Patient Note — 266385

progress_notes_266385_1_deid.txt

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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 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

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