / Valtrex 1 C o2,16t2004 o04728 08/03/2006 Valtrex 500 mg PO Two times a day tor 3 days 50 Refill: 1 / Valirex 1 02t16t2004 004724 C 11t1A/2008 Valtrex 500 mg PO Two times a day for 3 days 50 Refill: 1 f VallIex 5 o21.16/2004 C 06/16/2005 Valtrex 500 mg PO Two times a day Befill: 5 6 / valirex 5o0mq 3 08/08/2006 C 005132 valtrex 500m9 1 tab PO Daily For suppression ot 180 HSV Retill: 3 / valtrex 5OOmq C 08/08/2006 005132 11t15t2007 yalkex 5o0mg 1 iab PO Daily For suppressbn of 't80 HSV Helill: 3 / valtrex 5oomq C 1 08/08/2006 004728 valtrex 5o0mg 1 tab PO Daily For suppression ol 180 HSV Refill: 1 Jf zovifax cream 5 02t16t2004 C 014389 11t30t2005 zovlrax cream +ply TOPTCAL Every 4 hours Befill: 1 / zovirax cream 5 02116/2004 oo472A C 06/16/2005 zovirax cream apply TOPTCAL Every 4 hours Befill: 1 5 Jf zovirax cream 5 02116t2004 000755 C zovirax cream apply TOPICAL Every 4 hours Refill: 1 / Zovirax ointment 1 0210512004 000755 C 02116/2004 Zovirax ointment 'l5qms Retill: 1 1 / Zovirax oinlment 1 02JO5t2004 000755 C Zovirax ointment 1soms Belill: 1 1 / Zovirax ointmenl 5% 1 004728 C Zovirax ointment 5ol" thin coat TOPICAL Every 2 to two l5 4 hours Refill: I 9m tubes / = free text entry C= Converted med Historical Voided i\F iii l\l IIAL Il" o / l- iii https ://carewebwe3.med.umich,edu/careweb/v iew .do?med=true 8t22t20r2 $/*

PatientSummaryList-User:]^MMITOT307I3680-RAO,AARTHI ( fue"3of\fil? i$*ffi* c=conYertedmed iSlk r""iili:i:[X3:[:Sff::i iffi*i# / = free text entry C= Converted med [.,h'iu[[rilAL 'nf{g;t+evi 4:',)._---- 8t22t2012

Patient Surnmary List - Historl user:TAMMITOT 30713680-RAO' Af RTHI B4g#: 30713680 Name: RAo, MRTHI DoB: 1212311973 Sex: F Age: 38 Years User: TAMMIToT patiehr Summary List - Health Maintenance / Chronic Care Management History lMpsftTANT: This list onty contains health maintenancelchronic care mansssmsnt information recorded prior to 08i15't$1t, please select the Michart Pt. Summary button in the left navigation pane to see Gurrent patient information. Radiology and pathology Source Syslem data backloaded lrom 1/1i2000 to 08/15/2012' lmmunization Oata oaC(loaded irom 1/1/1998 to 08/15/2012' ..." t J i i le: Historical Active Records (recorded prior to @l15l2012l i10/06/2010 :10/06/2010 ..,....-..,.-.....,-.....:,........,....... --.-. ., . . . .-i- .. . . -. . . , . .. . .. . .*. .- ' L i0611412010 io6t14t2o1o 171, 107, HDL 55, i 3.'l : ... ...........-..- ... ..-. .! . ..- . .-.... ... i0610712010 ,.:.-...,-........,........., iooloslzot o : .i... .,.... - ". .. i06/03/2010 ..,j..-.....,. --...,......-........ iostt elzoos ....:.,......,.....-..........-...-.- iootzstzoos ..i......................... iotrcatzooo i ......-.- ...+'....... -......-..........-... ..:...,.,. -..... -.....,-......-. maintenance exam io7l08/2000 iozloglzooo t Historical lnaclive Records (recorded Praor to Ogl15l2012l ......1i ................. " " "" "" i0512812004 - . . - . . . , .:i- - . . . . . . . , - . . . . . . . . . io$lozt2006l: 1 .1,.. . .. ... .. .. . . .. .. .. .. ,URT.O| D Historical Deleted r z l l lqu (, Lui\r rriLN'TiA - o 8/ https://carewebwe3. wPSLHistory.do 8D212012