Patient Note — 266862

progress_notes_266862_1_deid.txt

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Demographics & Encounter

Patient ID266862 (PHI redacted)
Age / Gender— / —
Date of Service2026-03-30
Provider[PROVIDER_NAME]
FacilityPOTOMAC UROLOGY CENTER - Woodbridge
PayerMedicare VA
Reason1. Hematuria

Diagnoses

R31.0 Gross hematuria
Z85.46 History of prostate cancer

Medications

Donepezil HCl Eliquis(Apixaban) 2.5 MG Tablet Oral Ezetimibe Felodipine ER Ferrous Sulfate Ensure Plus(Nutritional Supplements) - Liquid as directed Orally Folic Acid Furosemide Metoprolol Succinate ER Mirtazapine 7.5 MG Tablet Oral Multi For Him(Multiple Vitamins-Minerals) - Tablet as directed Orally Polyethylene Glycol 3350 Potassium Chloride Crys ER 20 MEQ Tablet Extended Release Oral Senexon-S(Sennosides-Docusate Sodium) 8.6-50 MG Tablet TAKE 2 TABLETS BY MOUTH TWICE A DAY AS NEEDED FOR CONSTIPATION Oral Simvastatin Medication List reviewed and reconciled with the patient

Past Medical History

  • High blood pressure
  • Chronic kidney disease
  • Progress Note: [PROVIDER_NAME], MD 03/30/2026
  • Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
  • Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:50 AM EDT
  • 1/4
  • 4/8/26, 4:20 PM Print Preview
  • [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026
  • Colon cancer
  • Prostate Cancer

Vitals

BMI 21.52
WEIGHT 150 lbs
HEIGHT_IN 70.0

Clinical Summary (HPI)

Hematuria: [AGE]yM here today for gross hematuria. Smoking Hx: Exposure history: ------------ The patient's previous work-up history is listed below: Last Cystoscopy: n/a Last Upper Tract Imaging: n/a Cytology: n/a UCx: n/a.

Raw Note (de-identified preview)

4/8/26, 4:20 PM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026 [PATIENT_NAME] [AGE] 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 - Woodbridge 03/30/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Hematuria History of Present Illness Hematuria: [AGE]yM here today for gross hematuria. Smoking Hx: Exposure history: ------------ The patient's previous work-up history is listed below: Last Cystoscopy: n/a Last Upper Tract Imaging: n/a Cytology: n/a UCx: n/a. Current Medications Taking Donepezil HCl 5 MG Tablet Oral Eliquis(Apixaban) 2.5 MG Tablet Oral Ezetimibe 10 MG Tablet Oral Felodipine ER 10 MG Tablet Extended Release 24 Hour 1 tablet Orally Once a day Ferrous Sulfate 325 (65 Fe) MG Tablet 1 tablet Orally Three times a Week Ensure Plus(Nutritional Supplements) - Liquid as directed Orally Folic Acid 1 MG Tablet Oral Furosemide 20 MG Tablet Oral Metoprolol Succinate ER 25 MG Tablet Extended Release 24 Hour Oral Mirtazapine 7.5 MG Tablet Oral Multi For Him(Multiple Vitamins-Minerals) - Tablet as directed Orally Polyethylene Glycol 3350 17 GM/SCOOP Powder as directed Orally Potassium Chloride Crys ER 20 MEQ Tablet Extended Release Oral Senexon-S(Sennosides-Docusate Sodium) 8.6-50 MG Tablet TAKE 2 TABLETS BY MOUTH TWICE A DAY AS NEEDED FOR CONSTIPATION Oral Simvastatin 40 MG Tablet Oral Medication List reviewed and reconciled with the patient Past Medical History High blood pressure. Chronic kidney disease. Progress Note: [PROVIDER_NAME], MD 03/30/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:50 AM EDT 1/4 4/8/26, 4:20 PM Print Preview [PATIENT_NAME] DOB: [DOB] ([AGE] yo M) Acc No. [ACCOUNT_ID] DOS: 03/30/2026 Colon cancer. Prostate Cancer. Surgical History femur surgery Nov 2025 Family History Father: deceased Mother: deceased Social History Smoking: no Recreational drug use: no. Exercise: no. Caffeine: no. Sexually active: no. Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Denies Past Hospitalization Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient, CQ. Vital Signs HR: Not Taken - Collection Device Broken, BP: Not Taken - Collection Device Broken, Ht: 70, Wt: 150 lbs, BMI: 21.52 Index. Examination General: General appearance: alert, oriented, no apparent distress. Assessments 1.Gross hematuria - R31.0 (Primary) 2.History of prostate cancer - Z85.46 Treatment 1.Gross hematuria Start Ciprofloxacin HCl Tablet, 500 MG, 1 tab(s), orally, every 12 hours, 7 days, 14 Tablet, Refills 0 LAB: Urine PCR LAB: Urinalysis, Complete (Collection Date & Time - 03/30/2026 04:57 PM) Value Reference Range Specific Gravity TNP - p