Patient Note — 259098
progress_notes_259098_1_deid.txt
Demographics & Encounter
Patient ID259098 (PHI redacted)
Age / Gender— / —
Date of Service2026-03-17
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Woodbridge
PayerCigna Open Access Plus
Reason1. F/u for circumcision
Diagnoses
N48.1
Balanitis
Medications
Clotrimazole-Betamethasone 1-0.05 % Cream 1 application Externally Twice a day Ciclopirox Potassium Chloride ER 20 MEQ Tablet Extended Release TAKE 2 TABLETS BY MOUTH ONCE DAILY Oral Vitamin D (Ergocalciferol) 1.25 MG ([ZIP] UT) Capsule TAKE 1 CAPSULE BY MOUTH ONCE A WEEK FOR LOW VITAMIN D Oral Copper Gluconate FeroSul(Ferrous Sulfate) Ketoconazole Furosemide Xifaxan(rifAXIMin) Thiamine HCl Pantoprazole Sodium Sodium Bicarbonate Medication List reviewed and reconciled with the patientPast Medical History
- Cirrhosis
- Colon cancer
Vitals
BMI
33.45
WEIGHT
220 lbs
HEIGHT_IN
68.0
Clinical Summary (HPI)
General Urology: [AGE]yM complaining of balanitis.
Raw Note (de-identified preview)
4/14/26, 7:52 AM Print Preview
[PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/17/2026
[PATIENT_NAME]
[AGE] Y old Male, DOB: [DOB]
Account: [ACCOUNT_ID]
[ADDRESS]
Home: [PHONE]
Guarantor: [GUARANTOR_NAME] Insurance: Cigna Open Access Plus
PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME]
Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge
03/17/2026 Progress Notes: [PROVIDER_NAME], MD
Reason for Appointment
1. F/u for circumcision
History of Present Illness
General Urology:
[AGE]yM complaining of balanitis.
Current Medications
Taking
Clotrimazole-Betamethasone 1-0.05 % Cream 1 application Externally Twice a day
Ciclopirox 8 % Solution APPLY SOLUTION TOPICALLY TO AFFECTED AREA ONCE DAILY PREFERABLY AT BEDTIME OR 8 HOURS BEFORE WASHING External
Potassium Chloride ER 20 MEQ Tablet Extended Release TAKE 2 TABLETS BY MOUTH ONCE DAILY Oral
Vitamin D (Ergocalciferol) 1.25 MG ([ZIP] UT) Capsule TAKE 1 CAPSULE BY MOUTH ONCE A WEEK FOR LOW VITAMIN D Oral
Copper Gluconate 2 MG Tablet TAKE 1 TABLET BY MOUTH ONCE DAILY Oral
FeroSul(Ferrous Sulfate) 325 (65 Fe) MG Tablet TAKE 1 TABLET BY MOUTH ONCE DAILY Oral
Ketoconazole 2 % Cream APPLY CREAM TOPICALLY TO AFFECTED AREA ONCE DAILY FOR 14 DAYS FOR SKIN INFECTION External
Furosemide 20 MG Tablet Oral
Xifaxan(rifAXIMin) 550 MG Tablet TAKE 1 TABLET BY MOUTH TWICE DAILY Oral
Thiamine HCl 100 MG Tablet TAKE 1 TABLET BY MOUTH ONCE DAILY Oral
Pantoprazole Sodium 20 MG Tablet Delayed Release TAKE 1 TABLET BY MOUTH ONCE DAILY AS NEEDED REFLUX Oral
Sodium Bicarbonate 650 MG Tablet TAKE 1 TABLET BY MOUTH TWICE DAILY Oral
Medication List reviewed and reconciled with the patient
Past Medical History
Cirrhosis.
Colon cancer.
Surgical History
colon surgery
Family History
Father: alive
Mother: alive
Social History
Progress Note: [PROVIDER_NAME], MD 03/17/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/14/2026 10:52 AM EDT
1/3
4/14/26, 7:52 AM Print Preview
[PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/17/2026
Recreational drug use: no.
Exercise: no.
Caffeine: yes, frequency: very little.
Sexually active: yes.
Occupation: yes.
Tobacco Control (Standard)
Tobacco use: Nonsmoker
AUDIT-C (Standard)
Did you have a drink containing alcohol in the past year? No
Points 0
Interpretation Negative
Screening
Allergies
HYDROmorphone: rash
Hospitalization/Major Diagnostic Procedure
Denies Past Hospitalization
Review of Systems
11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient ... ts.
Vital Signs
HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 68, Wt: 220 lbs, BMI: 33.45 Index.
Assessments
1.Balanitis - N48.1 (Primary)
Treatment
1.Balanitis
Start Clotrimazole-Betamethasone Cream, 1-0.05 %, 1 application, Externally, Twice a day, 14 days, 1, Refills 1
Notes: On examinaiton today, he has redness and irrirtation