Patient Note — 258349

4/23/26, 6:51 AM Print Preview [PATIENT_NAME] DOB: [DOB] (85 yo M) Acc No. [ACCOUNT_ID] DOS: 04/14/2026 [PATIENT_NAME] 85 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Medicare VA (Palmetto) PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: TELE-POTOMAC UROLOGY CENTER-MAN 04/14/2026 TV-F/U : [PROVIDER_NAME], MD Reason for Appointment 1. 3 WK F/U History of Present Illness UTI: 84yM here to be evaluated for 3 week fu. He has again had a second episode of sepsis and UTI with Ecoli and treated with PICC line and IV abx. Treted with ertapenem --------------- Prior Hx: He was admitted at UVA with urosepsis he had a PICC line placed and treated with ertapenem for MDR esbl e coli His weak stream and urinary frequency. He is taking tamsulosin. His UTI sx include stinging sensation. This is his first UTI episode treated with Macrobid 100 mg BID x10 days by PCP His baseline urinary sx include weak stream, urinary frequency every 1-3 hours. He denies urgency or incontinence. He is taking tamsulosin. He quit smoking 30 years ago. --------------- The patient's previous work-up history is listed below: RBUS (04/2026): 5mm LLP. 6 mm RMP. Milk of magnisia RLP CTap wo cont (03/2026): 4 mm nonobstructing calculus in the right kidney. There is a 3 mm nonobstructing calculus in the left kidney. Pvol 64 cc. BCX (03/2026): Negative. UCX (03/2026): MDR UTI Ecoli MRI organs/pelvis (11/2025): 0.8 cm anterior superior bladder diverticulum immediately adjacent to median umbilical ligament just to R of midline. Prostate gland is 5.3 cm transverse. L hydrocele. (Reviewed and interpreted) Urocuff (09/2025): PVR 40 ml, VV 118 ml, Qmax 11.1- depressed bell curve, mild obstruction. CTap wo cont (09/2025): Prostate vol 64 g. Calculus 3 mm LMP, 1 mm LMP, 5 mm RMP. Labs (09/2025) Cr 0.6, GFR 95, Discharge white count 6.5 IPSS (09/2025): 22, QOL 5, IIEF 12 UA (8/2025): Blood trace, ketones trace, Nitrites trace. Labs (10/2024): Cr 0.75. UCx: n/a. Current Medications Taking Progress Note: [PROVIDER_NAME], MD 04/14/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/23/2026 09:51 AM EDT 1/4 4/23/26, 6:51 AM Print Preview [PATIENT_NAME] DOB: [DOB] (85 yo M) Acc No. [ACCOUNT_ID] DOS: 04/14/2026 Tamsulosin HCl 0.4 MG Capsule 1 capsule Orally daily Simvastatin 20 MG Tablet 1 tablet in the evening Orally Once a day clonazePAM 0.5 MG Tablet 1 tablet Orally Once a day Carbidopa 25 MG Tablet 1 tablet Orally Three times a day Stool Softener(Docusate Sodium) 100 MG Tablet 1 tablet as needed Orally Once a day Lisinopril 20 MG Tablet 1 tablet Orally Once a day Screening Vital Signs Assessments 1.Urinary tract infection, site not specified - N39.0 (Primary) 2.Nephrolithiasis - N20.0 3.Enlarged prostate with lower urinary tract symptoms - N40.1 4.Bladder diverticulum - N32.3 5.Erectile dysfunction, unspecified erectile dysfunction