Patient Note — 259098

progress_notes_259098_1_deid.txt

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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 patient

Past 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