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: penicillins / citrus derived / lactulose attending: chief complaint: mechanical fall with right hip fracture major surgical or invasive procedure: - open reduction with internal fixation of right hip fracture history of present illness: this is an 88 y.o man with history of coronary artery disease, alzheimer's who lives at rehab who presented to the hospital after an unwitnessed fall in the bathroom. the patient recalls that he was finishing up in the bathroom when he slipped and fell backwards towards the toilet, hitting his head. he subsequently landed on his right side and had sudden onset of sharp pain in the right hip. on evaluation here in our emergency room, he was found to have a right femur fracture with extention to the subtrochanter. he denies any prodrome, lightheadedness, nausea, dizziness, chest pain, or shortness of breath immediately prior to his fall. the patient at baseline is not very active; he walks using a walker and has not used stairs for some time. patient had trochanteric femoral nail for right hip placed by ortho on . in the pacu he was found to be hypotensive with sbp 80s with oliguria. 1unit of prbc was transfused with 500cc ns bolus x2 with improved bp, so patient was transferred to floor. he dropped his bp again, so was transferred back to pacu, where he received another unit of prbc and 500cc ns bolus. his urine output was 30cc/hr but bp did not improve, so was transferred to ticu for further management with trop enzymes sent. past medical history: - alzheimer's - stemi s/p mid and distal lad placement of 2 bare metal stents - ulcerative colitis - recurrent uti - dysphagia s/p esophageal dilatation - bilateral leg ulcers and skin grafts - h/o c diff - left hip fx s/p orif social history: lives at seniorlife. social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: admission physical exam: bp103/65 sats96%ra t98.7 hr83 reg mrs is lying comfortably in bed in no respiratory distress. he has a marked deviation of his head to the right shoulder which he reports is longstanding, gradual and painless and his sister also has this trait. he has a pronounced resting tremor but reports he does not have parkinsons disease. his speech is difficult to understand. he is hard of hearing and complained of severe tinnitus overnight. he now has a right hearing aid in . seborrheic keratoses on his central chest. v thin habitus- sarcopenic. heart sounds normal. no added sounds or murmus. chest is clear to auscultation. abdomen soft, nontender, bowel sounds, no masses. foley in with some dried blood at meatus. some intertrigo central abdomen. no peripheral edema. swelling at right thigh, inf dressing is blood soaked. can wiggle toe of both feet and plantarflex and dorsiflex bilat. has pneumaboots and splints on bilat ?for foot drop prevention. does not have foot drop clinically. chronic venous stasis changes distally bilat and also dystrophic onychogryphosis bilat. . discharge physical exam: t 98.0 bp 98/60 p 76 rr 18 sao2 95% ra right leg internally rotated. pertinent results: admission labs: wbc-6.6 rbc-4.55* hgb-14.7 hct-43.4 mcv-95 mch-32.3* mchc-33.8 rdw-12.6 plt ct-216 neuts-74.9* lymphs-13.4* monos-10.0 eos-1.3 baso-0.4 pt-12.0 ptt-33.1 inr(pt)-1.1 glucose-94 urean-24* creat-0.8 na-139 k-4.7 cl-100 hco3-29 angap-15 digoxin-1.0 wbc-6.6 rbc-3.37* hgb-10.1* hct-29.6* mcv-88 mch-30.0 mchc-34.2 rdw-16.5* plt ct-165 . discharge labs: glucose-98 urean-15 creat-0.4* na-141 k-3.4 cl-107 hco3-29 angap-8 calcium-7.9* phos-1.4* mg-2.0 wbc-6.6 rbc-3.37* hgb-10.1* hct-29.6* mcv-88 mch-30.0 mchc-34.2 rdw-16.5* plt ct-165 . ct head (): stable appearance of head ct without evidence for acute intracranial hemorrhage. . ct c-spine (): no ct evidence for acute fracture or malalignment. however, severe degenerative change places the patient at risk for cord contusion even with minor trauma. if clinically indicated, mr is more sensitive for evaluation of the spinal cord. . chest x-ray (): markedly rotated patient making examination suboptimal, although grossly, there has been no significant interval change since the prior study. consider repeat with better positioning as able. . hip x-ray (): 1. displaced right intertrochanteric fracture with extension into the proximal right femoral diaphysis, with varus angulation of the right femoral head. 2. large stool ball in the rectum. 3. linear lucencies projecting over the bilateral superior pubic rami more likely relates to overlying bowel; however, non-displaced fractures are not excluded. . brief hospital course: mr. is an 8 yo m with h/o stemi, chf with ef 30%, and alzheimer's disease presenting after mechanical fall, found to have right hip fracture. . #.right hip fracture: patient was admitted to the orthopedic service on for a right hip fracture after being evaluated and treated with closed reduction in the emergency room. he underwent open reduction internal fixation of the fracture without complication on . please see operative report for full details. he was extubated without difficulty and transferred to the recovery room in stable condition. in the early post-operative course mr. was noted to be hypotensive to the 70's and 80's with low urine output and he remained in the post-anesthesia care unit. an ekg was ordered and was unremarkable. serial troponins were sent and negative for any ischemic cardiac event. he was given three separate 500cc boluses of normal saline over the next several hours as well as 2 units of packed red cells, with a goal hematocrit of >30 given his cardiac history. he was transferred to the icu for continued care overnight, where he remained