Patient Note — 262727

4/18/26, 9:54 AM Print Preview [PATIENT_NAME] DOB: [DOB] (70 yo F) Acc No. [ACCOUNT_ID] DOS: 04/03/2026 [PATIENT_NAME] 70 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS], [ADDRESS], VA-[ZIP] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Medicare VA (Palmetto) PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 04/03/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. UTI History of Present Illness UTI: 70 year old female with history of UTI and gross hematuria presents for reassessment since starting Estrace vaginal cream. She notes urgency and leakage, which have been causing a burning sensation. She endorses leakage with cough, sneeze, and physical activity. She has some leakage with urgency, but it is not as significant as her SUI symptoms. ++++++++ CT Urogram (INOVA): No renal tract calculus, renal mass lesion or filling defect in the bilateral upper renal tracts. Colonic diverticulosis without acute diverticulitis. [12/10/2025] UA/UC: Enterococcus species, Macrobid, RBC (10-15 /hpf) [12/09/2025] CT Abd/Pelvis: No renal tract calculus, renal mass lesion or filling defect in the bilateral upper renal tracts.Colonic diverticulosis without acute diverticulitis [12/10/2025] UA: RBC (3 /hpf) [12/01/2025] Cytology: Blood and inflammation in the urine, No Cancer cells [12/01/2025]. Current Medications Taking Estradiol 0.1 MG/GM Cream NO applicator, pea-sized amount (1g) at the tip of the finger Vaginal every night Calcium 600 MG Tablet 1 tablet with meals Orally Twice a day Vitamin B 12 500 MCG Tablet 1 tablet Orally Once a day Vitamin C 100 MG Tablet Chewable 1 tablet Orally Once a day Vitamin D 25 MCG (1000 UT) Tablet 1 tablet Orally Once a day buPROPion HCl ER (SR) 100 MG Tablet Extended Release 12 Hour Oral Atorvastatin Calcium 10 MG Tablet Oral Medication List reviewed and reconciled with the patient Past Medical History High cholesterol. Surgical History total hysterecomy masectomy tonsillectomy Family History Father: deceased Progress Note: [PROVIDER_NAME], MD 04/03/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/18/2026 12:54 PM EDT 1/3 4/18/26, 9:54 AM Print Preview [PATIENT_NAME] DOB: [DOB] (70 yo F) Acc No. [ACCOUNT_ID] DOS: 04/03/2026 Mother: deceased Social History Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency: 1-2 cups daily. Sexually active: no. Tobacco Control (Standard) Tobacco use: Nonsmoker Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Review of Systems 12 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient- ra. Vital Signs RR: 16, HR: 69, BP: 117/76 mm Hg, Ht: 64, Wt: 145 lbs, BMI: 24.89 Index. Physical Examination GENITOURINARY - FEMALE: General Appearance: alert, oriented, no apparent distress. Assessments 1.Stress in