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 aortic aneurysm. major surgical or invasive procedure: resection and repair of abdominal aortic aneurysm with 18 mm dacron tube graft history of present illness: this 81-year-old lady has a 6.4 cm infrarenal abdominal aortic aneurysm. she had a 7 cm thoracic aneurysm which was treated with an about 3 months ago. she is now having repair of her second aneurysm past medical history: thoracic and abdominal aortic aneurysms hypertension diverticulosis chronic back pain(l1 collapse) arthritis s/p cataract surgery s/p appendectomy s/p cholecystectomy s/p mole removals s/p d&c social history: active smoker, 50 pack year history. denies etoh. she is widowed, currently lives with her 22 year old granddaughter. she is retired. family history: denies history of premature coronary disease. physical exam: pe: vs: tm 101.1, tc 100.0, bp 107/50(106-151/46-68), maps 67-99, rr 24-40, sao2 96%/ft genl: appears to be in some distress, moving around in bed frequently, tachypneic heent: ncat, eyes closed, sl dry mm cv: rrr, nl s1, s2 chest: tachypneic, some resp distress, but lungs clear anteriorly abd: soft, retroperitoneal c/d/i ext: all distal pulses palp neurologic examination: mental status: eyes closed, tries to open them to command, follows command to open eyes or stick out tongue to daughter's command, can also squeeze and release intermittently to daughter's command. minimal vocalizations to questions - "what" or "", seems somewhat appropriate but not very interactive. cranial nerves: pupils equal and reactive, blinks to visual threat b/l, l>r, +corneal reflexes. ?mild facial droop at rest on right, but no real nlf flattening and definite full excursion bilaterally with grimace. tongue midline. motor: moves all extremities spontaneously, symmetrically. strong when resisting (not tested by command). sensory: withdraws to noxious stim in all extremities dtrs: reflexes normal and symmetric throughout bue, decreased in ble but symmetric. r toe mute, l toe upgoing. pertinent results: 06:00am blood wbc-10.8 rbc-3.31* hgb-9.5* hct-28.4* mcv-86 mch-28.6 mchc-33.5 rdw-16.3* plt ct-289# 02:11am blood pt-12.7 ptt-29.4 inr(pt)-1.1 06:00am blood glucose-81 urean-38* creat-1.6* na-141 k-4.4 cl-105 hco3-26 angap-14 02:11am blood calcium-8.0* phos-3.6 mg-2.2 01:24am urine color-yellow appear-hazy sp -1.016 urine blood-lg nitrite-neg protein-30 glucose-neg ketone-tr bilirub-neg urine rbc-* wbc-* bacteri-none yeast-none epi-0 8:59 am mrsa screen site: rectal mrsa screen (final ): no staphylococcus aureus isolated. 10:10 am chest port. line placement one portable view. comparison with the previous study done . there is interval improvement in bilateral pleural effusions. the heart and mediastinal structures are unchanged. a vascular stent is in place in the descending aorta as before. an endotracheal tube and nasogastric tube remain in place. a swan-ganz catheter has been withdrawn. a right internal jugular catheter has been inserted and terminates in the superior vena cava. impression: interval improvement and bilateral pleural effusions. line placement as described. 2:10 pm ct head w/o contrast findings: there is no acute intracranial hemorrhage, shift of normally midline structures, or hydrocephalus. -white matter differentiation is preserved. soft tissues and osseous structures are normal. the visualized paranasal sinuses and mastoid air cells are clear. impression: no acute intracranial hemorrhage 4:00 pm renal u.s. findings: the study is recent postop with extensive surgical dressings, particularly over the left flank. the patient was intubated and not able to comply with technologist's directions. limited imaging of the right kidney demonstrates a length of approximately 10 cm. the echotexture is grossly unremarkable. there is no hydronephrosis or stone identified. visualization of the left kidney was moderately compromised. the length is approximately 9 cm. again no gross hydronephrosis is seen. the echotexture cannot be adequately evaluated. no stone is seen. the patient was catheterized prior to arrival at radiology. no fluid is identified in the bladder. despite multiple attempts, visualization of the foley catheter balloon was also not possible. impression: markedly limited study. renal sizes are grossly within normal limits and symmetric. no gross hydronephrosis is identified. no stones are seen. cardiology report echo study date of measurements: left ventricle - septal wall thickness: 0.7 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.6 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 4.0 cm left ventricle - fractional shortening: 0.29 (nl >= 0.29) aorta - valve level: 3.2 cm (nl <= 3.6 cm) aortic valve - valve area: *2.7 cm2 (nl >= 3.0 cm2) mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.6 m/sec mitral valve - e/a ratio: 1.33 pericardium - effusion size: 0.7 cm interpretation: findings: rotated heart secondary to copd, limited and suboptimal transesophageal and transgastric views. normal lv systolic function without any focal abnormalities. lv circumflex area during diastole started with 14cmsq and was same after the cross clamp came off. no wall motion abnormalities detected at the time of cross clamping of the aorta that was suprarenal for 22min and then for another 40 minutes for infrarenal clamp. echodense shadow seen in the descending thoracic aorta consistent with aortic stent no endoleak seen at the graft sight. mild to slightly moderate tr the pa systolic pressure estimated from tr equal to 40 mm of hg that correlates with the pa systolic pressure tracing from the pa cath. propagation velocity remained within the normal range before the cross clamp and after the cross clamp. left atrium: normal la size. no mass/thrombus in the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. the ivc is normal in diameter with appropriate phasic respirator variation. