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: ceftriaxone / cartia xt / hydroxyzine attending: chief complaint: left infected charcot foot major surgical or invasive procedure: left below the knee amputation history of present illness: this 69-year-old gentleman with dialysis dependent renal failure, longstanding diabetes mellitus, and peripheral neuropathy, has bilateral charcot foot deformity. he has had a charcot foot reconstruction on the left. this became unstable again, chronically infected from osteomyelitis and he now has a flail ankle which is non- salvageable. he was advised to have a below-the-knee amputation. past medical history: 1. dm2 complicated by retinopathy, nephropathy, neuropathy 2. esrd (recent baseline cr 7-7.5). hd m/w/f. 3. htn 4. hyperlipidemia 5. paralyzed right hemidiaphragm s/p mva 6. osa on cpap 11, secondary to #5 per pt 7. h/o syncope, has implanted event recorder x2yrs. 8. glaucoma social history: lives at home with wife on . owns a construction company. denies etoh/tob/ivdu. family history: mom died from dm complications. has 1 sister and 3 children - healthy. physical exam: afebrile/vss gen: no distress, alert and oriented x 3 heent: perla, eomi, anicteric neck: no bruits heard chest: rrr, lungs clear abdomen: soft, nontender, nondistended ext: rigth foot warm well perfused, left bka stump incision clean and dry, no erythema, there is minimal ecchymoses, minimal edema . pulses: palpable femorals bilaterally, doppler signals in right foot pertinent results: 08:15am blood wbc-11.2* rbc-3.99* hgb-10.2* hct-32.8* mcv-82 mch-25.6* mchc-31.2 rdw-16.4* plt ct-332 06:25am blood wbc-9.6 rbc-4.01* hgb-10.4* hct-33.5* mcv-84 mch-26.0* mchc-31.1 rdw-16.4* plt ct-311 05:30pm blood neuts-82.0* lymphs-9.3* monos-5.8 eos-2.6 baso-0.3 08:15am blood plt ct-332 08:15am blood glucose-143* urean-51* creat-7.1*# na-136 k-4.2 cl-93* hco3-33* angap-14 10:00am blood ck(cpk)-63 03:15am blood alt-52* ast-60* alkphos-192* totbili-0.6 08:15am blood calcium-8.1* phos-5.6* mg-2.3 08:15am blood vanco-21.7* 10:10am blood type-art po2-100 pco2-57* ph-7.33* caltco2-31* base xs-1 intubat-not intuba 06:39am blood o2 sat-98 01:35am blood freeca-1.04* cxr 6:33 pm impression: mild dependent pulmonary edema changed in distribution but not in overall severity since . greater opacification in the left lower lobe could be atelectasis, with likely persistence of at least a small left pleural effusion. heart size normal. mediastinal contours are unremarkable. et tube ends at the thoracic inlet. the caliber of the endotracheal tube may be small, since the diameter, 12 mm, is less than a half the coronal diameter of the trachea, 26 mm. clinical assessment is indicated. brief hospital course: mr. was admitted on after his normal dialysis session for preoperative preparation for a left bka. he underwent a successful left bka on . while still in the or during emergence from anesthesia, he developed profound bradycardia and lost his blood pressure. chest compressions were initiated. after a minute of compressions and a dose of atropine, his blood pressure returned to 120 systolic. postoperatively the patient was kept intubated and transferred to the cardiovascular intensive care unit where he required neosynephrine to maintain his blood pressure. he was quickly weaned off the neo and extubated on pod1. his cardiac arrest was attributed to hypercarbia. the rest of the work up was normal. he underwent hd on pod1 and tolerated it well. he was then transferred to the vicu. on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve his strength and mobility. he continues to make steady progress without any incidents. he was discharged to a rehabilitation facility in stable condition. medications on admission: novolog ssi, nephrocap daily, asa 81mg daily, crestor 5mg daily, norvasc 2.5mg on non-hd days, lasix 80mg fri/sat/sun, cosop 1 gtt ou , alphagan 1 gtt os , renvela 3200mg tid w/ meals, zoloft 100mg daily discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep. 3. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 4. amlodipine 2.5 mg tablet sig: one (1) tablet po 4x/week (,tu,th,sa). 5. furosemide 80 mg tablet sig: one (1) tablet po 3x/week (,fr,sa). 6. sevelamer carbonate 800 mg tablet sig: four (4) tablet po each meal (). 7. ranitidine hcl 150 mg tablet sig: 0.5 tablet po daily (daily). 8. sertraline 100 mg tablet sig: one (1) tablet po daily (daily). 9. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 11. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 13. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q4h (every 4 hours). 14. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 15. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 16. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): take while not ambulatory and decreased mobility. 17. ondansetron 4 mg iv q8h:prn nausea 18. lantus 100 unit/ml cartridge sig: five (5) units subcutaneous once a day. 19. insulin sliding scale insulin sc sliding scale breakfast lunch dinner bedtime humalog glucose insulin dose insulin dose insulin dose insulin dose 0-55 mg/dl 4 oz. juice 4 oz. juice 4 oz. juice 4 oz. juice 56-70 mg/dl 0 units 0 units 0 units 0 units 71-100 mg/dl 7 units 5 units 8 units 0 units 101-150 mg/dl 8 units 6 units 9 units 0 units 151-200 mg/dl 9 units 7 units 10 units 0 units 201-250 mg/dl 10 units 8 units 11 units 0 units 251-300 mg/dl 11 units 9 units 12 units 2 units 301-350 mg/dl 12 units 10 units 13 units 4 units 351-400 mg/dl 13 units 11 units 14 units 5 units >401 mg/dl 14 units 12 units 15 units 6 units 20. amoxicillin/clavulanate sig: one (1) 500mg twice a day for 1 weeks. discharge disposition: extended care facility: rehab.hosp. of & islands- discharge diagnosis: left non-healing charcole foot dm2 esrd hypertension hyperlipidemia glaucoma discharge condition: stable discharge instructions: discharge instructions following below or above knee amputation . this information is designed as a guideline to assist you in a speedy recovery from your surgery. please follow these guidelines unless your physician has