Patient Note — 162179

progress_notes_162179_1_deid.txt

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Demographics & Encounter

Patient ID162179 (PHI redacted)
Age / Gender— / —
Date of Service2026-04-03
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Woodbridge
PayerCareFirst BCBS
Reason1. 1 MONTH f/ u

Diagnoses

N32.81 OAB (overactive bladder)
R35.0 Urinary frequency
Z12.5 Prostate cancer screening
E29.1 Testicular hypofunction
R10.30 Lower abdominal pain
R35.1 Nocturia

Medications

Aspirin metFORMIN HCl Pregabalin Simvastatin Trospium Chloride Percocet Cephalexin Pyridium(Phenazopyridine HCl) Tadalafil

Past Medical History

  • High cholesterol
  • Diabetes
  • Erectile Dysfunction
  • Low Testosterone

Clinical Summary (HPI)

Low Testosterone: [AGE]yM w/ hx of low testosterone and OAB presents today for Uroflow PVR -------------- Treatment: Aveed (Current) Testo: 272 (Jan 2023) PSA(Feb 2026): 1.4 CT (Feb 2026): Thickened bladder wall can be due to underdistention. Correlate withurinalysis to exclude cystitis. (Independently reviewed the actual images/tracings and came to my own conclusions).

Raw Note (de-identified preview)

4/15/26, 1:53 PM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 04/03/2026 [PATIENT_NAME] [AGE] Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: CareFirst BCBS PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge Structured Data: How did you hear about us? : Other; Patient's temperature : 96.9; : 11/17/2022 04/03/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. 1 MONTH f/ u History of Present Illness Low Testosterone: [AGE]yM w/ hx of low testosterone and OAB presents today for Uroflow PVR -------------- Treatment: Aveed (Current) Testo: 272 (Jan 2023) PSA(Feb 2026): 1.4 CT (Feb 2026): Thickened bladder wall can be due to underdistention. Correlate withurinalysis to exclude cystitis. (Independently reviewed the actual images/tracings and came to my own conclusions). Current Medications Taking Aspirin 81 MG Tablet Chewable 1 tablet Orally Once a day metFORMIN HCl Pregabalin 100 MG Capsule 1 capsule Orally Once a day Simvastatin 40 MG Tablet 1 tablet in the evening Orally Once a day Trospium Chloride 20 MG Tablet 1 tablet Orally Twice a day Not-Taking Percocet Cephalexin 500 MG Capsule Oral Pyridium(Phenazopyridine HCl) 200 MG Tablet 1 tab(s) orally 3 times a day (after meals) Tadalafil 20 MG Tablet 1 tab(s) orally prn sexual activity Past Medical History High cholesterol. Diabetes. Erectile Dysfunction. Low Testosterone. Surgical History back surgery neck surgery Progress Note: [PROVIDER_NAME], MD 04/03/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/15/2026 04:52 PM EDT 1/3 4/15/26, 1:53 PM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 04/03/2026 L ACL Family History Father: deceased Mother: alive Social History Recreational drug use: no. Exercise: yes. Caffeine: yes. Sexually active: yes. Tobacco Control (Standard) Tobacco use: Current smoker AUDIT-C (Standard) Did you have a drink containing alcohol in the past year? Yes How often did you have a drink containing alcohol in the past year? Declined to specify (0 point) How many drinks did you have on a typical day when you were drinking in the past year? Declined to specify (0 point) How often did you have six or more drinks on one occasion in the past year? Declined to specify (0 point) Points 0 Interpretation Negative Screening Allergies Phenylephrine-guaiFENesin Hospitalization/Major Diagnostic Procedure No Hospitalization History. Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient,adg. Vital Signs Assessments 1.OAB (overactive bladder) - N32.81 (Primary) 2.Urinary frequency - R35.0 3.Prostate cancer screening - Z12.5 4.Testicular hypofunction - E29.1 5.Lower abdominal pain - R10.30 6.Nocturia - R35.1 Treatment 1.OAB (overactiv