Patient Note — 129421

progress_notes_129421_1_deid.txt

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Demographics & Encounter

Patient ID129421 (PHI redacted)
Age / Gender72 / Male
Date of Service2026-03-10
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Woodbridge
PayerHighmark
Reason1. Blood in urine

Diagnoses

R33.9 Retention of urine, unspecified
N39.0 Acute UTI
R31.0 Gross hematuria

Medications

Sevelamer Carbonate Rena-Vite(B Complex-C-Folic Acid) - Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral Amiodarone HCl Midodrine HCl IS GREATER THAN 130. INDICATIONS: A FEELING OF DIZZINESS UPON STAND Oral Jardiance(Empagliflozin) Atorvastatin Calcium Metoprolol Tartrate Omeprazole amLODIPine Besylate Torsemide Medication List reviewed and reconciled with the patient

Past Medical History

  • High Cholesterol
  • Multiple Myeloma
  • Hypertension
  • Arthritis
  • Congestive Heart Failure
  • Anemia
  • Chronic Kidney Disease Stage 3
  • COPD
  • Bone Cancer Stage 2
  • Atrial Fibrillation
  • Progress Note: [PROVIDER_NAME], MD 03/10/2026
  • Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
  • Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:21 AM EDT
  • 1/4
  • 4/8/26, 3:51 PM Print Preview
  • [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 03/10/2026

Vitals

BMI 36.91
WEIGHT 250 lbs
HEIGHT_IN 69.0

Clinical Summary (HPI)

Urinary Retention: 70 yM with hx of penile bleeding, on dialysis, patient is on anticoagulants for A-fib Presents today for cysto local --------------- The patient's previous work-up history is listed below: ct abd/pel (apr 2024): presacral edema of uncertain etiology . Prostatomegaly. Small fat containing inguinal hernias (Independently reviewed the actual images/tracings and came to my own conclusions) BMP (Apr 2024): Potassium 3.3 (L) ; BUN 33 (H) ; CREAT 3.2 (H) ; Calcium 7.3 (L) ; Phosphorous (5.8 ).

Raw Note (de-identified preview)

4/8/26, 3:51 PM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 03/10/2026 [PATIENT_NAME] 72 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Highmark Medicare PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 03/10/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Blood in urine History of Present Illness Urinary Retention: 70 yM with hx of penile bleeding, on dialysis, patient is on anticoagulants for A-fib Presents today for cysto local --------------- The patient's previous work-up history is listed below: ct abd/pel (apr 2024): presacral edema of uncertain etiology . Prostatomegaly. Small fat containing inguinal hernias (Independently reviewed the actual images/tracings and came to my own conclusions) BMP (Apr 2024): Potassium 3.3 (L) ; BUN 33 (H) ; CREAT 3.2 (H) ; Calcium 7.3 (L) ; Phosphorous (5.8 ). Current Medications Taking Sevelamer Carbonate 800 MG Tablet 1 tablet with meals Orally Three times a day Rena-Vite(B Complex-C-Folic Acid) - Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral Amiodarone HCl 200 MG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral Midodrine HCl 10 MG Tablet TAKE ONE TABLET BY MOUTH THREE TIMES A DAY WITH MEALS. HOLD, IF YOUR SBP IS GREATER THAN 130. INDICATIONS: A FEELING OF DIZZINESS UPON STAND Oral Jardiance(Empagliflozin) 10 MG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral Atorvastatin Calcium 20 MG Tablet TAKE ONE TABLET BY MOUTH DAILY AT BEDTIME Oral Metoprolol Tartrate 25 MG Tablet TAKE ONE TABLET BY MOUTH TWICE A DAY Oral Omeprazole 40 MG Capsule Delayed Release TAKE ONE CAPSULE BY MOUTH EVERY DAY Oral amLODIPine Besylate 10 MG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral Torsemide 20 MG Tablet TAKE TWO TABLETS BY MOUTH TWICE A DAY Oral Medication List reviewed and reconciled with the patient Past Medical History High Cholesterol. Multiple Myeloma. Hypertension. Arthritis. Congestive Heart Failure. Anemia. Chronic Kidney Disease Stage 3. COPD. Bone Cancer Stage 2. Atrial Fibrillation. Progress Note: [PROVIDER_NAME], MD 03/10/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:21 AM EDT 1/4 4/8/26, 3:51 PM Print Preview [PATIENT_NAME] DOB: [DOB] (72 yo M) Acc No. [ACCOUNT_ID] DOS: 03/10/2026 Surgical History Bladder Cauterization Knee Replacement Family History Father: deceased Mother: deceased Social History Recreational drug use: no. Exercise: no. Caffeine: yes. Sexually active: no. Tobacco Control (Standard) Tobacco use: Former smoker AUDIT-C (Standard) Did you have a drink containing alcohol in the past year? No Points 0 Interpretation Negative Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure pneumonia 12/2025 Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed