Patient Note — 129421
progress_notes_129421_1_deid.txt
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 patientPast 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