Patient Note — 266601

4/13/26, 2:26 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/19/2026 [PATIENT_NAME] [AGE] Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Cigna PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 03/19/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Cystitis without hematuria, frequency gets up 5 times at night frequency is mainly at night time, feels some disconfort after urinating , feeling burning at lower abd 2. CT scan History of Present Illness ARTERA: [AGE] yo Male is here for evaluation of cystitis without hematuria. He developed lower abdomiinal pain x 1 month. He was recently in the ED for dysuria. Subsequent UA and UC were unremarkable. His CT scan showed ? mild strading in posterior bladder. He has been on two rounds of abx but symptoms have returned. He has nocturia x 5. Voiidng small amounts. Frequency 3- 4x. Flow is ok. No urgency or leakage. Current Medications None Past Medical History No Reported Medical History. Medical History Verified. Surgical History foot Family History Father: deceased Mother: deceased Social History Smoking: no Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency:. Sexually active: no. Occupation: no. Screening Allergies Progress Note: [PROVIDER_NAME], MD 03/19/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/12/2026 04:56 PM EDT 1/3 4/13/26, 2:26 AM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/19/2026 N.K.D.A. Hospitalization/Major Diagnostic Procedure foot Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient- r a. Vital Signs RR: 16, HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 68, Wt: 196 lbs, BMI: 29.8 Index. Physical Examination GENITOURINARY - MALE: General Appearance: alert, oriented, no apparent distress. Vas normal bilaterally. scars none. Abdomen: soft, non-tender, no mass, no hernia. External genitals: normal. Penis: normal. Urethral meatus: normal. Scrotum: normal, no lesions. Testicles: normal, bilaterally descended in scrotum, no masses, no TTP. Epididymis: normal. Prostate: apex felt benign. Assessments 1.Cystitis - N30.90 (Primary) 2.Dysuria - R30.0 3.BPH loc w urin obs/LUTS - N40.1 Treatment 1.Dysuria LAB: Urinalysis, Complete LAB: Urine Culture, Routine 2.BPH loc w urin obs/LUTS Start Alfuzosin HCl ER Tablet Extended Release 24 Hour, 10 MG, 1 tab(s), orally, once a day, 90 days, 90 Tablet, Refills 3 LAB: Prostate-Specific Ag, Serum Notes: He has dysuria and nocturia. Will prescirbe Alfuzosin 10 mg. Side effects inclusde dizziness, nasal congestion and retrograde ejaculaiton. Will schedule cysto/TRUS Visit Codes [ZIP] Office Visit, New Pt., Level 4. Follow