Demographics & Encounter
Patient ID258207 (PHI redacted)
Age / Gender55 / Male
Date of Service2026-03-24
ProviderNone
FacilityPOTOMAC UROLOGY CENTER - Manassas
PayerSentara Health
Reason1. 6 MONTH F/U
Diagnoses
N40.1
Benign prostatic hyperplasia with lower urinary tract symptoms
Z12.5
Screening for prostate cancer
Medications
Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally once a day
Atorvastatin Calcium
Cefdinir
Ventolin HFA(Albuterol Sulfate HFA)
Cefuroxime Axetil
predniSONE
Trelegy Ellipta(Fluticasone-Umeclidin-Vilant) 200-62.5-25 MCG/ACT Aerosol Powder Breath Activated Inhalation
Azithromycin
Levothyroxine Sodium
Metoprolol Succinate ER
Medication List reviewed and reconciled with the patient
Progress Note: STELLA Y BASOAH 03/24/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/14/2026 04:23 PM EDT
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4/14/26, 1:23 PM Print Preview
[PATIENT_NAME] DOB: [DOB] (55 yo M) Acc No. [ACCOUNT_ID] DOS: 03/24/2026
Past Medical History
- High blood pressure
- High cholesterol
- Thyroid disease
Clinical Summary (HPI)
General Urology: 54yM with LUTS presents today for 6 month fu, as he continues with Tamsulosin. He c/o urinary urgency, little urine output, nocturia x4-5. He says the medication is no long helpful, after 1 month. He is taking tamsulosin every morning with mild retrograde ejaculation, not bothersome. --------------------- He reports urinary frequency and weak stream. Denies any dribbling, not using pads. He reports he was hospitalized 2 months ago for asthma, and notes that his urinary sx have been worse since. Denies dysuria or GH. No recent UTIs. He has not tried any medications. --------------------- Prior work-up: PSA (09/2025): 2.61 (reviewed and interpreted) Urocuff (09/2205): PVR 43 ml, VV 288 ml, Qmax 12.1, staccato voiding pattern (reviewed and interpreted) UAmicro (08/2025): RBC 3-10, UCx: NG. (reviewed and interpreted) Labs (06/2025): WBC 11.6, Cr 0.5, BMP (06/2025): Cr 0.3, BUN 24, UA (06/2025): Ket 15, PH 7.5, Pro Trace, RBC 51-100, WBC 6-10, HbA1c 5.9, D-Dimer (09/2024); 0.7.
Raw Note (de-identified preview)
4/14/26, 1:23 PM Print Preview
[PATIENT_NAME] DOB: [DOB] (55 yo M) Acc No. [ACCOUNT_ID] DOS: 03/24/2026
[PATIENT_NAME]
55 Y old Male, DOB: [DOB]
Account: [ACCOUNT_ID]
[ADDRESS]
Home: [PHONE]
Guarantor: [GUARANTOR_NAME] Insurance: Sentara Health
Plans (FNA Optima)
PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME]
Appointment Facility: POTOMAC UROLOGY CENTER - Manassas
03/24/2026 Progress Notes: STELLA Y BASOAH
Reason for Appointment
1. 6 MONTH F/U
History of Present Illness
General Urology:
54yM with LUTS presents today for 6 month fu, as he continues with Tamsulosin.
He c/o urinary urgency, little urine output, nocturia x4-5. He says the medication is no long helpful, after 1 month.
He is taking tamsulosin every morning with mild retrograde ejaculation, not bothersome.
---------------------
He reports urinary frequency and weak stream. Denies any dribbling, not using pads.
He reports he was hospitalized 2 months ago for asthma, and notes that his urinary sx have been worse since.
Denies dysuria or GH. No recent UTIs.
He has not tried any medications.
---------------------
Prior work-up:
PSA (09/2025): 2.61 (reviewed and interpreted)
Urocuff (09/2205): PVR 43 ml, VV 288 ml, Qmax 12.1, staccato voiding pattern (reviewed and interpreted)
UAmicro (08/2025): RBC 3-10, UCx: NG. (reviewed and interpreted)
Labs (06/2025): WBC 11.6, Cr 0.5,
BMP (06/2025): Cr 0.3, BUN 24,
UA (06/2025): Ket 15, PH 7.5, Pro Trace, RBC 51-100, WBC 6-10, HbA1c 5.9,
D-Dimer (09/2024); 0.7.
Current Medications
Taking
Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally once a day
Atorvastatin Calcium 20 MG Tablet Oral
Cefdinir 300 MG Capsule Oral
Ventolin HFA(Albuterol Sulfate HFA) 108 (90 Base) MCG/ACT Aerosol Solution Inhalation
Cefuroxime Axetil 250 MG Tablet Oral
predniSONE 20 MG Tablet Oral
Trelegy Ellipta(Fluticasone-Umeclidin-Vilant) 200-62.5-25 MCG/ACT Aerosol Powder Breath Activated Inhalation
Azithromycin 250 MG Tablet Oral
Levothyroxine Sodium 75 MCG Tablet Oral
Metoprolol Succinate ER 25 MG Tablet Extended Release 24 Hour Oral
Medication List reviewed and reconciled with the patient
Progress Note: STELLA Y BASOAH 03/24/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/14/2026 04:23 PM EDT
1/4
4/14/26, 1:23 PM Print Preview
[PATIENT_NAME] DOB: [DOB] (55 yo M) Acc No. [ACCOUNT_ID] DOS: 03/24/2026
Past Medical History
High blood pressure.
High cholesterol.
Thyroid disease.
Surgical History
eye surgery 224
Family History
Father: deceased
Mother: deceased
Social History
Smoking: no
Recreational drug use: no.
Exercise: yes.
Caffeine: no.
Sexually active: yes.
Occupation: no.
Screening
Allergies
N.K.D.A.
Hospitalization/Major Diagnostic Procedure
pt went to sentara due to breathing issues. 03/2026
Review of Systems
11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the
patient...na.
Vital Signs
RR: 18, HR: 110, BP: 122/82 mm Hg, Ht: 63, Wt: 149 lbs