off pressors with systolic blood pressure in the low 90's. his urine output increased as well to 20-30cc per hour. he remained awake and alert throughout this period with no change in his mental status. on post-operative day 1, he was transferred to the floor in stable condition, to the medicine/geriatrics service for further management of his hypotension. he required 4 units of prbc after surgery due to falling hematocrit and hypotension to 90s. a compression dressing was placed on the right thigh to aid in tamponade. his pressures responded well to blood transfusions and his hct rose appropriately. he was discharged in stable condition back to his original rehab home. he is currently on bedrest, to continue pt at rehab. pain management with oxycodone 2.5mg po q4 hrs prn and standing tylenol 1gram po tid. . # constipation: patient constipated pain meds and immobility, which responded to standing senna, docusate, bisacodyl suppository, milk of magnesia, and miralax. held multivitamin, vit d, calcium while in hospital, to be restarted in rehab. . # alzheimer's disease: stable, not on any medications. patient aaox3 during hospitalization. . # cad/chf: last ef 30% . on asa and digoxin. . # ulcerative colitis: on mesalamine . ====================================== transition of care: - please check chem 10 on medications on admission: tylenol 325 mg tab oral 2 tablet(s) , as needed aspir-81 81 mg tab oral 1 tablet, delayed release (e.c.)(s) once daily calcium carbonate 650 mg calcium (1,625 mg) tab oral 1 tablet(s) once daily cholecalciferol (vitamin d3) 1,000 unit tab oral 1 tablet(s) once daily milk of magnesia 400 mg/5 ml oral susp oral 15 ml suspension(s) as needed remeron 15 mg tab oral tablet(s) once daily digoxin 125 mcg tab oral 1 tablet(s) once daily fluticasone 50 mcg/actuation nasal spray, susp nasal 1 spray, suspension(s) both nares, daily mesalamine er 250 mg cap oral 1 capsule, extended release(s) three times daily omeprazole 20 mg tab, delayed release oral 1 tablet, delayed release (e.c.)(s) once daily sorbitol 70 % soln miscellaneous 15ml solution(s), as needed senna 8.6 mg cap oral 1 capsule(s), as needed discharge medications: 1. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 2. calcium carbonate 650 mg calcium (1,625 mg) tablet : one (1) tablet po once a day. 3. cholecalciferol (vitamin d3) 1,000 unit tablet : one (1) tablet po once a day. 4. magnesium hydroxide 400 mg/5 ml suspension : fifteen (15) ml po q6h (every 6 hours) as needed for constipation. 5. mirtazapine 15 mg tablet : 0.25 tablet po daily (daily). 6. digoxin 125 mcg tablet : one (1) tablet po daily (daily). 7. fluticasone 50 mcg/actuation spray, suspension : one (1) spray nasal daily (daily). 8. mesalamine 250 mg capsule, extended release : one (1) capsule, extended release po tid (3 times a day). 9. omeprazole 20 mg capsule, delayed release(e.c.) : one (1) capsule, delayed release(e.c.) po daily (daily). 10. sorbitol 70 % solution : fifteen (15) ml miscellaneous once a day as needed for constipation. 11. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 12. acetaminophen 500 mg tablet : two (2) tablet po tid (3 times a day) as needed for pain. 13. enoxaparin 40 mg/0.4 ml syringe : forty (40) mg subcutaneous qhs (once a day (at bedtime)) for 4 weeks. 14. outpatient lab work please check chem 10 (sodium, potassium, chloride, bicarbonate, bun, creatinine, magnesium, phosphorus, calcium) on discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: right intertrochanteric hip fracture discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: bedbound. discharge instructions: orthopedic wound care: - keep incision clean and dry. - you can get the wound wet or take a shower starting from 7 days after surgery, but no baths or swimming for at least 4 weeks. - dry sterile dresssing may be changed daily. no dressing is needed if wound continues to be non-draining. - any stitches or staples that need to be removed will be taken out at your 2-week follow up appointment. activity: - continue to be weight bearing as tolerated on your right leg - you should not lift anything greater than 5 pounds. - elevate your right leg to reduce swelling and pain. other instructions - resume your regular diet. - avoid nicotine products to optimize healing. - resume your home medications. take all medications as instructed. - continue taking the lovenox to prevent blood clots. - you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in narcotic (oxycontin, oxycodone, percocet) prescriptions to the pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - narcotic pain medication may cause drowsiness. do not drink alcohol while taking narcotic medications. do not operate any motor vehicle or machinery while taking narcotic pain medications. taking more than recommended may cause serious breathing problems. - if you have questions, concerns or experience any of the below danger signs then please call your doctor at or go to your local emergency room. followup instructions: please call the office of dr. to schedule a follow-up appointment with in 2 weeks at . procedure: closed reduction of fracture with internal fixation, femur diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia percutaneous transluminal coronary angioplasty status old myocardial infarction other constipation alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance ulcerative colitis, unspecified accidents occurring in residential institution fall from other slipping, tripping, or stumbling closed fracture of intertrochanteric section of neck of femur personal history of traumatic fracture 

Answer: The patient is high likely exposed to