Patient Note — 266385
progress_notes_266385_1_deid.txt
Demographics & Encounter
Patient ID266385 (PHI redacted)
Age / Gender83 / Male
Date of Service2026-04-07
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Manassas
PayerMedicare VA
Reason1. 3 WK F/U REV US + UROFLOW 2. pt sated he went to UVA to get his US done pt was not able to do the uroflow
Diagnoses
N39.0
Urinary tract infection
N20.0
Nephrolithiasis
Medications
Eliquis Metoprolol Tartrate Losartan Potassium Atorvastatin Calcium Allopurinol Pantoprazole Sodium Potassium Chloride Crys ER 20 MEQ Tablet Extended Release Oral Amiodarone HCl Bactrim DS(Sulfamethoxazole-Trimethoprim) 800-160 MG Tablet 1 tablet Orally two times a day methylPREDNISolone DECREASE BY 1 TAB EACH DAY FOR A TOTAL OF 6 DAYS Oral Medication List reviewed and reconciled with the patientPast Medical History
- Progress Note: [PROVIDER_NAME], MD 04/07/2026
- Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
- Generated for Printing/Faxing/eTransmitting on: 04/16/2026 03:30 AM EDT
- 1/3
- 4/16/26, 12:30 AM Print Preview
- [PATIENT_NAME] DOB: [DOB] (83 yo M) Acc No. [ACCOUNT_ID] DOS: 04/07/2026
- High blood pressure
- High cholesterol
Vitals
RR
18.0
HR
75.0
BP
135/85
BMI
25.06
WEIGHT
190 lbs
HEIGHT_IN
73.0
Clinical Summary (HPI)
General Urology: 83y M presents for 3 week fu review US + Uroflow. Feeling fine. Did finish the Bactrim course. No new fevers. No flank pain. ------------------ Prior Hx: Reports atypical symptoms of sudden onset weak stream with frequency and urgency. Had subjective fever of 103, resovled. Denies baseline LUTS. No flank pain. No prostate pain. --------------------- Prior work-up: RBUS (04/2026): 1 cm calculus posterior bladder. Mild bladder wall trabeculations. PVR 120 ml. PVol 39 ml. UAmicro (03/2026): WBC >30, Crystals Present, Bacteria Many, Nit Positive. UCX: Klebsiella oxytica >100K R to Ampicillin.
Raw Note (de-identified preview)
4/16/26, 12:30 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (83 yo M) Acc No. [ACCOUNT_ID] DOS: 04/07/2026
[PATIENT_NAME]
83 Y old Male, 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
04/07/2026 Progress Notes: [PROVIDER_NAME], MD
Reason for Appointment
1. 3 WK F/U REV US + UROFLOW
2. pt sated he went to UVA to get his US done pt was not able to do the uroflow
History of Present Illness
General Urology:
83y M presents for 3 week fu review US + Uroflow.
Feeling fine. Did finish the Bactrim course. No new fevers. No flank pain.
------------------
Prior Hx:
Reports atypical symptoms of sudden onset weak stream with frequency and urgency.
Had subjective fever of 103, resovled.
Denies baseline LUTS. No flank pain. No prostate pain.
---------------------
Prior work-up:
RBUS (04/2026): 1 cm calculus posterior bladder. Mild bladder wall trabeculations. PVR 120 ml. PVol 39
ml.
UAmicro (03/2026): WBC >30, Crystals Present, Bacteria Many, Nit Positive. UCX: Klebsiella oxytica >100K R to
Ampicillin.
Current Medications
Taking
Eliquis
Metoprolol Tartrate 50 MG Tablet Oral
Losartan Potassium 50 MG Tablet Oral
Atorvastatin Calcium 20 MG Tablet Oral
Allopurinol 300 MG Tablet Oral
Pantoprazole Sodium 40 MG Tablet Delayed Release Oral
Potassium Chloride Crys ER 20 MEQ Tablet Extended Release Oral
Amiodarone HCl 100 MG Tablet TAKE 1 TABLET BY MOUTH EVERY DAY Oral
Bactrim DS(Sulfamethoxazole-Trimethoprim) 800-160 MG Tablet 1 tablet Orally two times a day
Not-Taking
methylPREDNISolone 4 MG Tablet Therapy Pack TAKE 6 TABLETS ON DAY 1 AS DIRECTED ON PACKAGE AND
DECREASE BY 1 TAB EACH DAY FOR A TOTAL OF 6 DAYS Oral
Medication List reviewed and reconciled with the patient
Past Medical History
Progress Note: [PROVIDER_NAME], MD 04/07/2026
Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
Generated for Printing/Faxing/eTransmitting on: 04/16/2026 03:30 AM EDT
1/3
4/16/26, 12:30 AM Print Preview
[PATIENT_NAME] DOB: [DOB] (83 yo M) Acc No. [ACCOUNT_ID] DOS: 04/07/2026
High blood pressure.
High cholesterol.
Surgical History
shoulder replacement
diverticultis 1986
Melanoma Removal
Family History
Father: deceased
Mother: deceased
Social History
Recreational drug use: no.
Exercise: yes.
Caffeine: yes, frequency:2 cups of coffee per day.
Sexually active: no.
Occupation: no.
Tobacco Control (Standard)
Tobacco use: Former smoker
How long has it been since you last smoked? Greater than 10 years
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? 3 or 4 drinks (1 point)
How often did you have six or more drinks on one occasion in the past year? 4 or more times a week (4 points)
Poin