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 / phenobarbital / sulfa (sulfonamide antibiotics) / latex / gluten attending: chief complaint: hypotension major surgical or invasive procedure: # right total hip arthroplasty # blood transfusion history of present illness: ms. is a 73 year-old woman now status-post hip replacement being transferred to the cardiology service for continued evaluation of hypotension. was initially admitted on for right hip replacement. post-operatively, at ~06:40 her systolic blood pressures fell to the high 80s systolic by aline (90s by cuff); she was asymptomatic at that time. in response to the bp and a hct of 27.4, she was transfused 2 units of prbc. also received two 250cc bolus of ivf. she was evaluated by the cardiology team who found that her bp was improved (109/45) with a pa pressure of 37/16 and a wedge of 13mmhg. currently, she is feeling well and is without complaint. she walked with pt and feels strong. ros: (+) weight loss (100 lbs a few years back; since then, stable) (-) fevers/chills (-) cp/sob/palps (+) urinary frequency (chronic); no dysuria (+) shoulder pain (chronic) (+) calf pain, right (chronic) all other ros negative. past medical history: 1. hypertension 2. diabetes 3. hyperlipidemia 4. aortic stenosis - 0.5-0.6 cm2, peak grad 50 mmhg, mean grad 23 mmhg 5. congestive heart failure, ef 30% - biv pacemaker 6. atrial fibrillation - multiple dccv - avj ablation 7. lbbb 8. hypothyroidism 9. traumatic brain injury social history: prior smoking history (quit in ; smoked 2ppd x 10-15 years). no alcohol or drug use. divorced; lives alone and has 3 sons. writing a memoir of a life s/p traumatic brain injury. uses a walker at baseline. family history: mother had multiple mis. no other heart disease, sudden death or dysrhythmia in other relatives. physical exam: vitals - bp 99/70, hr 70, rr 18, 100% on room air general - lying in bed, comfortable. eyes - anicteric; no pallor - right neck bandaged; no carotid bruits noted cv - sounds regular; systolic murmur heart loudest at rusb but noted throughout including at apex; s2 heard; no radiation to carotids pulm - clear; no rales/wheeze abdomen - soft; non-tender ext - warm; right hip bandaged with edema noted; trace bilateral lower extremity edema; dp pulses palpable bilaterally integument - no rashes neuro - alert and oriented; able to provide clear history. strenght exam somewhat limited by pain. left arm and leg appear to have full strength; right arm is limited by pain, especially at shoulder. right leg also limited given post-operative hip psych - appropriate pertinent results: admission labs: . wbc-6.3 rbc-3.37* hgb-10.9* hct-31.8* mcv-94 mch-32.3* mchc-34.2 rdw-15.2 plt ct-134* neuts-81* bands-5 lymphs-7* monos-7 eos-0 baso-0 atyps-0 metas-0 myelos-0 pt-14.1* inr(pt)-1.2* glucose-124* urean-21* creat-0.7 na-136 k-3.9 cl-104 hco3-28 angap-8 . tee (intra-operative): no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is moderately depressed (lvef= 30 - 35 %). basal segments contract well, but all mid-segments are hk, and the apex is akinetic. there is moderate global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is critical aortic valve stenosis (valve area <0.8cm2). no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. pacing leads are seen in the right atrium and coronary sinus. . tte: the left atrium is elongated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. there is mild regional left ventricular systolic dysfunction with infero-lateral hypokinesis. rv with borderline normal free wall function. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets are moderately thickened. there is moderate to severe aortic valve stenosis (valve area 0.9 cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study (images reviewed) of , lvef and rvef have increased. . ecg: atrial rhythm is afib; ventricular pacer with qs in lead i likely due to biv. . imaging: pelvis: impressions: expected post-operative changes after total right hip arthroplasty. . hip: findings: complete right hip replacement. the prosthetic components are in correct position. no evidence of fracture. . discharge labs: 05:20am blood wbc-5.1 rbc-2.93* hgb-9.6* hct-27.7* mcv-94 mch-32.6* mchc-34.6 rdw-15.5 plt ct-105* 05:20am blood plt ct-105* 05:20am blood glucose-98 urean-14 creat-0.7 na-138 k-3.6 cl-102 hco3-30 angap-10 05:20am blood calcium-8.1* phos-2.8 mg-1.8 brief hospital course: 73 year-old woman with as (0.5-0.6cm2), schf (ef 30%) s/p biv pm, and af, who underwent total right hip replacement this hospitalization and whose course was complicated by fluid responsive post-operative hypotension treated with 2 units of prbcs. . active issues: . # right total hip replacement: at the time of this discharge summary, an operative note is not in omr. on discharge the patient is able to ambulate and there is no evidence of hematoma at the incision site. . # post-operative hypotension and anemia: the patient had an episode of post-operative hypotension in the pacu and received 2 units of prbc in conjunction with ivf, with an appropriate bump in her hct and resolution of her hypotension. her hct is stable at about 28 on discharge. repeat tte was stable. . # post-operative thrombocytopenia: patient's plt count was steadily trending in low 100s post-operatively and the etiology remains unclear, but it is likely related to intraoperative bleeding. **plts will need to be followed after discharge.** . inactive issues: . # atrial fibrillation: remained hemodynamically stable in af and rate controlled on metoprolol, unchanged from outpatient dosing. anticoagulated with enoxaparin as an inpatient and bridged to unchanged warfarin dosing on discharge. **inr will need to be closely followed after discharge.