Patient Note — 251717

4/23/26, 6:47 AM Print Preview [PATIENT_NAME] DOB: [DOB] (79 yo F) Acc No. [ACCOUNT_ID] DOS: 03/25/2026 [PATIENT_NAME] 79 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Medicare VA (Palmetto) 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 03/25/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. OAB History of Present Illness Overactive Bladder: 79 year old female with history of overactive bladder presents for 3 month reassessment since starting Gemtesa 75 mg. She notes bladder consistent bladder pain despite taking Gemtesa. She takes prednisone 2.5mg QOD for back pain. She is off chemotherapy for her lymphoma. General Urology: Also, with a history of UTI, hematuria, B-Cell lymphoma s/p bilateral stent exchange [06/30/25, 12/29/2025]. She continues MethC and Estrace vaginal cream qhs. +++++++++ UA/UC: WBC 6-10 and RBC >30 /hpf, >10K CFU/mL [02/02/2026], E. Faecalis, Macrobid, WBC (75-100 /hpf), RBC (75- 100 /hpf) [09/10/2025], E. faecalis, Augmentin [04/24/25] CT: Bilateral ureteral stents in stable condition. Chronic left renal atrophy. Hepatomegaly[12/14/2024]. Current Medications Taking Levocetirizine Dihydrochloride 5 MG Tablet Oral Atorvastatin Calcium 20 MG Tablet Oral Gemtesa(Vibegron) 75 MG Tablet Oral NexIUM(Esomeprazole Magnesium) 20 MG Capsule Delayed Release 1 capsule 1/2 to 1 hour before morning meal Orally Once a day Escitalopram Oxalate 10 MG Tablet Oral predniSONE 5 MG Tablet Oral Clobetasol Propionate 0.05 % Cream External Eliquis(Apixaban) 5 MG Tablet as directed Orally Estradiol 0.1 MG/GM Cream NO applicator, pea-sized amount (1g) at the tip of the finger Vaginal every night Fluticasone Propionate HFA 44 MCG/ACT Aerosol Inhalation Methenamine Hippurate 1 GM Tablet 1 tablet Orally Twice a day Pyridium(Phenazopyridine HCl) 200 MG Tablet 1 tab(s) orally as needed Not-Taking Nitrofurantoin Monohyd Macro 100 MG Capsule 1 capsule with food Orally every 12 hrs Augmentin 500-125 MG Tablet 1 tab(s) orally every 12 hours Pyridium(Phenazopyridine HCl) 200 MG Tablet 1 tab(s) orally 3 times a day (after meals) Medication List reviewed and reconciled with the patient Progress Note: [PROVIDER_NAME], MD 03/25/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/23/2026 09:47 AM EDT 1/6 4/23/26, 6:47 AM Print Preview [PATIENT_NAME] DOB: [DOB] (79 yo F) Acc No. [ACCOUNT_ID] DOS: 03/25/2026 Past Medical History Asthma. Diabetes. Kidney Failure. Asthma. Lymphoma. Surgical History Bilateral Stent Exchange 06/30/25 Kidney Stent 12/29/2025 HEART VALVE 12/2025 Family History Father: deceased Mother: deceased Mother with hx of breast cancer. Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency: 1-2 cups daily. Alc