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: losartan / lisinopril / penicillins / ultram attending: chief complaint: osteoarthritis major surgical or invasive procedure: : primary hybrid left total hip arthroplasty history of present illness: 81 year-old woman with severe copd, svt, atrial fibrillation, chronic diastolic chf, hypertension, history of pe and dvt, admitted for elective left hip arthroplasty performed (ebl 500cc), transferred to icu for tachycardia and hypotension. in the pacu, patient was hypotensive to 80/50 and had tachycardia with rates into the 110s. ekg demonstrated an accelerated junctional rhythm with rate in 100s with depressions in the lateral leads. she was asymptomatic. she was given lopressor 5mg iv x 2 and phenylephrine 100 mcg x 8. her heart rate came down to ~70 and bp increased to 110s/60s, and was sinus rhythm on ekg. she was started on a morphine pca, and given 1u prbc. she was transferred to the icu for further management of hemodynamics. on the floor, patient was asymptomatic except for post-op l hip pain. past medical history: - h/o c. diff colitis- - h/o mssa and pseudomonas pna - afib and h/o svt on coumadin - large right pe and bilateral dvt -on coumadin - copd - chronic diastolic chf, ef 55% on lasix (not on ace at primary md's discretion) - osteoarthritis - h/o myocarditis in with ef 20-25% at that time, cath negative -does not tolerate bb - hyperlipidemia - peripheral artery disease - htn diet controlled - migraine ha - chronic eosinophilic lung disease (chronic eosinophilic pneumonia or churg- syndrome) - hypoalbuminemic - h/o angioneurotic edema on therapy - s/p left eye surgery social history: patient lives at home in with her husband and daughter. she is a housewife. she used to smoke 1.5-2ppd cigarettes for ~20 yrs (stopped 25yrs ago). denies alcohol or illicit drugs. family history: mother cad died of endocarditis, father "cancer of the spleen." physical exam: vitals: t 98, bp 134/68, hr 75, rr 18, o2sat 96% on 2l (at rest) general: thin 81 yo female, alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: 1+ edema lle, left hip surgical site, with dressing in place. skin: tears on left elbow and right knee neuro: attentive, alert psych: calm, appropriate pertinent results: wbc-6.1 rbc-2.94*# hgb-8.7*# hct-26.5*# mcv-90 plt ct-193 pt-12.2 ptt-22.6 inr(pt)-1.0 glucose-87 urean-13 creat-0.7 na-139 k-3.5 cl-108 hco3-25 angap-10 ck(cpk)-415* ck-mb-5 ctropnt-0.02* calcium-7.9* phos-3.4 mg-1.7 abg temp-36.7 o2 flow-3 po2-106* pco2-42 ph-7.38 caltco2-26 base xs-0 lactate-1.5 freeca-1.10* pelvis impression: status post left total hip arthroplasty with expected post-surgical changes and no evidence of hardware complications. hip xr: left total hip arthroplasty with satisfactory alignment. : portable cxr: cardiomediastinal contours as well as pulmonary vascularity are unchanged in appearance, except for development of retrocardiac opacities, probably due to atelectasis in the recent postoperative setting. small left pleural effusion has also developed. right cardiophrenic angle has been excluded and cannot be evaluated. brief hospital course: 81 yo f with h/o copd, chf now s/p l tha (), presents with an episode of tachycardia (junctional rhythm), asymptomatic, now resolved. copd is stable, but has significant oxygen desaturation with minimal exertion. # s/p left total hip arthroplasty : - pain controlled: on tylenol 650mg q6hrs and oxycodone 5mg q6hrs prn- - dvt prophylaxis with lovenox 40mg daily until inr on warfarin. - weight bear as tolerated with posterior precautions (pillow between knees when rolled) # copd/eosinophilic lung disease: most recent spirometry: fev1 0.69; vital capacity 1.44 (44 and 62% of predicted, respectively). fev1 to vital capacity ratio is 72% of predicted. - albuterol nebs prn - tiotropium 1 cap daily - advair 250/50 - prednisone 5mg q2days. # anemia. hct post-op 26. transfused 1 unit prbcs on and another unit on . hct now stable since at about 29-30. # chronic diastolic chf (last echo , lvef 50-55%): euvolemic. - continue metoprolol 12.5mg , lasix 20mg po daily - follow electrolytes and replete k and mg as needed # cad: continue atorvastatin 40mg daily, asa 81mg daily, metoprolol 12.5mg # history of afib: rate control with metoprolol. warfarin for anticoagulation. patient has been receiving warfarin 1mg since . last inr 1.4 on . # history of pe/dvt: anticoagulate with warfarin (see above) medications on admission: albuterol sulfate - 2.5 mg/3 ml (0.083 %) solution neb q6hrs prn alendronate - 70 mg tablet - 1 tablet(s) by mouth qwk atorvastatin - 40 mg 1 tablet(s) by mouth once a day benzonatate - 100 mg capsule - 2 capsule(s) by mouth tid prn cough fluticasone - 50 mcg spray, suspension - 2 squirts(s) in each nostril once daily fluticasone-salmeterol - 500 mcg-50 mcg/dose disk with device - one inhalation once or twice daily furosemide - 20 mg tablet - 1 tablet(s) by mouth every other day gabapentin - 100 mg capsule - 1 capsule(s) by mouth hs (at bedtime) metoprolol- 25 mg tab sustained release 24 hr - 0.5 (one half) tab po once a day oxycodone-acetaminophen - 5 mg-325 mg tablet - prn pantoprazole - 40 