Patient Note — 256781

4/21/26, 11:43 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 04/13/2026 [PATIENT_NAME] [AGE] Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Humana Choice (PPO) PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 04/13/2026 Progress Notes: [PROVIDER_NAME], PA Reason for Appointment 1. LOW T History of Present Illness Low Testosterone: [AGE]yM w/ hx of low testosterone presents for consult. The patient has been managed on testosterone gel for a few months. He denies any improvement in his overall well-being. He has a history of a pituitary tomor, which is being monitored by Endocrinology. --------------------------------- The patient's previous workup history is listed below: Treatment: Testosterone Gel. Erectile Dysfunction screening: Also, w/ hx of erectile dysfunction. The patient reports taking sildenafil 50 mg with lessening efficacy. ------------ The patient's previous work-up history is listed below: Treatment: Sildenafil 50 mg PRN (failed). BPH screening: Pt w/ hx of BPH with LUTS. The patient's urinary symptoms are stabilized on tamsulosin 0.4 mg once daily. ---------------------------- The patient's previous work-up history is listed below: Treatment: Tamsulosin 0.4 mg QD (current): Alfuzosin 10 mg QD (d/c). Urocuff information Date 07/28/2025 Peak flow (mL/s) 24.2 Volume voided (cc) 321 Bladder pressure (cm H2O) 118.0 PVR (mL) 70 Category unobstructed Epididymitis: Also, w/ hx of epididymitis. ------------------------------------------------- The patient's previous workup history is listed below: Scrotal US: Hypovascularity throughout the L testicle and L epididymis when compared with the R with mildly enlarged and Progress Note: [PROVIDER_NAME], PA 04/13/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/21/2026 02:43 PM EDT 1/5 4/21/26, 11:43 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 04/13/2026 heterogeneous L epididymis. Findings consistent with epididymoorchitis. Otherwise normal testicular US with no evidence of torsion or intratesticular mass. (Dec 2025). Current Medications Taking Albuterol Sulfate HFA 108 (90 Base) MCG/ACT Aerosol Solution Inhalation , Notes to Pharmacist: PRN Vitamin D3 25 MCG (1000 UT) Tablet Oral Meloxicam 15 MG Tablet Oral Sildenafil Citrate 100 MG Tablet Oral Cetirizine HCl 10 MG Tablet Oral Ear Drops 6.5 % Solution Otic Tamsulosin HCl 0.4 MG Capsule 1 capsule Orally Once a day Trulicity(Dulaglutide) 0.75 MG/0.5ML Solution Auto-injector Subcutaneous Testosterone 50 MG/5GM (1%) Gel Transdermal Not-Taking Fluticasone Propionate 50 MCG/ACT Suspension Nasal Acetaminophen 325 MG Tablet Oral Medication List reviewed and reconciled with the patient Past Medical History Seasonal allergies. Asthma. CAD. BPH. Surgical History shoulder surgery