Patient Note — 96782

4/16/26, 1:30 PM Print Preview [PATIENT_NAME] DOB: [DOB] (61 yo F) Acc No. [ACCOUNT_ID] DOS: 04/15/2026 [PATIENT_NAME] 61 Y old Female, DOB: [DOB] Account: [ACCOUNT_ID]: [ACCOUNT_ID] [ADDRESS], WOODBRIDGE, VA-[ACCOUNT_ID] Home: [PHONE] Guarantor: [PATIENT_NAME] Insurance: CareFirst BCBS PCP: [PROVIDER_NAME] Referring: [PROVIDER_NAME] Appointment Facility: TELE-POTOMAC UROLOGY CENTER-Alex 04/15/2026 TV-F/U : Kevin Reid, PA Reason for Appointment 1. 1 WK F/U History of Present Illness Kidney Stone: 61yF w/ hx of kidney stones presents via TV for 1-week f/u. The patient reports persistent left-sided flank pain. Recent urine culture was positive. She as started on Augmentin 2 days ago. Prior Hx: The patient reports 3-4 weeks of moderate-to-severe left flank pain. She notes the history of kidney stones x2. Last one was a few years ago. She notes that her PCP found microscopic blood in her urine. She has been taking any meloxicam for pain, which is making it tolerable. She denies any changes to her urinary symptoms. ------------ The patient's previous work-up history is listed below: CT A/P w/wo Contrast: No hydrounephrosis. Calculus in the left renal pelvis. No ureteral or bladder calculi. Colonic diverticulosis thout diverticulitis. Enlarged fibroid uterus. (04/06/2026). Current Medications Taking metFORMIN HCl , Notes to Pharmacist: 1000 mg Losartan Potassium , Notes to Pharmacist: 25mg Diclofenac Sodium 75 MG Tablet Delayed Release TAKE ONE TABLET BY MOUTH EVERY DAY WITH MEAL S) FOR 30 DAYS. Oral Naproxen 500 MG Tablet Oral Mounjaro(Tirzepatide) 5 MG/0.5ML Solution Auto-injector Subcutaneous Lidocaine 5 % Patch External Amoxicillin-Pot Clavulanate 875-125 MG Tablet 1 tablet Orally every 12 hrs Not-Taking Cipro Screening Vital Signs Past Orders Progress Note: [PROVIDER_NAME], PA 04/15/2026 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com) Generated for Printing/Faxing/eTransmitting on: 04/16/2026 04:30 PM EDT 1/3 4/16/26, 1:30 PM Print Preview [PATIENT_NAME] DOB: [DOB] (61 yo F) Acc No. [ACCOUNT_ID] DOS: 04/15/2026 Lab:(UA/M/UC) URINALYSIS, COMPLETE W/REFLEX TO CULTURE (Order Date - 04/06/2026) (Collection Date & Time - 04/06/2026 05:02 PM) Value Reference Range Specific Gravity 1.023 1.005-1.030 - pH 5.5 5.0-7.5 - Urine-Color Yellow Yellow - Appearance Cloudy A Clear - WBC Esterase 1+ A Negative - Protein 2+ A Negative/Trace - Glucose Negative Negative - Ketones Negative Negative - Occult Blood 3+ A Negative - Bilirubin Comment A Negative - Urobilinogen,Semi-Qn 1.0 0.2-1.0 - mg/dL Nitrite, Urine Negative Negative - Microscopic Examination See below: - Urinalysis Reflex Comment - WBC >30 A 0 - 5 - /hpf RBC >30 A 0 - 2 - /hpf Epithelial Cells (non renal) 0-10 0 - 10 - /hpf Casts None seen None seen - /lpf Bacteria Moderate A None seen/Few - Urine Culture, Routine Final report A - Result 1 Comment A - Result 2 Comment - Assessments 1.Calculus of kidney - N20.0 (Primary) 2.Flank pain - R10.9 Treatment 1.Calculus of kidney Notes