Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: abdominal aortic aneurysm major surgical or invasive procedure: open repair of abdominal aortic aneurysm history of present illness: 74f with known aaa who was found to have an acute increase in diameter from 4 to 5 cm over several months. patient had previously required coronary revascularization, and was seen in the clinic with an additional increase in aaa diameter to 5.6 cm, involving both renal arteries as well as an iliac aneurysm, and so was planned for elective repair. past medical history: past medical history is significant for copd, ventricular tachycardia, coronary artery disease, cardiomyopathy, hyperlipidemia, cerebrovascular disease with noted left carotid stenosis above, gastroesophageal reflux, type 2 diabetes, which is managed with oral medications, juxtarenal abdominal aortic aneurysm measuring 3.5 x 5.1 cm, osteoarthritis, anxiety and depression, diverticulosis, and left common iliac aneurysm measured 2.8 cm. she also has history of gi bleed and hiatal hernia. also additional medical history is of spinal stenosis. past surgery is significant for cholecystectomy, tubal ligation, and right subclavian bypass with dr. social history: 1 ppd tob. family history: son w/ mi at age 32 physical exam: physical exam: vs: tm 98 tc 97.9 hr 78 bp 135/76 rr 18 o2 sat 97 ra gen: wa/ wd, nad cv: rrr pulm: cta b/l abdomen: nsb, nd/nt, left mid-abdominal/flank incision c/d/i w/staples in place, no discharge extremities: no edema pertinent results: admission: 08:16pm hct-32.9* 01:52pm urea n-20 creat-0.9 sodium-135 chloride-109* total co2-18* 01:52pm calcium-7.6* phosphate-2.9 magnesium-1.2* 01:52pm wbc-21.2*# rbc-3.28*# hgb-10.1*# hct-29.5*# mcv-90 mch-30.7 mchc-34.1 rdw-14.9 01:52pm neuts-85.3* lymphs-11.7* monos-2.2 eos-0.2 basos-0.5 01:52pm plt count-160# discharge: 05:35am blood pt-53.6* inr(pt)-5.9* 05:35am blood glucose-139* urean-15 creat-1.1 na-139 k-4.1 cl-101 hco3-29 angap-13 09:49pm blood glucose-158* k-4.4 imaging: thrombosis within the left internal jugular vein, causing almost complete occlusion of the vessel. loss of respiratory variability on doppler imaging of the left subclavian vein is suggestive of possible thrombus in the left brachiocephalic vein. brief hospital course: the patient was admitted to the general surgical service for treatment of her abdominal aortic aneurysm. she tolerated the surgery well. after a brief, uneventful stay in the pacu, the patient arrived on the icu intubated, on no vasopressive medications, npo, on iv fluids, with a foley catheter, and pca for pain control. the patient was hemodynamically stable. she was extubated on pod 1 without any complications. she remained in the icu until pod2, she was subsequently transferred to the floor. neuro: the patient received pca with good effect and adequate pain control. when tolerating oral intake, the patient was transitioned to oral pain medications, which controlled her pain well. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. early ambulation and incentive spirometry were encouraged throughout hospitalization. gi/gu/fen: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. electrolytes were routinely followed, and repleted when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. patient remained afebrile and did not recieve any antibiotics. her incision remined clean, dry and intact with minimal to no drainage. endocrine: the patient's blood sugar was monitored throughout her stay. hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. she was continued on aspirin and was started on plavix. she was treated with coumadin for a few days for the blood clot found in her left internal jugular vein and possible thrombus in the left brachiocephalic vein. it was determined that the risks of the treatment outweighs the benefits and the anticoagulation was stopoped. patient is being discharged to home on aspirin and plavix only. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: aspirin 81 mg tablet pantoprazole 40 mg tablet qd simvastatin 10 mg tablet qd metformin 500 mg carvedilol 6.25 mg imipramine 50 mg daily lisinopril 5 mg qd discharge medications: 1. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 2. acetaminophen 500 mg tablet sig: two (2) tablet po every eight (8) hours as needed for pain. disp:*100 tablet(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 5. imipramine hcl 50 mg tablet sig: one (1) tablet po once a day. 6. simvastatin 40 mg tablet sig: one (1) tablet po once a day. 7. carvedilol 6.25 mg tablet sig: one (1) tablet po twice a day. tablet(s) 8. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 9. clonazepam 0.5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po once a day as needed for anxiety . discharge disposition: home with service facility: vna discharge diagnosis: abdominal aortic aneurysm discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk, gradually increasing your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (let the soapy water run over incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: please call the clinic to make an appointment with dr. in approximately 2 weeks. ( procedure: resection of vessel with replacement, aorta, abdominal resection of vessel with replacement, abdominal arteries diagnoses: other primary cardiomyopathies esophageal reflux urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified aortocoronary bypass status diaphragmatic hernia without mention of obstruction or gangrene occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia atherosclerosis of renal artery abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to