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: s/p fall with right leg pain major surgical or invasive procedure: history of present illness: ms. is an 88 year old female who sustained a mechanical fall at home. she was taken to and was found to have a right distal femur fracture. she was then transferred to the for further care. past medical history: pmh: 1. total r knee and hip replacement ~ 2. hypertension 3. anxiety/insomnia - treated for years with klonopin/paxil 4. endometriosis 5. arthritis 6. paraoxysmal atrial fibrillation - pt reports hx of "irregular heartbeat," unsure of most recent episode. has never been on aspirin, has been on "coumadin" for a duration >1 year, but pt unsure of indication. ***no history of cardiac issues - denies mi or heart failure. had a stress test (per pt) > 10yrs prior, had to stop the test early bc "legs hurt," but denies chest pain or shortness of breath. ***last colonoscopy >15yrs ago (per pt), was told it was normal. . psh: 1. hysterectomy - >20yrs for ?endometriosis 2. appendectomy - >40yrs ago 3. other "female procedure' prior to hysterectomy, so "i could have children." social history: lives at independent living by herself, on . walks without the use of a walker or cane. reports difficulty with balance over recent months, must use handrails to make steps. active church goer. continues to drive independently, buys groceries independently. family history: n/a physical exam: upon admission pe - t 98.7 bp 122/72 hr72 rr 16 100% gen - nad, a/ox3, lying in bed, conversant, cooperative, intermittently repeated thoughts, but overall, very oriented. heent - no conjunctival pallor, no scleral icterus appreciated, mmm, no posterior pharyngeal erythema appreciated. neck - no posterior/anterior lad, no jvd appreciated. no carotid bruits appreciated bilaterally. no thyroid massess/nodules apprec. cv - rrr, s1+s2+s3-s4-, no murmurs or rubs appreciated. lungs - ctab, good air movement bilaterally, no crackles appreciated, no wheezes appreciated abd - nabs, soft, non-tender, non-distended. no organomegaly appreciated. infraumbilical scars in place. foley in place, draining urine. ext - no lower extremity edema. 2+ palpable pulses bilaterally dorsalis pedis, posterior tibial, radial, ulnar, all 2+. r lower extremity with deformity r distal though, ttp, silt, dp/sp/t, /fhl/gs/ta neuro - a&ox3, seems apropriate. cn 2-12 grossly intact, did not do fundoscopy. preserved sensation throughout. 1+ reflexes l4 on l. psych - listens, responds to questions appropriately, mildly anxious. brief hospital course: ms. presented to the on via transfer from . she was evaluated by the orthopaedic surgery department and found to have a right distal femur fracture. she was admitted, consented for surgery, cleared for surgery by medicine. on she was taken to the operating room and underwent plate to her right femur fracture. she tolerated the procedure well, was extubated, transferred to the recovery room, and then to the floor. on she was transfused with 2 units of packed red blood cells due to acute post operative anemia. she was seen by physical therapy to improve her strength and mobility. on the evening of the patient developed atrial fibrillation with heartrate up to the 170's that was not controlled with iv metoprolol and diltiazem. thus, on the patient was transferred to the sicu. in the sicu the patient's atrial fibrillation was converted to normal sinus rhythm on a diltiazem drip and was subsequently maintained on oral atenolol with oral diltiazem as needed. she was also transfused with 2 units of packed red blood cells due to acute post operative anemia. on she was transferred out of the sicu onto the orthopaedic floor. the rest of her hospital stay was uneventful with her lab data and vital signs within normal limits and her pain controlled. she is being discharged today in stable condition. medications on admission: 1. klonopin qhs 2. atenolol 25mg qd (pt unsure of dose) 3. paxil qd (pt unsure of dose) 4. calcium qd (pt unsure of dose) discharge disposition: extended care facility: house nursing & rehabilitation center - discharge diagnosis: s/p fall right distal femur fracture acute post operative anemia atrial fibriliation discharge condition: stable discharge instructions: continue to be touchdown weight bearing on your right leg continue your lovenox injections for a total of 4 weeks after surgery you may resume your home medications as prescribed by your doctor if you notice any increased redness, draiange, or swelling, or if you have a temperature greater than 101.5 please call the office or come to the emergency department physical therapy: activity: as tolerated right lower extremity: touchdown weight bearing brace: unlocked at all times, may take off for passive rom to the knee and for daily care. treatments frequency: staples/sutures out 14 days after surgery dry sterile dressing daily or as needed for drainage or comfort followup instructions: please follow up with , np in orthopaedic clinic in 2 weeks, please call to schedule that appointment. please follow up with your pcp . as your heart medication have been changed due to your a-fib md, procedure: open reduction of fracture with internal fixation, femur transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation anxiety state, unspecified knee joint replacement fall from other slipping, tripping, or stumbling peri-prosthetic fracture around prosthetic joint hip joint replacement persistent disorder of initiating or maintaining sleep 

Answer: The patient is high likely exposed to