Patient Note — 233845

4/13/26, 2:07 AM Print Preview [PATIENT_NAME] DOB: [DOB] (84 yo M) Acc No. [ACCOUNT_ID] DOS: 01/12/2026 [PATIENT_NAME] 84 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Highmark Medicare PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Manassas Structured Data: How did you hear about us? : Other; Patient's temperature : 0 01/12/2026 CYSTOSCOPY: [PROVIDER_NAME], MD Reason for Appointment 1. Cysto History of Present Illness General Urology: 1/12/2026 Here today for cysto surveillance for bladder cancer ======================================= Prior work-up: CTU w/wo IV contrast (6/2025): 2mm calculus or tiny surgical clip in post-mid bladder wall. 5mm calcified gallstone. 1.5 x 0.9 cm nodule in medial limb of right adrenal gland, consistent with a benign adrenal adenoma. 1.6 x 1.3 cm nodule L adrenal gland consistent with benign angiomyelolipoma. Prostate gland is midly enlarged 4.2 x 4.0 cm. Cytology (6/2025): Atypia. Felugen stain is negative. Telomerase stain is negative. Cytology (02/2025): Atypia. Feulgen strain negative. Telomerase stain positive. FISH Negative. Completed BCG 2/6 (round 2) in 11/2024. Missed last maintenance BCG dose Cysto (7/2024) Negative, IPP, median lobe, severe lateral lobe hypertrophy Completed BCG 5-6/2024 s/p TURBT (3/5/24): 3 cm tumor left lateral wall. Path: High grade T1. He did not do Re-TURBT due to presence of muscle. CT with IV contrast(2/2/2024): Images personally reviewed. Large bladder mass noted. Close to 5 cm. Suspicious for malignancy. Current Medications Taking Pravastatin Sodium 80 MG Tablet 1 tablet Orally Once a day Cilostazol 100 MG Tablet 1 tablet 30 minutes before or 2 hours after breakfast and dinner Orally Twice a day Doxazosin Mesylate 1 MG Tablet 1 tablet Orally Once a day Finasteride 5 MG Tablet 1 tab(s) orally once a day Aspirin Adult Low Dose 81 MG Tablet Delayed Release 1 tablet Orally Once a day amLODIPine Besylate 10 MG Tablet 1 tablet Orally Once a day Benazepril HCl 40 MG Tablet 1 tablet Orally Once a day Atenolol 50 MG Tablet 1 tablet Orally Once a day cloNIDine 0.3 MG/24HR Patch Weekly 1 patch to skin Transdermal Docusate Calcium 240 MG Capsule 1 capsule as needed Orally Once a day Medication List reviewed and reconciled with the patient Progress Note: [PROVIDER_NAME], MD 01/12/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:37 PM EDT 1/4 4/13/26, 2:07 AM Print Preview [PATIENT_NAME] DOB: [DOB] (84 yo M) Acc No. [ACCOUNT_ID] DOS: 01/12/2026 Past Medical History Alzheimer's Disease. Hypertension. Hig Cholesterol. Heart Attack. Bladder Cancer. Surgical History Blocked Vein Cysto TURBT Family History Father: deceased Mother: deceased Mother hx of breast cancer. Social History Recreational drug use: no. Exercise: no. Caffeine: yes. Sexually active: no. Occupation: no. Tobacco Control