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 pain sepsis major surgical or invasive procedure: percutaneous tracheostomy chest tube placement history of present illness: this is a 76 year old female s/p sigmoid resection & colostomy at for ischemic colitis following syncope at home. she was determined to have ischemic colitis via fever, ct scan and wbc 36k and a surgical resection of sigmoid colon with colostomy was performed. a volvulus was noted at surgery. post-operative ressusitated was required with 7-8 l of iv fluids, but now with development of hypotension. she was transferred on levophed & dopamine via l subclavian line and had oliguria of <20 cc/hr. she was transfered to intubated, on pressors, with arf to the micu on . past medical history: hypercholesterolemia, niddm, htn, h/o pancreatitis, gerd, ccy, tonsillectomy social history: former smoker, non-drinker; married physical exam: vs: temp 100, hr 103, bp 99/49, rr 18, 100% on vent. gen: intubated, sedated cv: rrr resp: decreased breath sounds right apex; fair breath sounds right base; left wnl abd: colostomy bag in place. bs x 4, nondistended, mildly tender. ext: + pulses bilat. pertinent results: chest (portable ap) 11:12 pm chest (portable ap) reason: ? chf ? worsening ptx ? effusion medical condition: 76 year old woman with septic shock now extubation, h/o r ptx w/ chest tube, desatting reason for this examination: ? chf ? worsening ptx ? effusion indication: septic shock, chest tube placement. comparisons: . single view chest, ap: the right-sided chest tube is still malpositioned with a side port lying within the chest wall. there is persistent chest wall emphysema. there is a small right-sided pneumothorax, which has increased in size when compared to the previous exam. there has been interval removal of the left subclavian cvl. the right subclavian cvl tip terminates within the svc. the ng tube terminates within the stomach. there are persistent bilateral pleural effusions with worsening bibasilar atelectasis. impression: persistent malpositioning of right-sided chest tube with side port placed within the chest wall. interval increase in small right-sided pneumothorax chest (portable ap) 3:52 am chest (portable ap) reason: eval pneumothorax medical condition: 76 year old woman with septic shock, reintubated, and r chest tube for line ptx. significant crepitus. reason for this examination: eval pneumothorax indication: septic shock, right chest tube for pneumothorax. comparison: . findings: the chin overlies the right apex which limits evaluation for a small pneumothorax that was present on yesterday's exam. subcutaneous emphysema is worsening, and the side port of the right chest tube still lies within the extrapleural space. et tube is unchanged in position. ng tube is located in the stomach. there is a new small right pleural effusion. diffuse aveolar opacities in the left lung and mixed aveolar-interstitial pattern in the right lung are relatively unchanged. impression: 1. chest tube side port external to pleural space. 2. new right pleural effusion, and unchanged bibasilar opacities cardiology report echo study date of patient/test information: indication: left ventricular function. /sepsis. height: (in) 67 weight (lb): 180 bsa (m2): 1.94 m2 bp (mm hg): 109/45 hr (bpm): 44 status: inpatient date/time: at 10:30 test: portable tte (complete) doppler: full doppler and color doppler contrast: none tape number: 2006w022-0:30 test location: west sicu/ctic/vicu technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: 3.5 cm (nl <= 4.0 cm) left atrium - four chamber length: 4.6 cm (nl <= 5.2 cm) right atrium - four chamber length: 4.8 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: *1.2 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 3.5 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 1.8 cm left ventricle - fractional shortening: 0.49 (nl >= 0.29) left ventricle - ejection fraction: 65% to 70% (nl >=55%) aorta - valve level: 3.4 cm (nl <= 3.6 cm) aorta - ascending: *3.5 cm (nl <= 3.4 cm) aorta - arch: 2.7 cm (nl <= 3.0 cm) aortic valve - peak velocity: 1.6 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 1.0 m/sec mitral valve - a wave: 0.9 m/sec mitral valve - e/a ratio: 1.11 mitral valve - e wave deceleration time: 302 msec tr gradient (+ ra = pasp): <= 25 mm hg (nl <= 25 mm hg) pulmonic valve - peak velocity: 0.9 m/sec (nl <= 1.0 m/s) interpretation: findings: left atrium: normal la size. right atrium/interatrial septum: normal ra size. normal interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh with normal cavity size and systolic function (lvef>55%). normal regional lv systolic function. