Patient Note — 263640

4/15/26, 11:26 AM Print Preview [PATIENT_NAME] DOB: [DOB] (42 yo M) Acc No. [ACCOUNT_ID] DOS: 04/15/2026 Stent Removal Patient: [PATIENT_NAME] Provider: [PATIENT_NAME] Account: [ACCOUNT_ID] DOB: [DOB] Age: 42 Y Sex: Male Date: 04/15/2026 Phone: [PHONE] Address: [ADDRESS], UNIT J301, COLUMBIA, MD-[ZIP] Pcp: PCP NO Subjective: Chief Complaints: 1. CYSTO/STENT. HPI: ARTERA: 42yM, with hx of kidney stones, S/p rigid R URS/LL, comes for stent removal. Kidney stones S/p rigid R URS/LL for 3 mm stone. ROS: 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient...fp. Medical History: Medical History Verified. Surgical History: Denies Past Surgical History. Hospitalization/Major Diagnostic Procedure: Denies Past Hospitalization. Family History: Father: alive. Mother: alive. Screening: Social History: Smoking: no . Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency:1 cup of coffee per day. Sexually active: yes. Occupation: yes, chef. AUDIT-C (Standard) Did you have a drink containing alcohol in the past year? Yes How often did you have a drink containing alcohol in the past year? Monthly or less (1 point) How many drinks did you have on a typical day when you were drinking in the past year? 1 or 2 drinks (0 point) How often did you have six or more drinks on one occasion in the past year? Less than monthly (1 point) Points 2 Interpretation Negative Medications: None Allergies: N.K.D.A. Objective: Vitals: RR: 16, HR: 81, BP: 129/76 mm Hg, Ht: 64, Wt: 143 lbs, BMI: 24.54 Index. Provider: [PATIENT_NAME] Date: 04/15/2026 1/3 4/15/26, 11:26 AM Print Preview [PATIENT_NAME] DOB: [DOB] (42 yo M) Acc No. [ACCOUNT_ID] DOS: 04/15/2026 Assessment: Assessment: 1. Renal calculi - N20.0 (Primary) Plan: Treatment: 1. Renal calculi Imaging: Ultrasound : Renal/Bladder with Post-void Residual (Ordered for 06/14/2026) Notes: S/p rigid R URS/LL for 3 mm stone. We discussed general guideline directed dietary management strategies: (a) increase fluid intake to achieve 3 L of water with lemon to achive average urine output goal of 2.5L/day, (b) low sodium diet less than 2000mg/day, (c) maintain normal daily calcium intake of 1200mg/day, (d) limit animal protein to less than 8oz/day, (e) low oxalate diet in select cases. Plan: RBUS ordered for further eval. F/u in 2 months. 2. Others Notes: A separate e/m encounter was held after the stent removal in order to discuss medication managment and order renal bladder sonogram to be completed in 2 months to evaluate for hydronephrosis. Procedures: Cystoscopy/stent removal: Procedure Timeout Patient verified name Yes Patient verified DOB Yes Patient verified procedure Yes Patient signed consent form Yes Anesthesia Anesthesia provided Local lidocaine jelly 2% Procedure in Detail The patient was prepped in a standard sterile fashion, 2% lidocaine jelly was placed into the urethra. The flexible cystoscope was inserted in the urethral meatus, and carried through