Patient Note — 89844

4/16/26, 1:29 PM Print Preview [PATIENT_NAME] DOB: [DOB] (61 yo F) Acc No. [ACCOUNT_ID] DOS: 03/18/2026 [PATIENT_NAME] 61 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [ACCOUNT_ID] [ADDRESS], APT 103, DUMFRIES, VA-[ACCOUNT_ID]- 2724 Home: [PHONE] Guarantor: [GUARANTOR_NAME] Insurance: Sentara Health Plans (FNA Optima) PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: POTOMAC UROLOGY CENTER - Woodbridge Structured Data: How did you hear about us? : Other; Patient's temperature : 97.6; : 06/22/2022 03/18/2026 Progress Notes: [PROVIDER_NAME], MD Reason for Appointment 1. Hematuria History of Present Illness Hematuria: 61 year old female with history of recurrent UTIs presents for assessment of gross hematuria. ++++++++++++ UA/UCx: S. Species [10/29/2025], mixed urogenital flora [04/16/2024], Strep [4/5/2023], Negative [5/4/2022]. Overactive Bladder: Also, with history of overactive bladder and urge incontinence. She continues Solifenacin 10mg qd. She has recurrent right flank pain. ++++++++++ Pelvic: Atrophic vaginitis [6/22/2022] CMG: Uninstrumented uroflow study was not recorded due to low volume, however, PVR was only 10 cc. | Instrumented pressure flow study shows observed stress incontinence with high leak point pressures; decreased sensory capacity; intact voluntary detrusor contraction with incomplete bladder emptying. [9/21/2020]. Previous Therapy Medication Trospium/Sanctura Anticholinergic Side Effects? No Interventions Yes Botox Yes Last Botox 08/01/2023 Interstim Yes Date 10/09/2018 Current Medications Taking Vimpat Keppra amLODIPine Besylate Atorvastatin Calcium Montelukast Sodium Nitrostat Zolpidem Tartrate PROAIR HFA Solifenacin Succinate 10 MG Tablet 1 tab(s) orally once a day Progress Note: [PROVIDER_NAME], MD 03/18/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/16/2026 04:29 PM EDT 1/5 4/16/26, 1:29 PM Print Preview [PATIENT_NAME] DOB: [DOB] (61 yo F) Acc No. [ACCOUNT_ID] DOS: 03/18/2026 Medication List reviewed and reconciled with the patient Past Medical History Heart murmur. Breast cancer. Asthma. COPD. Seizures. OAB. Surgical History HEART VALVE Endoscopy colostomy myomectomy interstim placement 2018 right foot surgery Bladder Botox Inj right mastectomy 2008 stent insertion Interstim Removal 4/2024 foot left 6/2024 Family History Father: deceased, diagnosed with CONDITN INFLU HEALTH NEC Mother: alive, diagnosed with CONDITN INFLU HEALTH NEC Social History Smoking: no Recreational drug use: no. Exercise: yes, walking. Caffeine: yes, 2 cups daily. Sexually active: yes. Occupation: no. Tobacco Control (Standard) Tobacco use: Nonsmoker AUDIT-C (Standard) Did you have a drink containing alcohol in the past year? No Points 0 Interpretation Negative Screening Allergies Percocet HYDROcodone-Acetaminophen Amoxicillin Sulfamethoxazole: hives Hospitalization/Major Diagnostic Procedure chest pain 01/2019 covid 2021 seizures 2021 seisur