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic root diameter. mildly dilated ascending aorta. normal aortic arch diameter. no 2d or doppler evidence of distal arch coarctation. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. mild (1+) mr. prolonged (>250ms) transmitral e-wave decel time. tricuspid valve: mildly thickened tricuspid valve leaflets. mild tr. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. no ps. pericardium: there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. conclusions: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is an anterior space which most likely represents a fat pad. chest (portable ap) 9:56 am chest (portable ap) reason: ? recurrent ptx medical condition: 76 year old woman with septic shock, reintubated, and r chest tube for ptx, now on water seal. please do at noon reason for this examination: ? recurrent ptx type of examination: chest ap portable single view. indication: septic shock, re-intubated, and placement of right-sided chest tube for pneumothorax. evaluate for recurrent pneumothorax. findings: ap single view of the chest obtained with the patient in supine position is analyzed in direct comparison with a similar previous study of . the patient remains intubated, the ett terminating in the trachea some 3 cm above the level of the carina. an ng tube reaches far below the diaphragm. right-sided chest tube remains in place, seen to terminate in the apical portion of the pleura. no pneumothorax is identified. the previously described subcutaneous chest wall emphysema has regressed, minor traces remaining. no new infiltrates are seen, however, some cloudy central parenchymal densities are consistent with the pulmonary edema which apparently has regressed further. impression: further improvement of emphysema, regressing pulmonary edema signs, unchanged instrument positions. ct abdomen w/contrast 1:49 pm ct abdomen w/contrast; ct pelvis w/contrast reason: please give po contrast, r/o abscess contrast: optiray medical condition: 76 year old woman ischemic colitis reason for this examination: please give po contrast, r/o abscess contraindications for iv contrast: none. ct abdomen and pelvis history: 76-year-old woman with ischemic colitis, rule out abscess. technique: multidetector ct through the abdomen and pelvis with oral and iv contrast. coronal and sagittal reformations are provided. there are no prior cross-sectional studies available for comparison. abdomen ct: a large portion of the chest was scanned. there is a small right pneumothorax. there are bilateral mild pleural effusions with atelectasis of the adjacent lungs. there is a right chest tube in place. endotracheal tube with tip at the level of the carina. ng tube with tip in the stomach. two ill-defined hypoenhancing subcentimeter foci are seen in the right lobe of the liver too small to be characterized. there is mild central intrahepatic duct dilatation. cbd measures up to 8 mm with air-fluid level in its more distal aspect. the spleen, pancreas and adrenal glands are unremarkable. multiple cortical and exophytic cystic lesions are seen in both kidneys. there is no hydronephrosis. trace of perihepatic fluid is seen. there is wall thickening in the splenic flexure with stranding and trace of free fluid in the adjacent soft tissues. there are no drainable fluid collections. ostomy is seen in the left lower quadrant. there is no pneumoperitoneum. there is no lymphadenopathy. the aorta is atheromatous but normal in caliber. pelvic ct: the bladder has a foley catheter in its lumen. surgical clips are seen apparently in the distal sigmoid colon. the small bowel loops are unremarkable. enlarged uterus with an intramural fundal fibroid measuring 44 mm. trace of free fluid is seen within the pelvis. there are no pathologically enlarged lymph nodes. bone windows: there are no concerning bone lesions. degenerative changes are seen in the lower lumbar spine. ct reconstructions confirm the findings in the axial images. impression: 1. wall thickening in the splenic flexure, likely ischemic or inflammatory in origin. 2. bilateral pleural effusions. 3. small right pneumothorax. 4. small quantity of ascites. 5. multicystic kidneys. 