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: vicodin / ms contin / gabapentin attending: chief complaint: on presentation to icu: hypotension after right tha major surgical or invasive procedure: right total hip arthroplasty history of present illness: 67 yo m with complicated past medical history who had an elective total right hip arthroplasty earlier today. during the surgery he received 3500 ml of crystalloid and had 965 ml of uop. he was reported to have an ebl of 600 ml. he was noted to be hypotensive in the pacu following the operation and was given a single unit of prbc with little effect on blood pressure. his hct was measured as 30.4 after that unit of blood (down from baseline hct of 33.8 pre-op). additionally, patient had very low urine output of < 5 ml/hr. he was placed on phenylephrine peripherally to support his blood pressure and a transfer to the icu was requested. the pacu anesthesia attending was concerned about fluid status and possibility of volume overload given that patient is an extremely difficult intubation and has required fiberoptic intubation in the past. ros: (+)ve: fatigue, right groin pain, dry mouth, hunger (-)ve: fever, chills, sweats, chest pain, palpitations, orthopnea, paroxysmal nocturnal dyspnea, constipation, diarrhea, sore throat, myalgias, nausea, vomiting past medical history: 1) diabetes mellitus ii c/b neuropathy, nephropathy, retinopathy 2) chronic diastolic chf 3) chronic kidney disease (baseline cr 2.4 - 2.8) 4) osa (mask choice: swift ii nv, dme ordered: bipap 14/11; eers 100, 4l o2) 5) polyneuropathy (hand and feet) 6) spinal stenosis 7) severe degenerative arthritis 8) anemia of chronic disease 9) chronic restrictive ventilatory disease secondary to a bile duct 10) leak with pulmonary fibrosis requiring decortication 11) pvd w/ ower extremity claudication 12) benign prostatic hyperplasia 13) glaucoma; on carbonic anhydrase inhibitor 14) bilateral cataracts s/p surgical removal 15) depression 16) erectile dysfunction s/p penile implant . past surgical history: 1) roux-en-y reconstruction after laparoscopic cholecystectomy c/b damage to cbd 2) decortication for fibrothorax complicated by respiratory failure requiring tracheostomy. 3) appendectomy. 4) left knee/hip replacement 5) l shoulder ac recection social history: patient is a retired manager from the polaroid companyx26 years, referee in four sportsx40yrs (recently had to give up due to health issues), lives in with wife. 3 children, in good health, 4 grandchildren. etoh use: occasional beer, no smoking, no illicit drug use. patient uses walker to get around or electronic wheelchair. family history: brother-, h/o several strokes. mother-dead in 70's from breast cancer. father-dead at 61 from complications of emphysema, chf. all children in good health. physical exam: exam on presentation to icu: vs: t 97.8, hr 87, bp 91/56, rr 12, o2sat 100% 2l nc general: nad aside from occasional right groin pain heent: perrl, eomi, no conjunctival pallor, no scleral icterus, oral mucosa and lips extremely dry neck: supple, no lad, no thyromegaly, no jvp elevation cardiac: rr, distant heart sounds, nl s1, nl s2, no m/r/g lungs: attenuated and decreased anterior breath sounds with basilar crackles noted at midaxillary line bilaterally and anterior, unable to obtain posterior exam due to patient positioning abdomen: obese, bs+, soft, nt, distended, tympanitic extremities: trace bipedal edema, compression stockings and pneumoboots in place, right hip with large c/d/i bandage overlying, right thigh soft though tender in right groin area, bilateral radial pulses and hand cap refill preserved skin: no rashes/lesions, ecchymoses. neuro: a&ox3. appropriate. cn 2-12 grossly intact. preserved sensation throughout. 5/5 strength throughout. psych: listens and responds to questions appropriately, pleasant pertinent results: 01:22pm wbc-18.4*# rbc-3.40* hgb-10.7* hct-30.4* mcv-89 mch-31.4 mchc-35.2* rdw-13.7 01:22pm plt count-220 01:22pm glucose-230* urea n-92* creat-2.8* sodium-138 potassium-3.9 chloride-100 total co2-28 anion gap-14 01:22pm calcium-8.2* phosphate-5.4*# magnesium-2.2 10:36pm hct-28.9* : right hip film: since the study of , the patient has undergone a total hip arthroplasty. the current films are somewhat limited by exposure. the metallic components are in expected position. there is a cerclage wire at the level of the lesser trochanter. the penile prosthesis is partially visualized. impression: there has been a total hip arthroplasty. 07:00am blood hct-26.2* 12:35pm blood hct-28.5* 11:43am blood hct-28.3* 03:50am blood wbc-23.0* rbc-3.00* hgb-9.4* hct-27.0* mcv-90 mch-31.3 mchc-34.8 rdw-14.3 plt ct-199 10:36pm blood hct-28.9* brief hospital course: micu course: 67 year old male with complicated past medical history who had an elective total right hip arthroplasty on . #. post operative hypotension: he had post-operative hypotension requiring phenylephrine to keep mean blood pressure in the 60s. his hypotension was associated with urine output less than 5 ml/hr. he was felt to be hypovolemic and was fluid resuscitated with approximately 2 liters of lr. it was felt that he was likely third spacing after his hip surgery. post-operatively his hematocrit dropped slightly and he was also given 1 unit of blood. #. hip fracture: his pain was relatively well-controlled, initially with a dilaudid pca and then with oral dilaudid prn. he was also given valium for anxiety and muscle spasms. he was given two doses of vancomycin post-operatively. his jp drain was pulled on pod 1. #. acute on chronic renal failure: his creatinine increased slightly from baseline (2.8 to 3.5) after admission, most likely of prerenal etiology due to volume depletion. it trended down with iv fluids. #. code status: full code floor course the patient was initially treated with a pca followed by po pain medications on pod#1. the patient received iv antibiotics for 24 hours postoperatively, as well