Patient Note — 266862
progress_notes_266862_1_deid.txt
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 patientPast 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