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: codeine attending: chief complaint: pt has been complaining of headache x 2 weeks. major surgical or invasive procedure: left sided burr hole for sdh evacuation history of present illness: hpi: pt is a 69 yo female w/ pmhx sig for rheumatic fever s/p mitral valve replacement and aortic valve replacement on coumadin, atrial fibrillation, and hypertension transferred from osh with larger l sdh. pt has been complaining of headache x 2 weeks. pain is left sided towards the vertex w/ intermittent r hand numbness. she also feels that her r hand has been on/off clumsy over the same period of time. ~ 1.5 weeks ago she had a root canal. she complained of headache to pcp who got an outpatient mri today that showed a large l sdh. pt was instructed to go to er at where she received 10 mg of sc vit k and iv keppra. she was then transferred to for further management. past medical history: past medical history: atrial fibrillation, rheumatic fever s/p avr and mvr w/ st. jude's valve though unclear which one, hypertension, hypercholesterolemia, chf. social history: lives with husband. non-. glass wine several days/week. family history: non-contributory physical exam: vitals: t 97.5; bp 130/80; p 70; rr 16; o2 sat 100% general: lying in bed nad heent: ncat, moist mucous membranes neck: supple extremities: no c/c/e. neurological exam: mental status: a & o x3. fluent speech with no paraphasic or phonemic errors. adequate comprehension. follows simple and multi-step commands. repetition intact (no ifs, ands or buts. able to name low and high frequency objects. cranial nerves: i: not tested ii: perrl, 4-->2mm with light. iii, iv, vi: eomi. no nystagmus. v, vii: facial sensation intact, facial strength ix, x: palatal elevation symmetrical. xii: tongue midline without fasciculations. motor: normal bulk. normal tone. mild r pronator drift. full strength throughout. sensation: intact to light touch reflexes: 3+ on r, 2+ on l toes downgoing bilaterally. coordination: fnf intact. upon discharge: oriented x 3. perrl. eoms intact. full strength throughout. incision well healed. sutures have been removed. pertinent results: ct head w/o contrast bilateral subdural hematomas, larger on the left with mixed attenuation consistent with acute-on-chronic subdural hematoma. mass effect on subjacent sulci and 4 mm rightward shift of normally midline structures not significantly changed from the prior mr. head ct impression: 1. while there is decrease in size of the left-sided subdural hemorrhage along the convexity, there is persistent dense area of hemorrhage noted anteriorly measuring 3.6 x 0.9 cm. expected post-surgical changes are noted. 2. right frontal subdural collection, which is iso- to slightly hyperdense, measures 3.2 x 0.8 cm is unchanged. 3. unchanged appearance of the right posterior falcine and right tentorial subdural hemorrhage. head ct impression: stable appearance of the subacute left hemispheric subdural hemorrhage with decrease in size of more acute component superiorly. head ct impression (prelim read - no final at time of this writing) small area of acute hemorrhage within the left subdural collection. no increase in size and no significant mass effect. head ct : left sdh unchanged in size. stable midline shift. unchanged right sdh. labs upon discharge: 06:15am blood pt-27.5* ptt-34.2 inr(pt)-2.7* brief hospital course: mrs. was evaluated in the emergency department and upon review of her scan and discovery of her left holohemespheric sdh. she was given ffp to reverse her inr. dr. spoke with the patient's son and a decision was made to take the patient to the or to perform a burr whole for sdh drainage. post operatively patient remains nonfocal. her post operative head ct shows good re-expansion. patient has a history of avr and mvr and is off her coumadin s/p l burr hole for evacuation of l sdh. cardiology was consulted for evaluation of st. jude's valve and determination of how long patient can remain off her coumadin. upon their evaluation, it was determined that the patient can restart heparin drip in 7 days and transition to coumadin. tte showed lvef >55%, 3+ tricuspid regurgitation, and slight left ventricular hypertrophy. a heparin gtt was started on am, and coumadin was initiated pm. on , patient's inr was 1.5 and she was given a bolus of coumadin at 5mg. in the morning, her inr was 1.9, she then recieved a bolous of 7.5mg coumadin and was found to be theraputic on with an inr of 2.5. she will follow up with her primary care physician and the coumadin clinic for further management of her levels. prior to discharge she was found to have a small amount of acute bleeding on head ct. she was kept overnight and ct in the am was stable. she was given 5 mg of coumadin prior to discharge and will follow-up in the coumadin clinin on . on discharge patient continues to be alert and oriented x 3, strength in all extremities. face is symmetrical and tongue midline. pupils are equal and reactive. medications on admission: atenolol, enalapril, simvastatin, warfarin, furosemide (does not know doses). discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. levetiracetam 750 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 3. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. enalapril maleate 5 mg tablet sig: one (1) tablet po daily (daily). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for for h/a. 9. coumadin 2.5 mg tablet sig: two (2) tablet po once a day for 3 days. disp:*6 tablet(s)* refills:*0* discharge disposition: home with service facility: health vna discharge diagnosis: left hemespheric subdural hematoma h/o systolic chf discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: general instructions ?????? have a family member check your incision daily for signs of infection. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? you may wash your hair ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc. ?????? you have been discharged on keppra (levetiracetam), you will not require blood work monitoring. ?????? clearance to drive and return to work will be addressed at your post-operative office visit. ?????? make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. ?????? you have been restarted on your coumadin. you need to go to the coumadin clinic to have your doses adjusted. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? fever greater than or equal to 101?????? f. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. , to be seen in 1 week. ??????you will need a ct scan of the brain without contrast. please follow up in clinic on sunday procedure: incision of cerebral meninges diagnoses: pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation systolic heart failure, unspecified heart valve replaced by other means long-term (current) use of anticoagulants subdural hemorrhage encounter for therapeutic drug monitoring 

Answer: The patient is high likely exposed to