Patient Note — 266834

4/21/26, 11:45 AM Print Preview [PATIENT_NAME] DOB: [DOB] (59 yo F) Acc No. [ACCOUNT_ID] DOS: 04/17/2026 Progress Notes Patient: [PATIENT_NAME] Provider: [PROVIDER_NAME], MD Account: [ACCOUNT_ID] DOB: [DOB] Age: 59 Y Sex: Female Date: 04/17/2026 Phone: [PHONE] Address: [ADDRESS], WOODBRIDGE, VA-[ZIP] Pcp: [PROVIDER_NAME] Subjective: Chief Complaints: 1. REV RBUS. 2. pt stated she went to SENTARA to get her RBUS done. HPI: General Urology: 59yF, with hx of kidney stones, presents today to review RBUS. Kidney Stones: She had stent removal on 03/31/2026. RBUS (Apr'26): Multiple nonobstructive stones measure up to 1.4 cm on right. Multiple nonobstructive stones measures up to 0.6 cm on left. CTAP (Mar'26): 8 mm distal left ureteral calculi with moderate tos evere left-sided hydroureteronephrosis. 8 mm proximal right ureteral caluli just past the UPJ with moderate right hydroureteronephrosis. Additional samll bilateral intrarenal calculi. UA (Mar'26): protein trace, occult blood moderate, leuk esterase trace, RBC 3-5, WBC 11-20,. ROS: 12 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient...FP. Medical History: High cholesterol, Hypothyroidism, Hypoparathyroidism. Surgical History: foot . Hospitalization/Major Diagnostic Procedure: Denies Past Hospitalization. Family History: Father: deceased, lung cancer. Mother: deceased. Screening: Social History: Smoking: no . Recreational drug use: no. Exercise: yes. Caffeine: yes, frequency:. Sexually active: yes. Occupation: no. Medications: Taking Biotin , Taking Calcitriol 0.25 MCG Capsule TAKE 1 CAPSULE BY MOUTH TWICE DAILY Oral , Taking DULoxetine HCl 60 MG Capsule Delayed Release Particles TAKE ONE CAPSULE BY MOUTH TWICE A DAY Oral , Taking Metoprolol Succinate ER 25 MG Tablet Extended Release 24 Hour TAKE ONE TABLET BY MOUTH EVERY DAY Oral , Taking Levothyroxine Sodium 125 MCG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral , Taking Norethindrone-Eth Estradiol 1-5 MG-MCG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral , Taking Cefdinir 300 MG Capsule Oral , Taking Lidocaine 5 % Patch External , Taking Naproxen 500 MG Tablet Oral , Taking oxyCODONE-Acetaminophen 5-325 MG Tablet Oral , Taking Estradiol 10 MCG Tablet INSERT 1 TABLET IN VAGINA DAILY AT BEDTIME FOR 14 DAYS THEN TWICE A WEEK AFTERWARDS Vaginal , Taking Rosuvastatin Calcium 10 MG Tablet TAKE ONE TABLET BY MOUTH EVERY DAY Oral , Taking traZODone HCl 100 MG Tablet TAKE ONE TABLET BY MOUTH DAILY AT BEDTIME Oral , Medication List reviewed and reconciled with the patient Provider: [PROVIDER_NAME], MD Date: 04/17/2026 Generated for Printing/Faxing/eTransmitting on: 04/21/2026 02:45 PM EDT 1/3 4/21/26, 11:45 AM Print Preview [PATIENT_NAME] DOB: [DOB] (59 yo F) Acc No. [ACCOUNT_ID] DOS: 04/17/2026 Allergies: N.K.D.A. Objective: Vitals: RR: 16, HR: 83, BP: 106/67 mm Hg, Ht: 70, Wt: 160 lbs, BMI: 22.96 Index. Assessment: Assessment: 1. Calculus of ureter - N20.1 (Primary) 2. Acute UTI - N39.0