Patient Note — 232656
progress_notes_232656_1_deid.txt
Demographics & Encounter
Patient ID232656 (PHI redacted)
Age / Gender— / —
Date of Service2024-03-07
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Woodbridge
PayerSelf Pay
Reason1. Rev lab
Diagnoses
N52.9
Male erectile dysfunction, unspecified
R68.82
Low libido
Medications
NonePast Medical History
- Esophageal reflux
- ED
Vitals
RR
16.0
HR
90.0
BP
117/77
BMI
15.96
WEIGHT
105 lbs
HEIGHT_IN
68.0
Clinical Summary (HPI)
Erectile Dysfunction screening: [AGE]yM complaining of erectile dysfunction.
Raw Note (de-identified preview)
4/8/26, 3:59 PM Print Preview
[PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/07/2024
[PATIENT_NAME]
[AGE] Y old Male, DOB: [DOB]
Account: [ACCOUNT_ID]: [PHONE] [ADDRESS]
Home: [PHONE]
Guarantor: [PATIENT_NAME] Insurance: Self Pay
PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME]
Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge
Structured Data: How did you hear about us? : Other; Patient's temperature : 0
03/07/2024 Progress Notes: [PROVIDER_NAME], MD
Reason for Appointment
1. Rev lab
History of Present Illness
Erectile Dysfunction screening:
[AGE]yM complaining of erectile dysfunction.
Current Medications
None
Past Medical History
Esophageal reflux.
ED.
Surgical History
Denies Past Surgical History
Family History
Father: alive
Mother: alive
Social History
Smoking: no .
Recreational drug use: no.
Exercise: yes.
Caffeine: no.
Sexually active: yes.
Occupation: yes.
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
... amg.
Vital Signs
RR: 16, HR: 90, BP: 117/77 mm Hg, Ht: 68, Wt: 105 lbs, BMI: 15.96 Index.
Progress Note: [PROVIDER_NAME], MD 03/07/2024
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:29 AM EDT
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4/8/26, 3:59 PM Print Preview
[PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/07/2024
Assessments
1. Male erectile dysfunction, unspecified - N52.9 (Primary)
2. Low libido - R68.82
Treatment
1. Male erectile dysfunction, unspecified
Notes: He comes in today to be evaluated for erectile dysfunction.
Male genital and testicular exam completely normal (2/24).
Erectile issues have since resolved but continues to have low libido.
2. Low libido
Notes: HP2: FSH 1.4 (L), Prolactin 22.3 (H) (2/24)
Discused possibility of endocrine dysfuction. This is likely unrelated to low libido as testosterone levels are
normal. He has noted some trouble sleeping for which I discussed could be an underlying cause of libido issues.
Recommend him for follow up with PCP on possible endocrine dysfuction which he is agreeable to.
3. Others
Notes: Patient BMI is noted below normal, and is counselled on nutrition, and referred back to PCP for further treatment. Today's
visit is associated with current and anticipated ongoing medical care services related to the patient's single serious and/or complex
condition.
Visit Codes
[ZIP] Office Visit, Est Pt., Level 2.
Follow Up
prn
Electronically signed by [PROVIDER_NAME] MD on 03/08/2024 at 05:40 PM EST
Sign off status: Completed
[FACILITY]
[ADDRESS]
STE 350
WOODBRIDGE, VA [ZIP]
Progress Note: [PROVIDER_NAME], MD 03/07/2024
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:29 AM EDT
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[PATIENT_NAME] DOB