mg tablet, delayed release (e.c.) - daily potassium chloride - 10 meq tablet sustained prednisone - 5 mg tablet - 1 (one) tablet(s) by mouth every other day tiotropium bromide - 18 mcg capsule, 1 puff once daily warfarin - 2 mg tablet - take up to 2 tablet(s) by mouth daily or as directed aspirin - (otc) - 81 mg tablet, ec qd calcium carbonate-vitamin d3 loratadine - 10 mg tablet - 1 (one) tablet(s) by mouth at bedtime multivitamins-iron (hematinic) - 27 mg-0.4 nebulizer - kit - use albuterol solution in nebulizer up to every 4 hours prn saccharomyces boulardii - dosage uncertain discharge medications: 1. oxycodone 5 mg tablet : one (1) tablet po q6h (every 6 hours) as needed for pain. 2. acetaminophen 325 mg tablet : two (2) tablet po q6h (every 6 hours): give around the clock as long as narcotics still required for pain. 3. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension : 15-30 mls po q6h (every 6 hours) as needed for dyspepsia. 4. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 5. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po bid (2 times a day) as needed for constipation. 7. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed for constipation. 8. trazodone 50 mg tablet : one (1) tablet po qhs (once a day (at bedtime)) as needed for insomnia. 9. multivitamin tablet : one (1) cap po daily (daily). 10. ferrous sulfate 300 mg (60 mg iron) tablet : one (1) tablet po daily (daily). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : inhalation q6h (every 6 hours) as needed for wheeze, shortness of breath. 12. atorvastatin 20 mg tablet : two (2) tablet po daily (daily). 13. benzonatate 100 mg capsule : two (2) capsule po tid (3 times a day) as needed for cough. 14. fluticasone 50 mcg/actuation spray, suspension : two (2) spray nasal daily (daily). 15. gabapentin 100 mg capsule : one (1) capsule po hs (at bedtime). 16. metoprolol tartrate 25 mg tablet : 0.5 tablet po bid (2 times a day): hold for sbp<110 or hr<50. 17. tiotropium bromide 18 mcg capsule, w/inhalation device : one (1) cap inhalation daily (daily). 18. enoxaparin 40 mg/0.4 ml syringe : one (1) subcutaneous daily (daily). 19. prednisone 5 mg tablet : one (1) tablet po every other day (every other day). 20. furosemide 20 mg tablet : one (1) tablet po daily (daily). 21. warfarin 1 mg tablet : one (1) tablet po once daily at 4 pm. 22. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 23. alendronate 70 mg tablet : one (1) tablet po once a week. 24. advair diskus 500-50 mcg/dose disk with device : one (1) inhalation inhalation twice a day. 25. pantoprazole 40 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po once a day. 26. calcium carbonate-vitamin d3 600 mg(1,500mg) -400 unit capsule : one (1) capsule po twice a day. discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis: - left hip osteoarthritis with left total hip arthroplasty secondary diagnoses: - chronic obstructive pulmonary disease, stable - chronic eosinophilic lung disease (chronic eosinophilic pneumonia or churg- syndrome) - chronic diastolic heart failure, ef 55% on lasix (not on ace at primary md's discretion) - atrial fibrillation on coumadin - large right pulmonary embolism and bilateral deep venous thrombosis on coumadin - myocarditis in with ef 20-25% at that time, cath negative - hypertension diet controlled - history of c. diff colitis - history of mssa and pseudomonal pna - hyperlipidemia - peripheral artery disease - migraine headache - hypoalbuminemic - history of angioneurotic edema on therapy - s/p left eye surgery discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: out of bed with assistance to chair or wheelchair stable. weight bearing as tolerated discharge instructions: please do not take any non-steroidal anti-inflammatory medications (nsaids such as celebrex, ibuprofen, advil, aleve, motrin, etc). wound care: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two weeks. pt/ot, dressing changes as instructed, wound checks, and staple removal at two weeks after surgery. activity: weight bearing as tolerated on the operative extremity. posterior hip precautions. no strenuous exercise or heavy lifting until follow up appointment. weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: appointment #1 department: orthopedics when: friday at 1:20 pm with: , pa building: sc clinical ctr campus: east best parking: garage appointment #2 department: dermatology when: tuesday at 10:00 am with: , md building: sc clinical ctr campus: east best parking: garage appointment #3 department: when: wednesday at 10:00 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: total hip replacement diagnoses: other iatrogenic hypotension congestive heart failure, unspecified long-term (current) use of steroids acute posthemorrhagic anemia atrial fibrillation osteoporosis, unspecified long-term (current) use of anticoagulants personal history of venous thrombosis and embolism surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation tachycardia, unspecified pulmonary eosinophilia chronic diastolic heart failure osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh 

Answer: The patient is high likely exposed to