Patient Note — 267090

4/8/26, 3:55 PM Print Preview [PATIENT_NAME] DOB: [DOB] (49 yo M) Acc No. [ACCOUNT_ID] DOS: 04/06/2026 [PATIENT_NAME] 49 Y old Male, DOB: [DOB] Account: [ACCOUNT_ID]: [PHONE] [ADDRESS] Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Anthem Healthkeepers Plus PCP: ADVANCED UROLOGY Referring: ADVANCED UROLOGY Appointment Facility: POTOMAC UROLOGY CENTER - Alexandria 04/06/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. NP HOSP F/U History of Present Illness ARTERA: 49 yo M is here for hospital followup. He was admitted on 3/27/26 with left flank pain. He is s/p cysto, left ureteroscopy with LL and stent. The stone was partially fragmented and pushed into the kidney. He will need a staged left URS with LL and stent. CT abd pelvis without contrast from 03/2026 showed Moderate left hydronephrosis due to 9 mm calculus at ureteropelvic junction. Nonobstructing 4 mm calculus at the left ureterovesical junction. Current Medications Taking Naproxen 250 MG Tablet TAKE 1 TABLET (250 MG) BY MOUTH TWICE A DAY WITH MEALS Oral oxyBUTYnin Chloride 5 MG Tablet Oral Phenazopyridine HCl 200 MG Tablet TAKE 1 TABLET (200 MG) BY MOUTH THREE TIMES DAILY AS NEEDED FOR BURNING PAIN WITH URINATION Oral Tamsulosin HCl 0.4 MG Capsule Oral Medication List reviewed and reconciled with the patient Past Medical History Medical History Verified. Surgical History Appendectomy Family History Father: deceased Mother: deceased 2 sister(s) - healthy. 2 son(s) , 1 daughter(s) - healthy. Patient father died when he was 3 No family hx of cancer. Social History Smoking: no Recreational drug use: no. Exercise: no. Progress Note: [PROVIDER_NAME], MD 04/06/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/08/2026 06:25 AM EDT 1/3 4/8/26, 3:55 PM Print Preview [PATIENT_NAME] DOB: [DOB] (49 yo M) Acc No. [ACCOUNT_ID] DOS: 04/06/2026 Caffeine: yes, frequency: cofee/tea f=few cups a week. Sexually active: yes. Occupation: yes, driver. Screening Allergies N.K.D.A. Hospitalization/Major Diagnostic Procedure Inova Alexandria- Kidney stone 03/25/202 Review of Systems 11 system Review of Systems completed in the chart and all pertinent positives and negatives reviewed with the patient..mc. Vital Signs RR: 16, HR: 79, BP: 128/95 mm Hg, Ht: 67, Wt: 188 lbs, BMI: 29.44 Index. Assessments 1.Hydronephrosis determined by ultrasound - N13.30 (Primary) 2.Nephrolithiasis - N20.0 Treatment 1.Nephrolithiasis LAB: Urinalysis, Complete LAB: Urine Culture, Routine Notes: The patient had a 9 mm left proximal stone and nonobstructing 4 mm left UVJ stone. Suspect he passed the left UVJ stone. The 9 mm proxmal stone was impacted and URS with LL was performed. Stone was pushed into the kidney. He will need a staged left URS with LL and stent exchange. Risks include hematuria, dysuria, pain, infection, ureteral injury, renal injury and stents are not permanent. Will check U/A and UC. My office will call to schedule t