Patient Note — 111830

4/13/26, 1:48 AM Print Preview [PATIENT_NAME] DOB: [DOB] (79 yo F) Acc No. [ACCOUNT_ID] DOS: 03/05/2026 [PATIENT_NAME] 79 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS], [ADDRESS]- [ZIP] Guarantor: [GUARANTOR_NAME] Insurance: UHC PCP: [PROVIDER_NAME] Referring: RP NO Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 03/05/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Hematuria 2. Hematuria (Gross/Micro**) History of Present Illness Hematuria: 79yF here today for gross hematuria.and microscopic hematuria. She was seen at Inova ER on 2/21/26. Smoking Hx:+tobacco, quit in 1989. Creat was 0.7. U/A showed large blood, micro TNTC rbcs and 11-25 wbcs. CTscan with IV contrast showed no acute infectious or inflammatory abnormality. Focal thickening of left posterior bladder wall worrisome for neoplasm. She saw [PROVIDER_NAME], FNP on 11/12/25. UC was neg. Exposure history: ------------ The patient's previous work-up history is listed below: Last Cystoscopy: n/a Last Upper Tract Imaging: n/a Cytology: n/a UCx: n/a. Current Medications Taking Rosuvastatin Calcium 40 MG Tablet Oral Furosemide 20 MG Tablet Oral Metoprolol Succinate ER 25 MG Tablet Extended Release 24 Hour TAKE 1 TABLET EVERY DAY BY ORAL ROUTE IN THE MORNING. Oral Ezetimibe 10 MG Tablet TAKE 1 TABLET EVERY DAY BY ORAL ROUTE IN THE MORNING. Oral Medication List reviewed and reconciled with the patient Past Medical History No Reported Medical History. Surgical History breast cancer removal bunionectomy appendectomy partial hysterectomy Family History Father: deceased Progress Note: [PROVIDER_NAME], MD 03/05/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:18 PM EDT 1/3 4/13/26, 1:48 AM Print Preview [PATIENT_NAME] DOB: [DOB] (79 yo F) Acc No. [ACCOUNT_ID] DOS: 03/05/2026 Mother: deceased Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes. Alcohol: socially Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Vital Signs Examination General: General appearance: alert, oriented, no apparent distress. Abdomen: soft, non-tender, no mass, no hepatosplenomegaly, No CVAT. Assessments 1.Gross hematuria - R31.0 (Primary) 2.Microscopic hematuria - R31.29 Treatment 1.Gross hematuria LAB: Urine Culture, Routine LAB: Urinalysis (No Micro) Notes: 79 yo F comes in today to be evaluated for gross hematuria. Her CT scan shows some bladder wall thickening concerning for tumor. Will check U/A, UC and Schedule cysto I have reviewed her ER notes, labs and CT images. Visit Codes [ZIP] Office Visit, New Pt., Level 4. Follow Up Next Available (Reason: cystoscopy, U/A, UC) Progress Note: [PROVIDER_NAME], MD 03/05/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:18 PM EDT 2/3 4/13/26, 1:48 AM Print Preview [PATIEN