6. fibroid uterus. unilat up ext veins us right 11:03 am unilat up ext veins us right reason: right arm cool, please assess for dvt medical condition: 76 year old woman with hypotension reason for this examination: right arm cool, please assess av patency indication: hypotension, right arm cool. findings: the exam is significantly limited due to air within the subcutaneous tissues of the arms secondary to pneumothorax. for this reason, the internal jugular, subclavian, axillary, and basilic veins could not be visualized. the brachial veins were visualized and there was normal flow, compressibility, and augmentation without evidence for intraluminal thrombus. the brachial artery in distal arm was patent. impression: limited exam, but patent brachial arteries and brachial veins. chest (portable ap) 5:42 am chest (portable ap) reason: pneumothorax, f/u medical condition: 76 year old woman with septic shock, reintubated, and r chest tube for ptx reason for this examination: pneumothorax, f/u ap chest 5:50 a.m. . history: septic shock, reintubated. pneumothorax. impression: ap chest compared to and 22: on , severe subcutaneous emphysema worsened. there has been no subsequent change and a moderate right pneumothorax has been stable throughout, while the course of the right pleural tube suggests it may be fissural. there is no left pneumothorax. pneumomediastinum is stable. moderate pulmonary edema and bibasilar consolidation, most likely edema and atelectasis are unchanged. moderate cardiac enlargement is stable. tip of the left subclavian line projects over the junction of the brachiocephalic veins and the nasogastric tube ends in the upper stomach. chest (portable ap) 11:02 am chest (portable ap) reason: chest tubes placed to water seal- plaese eval for ptx -obtai medical condition: s/p chest tube x 2 for pneumothorax, and chemical pleurodesis reason for this examination: chest tubes placed to water seal- plaese eval for ptx -obtain cxr at 11am. tx ap chest, 11:15 a.m., history: chest tube for pneumothorax and chemical pleurodesis. chest tube to water seal. impression: ap chest compared to chest films since , most recently . allowing for differences in radiographic technique, there has been no change. a moderate volume of right pleural thickening or loculated effusion, moderate left pleural effusion, severe left lower lobe atelectasis, mild pulmonary edema, and moderate enlargement of the cardiac silhouette are all unchanged. there is less mediastinal vascular engorgement. two right pleural tubes, a left subclavian venous line, and a nasogastric tube are in standard placements respectively. chest (portable ap) 3:42 pm chest (portable ap); -77 by different physician reason: re-eval pulmonary edema/infiltrates medical condition: 76 year old woman s/p ptx, bilateral chest tubes removed, out of icu with labored breathing, please evaluate for pulmonary process reason for this examination: re-eval pulmonary edema/infiltrates indication: status post pneumothorax, bilateral chest tubes removed, labored breathing. comparison: . findings: there has been significant interval increase in alveolar and interstitial opacities involving the right hemithorax. there has been increased right- sided pleural effusion. left lower lobe opacity and effusion appears unchanged. there is no pneumothorax. impression: increased right effusion and diffuse right lung opacity / consolidation, possibly related to aspiration given the rapid development. this would less likely represent asymmetric edema. cardiology report ecg study date of 8:45:20 am sinus rhythm with occasional atrial premature beats. compared to the previous tracing of atrial premature beats are new. modest anterolateral st-t wave changes persist. tracing #2 read by: , intervals axes rate pr qrs qt/qtc p qrs t 92 132 86 378/427.71 34 34 55 ct abd w&w/o c 1:06 pm ct chest w/contrast; ct abd w&w/o c reason: eval consolid field of view: 44 contrast: optiray medical condition: 76 year old woman with colonic ischemia reason for this examination: eval consolid contraindications for iv contrast: none. 76-year-old female with colonic ischemia and pulmonary consolidations. comparison: ct abdomen and pelvis, and chest radiograph, . technique: mdct continuously acquired axial images of the abdomen were obtained without iv contrast followed by images of the chest, abdomen, and pelvis after the administration of 145 ml of optiray iv contrast as well as oral contrast. three-minute delayed images through the kidneys were also performed. ct of the chest with iv contrast: there is an endotracheal tube terminating approximately 2 cm above the carina. a left subclavian central catheter terminates in the distal svc. a nasogastric tube terminates in the stomach. there are extensive mural calcifications of the nondilated thoracic aorta. a pericardial effusion is moderate in size. there are a few small coronary artery calcifications. the great vessels of the chest opacify