Patient Note — 138521

4/23/26, 6:38 AM Print Preview [PATIENT_NAME] DOB: [DOB] (68 yo F) Acc No. [ACCOUNT_ID] DOS: 04/17/2026 [PATIENT_NAME] 68 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Highmark Medicare PCP: [PROVIDER_NAME] Referring: RP NO Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 04/17/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Blood in urine, had 1 day of blood in urine x 1 week ago History of Present Illness Hematuria: 67 year old female, new patient, presents for assessment of hematuria. She reports an episode of gross hematuria lasting one day approximately one week ago. No further episodes since then. She had an annual follow-up with GYN visit and had gross hematuria. She has a history of endometrial cancer. ++++++++++++++++++++++++++++++++++++++++++ UC/UA: negative, WBC >30, occult blood 2+ [04/09/2026] . Current Medications Taking Synthroid(Levothyroxine Sodium) 50 MCG Tablet 1 tab(s) orally once a day Atorvastatin Calcium 80 MG Tablet 1 tab(s) orally once a day Atrovent HFA(Ipratropium Bromide HFA) 17 MCG/ACT Aerosol Solution USE 2 INHALATIONS ORALLY EVERY 4 TO 6 HOURS AS NEEDED FOR SHORTNESS OF BREATH, WHEEZING AND CHEST TIGHTNESS Inhalation levETIRAcetam 250 MG Tablet 1 tab(s) orally 2 times a day Medication List reviewed and reconciled with the patient Past Medical History Seizures. High cholesterol. Hypothyroid. Seasonal allergies. Endometriosis. Lung cancer. COPD. Surgical History back surgery leg surgery breast implants Family History Father: deceased Progress Note: [PROVIDER_NAME], MD 04/17/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/23/2026 09:38 AM EDT 1/4 4/23/26, 6:38 AM Print Preview [PATIENT_NAME] DOB: [DOB] (68 yo F) Acc No. [ACCOUNT_ID] DOS: 04/17/2026 Mother: deceased, diagnosed with Type 2 diabetes mellitus without complications mother/father: lung cancer father: throat cancer, lyme disease. Social History Smoking: no Are you a: former smoker Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency:. Alcohol Did you have a drink containing Alcohol in the past year? No Points 0 Interpretation Negative Sexually active: no. Occupation: no. Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure copd Review of Systems 12 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient- ra. Vital Signs RR: 16, HR: 77, BP: 125/77 mm Hg, Ht: 66, Wt: 135 lbs, BMI: 21.79 Index. Examination General: General appearance: alert, oriented, no apparent distress. Abdomen: soft, non-tender, no mass, no hepatosplenomegaly, no CVAT. Physical Examination GENITOURINARY - FEMALE: General Appearance: alert, oriented, no apparent distress , alert, oriented, no apparent distress. scars none. Abdomen: soft, non-tender, no mass, no hernia. External genitalia: normal. Urethral meatus: normal.