** . # chronic schf: lisinopril was held in the acute setting of hypotension, but restarted unchanged from outpatient dosing. tte as detailed above showed improved rvef and lvef. . # hypothyroidism: unchanged home dosing of levothyroxine. . remained full code for the duration of the hospitalization. . transitional issues: as above in **. medications on admission: furosemide 20 mg when weight >142 lbs levoxyl 37.5 mg daily lisinopril 5 mg daily prandin 0.5 mg daily simvastatin 10 mg daily klor-con 10 meq daily trazodone 25 mg daily warfarin tylenol prn ascorbic acid probiotic calcium ferround gluconate glucosamine/chondroitin guaifenesin magnesium mvi dhea psyllium discharge medications: 1. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. furosemide 20 mg tablet sig: one (1) tablet po once a day as needed for when weight greater than 142 lbs. 4. klor-con 10 10 meq tablet sustained release sig: one (1) tablet sustained release po once a day as needed for take with furosemide when weight greater than 142 lbs. 5. weigh yourself daily weigh yourself daily: -take furosemide as prescribed if weight greater than 142 lbs -call your cardiologist if your weight does not decrease with this medication 6. warfarin 6 mg tablet sig: one (1) tablet po once a week: take saturdays. 7. warfarin 2.5 mg tablet sig: one (1) tablet po 6 days per week; not saturdays: daily dose 6 days per week is 4.5 mg. one 2.5 mg tablet plus one 2 mg tablet equals 4.5 mg. 8. warfarin 2 mg tablet sig: one (1) tablet po 6 days per week; not saturdays: daily dose 6 days per week is 4.5 mg. one 2.5 mg tablet plus one 2 mg tablet equals 4.5 mg. 9. levothyroxine 25 mcg tablet sig: 1.5 tablets po daily (daily). 10. prandin 0.5 mg tablet sig: one (1) tablet po once a day. 11. ferrous gluconate powder miscellaneous 12. dhea oral 13. ascorbic acid oral 14. calcium+d oral 15. probiotic oral 16. glucosamine sulf-chondroitin oral 17. guaifenesin oral 18. magnesium oral 19. multivitamin oral 20. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 21. oxycodone 5 mg capsule sig: one (1) capsule po every hours as needed for pain. disp:*60 capsule(s)* refills:*0* 22. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 23. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 24. ondansetron 4 mg film sig: one (1) film po every eight (8) hours as needed for nausea. 25. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous once a day for 7 days: until inr between . disp:*7 syringes* refills:*0* 26. check inr : check inr, fax results to rehab physician : check inr, fax results to rehab physician : check inr, fax results to rehab physician . continue to check inr until between ; at that time enoxaparin shots may be stopped as directed by rehab physician discharge disposition: extended care facility: - discharge diagnosis: primary: right total hip arthroplasty post-operative hypotension . secondary: chronic systolic heart failure atrial fibrillation 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: it has been a privilege to take care of you at the (). . you were hospitalized to undergo a total right hip replacement. the surgery went well. . after the surgery, you had an episode of low blood pressure in the recovery room. you received a blood transfusion and iv fluids, which raised your blood pressure into the normal range. given your known heart conditions, the cardiology service followed you very closely during your episode of low blood pressure and you were subsequently transferred to the cardiology floor from the recovery room. . on the cardiology floor, no changes were made to your heart medicines. they continue to be the following: # continue: lisinopril 10 mg daily # continue: simvastatin 10 mg daily # continue: warfarin 6 mg saturday, 4.5 mg 6 days/week # continue: to weigh yourself daily; md if weight goes up more than 3 lbs. # continue: furosemide 20 mg when weight >142 lbs # continue: klor-con 10 meq daily when you take furosemide . you will also need to continue on a blood thinning medication until your coumadin reaches therapeutic levels in your body. # start: enoxaparin until inr between . . it is normal to experience pain after a major surgery like a hip replacement. you are being discharged with the following pain regimen. # start: tylenol 650 mg every 8 hours whether you are in pain or not # start: oxycodone 5 mg every 4 to 6 hours as needed for pain # stop: tylenol with codeine # start: senna to prevent constipation that can result from oxycodone # start: colace to prevent constipation that can result from oxycodone . please continue to take your other medications as previously prescribed; they were not changed this hospitalization. . please attend all of your follow-up appointments as detailed below. followup instructions: department: orthopedics when: friday at 9:00 am with: , pa building: sc clinical ctr campus: east best parking: garage department: cardiac services when: friday at 3:00 pm with: , md building: campus: east best parking: garage department: cardiac services when: tuesday at 2:30 pm with: device clinic building: sc clinical ctr campus: east best parking: garage procedure: total hip replacement diagnoses: other iatrogenic hypotension anemia, unspecified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atrial fibrillation aortic valve disorders other and unspecified hyperlipidemia chronic systolic heart failure automatic implantable cardiac defibrillator in situ osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh other secondary thrombocytopenia 

Answer: The patient is high likely exposed to