well. there is no pathologic mediastinal, axillary or hilar lymphadenopathy. the airways are patent to the subsegmental level bilaterally. there is moderate diffuse background emphysema. there is extensive ground-glass opacity throughout the right lung with areas of more dense consolidation at the right apex and at the base of the right lower lobe. there are less severe patchy areas of ground- glass opacity throughout the left lung as well as more dense consolidation at the base of the left lower lobe. moderate layering bilateral pleural effusions cause associated compressive atelectasis of the posterior lower lobes. there is no pneumothorax. ct of the abdomen without and with iv contrast: compared to , , there is a new 6.4 x 3.7 cm high-density collection adjacent to the anterior hepatic dome. also noted is a 5 x 2.8 cm collection of fluid between the posterior hepatic dome and the diaphragm which demonstrates a fluid-fluid level. these findings likely represent hematoma, possibly secondary to chest tube placement. otherwise, the liver is unremarkable. a small amount of subcutaneous emphysema of the right anterior abdominal wall is also likely due to prior chest tube placement. the patient is status post cholecystectomy. the adrenal glands, pancreas, and stomach are unremarkable. again demonstrated are multiple bilateral renal cysts. incidental note is made of a small duodenal diverticulum. the patient is status post partial colectomy and there is a colostomy in the left lower quadrant. previously identified wall thickening of the splenic flexure is not appreciated on today's study. there is no inflammatory stranding adjacent to the colon and no intraabdominal fluid collection or abscess. there is no free intraabdominal air or mesenteric or retroperitoneal lymphadenopathy. there are extensive abdominal aortic calcifications. ct of the pelvis with iv contrast: again demonstrated is a fibroid uterus. the rectum and hartmann pouch are unremarkable. there is trace free pelvic fluid within physiologic range. there is no pelvic lymphadenopathy. there is a foley catheter within the urinary bladder. bone windows: no suspicious lytic or blastic osseous lesions are identified. impression: 1. asymmetric right-sided pulmonary edema and multifocal pneumonia superimposed on moderate background emphysema. ards cannot be excluded. 2. moderate bilateral layering pleural effusions. 3. small high-density collections anterior and posterior to the hepatic dome, probably represent hematoma secondary to chest tube placement. 4. multicystic kidneys. 5. fibroid uterus. chest (portable ap) 9:56 pm chest (portable ap) reason: please assess for pneumo, etc medical condition: 76 year old woman s/p tracheostomy w/ low po2 reason for this examination: please assess for pneumo, etc history: tracheostomy with low oxygen saturation. comparison: . upright ap view of the chest: tracheostomy tube has been placed in the interval with tip lying 4 cm from the carina. nasogastric tube is seen looped within the stomach with the tip in the fundus of the stomach, directed cephalad. subclavian central venous catheter remains in standard position within the svc. the heart demonstrates mild to moderate enlargement, not significantly changed. diffuse air space opacity within the right lung and left upper lobe are worse in the interval, and may reflect worsening asymmetric pulmonary edema, multifocal pneumonia, or aspiration. additionally, there is continued consolidation within the left lower lobe with small bilateral pleural effusions. no pneumothorax is present. impression: 1) worsening right lung and left upper lobe opacities, which may represent worsening asymmetric pulmonary edema, multifocal pneumonia, or aspiration. 2) persistent left lower lobe consolidation which could represent atelectasis or pneumonia with small bilateral pleural effusions. 3) tracheostomy tube in satisfactory position. ct head w/o contrast 11:02 am ct head w/o contrast reason: please assess for evidence of cva, etc medical condition: 76 year old woman with ms changes reason for this examination: please assess for evidence of cva, etc contraindications for iv contrast: none. indication: mental status changes, assess for cva. comparison: none. technique: non-contrast head ct scan. findings: there is no evidence of acute intracranial hemorrhage, shift of normally midline structures, or hydrocephalus. there is no evidence of acute major vascular territorial infarct. moderately severe confluent areas of hypoattenuation are seen within the periventricular white matter of both cerebral hemispheres consistent with