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thicknesses and cavity size. overall normal lvef (>55%). tvi e/e' >15, suggesting pcwp>18mmhg. no resting lvot gradient. lv wall motion: basal anterior - normal; mid anterior - normal; basal anteroseptal - normal; mid anteroseptal - normal; basal inferoseptal - normal; mid inferoseptal - normal; basal inferior - normal; mid inferior - normal; basal inferolateral - normal; mid inferolateral - normal; basal anterolateral - normal; mid anterolateral - normal; anterior apex - normal; septal apex - normal; inferior apex - normal; lateral apex - normal; apex - normal; right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic root diameter. normal ascending aorta diameter. normal descending aorta diameter. aortic valve: normal aortic valve leaflets (3). no as. no ar. three aortic valve leaflets. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets. mild to moderate +] tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: small pericardial effusion. conclusions: the left atrium is normal in size. no mass/thrombus is seen in the left atrium or left atrial appendage. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). the calculated myocardial performance index was 0.34 (mpi a =528 ms; mpi b = 394ms). tissue velocity imaging e/e' is elevated (>15) suggesting increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there are three aortic valve leaflets. the mitral valve appears structurally normal with trivial mitral regurgitation. the transmitral flow propagation velocity is 47c m/s (nl <=0.45m/s) there is a small pericardial effusion. brief hospital course: pt admitted on underwent a resection and repair of abdominal aortic aneurysm with 18 mm dacron tube graft. there were no complications. pt was extubated in the or. transfered to the vicu in stable condition pt had increase in creat / arf / responded to gentle hydration. on admission creat was 1.0 / on dc 1.6 / pt high creat 2.3. pt also recieve an us of kidneys / limited study / essentially negative. in the above workup pt was found to have uti / treated with levofloxacin. pt became agitated post operative - ciwa scale. pt recieved ativan, became hypercarbic. stat code called. pt intubated on the floor. found to be acidotic with increase lactate. transfered to the ticu. also during this time questionable facial droop / nuerology consulted / head ct negative pt remaind intubated for 3 days. pt extubated. post extubation pt transfered to the rehular floor. pt cleared for home with vna pt anmbulkating / taking po / urinating / pos bm medications on admission: crestor 10', asa 81', toprol 25' discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. crestor 10 mg tablet sig: one (1) tablet po once a day. 3. toprol xl 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed: prn for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: retroperitoneal aaa hypercarbia secondary to ativan - requiring intubation alcohol withdrawal uti arf postoperative with normalization befor dc post operative hypovolemia right facial droop - sedating medications metabolic acidosis discharge condition: stable discharge instructions: discharge instructions following aortic surgery 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 no specific restrictions on activity other than no lifting an object heavier than twenty-five (25) pounds for the first three (3) months. gradually increase your level of activity back to normal depending on how you feel. fatigue is normal, especially for the first month postoperative. resume driving when you feel strong enough and comfortable enough without needing pain medication. please call us immediately for any of the following problems: severe and worsening abdominal pain . pain or swelling in one of your legs. increasing pain, redness or drainage related to your incision(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 8 weeks. resume driving when you feel strong enough and comfortable enough without needing pain medication . no heavy lifting greater than 20 pounds for 8 weeks. avoid excessive bending at the hips and stooping for 4 weeks. bathing/showering: you may shower immediately if the incision is dry upon coming home. no baths until sutures / staples are removed. dissolving sutures may have been used. in either case, you can wash your incision gently with soap and water. wound care: suture / 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 / staples 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 two weeks after surgery. medications: you may resume taking medication you were on prior to your surgery unless specifically instructed otherwise by your physician will be given a new prescription for pain medication, which should 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. 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 heavy lifting (over 20 pounds) for 8 weeks after surgery. no strenuous activity for 4-6 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: calll dr office at . schedule an apppointment for 2 weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube resection of vessel with replacement, aorta, abdominal transfusion of packed cells diagnoses: acidosis other iatrogenic hypotension urinary tract infection, site not specified unspecified essential hypertension acute kidney failure, unspecified metabolic encephalopathy abdominal aneurysm without mention of rupture other and unspecified disc disorder, lumbar region examination of participant in clinical trial other specified anemias diverticulosis of colon (without mention of hemorrhage) alcohol withdrawal arthropathy, unspecified, site unspecified benzodiazepine-based tranquilizers causing adverse effects in therapeutic use drug-induced psychotic disorder with delusions 

Answer: The patient is high likely exposed to