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: simvastatin / rosuvastatin attending: chief complaint: bilateral disabling claudication. major surgical or invasive procedure: : 1. bilateral extensive iliofemoral endarterectomy with bovine pericardial patch angioplasty. 2. bilateral common iliac stent grafts 7-37 i cast extension of the stent graft in the left common iliac artery of . 3. right exterior iliac stent complete se 780 and extension into the common femoral artery with a 7 x 40 complete se on the right. on the left side, an complete se stent. : sigmoidoscopy history of present illness: the patient is an elderly female with longstanding claudication that has gotten worse over the last 2 years to the point where she could barely walk and started to develop pain in the back of her heel on the left. can barely walk to the bathroom. after clearance by cardiology and pulmonology and understanding the risks and benefits, we decided to electively proceed to surgery. past medical history: pmhx: 1. chronic atrial fibrillation 2. hypertension 3. hypercholesterolemia 4. aortic regurgitation (mild ar echo ) 5. 3.1-cm infrarenal abdominal aortic aneurysm, stable since , but requires annual followup. 6. cholelithiasis. 7. emphysema. 8. colonic diverticulosis. 9. stable small left paraovarian cyst, over 3 years. 10.peripheral arterial disease. social history: - originally from , widowed (husband died of a heart attack in ). she used to run figures at an insurance company, but now is retired and lives off of her husbands pension. she says she lives alone and is independent with all of her adl. she has a 30-pack year smoking history and not currently smoking, occasionally drinks wine. physical exam: alert and oriented x 3 vs:bp128/50 hr 87 atrial fibrillation resp: lungs clear abd: soft, non tender ext: pulses: left dp dop ,pt dop right dp dop ,pt dop feet warm, well perfused. no open areas groin incisions: slightly red but no warmth and drainage. pertinent results: 07:25am blood wbc-8.4 rbc-3.15* hgb-8.9* hct-27.7* mcv-88 mch-28.2 mchc-32.1 rdw-14.7 plt ct-344 07:25am blood glucose-79 urean-16 creat-1.3* na-135 k-4.0 cl-104 hco3-21* angap-14 07:25am blood calcium-7.8* phos-1.7* mg-1.8 07:10am blood pt-29.1* ptt-48.7* inr(pt)-2.8* 02:52pm blood glucose-142* urean-40* creat-2.4* na-133 k-4.5 cl-106 hco3-18* angap-14 brief hospital course: the patient was brought to the operating room on and underwent bilateral ileofemoral endarterectomies with patch angioplasty and bilateral iliac stents. the procedure was without complications. she was closely monitored in the pacu and then transferred to the icu for ongoing gas exchange issues related to baseline emphysema and diastolic heart failure. she was transferred to the floor for further monitoring on pod #2 in stable condition. we continue to monitor her breathing pattern and gas exchange diuresing her with lasix to maintain a negative fluid balance to treat her acute on chronic diastolic chf exacerbation post surgery. her diet was gradually advanced. she worked with physical therapy who recommended rehab. on pod # 7 she had an episode of hypotensive causing ischemic colitis which was treated with fluid/albumin. by pod #9 her abdominal pain resolved and she started to tolerate on a regular diet. she was discharged to rehab on pod # 13 in stable condition. follow-up has been arranged with dr. in one week. 1.peripheral arterial disease sp bilateral ileofemoral endarterectomies with patch angioplasty and bilateral iliac stents on for disabling claudication. dopplerable le pulses. groin incisions are clean, slightly red and should be covered with dsd until removal at followup appointment next week. 2.diastolic congestive heart failure she had acute exacerbation of her chronic congestive heart failure after her procedure which we closely monitored and treated with lasix as needed. she is on her home dose of lasix 40mg daily. her preop weight is 77.1 kg. today's weight is 85.7 kg. we have been unable to diurese secondary to hypotension and ischemic colitis. 3.ischemic colitis on pod #7 she had an episode of hypotension to the 70's after lasix administration. at that time, our goal was 1 liter negative a day. shortly after this episode, she had vomitting with diarrhea with luq abdominal pain. her lactate level was 3.1 and her wbc rose to 23.3 from 7.6 earlier in the day. she was aggressively resusitate her with fluid and albumin. an abd ct did not show any overt mesenteric ischemia. flexible sigmoidoscopy, to evaluate mucosa, was negative for ischemia. cdiff was also negative. she was started on vanco/cipro/flagyl. she had continued improvement with return of her wbc to normal and resumption of a regular diet by pod #9. 4.hypertension bp now 120's/80. we have not restarted her home antihypertensives/cardiac meds of amlodipine 5mg, diltiazem hcl xr 360mg or moexipril 15mg secondary to relative hypotension (90s systolic) in the setting of presumed bowel ischemia. please contine to monitor and restart medications as tolerated. 5.chronic kidney disease admission cr. 2.4. today's cr is 1.3, likely related to holding diuresis and ace. 6.emphysema 02 sats are 94% on 2l which is her baseline at home. 7.atrial fibrillation hr 80s. coumadin restarted post procedure. inr 2.8 today. we have held coumadin for the last several days. medications on admission: albuterol sulfate 90 mcg'; amlodipine 5'; atorvastatin 80'; calcitriol 0.25' m-w-f; cilostazol 100'; diltiazem hcl xr 360'; fluticasone-salmeterol 250 mcg-50 mcg''; furosemide 40'; moexipril 15'; tiotropium bromide 18 mcg'; warfarin 3'; ascorbic acid 1,000'; aspirin 81'; calcium carbonate 250'; hexavitamin discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q6h (every 6 hours) as needed for astma. 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 10. warfarin 1mg tonight. discharge disposition: home facility: nursing & therapy center - ( center for rehabilitation and sub-acute care) discharge diagnosis: bilateral disabling claudication, acute on chronic diastolic chf emphysema discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: division of vascular and endovascular surgery discharge instructions what to expect when you go leave the hospital : 1. it is normal to feel tired, this will last for 4-6 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 swelling of the leg you were operated on: ?????? elevate your leg 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 ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase 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 (unless you have stitches or foot incisions) no direct spray on incision, 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 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: department: vascular surgery when: tuesday at 10:00 am with: clinic building: lm bldg () campus: west best parking: garage procedure: angioplasty of other non-coronary vessel(s) rigid proctosigmoidoscopy suture of cranial and peripheral nerves procedure on four or more vessels endarterectomy, lower limb arteries endarterectomy, lower limb arteries endarterectomy, abdominal arteries endarterectomy, abdominal arteries insertion of four or more vascular stents procedure on vessel bifurcation diagnoses: acidosis other iatrogenic hypotension pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure personal history of tobacco use mitral valve insufficiency and aortic valve insufficiency chronic kidney disease, unspecified other emphysema long-term (current) use of anticoagulants retention of urine, unspecified calculus of gallbladder without mention of cholecystitis, without mention of obstruction rash and other nonspecific skin eruption abdominal aneurysm without mention of rupture acute vascular insufficiency of intestine diverticulosis of colon (without mention of hemorrhage) atherosclerosis of native arteries of the extremities with rest pain long-term (current) use of aspirin personal history of colonic polyps other dependence on machines, supplemental oxygen other diuretics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to