chronic microvascular ischemia. also seen are multiple hypodense foci consistent with lacunes in the caudate nuclei and basal ganglia bilaterally as well as within the right cerebellum. visualized paranasal sinuses appear unremarkable. impression: no evidence of acute intracranial hemorrhage or major vascular territorial infarct. moderately severe microvascular ischemic changes as well as multiple old lacunes, consistent with longstanding hypertension. mri with diffusion-weighted images is more sensitive in the evaluation for acute ischemia/infarct. chest (portable ap) 11:04 am chest (portable ap) reason: please assess for consolidation,etc medical condition: 76 year old woman s/p tracheostomy w/ inability to wean vent reason for this examination: please assess for consolidation,etc study: ap chest, . history: 76-year-old woman status post tracheostomy with inability to wean off ventilator. findings: comparison is made to previous study from . tracheostomy and nasogastric tube are again seen. there is a left-sided central venous catheter with the distal tip abutting the lateral wall of the svc. the heart size is markedly enlarged, but unchanged. there is again seen persistent bilateral pleural effusions with pulmonary edema, which is not significantly changed. there are more focal airspace opacities within the right lung as compared to the left, however, which may be secondary to multifocal pneumonia versus asymmetric pulmonary edema. there is a left retrocardiac opacity. impression: no significant interval change. persistent airspace opacities and pulmonary edema with cardiomegaly and a left retrocardiac opacity. brief hospital course: the patient was admitted to on and received 2u of ffp to reverse inr 1.8 of uncertain etiology. bun/creat reportedly stable @ 44/2.2. she was transferred intubated, ac 0.4 with 5 peep, last abg @osh= 7.36/37/106. cxr with ?lll infiltrate. cipro/flagyl, and gent were started. #sepsis/hypoperfusion- most obvious source is abdominal, s/p surgery, possible enteric gram neg bactermeia. patient finally stabilized the night of admission, pressors were weaned off. the blood outpt from ostomy was concerning for ? ischemic colitis. antibiotics were continued vanc/zosyn/flagyl empirically for c. diff coverage. she received boluses for low uop. fluconazole was started per id recommendations. she is currently on no antibiotics as she has been afebrile with a stable wbc. #intubated- she was weaned and extubated on and her po2 dropped and she required reintubation . no evidence for resp failure. a cxr revealed a lll infiltrate. a right chest tube was placed on . a new chest tube placed due to a large pneumothorax. she was being followed by the thoracic service for management of her chest tube. she was again extubated in , pod 11, then became tachypneic, and required reintubation. she was transferred to the floor and continued to have difficulty breathing with a respiratory rate in the 30's and po2 43*1, pco2 44, ph 7.34*, cal hco325. she was readmitted to sicu for resp distress likely secondary to pulmonary edema. she was reintubated. multiple attempts were made to extubate. she had a tracheostomy placed . #elevated lfts- lfts were increasing from admission. likely due to shock liver, since no h/o viral inf, high risk behavior, heavy etoh use. her lft's trended down during her hospital stay to alt 32, ast 16, alk phos 128*, amylase 98, and total bili 0.8. #coagulopathy- likely shocked liver/sepsis. the lfts resolved with resolution of sepsis. #cv- cardiology was consulted on . she was found to have tachy-brady syndrome that was determined to be benign and no intervention (pacemaker) needed. the patient had a.fib/flutter on and was started on heparin and coumadin. she spontaneously converted on . she had other bouts of a.fib and was started on an amiodarone drip. she continues now on po amiodorone. #demand ischemia- patient had elevated ces and st depression in inferolateral distribution @ osh. ck and mb's were trending down and troponin were trending up likely due to renal falure #dm- insulin drip initially for close control given sepsis. she was then switched to sliding scale and fixed dose. #cri- per osh, this is at baseline. it is likely secondary to dm and htn. she was repleted with iv fluids which will help any contribution from sepsis. #ostomy she was followed by the ostomy nurse and had routine pouch changes. on , hd 33, there was bleeding from the mucocutaneou junction or the peristomal skin. there has been increasing amounts of blood in the pouch and her hct has dropped. a gi consult was obtained. a ng lavage