Patient Note — 141619

4/23/26, 6:40 AM Print Preview [PATIENT_NAME] DOB: [DOB] (73 yo M) Acc No. [ACCOUNT_ID] DOS: 04/08/2026 [PATIENT_NAME] 73 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: UHC MEDICARE PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge Structured Data: How did you hear about us? : Other; Patient's temperature : 97.8; : 10/20/2022 04/08/2026 [PROVIDER_NAME], MD Reason for Appointment 1. DISCUSS NEXT STEPS History of Present Illness BPH: 73yM history of BPH with LUTS s/p HoLEP (05/22/24), s/p PAE monotherapy (9/21). Presents today for follow up History: presented to hospital for right ureterolithiasis and AKI. stent was placed __________________________________- The patient's previous work-up history is listed below: Cysto (12/25): Prostate TUR defect/open. Minor CVA 2/25. PSA(9/24): 0.58 s/p HoLEP 5/24. Pathology benign. Cystoscopy/TRUS: trilobar BPH with a prostate size of 73 cc (12/22) TRUS: 78cc (4/21) Cystoscopy: Trilobar hypertrophy, pedunculated median lobe (4/21) Urocuff: High pressure, high flow (4/21). Overactive Bladder: Also with hx of OAB and stress incontinence. Erectile Dysfunction: Also, with history of ED. Current Medications Taking Olmesartan Medoxomil 40 MG Tablet Oral Aspirin 81(Aspirin) 81 MG Tablet Delayed Release 1 tablet Orally Once a day Rosuvastatin Calcium 10 MG Tablet Oral Myrbetriq(Mirabegron ER) 50 MG Tablet Extended Release 24 Hour 1 tablet Orally Once a day Trospium Chloride 20 MG Tablet 1 tablet Orally Twice a day Progress Note: [PROVIDER_NAME], MD 04/08/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/23/2026 09:40 AM EDT 1/4 4/23/26, 6:40 AM Print Preview [PATIENT_NAME] DOB: [DOB] (73 yo M) Acc No. [ACCOUNT_ID] DOS: 04/08/2026 Tamsulosin HCl 0.4 MG Capsule TAKE 1 CAP BY MOUTH DAILY AFTER SUPPER FOR 60 DAYS. Oral metFORMIN HCl 500 MG Tablet TAKE 1 TABLET BY MOUTH TWICE DAILY Oral amLODIPine Besylate 5 MG Tablet TAKE 1 TABLET BY MOUTH EVERY DAY Oral Not-Taking Sildenafil Citrate 100 MG Tablet 1 tablet as needed Orally prn for sexual activity Medication List reviewed and reconciled with the patient Past Medical History Hypertension. ED. High blood pressure. Pre-diabetes. Surgical History PAE 09/2021 HoLEP 05/2024 mini stroke 02/2025 Family History Father: deceased Mother: deceased Social History Smoking: no Are you a: nonsmoker Recreational drug use: no. Exercise: yes. Caffeine: no. 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 mini stroke 02/2025 kidney stone 03/2026 Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient... er. Vital Signs HR: Not Taken - Collection Device