Patient Note — 266140

4/8/26, 4:18 PM Print Preview [PATIENT_NAME] DOB: [DOB] (41 yo F) Acc No. [ACCOUNT_ID] DOS: 03/31/2026 [PATIENT_NAME] 41 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: CareFirst BCBS PCP: [PROVIDER_NAME] Referring: RP NO Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge 03/31/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Urinary Incontinence History of Present Illness Urinary Incontinence (MIPS 48 & 50): 41 year old female, new patient, presents for assessment of urinary incontinence. She notes incomplete bladder emptying and had an RBUS done at Rayus and a PVR of 423 was reported. She notes leakage with cough, sneeze, and without sensory awareness. This started after her uterine ablation for heavy menstrual periods; however, it did not resolve the issues. She has had 2 children. Her OBGYN recommended a hysterectomy to address fibroids. Current Medications Taking Iron Synthroid(Levothyroxine Sodium) 125 MCG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY 30 TO 60 MINUTES BEFORE BREAKFAST Oral Hydroxychloroquine Sulfate 200 MG Tablet TAKE TWO TABLETS BY MOUTH EVERY DAY Oral Medication List reviewed and reconciled with the patient Past Medical History Hashimoto's. Hyperthyroidism. Anemia. Autoimmune disease. Dysmenorrhea. Uterine fibroids. Surgical History Uterine Ablation 2019 Family History Father: alive Mother: alive Family history of cancer on both sides. Social History Smoking: no Recreational drug use: yes. Exercise: no. Caffeine: yes, frequency: 2x a day.. Sexually active: yes. Progress Note: [PROVIDER_NAME], MD 03/31/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:48 AM EDT 1/6 4/8/26, 4:18 PM Print Preview [PATIENT_NAME] DOB: [DOB] (41 yo F) Acc No. [ACCOUNT_ID] DOS: 03/31/2026 Screening Allergies Progesterone: hives 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, CQ. Vital Signs Examination General: General appearance: alert, oriented, no apparent distress. Abdomen: soft, non-tender, no mass, no hepatosplenomegaly, no CVAT. Physical Examination GENITOURINARY - FEMALE: General Appearance: alert, oriented, no apparent distress , alert, oriented, no apparent distress. scars none. Abdomen: soft, non-tender, no mass, no hernia. External genitalia: normal. Urethral meatus: normal. Urethra: , hypermobile without observed stress incontinence. Vagina: 2+ rectocele. Vaginal vault: good kegel, no levator tenderness, no obturator tenderness. Anus/perineum: normal tone. Levator awareness: normal. URO-GYN: Perineal body: normal. Skin sensation: normal. Anal sphincter: normal. Bulbocavernous reflex: normal. after obtaining consent, utilizing a female chaperone throughout the examination, a pelvic exam was completed. A