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: history of present illness: the patient is an 86 year-old female status post right hip fracture and open reduction and internal fixation and cardiomegaly, ef of 50% who was at and had an acute onset of dizziness at 5:30 p.m. on the day of admission. the patient was also noted to be hypoxic and was sent to emergency room. in the emergency room she was found to be tachycardic to the 110s and oxygen saturation in the mid 90s on 100% nonrebreather. cta of the chest showed large bilateral pulmonary emboli. she was started on heparin with a bolus. past medical history: 1. cardiomyopathy ef 50%. 2. history of diverticulitis and colonic polyps. 3. supraventricular tachycardia. 4. degenerative arthritis. 5. status post hip open reduction and internal fixation. 6. dementia, alert and oriented times one at baseline. 7. psychotic mood disorder. 8. valvular heart disease. 9. depression. medications on admission: 1. senna two q.h.s. 2. milk of magnesia prn. 3. tylenol prn. 4. robitussin prn. 5. zoloft 25 mg po q.d. 6. ritalin 2.5 mg po. 7. mechanical soft ground diet. 8. multivitamins times one. allergies: no known drug allergies per doctor. social history: the patient came from rehabilitation. physical examination: on examination the patient was afebrile. blood pressure 119/68. heart rate 105. respiratory rate 27. 97% on a nonrebreather. in general, she was actually in no acute distress. oriented to person and hospital. heent pupils are equal, round and reactive to light. mucous membranes are very dry. neck no lymphadenopathy. cardiovascular tachy. no murmurs, rubs or gallops. lungs bronchial breath sounds at the left base. wheezes throughout. abdomen soft, nontender, nondistended. no masses. extremities warm, well healed right hip and right knee scars. neurological moves all four extremities. laboratories on admission: inr of 1.1, ptt 25.2, sodium 133, bun 22. ct of the chest showed bilateral large pulmonary emboli and a question of a density in the right upper lobe. question of infarct in main pulmonary arteries and all branches. head ct showed no bleed. chest x-ray showed flattening of the diaphragms otherwise clear. electrocardiogram sinus rhythm, no acute st t wave changes. hospital course: 1. pulmonary embolism: the patient was started on heparin with a bolus. throughout her hospital stay she was started on coumadin. at the time of discharge she is on both heparin and coumadin with an inr of 1.3. the plan is to continue her on both medications until her inr is therapeutic between 2 and 3 and then she will overlap with heparin and coumadin for 48 hours. at that time she can be discharged from heparin therapy and continue on coumadin. the patient had an echocardiogram, which showed an ef of 55% and no evidence of thrombus. she also had lower extremity doppler ultrasounds, which were positive for thrombus in the right anterior tibial vein. given the fact that the patient had no intracardiac thrombus or significant deep venous thrombosis it was felt there was no need for lysis or ivc filter. 2. cardiovascular/tachycardia: the patient had frequent bouts of supraventricular tachycardia during this hospitalization. electrocardiogram suggested mat likely secondary to pe and pulmonary disease. her underlying disorder was treated with heparin and was given gentle fluid boluses for dehydration. 3. dementia/cognitive decline: the patient had planned an outpatient head ct prior to admission. here no acute bleed noted on head ct. this will need to be followed up upon as an outpatient. 4. fen: the patient was advanced to a soft mechanical diet. she is taking po, but poorly. hyperkalemia was corrected given normal saline. 5. code status: during this hospitalization was full per the daughter. disposition: the patient will be discharged to full time rehabilitation facility. discharge medications: 1. tylenol 325 to 650 po q 4 to 6 prn. 2. senna one tab po q.h.s. prn. 3. colace 100 mg po b.i.d. prn. 4. sertraline 25 mg po q.d. 5. lorazepam 0.25 mg po q 4 to 6 prn anxiety. 6. warfarin 5 mg po q.h.s. 7. heparin intravenously weight based dosing guidelines infusion currently at 100 units per hour. 8. azithromycin 100 mg po q 24 hours duration an additional seven days. discharge condition: stable. discharge status: to rehab facility. follow up: the patient will follow up with her primary care physician . within the next two weeks. , m.d. dictated by: medquist36 procedure: transfusion of packed cells injection of anticoagulant diagnoses: hyperpotassemia anemia, unspecified pulmonary collapse other specified cardiac dysrhythmias long-term (current) use of anticoagulants other pulmonary embolism and infarction encounter for therapeutic drug monitoring 

Answer: The patient is high likely exposed to