Patient Note — 174283
progress_notes_174283_1_deid.txt
Demographics & Encounter
Patient ID174283 (PHI redacted)
Age / Gender55 / Male
Date of Service2026-03-30
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Manassas
PayerCareFirst BCBS
Reason1. DICUSS TREATMENT PLAN 2. No blood in urine, no burning sensation, no uti, no er.
Diagnoses
E29.1
Hypogonadism in male
N52.9
Erectile dysfunction, unspecified erectile dysfunction type
N20.0
Nephrolithiasis
Medications
Crestor(Rosuvastatin Calcium) Medication List reviewed and reconciled with the patientPast Medical History
- High cholesterol
- Heartburn
- Kidney stone
Vitals
RR
20.0
HR
68.0
BP
141/93
BMI
26.58
WEIGHT
180 lbs
HEIGHT_IN
69.0
Clinical Summary (HPI)
General Urology: 3/9/2026 Here for low T, kidney stones, and ED +ED okay libido +muscle wasting Is not interested in child bearing 3/30/2026 Here for low T, kidney stones, and ED ==================================================== Testo: 258 (3/2026), 229 (2/2026), 240 (11/2025); Testo Free:5.3(2/2026), 6.5(11/2025) PSA: 1.2 (3/2026) HP, HnH(3/2026): WNL RBUS (2022): Possible 9mm non-ob stone in left upper pole.
Raw Note (de-identified preview)
4/13/26, 2:02 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (55 yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026
[PATIENT_NAME]
55 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 - Manassas
03/30/2026 Progress Notes: [PROVIDER_NAME], MD
Reason for Appointment
1. DICUSS TREATMENT PLAN
2. No blood in urine, no burning sensation, no uti, no er.
History of Present Illness
General Urology:
3/9/2026
Here for low T, kidney stones, and ED
+ED
okay libido
+muscle wasting
Is not interested in child bearing
3/30/2026
Here for low T, kidney stones, and ED
====================================================
Testo: 258 (3/2026), 229 (2/2026), 240 (11/2025); Testo Free:5.3(2/2026), 6.5(11/2025)
PSA: 1.2 (3/2026)
HP, HnH(3/2026): WNL
RBUS (2022): Possible 9mm non-ob stone in left upper pole.
Current Medications
Taking
Crestor(Rosuvastatin Calcium) 20 MG Tablet 1 tablet Orally Once a day
Medication List reviewed and reconciled with the patient
Past Medical History
High cholesterol.
Heartburn.
Kidney stone.
Surgical History
Denies Past Surgical History
Family History
Father: alive
Mother: alive
brother- melenoma.
Progress Note: [PROVIDER_NAME], MD 03/30/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:32 PM EDT
1/3
4/13/26, 2:02 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (55 yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026
Social History
Smoking: no
Recreational drug use: no.
Exercise: yes, 3 -4 times a week.
Caffeine: yes, frequency: 1 cup per day.
Migrated Social History: Drugs/Alcohol:(Alcohol Screen (Audit-C)):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?: 2 to 3 times a week (3 points), Points: 3,
Interpretation: Negative Drugs/Alcohol:(Do you smoke marijuana?):Denies Tobacco Use:(Tobacco Use/Smoking): Are you
a: nonsmoker.
Sexually active: yes.
Occupation: project manager.
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? 2 to 3 times a week (3 points)
How many drinks did you have on a typical day when you were drinking in the past year? 1 or 2 drinks (0 point)
How often did you have six or more drinks on one occasion in the past year? 2 to 3 times per week (3 points)
Points 6
Interpretation Positive
Screening
Allergies
N.K.D.A.
Hospitalization/Major Diagnostic Procedure
Denies Past Hospitalization
Review of Systems
11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the
patient ...na.
Vital Signs
RR: 20, HR: 68, BP: 141/93 mm Hg, Ht: 69, Wt: 180 lbs, BMI: 26.58 Index.
Assessments
1.Hypogonadism in male - E29.1 (Primary)
2.Erectile dysfunction, unspecified erectile dysfun