Patient Note — 236556

4/17/26, 10:31 AM Print Preview [PATIENT_NAME] DOB: [DOB] (59 yo M) Acc No. [ACCOUNT_ID] DOS: 04/06/2026 [PATIENT_NAME] 59 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [ADDRESS], ALEXANDRIA, VA-[ZIP] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: CareFirst BCBS FEP PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 04/06/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. 6 MONTH FLOW PVR AUASS History of Present Illness BPH screening: 58yM w/ hx of BPH and bladder stones presents S/p CystoLitholapaxy (08/30/2024). Hematuria: Also with hx of gross hematuria. Current Medications Taking Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally once a day metFORMIN HCl 1000 MG Tablet TAKE 1 TABLET BY MOUTH TWICE A DAY Oral Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally once a day amLODIPine Besylate 5 MG Tablet TAKE 1 TABLET BY MOUTH EVERY DAY Oral Valsartan 320 MG Tablet TAKE 1 TABLET BY MOUTH EVERY DAY FOR 90 DAYS Oral Pantoprazole Sodium 40 MG Tablet Delayed Release TAKE 1 TABLET BY MOUTH EVERY DAY Oral Eliquis(Apixaban) 5 MG Tablet TAKE 1 TABLET BY MOUTH EVERY 12 HOURS. Oral Metoprolol Succinate ER 25 MG Tablet Extended Release 24 Hour TAKE 1 TABLET BY MOUTH EVERY DAY Oral Mounjaro(Tirzepatide) 2.5 MG/0.5ML Solution Auto-injector 2.5MG SUBCUTANEOUS ONCE A DAY 28 DAYS Subcutaneous Medication List reviewed and reconciled with the patient Past Medical History High Blood Pressure. type II diabetes. Surgical History skin cancer Family History Father: deceased Mother: alive father, prostate cancer, diabetes. Social History Smoking: no Recreational drug use: no. Exercise: yes. Progress Note: [PROVIDER_NAME], MD 04/06/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/17/2026 01:31 PM EDT 1/3 4/17/26, 10:31 AM Print Preview [PATIENT_NAME] DOB: [DOB] (59 yo M) Acc No. [ACCOUNT_ID] DOS: 04/06/2026 Caffeine: yes, frequency:. Alcohol: socially Type: , Frequency: ,Years: , Determination:. Sexually active: no. Screening Allergies Amoxicillin Hospitalization/Major Diagnostic Procedure atrial flutter 11/12/2024 Vital Signs RR: 16, HR: 83, BP: 135/93 mm Hg, Ht: 74, Wt: 305 lbs, BMI: 39.16 Index. Assessments 1.BPH loc w urin obs/LUTS - N40.1 (Primary) 2.Calculus in bladder - N21.0 3.Gross hematuria - R31.0 4.Benign prostatic hyperplasia with lower urinary tract symptoms, symptom details unspecified - N40.1 Treatment 1.BPH loc w urin obs/LUTS Refill Tamsulosin HCl Capsule, 0.4 MG, 1 cap(s), orally, twice a day, 90 days, 180 Capsule, Refills 3 PROCEDURE: Uroflow PROCEDURE: Bladder Scan/PVR (Performed Date - 04/06/2026) 117 ml Notes: 58yM presents for follow-up s/p cystolithalopaxy (9/7/24). Per his operative note, he had significant trilobar hypertrophy and friable prostate. PSA: 3.99(10/25) Uroflow: Q max 11.4 peak flow rate , voided vol 305ml PVR 52ml EE(CMA) He is on Tamsulosin twice daily. will refill, for prescription