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: this is a 65 year old female who was ice skating on the evening of . she fell backwards, hit her head on ice. she had a three to four minute loss of consciousness at the scene and also vomited in the ambulance en route to the hospital. coma scale on arrival was l4. the patient was oriented to person only on arrival. past medical history: the patient denies any past medical history and that was confirmed with her son. past surgical history: positive for a cesarean section. medications: the patient denies any medicines. allergies: no known drug allergies. social history: the patient is a widow who lives alone in . she has one son who lives in . tobacco use is none. etoh use is none. physical examination: the patient generally was awake, alert, oriented times two. her vital signs were 137/81; pulse of 82; 18; and 98%. pupils were equal, reactive to light and accommodation. c-collar was in place. lungs were clear bilaterally. cardiac was regular rhythm and rate. s1, s2. abdomen soft, nondistended, bowel sounds are positive. neurological: the patient was awake, alert and oriented times two, speaking slowly, no offering much information with closed eyes quickly. speech was fluent. naming was intact. repetition intact. followed two step commands. pupils were equal and reactive to light and accommodation at 2 millimeters; equal ocular movements were full and intact. she had a right pronator drift, symmetric smile. her biceps, triceps and ips on her right and her left were five out of five. laboratory: ct scan showed a left subdural hematoma, frontoparietal, 1 to 1.1 centimeters, also with a midline shift of 1 centimeter. all other x-rays and films were negative and no fractures. she had a complete trauma work-up. her white blood cell count was 9.2, hematocrit 34.3, platelets 257, pt 11.6, ptt 30.7, inr 0.9. her sodium was 142, potassium 3.4, chloride 104, carbon dioxide 28, bun 22, and creatinine 0.6. glucose is 165. toxicology screen was negative. hospital course: the case was discussed with dr. and dr. at the time of the patient's arrival and examination and it was felt that she did not need any surgical intervention at that time given her status of being awake and able to follow commands; however, she was somewhat sleepy at times. she was sent to the neurological intensive care unit where she had neurological checks q. one hours. we were to keep her blood pressure less than 140 and she was loaded with a gram of dilantin, and she was given isotonic fluids at 50 cc. an hour. approximately an hour and a half after leaving the emergency room, the patient became more lethargic, was difficult to arouse and was not following commands. the patient had a repeat ct scan that in addition to her left subdural, she now had a left interparenchymal bleed. she was brought emergently to the operating room where she had an evacuation of the subdural and interparenchymal hematoma. she had no intra-operative complications. the patient was kept ventilated in the intensive care unit overnight and was monitored. she was extubated in the morning of . she was monitored in the intensive care unit. on the evening of the 13th, the patient was noted to demonstrate changes in her neurological status. she was inconsistently following commands post extubation, however, was improved at the time of the examination by the neurosurgery intern. a repeat ct scan was done which demonstrated no interval change and she was continued to be monitored in the intensive care unit. the patient awoke post surgery alert and oriented times one with some aphasia noted. she was moving all extremities and had no muscle deficits. the patient was also seen by case management and social work as she does live alone in the area and her son lives out of state. he was given assistance in that area. on the , the patient had a swallow test which she did pass. she was transferred to the surgical floor. it was recommended that she keep the nasogastric tube in for additional supplements until feedings, however, the patient did remove the nasogastric tube twice herself. she had a good appetite and was eating without a problem. the nasogastric tube was not replaced. the patient was seen by physical therapy and was assisted with balance training, gait training and discharge planning. occupational therapy saw the patient and noted that the patient's cognition continued to be decreased and continues to only be oriented times one, and has expressive aphasia. she was able to follow commands with both verbal and visual cueing, however, she had decreased insight and safety awareness; also balance was with fall risk; so, for these reasons, the patient was thought to be needing rehabilitation and she will be sent to an acute rehabilitation facility. the patient had an mri on , of her cervical neck to rule out an anterior lithiasis and it showed some soft tissue swelling. our recommendations would be for the patient to stay in a collar until further follow-up with dr. . discharge medications: 1. dilantin 100 mg p.o. three times a day. 2. percocet one to two p.o. q. four to six hours p.r.n. pain. 3. colace 100 mg one p.o. twice a day. condition on discharge: the patient was discharged neurologically intact to an acute rehabilitation facility. , m.d. dictated by: medquist36 d: 14:21 t: 17:43 job#: procedure: incision of cerebral meninges diagnoses: subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness fall from other slipping, tripping, or stumbling 

Answer: The patient is high likely exposed to