on returned no blood and no coffee ground output, just greenish fluid. the patient has been anticoagulated with an elevated inr. the inr was brought down to a therapeutic range, 2 units of prbcs for a hct of 24 were transfused. no other intervention was needed at this time. #pertinent microbiology results are as follows: bcx (): neg; ucx (): neg; cath tip (): neg; sputum (): neg; c. diff (5/15,17): neg; bcx (): neg; sputum cx (): gnr sparse growth w/op flora; sputum cx (): enterobacter; mrsa (): neg x2; vre (): neg; sputum cx (): gs gnr, gpc in pairs and clusters, #pertinent radiology: cxr: persist diff b mod-sized pl effs. head ct: no bleed/infart; many old htn-related infarcts. cxr: worsening r lung and lul opacities, persistent lll. tte: ef 70%, sm to mod pericard eff. cxr: chf in setting of emphysema, prob pulm edema w/opacity @ base. ct chest/abd/pelvis: r pulm edema, r multifoc pna,?ards/interstitial process, b/l pl eff, ?ant/post hepatic dome hematoma. -cxr: worsening r effusion ? aspiration, -cxr chf, : cxr no ptx, stable lll consol. cxr: ptx gone,sm r pleural eff inc, mild pulm edema. cxr: new r ptx, : rue u/s brachial a&v patent, unable to see axilla (emphysema). ct: splenic bowel wall thickening, sm b effs. cxr : lsc line ok. : improved r eff, : cxr chest tube side port external to pleural space. new small right pleural effusion, and unchanged bbas opacities. echo-ef65-70%,1+mr,no wma; cxr: l effusion/ decreased r ptx #access- r subclav placed on admission. a-line placed. #nutrition- she was npo with an ngt. then started on tpn. she received a peg tube and tube feedings were started and she was at her goal tube feedings. #ppx: iv famotididne, sub q heparin, pneumoboots. ; son and daughter micu: main # full code medications on admission: meds on admission to osh: asa, glucophage 500 , metformin 500 tid, hctz 12.5 qd, lipitor 80mg qd, lisinopril 10mg, omeprazole 20mg , prilosec 40mg qd, vit e meds on transfer: gent 400mg this am (84); cipro 400 q12; flagyl 500 tid (last 2pm) protonix 40 qd; hc03 last pm discharge medications: 1. fludrocortisone 0.1 mg tablet sig: tablet po daily (daily). 2. chlorhexidine gluconate 0.12 % mouthwash sig: one (1) ml mucous membrane (2 times a day). 3. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 4. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush. 5. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 6. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 7. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsun (every sunday). 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). 9. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 10. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for wheeze. 11. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 12. olanzapine 5 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po daily (daily). 13. hydralazine 20 mg/ml solution sig: injection q6h prn () as needed for sbp>160. 14. acetazolamide sodium 500 mg recon soln sig: recon soln injection q12h (every 12 hours). 15. insulin nph human recomb 100 unit/ml suspension sig: one (1) subcutaneous twice a day: fixed nph dose breakfast and dinner. sliding scale regular q6h. see sliding scale. 16. warfarin 3 mg tablet sig: one (1) tablet po daily (daily). 17. pantoprazole 40 mg recon soln sig: one (1) intravenous q12h (every 12 hours). discharge disposition: extended care facility: & rehab center - discharge diagnosis: ischemic colitits sepsis acute renal failure discharge condition: good discharge instructions: * increasing pain * fever (>101.5 f) or vomiting * inability to pass gas or stool * other symptoms concerning to you please take all your medications as ordered no lifting greater than 10 lbs for 4 weeks followup instructions: please follow-up with dr. 2 weeks after discharge from rehab. call ( to schedule an appointment procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances non-invasive mechanical ventilation temporary tracheostomy transfusion of packed cells diagnoses: pneumonia, organism unspecified anemia, unspecified other postoperative infection congestive heart failure, unspecified acute kidney failure, unspecified unspecified septicemia atrial fibrillation sepsis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure iatrogenic pneumothorax septic shock sinoatrial node dysfunction other and unspecified coagulation defects diastolic heart failure, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled colostomy status personal history of other diseases of digestive system other colostomy and enterostomy complication 

Answer: The patient is high likely exposed to