specifically instructed you otherwise. please call our office nurse if you have any questions. dial 911 if you have any medical emergency. . activity: there are restrictions on activity. on the side of your amputation you are non weight bearing until cleared by your surgeon. you should keep this amputation site elevated when ever possible. . you may use the other leg to assist in transferring and pivots. but try not to exert to much pressure on the amputation site when transferring and or pivoting. please keep knee immobilizer on at all times to help keep the amputation site straight. . no driving until cleared by your surgeon. . please call us immediately for any of the following problems: . redness in or drainage from your leg wound(s) . . watch for signs and symptoms of infection. these are: a fever greater than 101 degrees, chills, increased redness, or pus draining from the incision site. if you experience any of these or bleeding at the incision site, call the doctor. . exercise: . limit strenuous activity for 6 weeks. do not drive a car unless cleared by your surgeon. try to keep leg elevated when able. . bathing/showering: . you may shower immediately upon coming home. no bathing. a dressing may cover you??????re amputation site and this should be left in place for three (3) days. remove it after this time and wash your incision(s) gently with soap and water. you will have sutures, which are usually removed in 4 weeks. this will be done by the surgeon on your follow-up appointment. . wound care: . sutures / staples may be removed before discharge. if they are not, an appointment will be made for you to return for staple removal. . when the sutures are removed the doctor may or may not place pieces of tape called steri-strips over the incision. these will stay on about a week and you may shower with them on. if these do not fall off after 10 days, you may peel them off with warm water and soap in the shower. . avoid taking a tub bath, swimming, or soaking in a hot tub for four weeks after surgery. . medications: . unless told otherwise you should resume taking all of the medications you were taking before surgery. you will be given a new prescription for pain medication, which can be taken every three (3) to four (4) hours only if necessary. . remember that narcotic pain meds can be constipating and you should increase the fluid and bulk foods in your diet. (check with your physician if you have fluid restrictions.) if you feel that you are constipated, do not strain at the toilet. you may use over the counter metamucil or milk of magnesia. appetite suppression may occur; this will improve with time. eat small balanced meals throughout the day. . continue taking the antibiotic augmentin for 1 week. . cautions: . no smoking! we know you've heard this before, but it really is an important step to your recovery. smoking causes narrowing of your blood vessels which in turn decreases circulation. if you smoke you will need to stop as soon as possible. ask your nurse or doctor for information on smoking cessation. . avoid pressure to your amputation site. no strenuous activity for 6 weeks after surgery. . diet : . there are no special restrictions on your diet postoperatively. poor appetite is expected for several weeks and small, frequent meals may be preferred. . for people with vascular problems we would recommend a cholesterol lowering diet: follow a diet low in total fat and low in saturated fat and in cholesterol to improve lipid profile in your blood. additionally, some people see a reduction in serum cholesterol by reducing dietary cholesterol. since a reduction in dietary cholesterol is not harmful, we suggest that most people reduce dietary fat, saturated fat and cholesterol to decrease total cholesterol and ldl (low density lipoprotein-the bad cholesterol). exercise will increase your hdl (high density lipoprotein-the good cholesterol) and with your doctor's permission, is typically recommended. you may be self-referred or get a referral from your doctor. . if you are overweight, you need to think about starting a weight management program. your health and its improvement depend on it. we know that making changes in your lifestyle will not be easy, and it will require a whole new set of habits and a new attitude. if interested you can may be self-referred or can get a referral from your doctor. . if you have diabetes and would like additional guidance, you may request a referral from your doctor. . follow-up appointment: . be sure to keep your medical appointments. the key to your improving health will be to keep a tight reign on any of the chronic medical conditions that you have. things like high blood pressure, diabetes, and high cholesterol are major villains to the blood vessels. don't let them go untreated! . please call the office on the first working day after your discharge from the hospital to schedule a follow-up visit. this should be scheduled on the calendar for seven to fourteen days after discharge. normal office hours are 8:30-5:30 monday through friday. . please feel free to call the office with any other concerns or questions that might arise followup instructions: provider: , md phone: date/time: 1:20 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours hemodialysis cardiopulmonary resuscitation, not otherwise specified other amputation below knee diagnoses: end stage renal disease obstructive sleep apnea (adult)(pediatric) renal dialysis status cardiac complications, not elsewhere classified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled unspecified glaucoma hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia cardiac arrest long-term (current) use of insulin removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy atherosclerosis of native arteries of the extremities with ulceration ulcer of heel and midfoot other respiratory abnormalities arthropathy associated with neurological disorders chronic osteomyelitis, other specified sites other joint derangement, not elsewhere classified, ankle and foot 

Answer: The patient is high likely exposed to