Patient Note — 251319

4/23/26, 6:46 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 01/30/2026 [PATIENT_NAME] [AGE] Y old Male, DOB: [DOB] Account: [ACCOUNT_ID] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Highmark Medicare PCP: [PROVIDER_NAME], MD Referring: [PROVIDER_NAME], MD Appointment Facility: POTOMAC UROLOGY CENTER - Fair Oaks 01/30/2026 CYSTOSCOPY: [PROVIDER_NAME], MD Reason for Appointment 1. post BCG cysto History of Present Illness Bladder Cancer: 1/30/2026 Here for post BCG cysto for bladder cancer S/P BCG 6 (full dose) =========================================================== S/P cystoscopy and TURBT on 07/24/2025 and 09/08/2025 TURBT path: Dome: bladder mucosa with congestion, cystitis, and reactive changes. RPW: benign bladder mucosa with chronic inflammation. LPW: benign bladder mucosa with congestion and focal cystitis cystica. PW: chronic inflammation and focal epithelial atypia; muscularis propria present. DPW and deep dome: benign fibromuscular stroma. No malignancy present. (September 2025). TURBT: HG Ta, multifocal, muscle present and uninvolved.(07/24/'25). Cysto findings: (05/12/2025): Mild bladder trabeculation, 2 cm mass on anterior bladder wall, erythema on posterior bladder wall, bladder neck normal, prostate lateral lobe enlargement, urethra normal. CT Urogram (04/04/25): Simple cyst off lower pole of L kidney. No findings to explain hematuria. RBUS 03/11/2025: neg, prostate 49g. Current Medications Taking Pyridium(Phenazopyridine HCl) 100 MG Tablet 2 tablets after meals Orally Three times a day Medication List reviewed and reconciled with the patient Past Medical History Medical History Verified. Surgical History TURBT 07/2025 Family History Father: deceased Mother: deceased Social History Recreational drug use: no. Progress Note: [PROVIDER_NAME], MD 01/30/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/23/2026 09:46 AM EDT 1/3 4/23/26, 6:46 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 01/30/2026 Exercise: no. Caffeine: no. Sexually active: no. Occupation: no. Tobacco Control (Standard) Tobacco use: Nonsmoker Screening Allergies Bactrim Hospitalization/Major Diagnostic Procedure No Hospitalization History. Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient. JC. Vital Signs RR: 16, HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 72, Wt: 180 lbs, BMI: 24.41 Index. Assessments 1.Malignant neoplasm of bladder, unspecified - C67.9 (Primary) Treatment 1.Malignant neoplasm of bladder, unspecified LAB: Cytology with Reflex to FISH Notes: S/P cystoscopy and TURBT on 07/24/2025 and 09/08/2025 S/P BCG 6 (full dose) Cysto post BCG (1/30/2026): Mod LLH. Noted R posterior bladder wall diverticulum. +erythema within the diverticulum. Cloudy urine upon entry