Patient Note — 265905

4/8/26, 4:17 PM Print Preview [PATIENT_NAME] DOB: [DOB] (68 yo F) Acc No. [ACCOUNT_ID] DOS: 03/23/2026 [PATIENT_NAME] 68 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Medicare VA (Palmetto) PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Manassas 03/23/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. UTI History of Present Illness General Urology: 3/2/2026 New patient here for rUTI, OAB and IC hx of pudendal n entrapment hx of IC 8-10 UTIs in a year hx of daily abx prophylaxis with macrobid Last UTI was in Feb 2026, was given ampicillin w/ resolution of sx Currently feels she has a UTI Pt is on oxybutynin 5 mg w/ some benefit 03/05/2026 FU rUTI, OAB, GH and IC +vaginal bleeding and GH No improvmeent on abx 3/13/2026 FU kidney stones, rUTI, SUI, OAB, GH and IC +SUI 3/23/2026 FU kidney stones, rUTI, SUI, OAB, GH and IC ============================================================ CTU (3/2026): R kidney 2 mm nonobstructing stone at the mid pole. Stable 1.3 cm RLP AML. No obvious urologic malignancy. No hydro. S/P TVUS in 3/2026: 1.4 cm heterogenous soft tissue at the endo cervis. UCx (3/2026): Neg UA (3/2026): 1+WBC esterase, positive nitrite, 3-10 RBC Cr: 0.7 (5/2025) DIP - non diagnostic CTap w/ IV con (8/2024): No stones. No hydro. No obvious urologic malignancy. Urinary Incontinence (MIPS 48 & 50): Urinary Incontinence (MIPS 48 & 50) Progress Note: [PROVIDER_NAME], MD 03/23/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:47 AM EDT 1/5 4/8/26, 4:17 PM Print Preview [PATIENT_NAME] DOB: [DOB] (68 yo F) Acc No. [ACCOUNT_ID] DOS: 03/23/2026 Assessment: Present Plan of care documented: Yes Type of plan of care: Pharmacologic therapy Current Medications Taking Methenamine Hippurate 1 GM Tablet 1 tablet Orally Twice a day. Please do not take this medicine concurrently with any antibiotics Repatha Tamsulosin HCl 0.4 MG Capsule 1 cap(s) orally once a day oxyBUTYnin Chloride ER 5 MG Tablet Extended Release 24 Hour TAKE 1 TABLET BY MOUTH EVERY DAY Oral Imipramine HCl 25 MG Tablet 1 tablet Orally Once a day Zepbound(Tirzepatide-Weight Management) 7.5 MG/0.5ML Solution Auto-injector INJECT 0.5 ML SUBCUTANEOUSLY ONCE A WEEK Subcutaneous Crestor(Rosuvastatin Calcium) 20 MG Tablet 1 tablet Orally Once a day Famotidine 20 MG Tablet 1 tablet Orally Once a day Amoxicillin-Pot Clavulanate 875-125 MG Tablet 1 tablet Orally every 12 hrs Not-Taking Imipramine HCl 10 MG Tablet Oral Medication List reviewed and reconciled with the patient Past Medical History Diabetes insipidus. High cholesterol. High blood pressure. Surgical History breast cancer surgery ovary removal umbilical hernia right arm surgery Family History Father: deceased Mother: deceased herself- breast cancer, dcis. Social History Smoking: no Recreational drug use: no. Exercise: yes, 2x a