as lovenox for dvt prophylaxis starting on the morning of pod#1. the drain was removed without incident on pod#1. the foley catheter was removed without incident on pod 4 after a voiding trial. the surgical dressing was removed on pod#2 and the surgical incision was found to be clean, dry, and intact without erythema or purulent drainage. while in the hospital, the patient was seen daily by physical therapy. labs were checked throughout the hospital course and repleted accordingly. at the time of discharge the patient was tolerating a regular diet and feeling well. the patient was afebrile with stable vital signs. the patient's hematocrit was stable, and the patient's pain was adequately controlled on a po regimen. the operative extremity was neurovascularly intact and the wound was benign. the patient was discharged to home with services or rehabilitation in a stable condition. the patient's weight-bearing status was weight bearing as tolerated with posterior precautions. medications on admission: 1) calcitriol 0.5 mg 2) cozaar 50 mg daily 3) finasteride 5 mg daily 4) tamsulosin 0.8 mg at supper daily 5) furosemide 80 mg tid 6) lamotrigine 225 mg daily 7) metolazone 2.5 mg prn 8) pantoprazole 40 mg daily 9) simvastatin 10 mg qhs 10) pramipexole 0.125 mg qhs 11) oxycodone 5/325 1-2 tabs q8h:prn pain 12) insulin glargine 18 units qhs 13) insulin lispro sliding scale 14) ipratropium bromide 1 spray each nostril tid:prn rhinorrea 15) ketoconazole 2% cream 16) lactulose 1 tsp :prn constipation 17) aspirin 325 daily 18) iron 65 mg daily 19) omega 3 1200 mg tid 20) miralax 1 tsp prn constipation allergies: vicodin/mscontin/gabapentin discharge medications: 1. lovenox 40 mg/0.4 ml syringe sig: one (1) vial subcutaneous once a day for 21 days. disp:*21 vials* refills:*0* 2. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 3. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q 8h (every 8 hours). 4. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 5. diazepam 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for spasm. 6. pramipexole 0.125 mg tablet sig: one (1) tablet po qd () for 5 days. 7. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for edema. 8. lamotrigine oral 9. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for dyspnea or wheezing. 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for for pain. discharge disposition: extended care facility: - discharge diagnosis: right hip oa discharge condition: good discharge instructions: weigh yourself every morning, md if weight goes up more than 3 lbs. experience severe pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers >101.5, shaking chills, redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. please follow up with your pcp regarding this admission and any new medications and refills. 3. resume your home medications unless otherwise instructed. 4. you have been given medications for pain control. please do not operate heavy machinery or drink alcohol when taking these medications. as your pain improves, please decrease the amount of pain medication. this medication can cause constipation, so you should drink plenty of water daily and take a stool softener (e.g., colace) as needed to prevent this side effect. 5. you may not drive a car until cleared to do so by your surgeon or your primary physician. 6. please keep your wounds clean. you may get the wound wet or take a shower starting 5 days after surgery, but no baths or swimming for at least 4 weeks. no dressing is needed if wound continues to be non-draining. any stitches or staples that need to be removed will be taken out by a visiting nurse at 2 weeks after your surgery. 7. please call your surgeon's office to schedule or confirm your follow-up appointment at 4 weeks. 8. please do not take any nsaids (i.e. celebrex, ibuprofen, advil, motrin, etc). 9. anticoagulation: please continue your lovenox for 3 weeks to prevent deep vein thrombosis (blood clots). thrn take aspirin 325mg teice a day for 3 weeks. 10. wound care: please keep your incision clean and dry. it is okay to shower after pod#5 but do not take a tub-bath or submerge your incision until 4 weeks after surgery. 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 vna in 2 weeks. if you are going to rehab, the rehab facility can remove the staples at 2 weeks. 11. vna (once at home): home pt/ot, dressing changes as instructed, wound checks, and staple removal at 2 weeks after surgery. 12. activity: weight bearing as tolerated on the operative leg. no strenuous exercise or heavy lifting until follow up appointment. physical therapy: weight bearing as tolerated with posterior precautions treatments frequency: wound care: please keep your incision clean and dry. it is okay to shower after pod#5 but do not take a tub-bath or submerge your incision until 4 weeks after surgery. 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 vna in 2 weeks. if you are going to rehab, the rehab facility can remove the staples at 2 weeks. vna (once at home): home pt/ot, dressing changes as instructed, wound checks, and staple removal at 2 weeks after surgery. followup instructions: provider: , : date/time: 12:00 procedure: total hip replacement diagnoses: other iatrogenic hypotension anemia of other chronic disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere obstructive sleep apnea (adult)(pediatric) congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified atherosclerosis of native arteries of the extremities with intermittent claudication diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes depressive disorder, not elsewhere classified chronic kidney disease, unspecified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled chronic diastolic heart failure diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy chronic total occlusion of artery of the extremities osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh 

Answer: The patient is high likely exposed to