Patient Note — 222374

progress_notes_222374_1_deid.txt

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Demographics & Encounter

Patient ID222374 (PHI redacted)
Age / Gender57 / Male
Date of Service2026-02-25
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Fair Oaks
PayerAnthem BCBS
Reason1. 1 YEAR F/U REV UROCUFF

Diagnoses

N32.0 Bladder outlet obstruction
R39.9 Lower urinary tract symptoms (LUTS)
R35.1 Nocturia
N48.89 Penile pain

Medications

Rosuvastatin Calcium Lidocaine Medication List reviewed and reconciled with the patient

Past Medical History

  • High Cholesterol

Vitals

RR 16.0
HR 72.0
BP 119/77
BMI 25.09
WEIGHT 185 lbs
HEIGHT_IN 72.0

Clinical Summary (HPI)

General Urology: 57 yM with Hx of BPH presents today for 1 year f/u and urocuff review. He notes occasional hesitancy. -------------------- Prior Hx: He reports occasional weak stream. He reports some frequency and occasional urgency which is improving, with limiting coffee intake. He reports nocturia x1(prior x2-3) for 15 years. He feels that his sx are stable and is not interested in starting medications. His penile pain has resolved. No GH, recent infections. family history of bladder cancer (father) -------------------------------- Prior work-up: Urocuff (02/2026): VV 575 mL, Qmax 10.9 mL/s, PVR 303 mL (reviewed and interpreted) UroCuff (07/2025): PVR 34 ml, VV 515 ml, VT 64s, Pcuff 200, Qmax 14.7 ml/s, Qavg 8.7 ml/s- Normal bell shaped curve UAmicro (07/2025): Negative, UCx NG. IPSS (07/2025): 11, QoL: 4 Labs(06/2025): Cr 1.08, GLU 104, otherwise WNL. UA (5/2025): neg, UCx: NG UA (4/2023): neg, UCx: NG.

Raw Note (de-identified preview)

4/13/26, 7:26 AM Print Preview [PATIENT_NAME] DOB: [DOB] (57 yo M) Acc No. [ACCOUNT_ID] DOS: 02/25/2026 [PATIENT_NAME] 57 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Anthem BCBS PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Fair Oaks Structured Data: How did you hear about us? : Other; Patient's temperature : 0 02/25/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. 1 YEAR F/U REV UROCUFF History of Present Illness General Urology: 57 yM with Hx of BPH presents today for 1 year f/u and urocuff review. He notes occasional hesitancy. -------------------- Prior Hx: He reports occasional weak stream. He reports some frequency and occasional urgency which is improving, with limiting coffee intake. He reports nocturia x1(prior x2-3) for 15 years. He feels that his sx are stable and is not interested in starting medications. His penile pain has resolved. No GH, recent infections. family history of bladder cancer (father) -------------------------------- Prior work-up: Urocuff (02/2026): VV 575 mL, Qmax 10.9 mL/s, PVR 303 mL (reviewed and interpreted) UroCuff (07/2025): PVR 34 ml, VV 515 ml, VT 64s, Pcuff 200, Qmax 14.7 ml/s, Qavg 8.7 ml/s- Normal bell shaped curve UAmicro (07/2025): Negative, UCx NG. IPSS (07/2025): 11, QoL: 4 Labs(06/2025): Cr 1.08, GLU 104, otherwise WNL. UA (5/2025): neg, UCx: NG UA (4/2023): neg, UCx: NG. Current Medications Taking Rosuvastatin Calcium 20 MG Tablet Oral Not-Taking Lidocaine 4 % Cream 1 application as needed Externally BID as needed Medication List reviewed and reconciled with the patient Past Medical History High Cholesterol. Surgical History Ankle 1980's Progress Note: [PROVIDER_NAME], MD 02/25/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/13/2026 10:26 AM EDT 1/4 4/13/26, 7:26 AM Print Preview [PATIENT_NAME] DOB: [DOB] (57 yo M) Acc No. [ACCOUNT_ID] DOS: 02/25/2026 Family History Father: alive 82 yrs Mother: alive 78 yrs Social History Recreational drug use: no. Exercise: yes. Caffeine: no. Sexually active: yes. Tobacco Control (Standard) Tobacco use: Former 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 N.K.D.A. Hospitalization/Major Diagnostic Procedure Urgency / Atra Care 05/2025 Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient cdw. Vital Signs RR: 16, HR: 72, BP: 119/77 mm Hg, Ht: 72, Wt: 185 lbs,