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: keflex / lipitor attending: chief complaint: aphasia plus r sided weakness major surgical or invasive procedure: subdural evacuation per dr. history of present illness: the pt is an 88 year-old right-handed man well known to me from his last admission on . he was discharged yesterday. briefly, mr. has a pmh of a recent sdh, afib off coumadin, htn, hld and a recent admission for transient weakness and difficulty producing speech lasting 20 minute. during his most recent admission he was evaluated for these episodes with an eeg which showed some drowsiness but no focality. he also had a ctv which did not show any venous thrombosis and carotid dopplers which showed bilateral 60~69% stenosis. an echo was also done which showed mild lvh and an ef of 50~55%. during this hospitalization he was found to have a slightly subtherapeutic tegretol level of 3.5 therefore his dose was increased to 300mg daily from 200. his hospital course was otherwise notable for mild hyponatremia (132), an a1c of 5.8 and an ldl of 72. in regards to his afib, he was restarted on aspirin and coumadin was to be considered at his follow-up appointment. he was discharged to rehab. today, mr. was at rehab when he had an episode of right face, arm, and leg hemiparesis and dysarthria. the onset abrupt around 9am. per ems records his bp was 183/102 hr 79-108 and his bs was 129. o2 sats were 99% on ra no loc or limb movements were noted. he was taken to an osh where a head ct was done which showed the stable subdural. his bp threr ranged in the 180's sb and 70-100's for the db. his screening labs showed a negative ua, no leukocytosis and an inr of 1.0. of note, his na was 130, cr of 0.98 and a troponin of 0.4. the episode resolved about 90 minutes later in the ed. he was transferred here for further care. mr. described the event as a "funny feeling" in his chest, lightheadedness and then feeling "weak in parts" but does not identify his arm or face as being involved. he does recall that his speech was "garbled" and that his words would come out but were not easy to understand. he was able to understand others without difficulty. he feels that the episode lasted about 40 minutes. ros: the pt denied headache, loss of vision, blurred vision, diplopia, dysphagia, vertigo, tinnitus or hearing difficulty. no bowel or bladder incontinence or retention. denied difficulty with gait. the pt denied recent fever or chills. no night sweats or recent weight loss or gain. denied cough, shortness of breath. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. denied rash. past medical history: - a-fib now off coumadin - htn - hld - cad - parkinson's ? - ? carotid stenosis - pud - pacemaker implantation in - bph - seizure disorder (last seizure 15-20 yrs ago) with gtc - appy - eye surgery for congenital cataracts/lens implants - hernia surgery - glomerulonephritis 2 yrs ago - recent sdh as above - ? ivc filter social history: -currently resides at rehab -etoh: denies -tobacco: denies -drugs: denies family history: nc physical exam: vitals: t: 98.4 p: 86 r: 16 bp: 199/96-220/107 sao2: 99% on 2l nc general: awake, cooperative, nad. heent: nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck: supple, no carotid bruits appreciated. no nuchal rigidity pulmonary: ctab cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no edema. skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. attentive. language is fluent with intact repetition and comprehension. normal prosody. there were no paraphasic errors. pt. was able to name both high and low frequency objects. able to read without difficulty. speech was not dysarthric. able to follow both midline and appendicular commands. cn i: not tested ii,iii: vff to confrontation, pupils surgical and ovid bilaterally, slight r lid ptosis but brisk movements, unable to visualize fundi bilaterally iii,iv,v: eomi, no ptosis. no nystagmus v: sensation intact v1-v3 to lt vii: mild l nlf flattening viii: hears finger rub bilaterally ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue protrudes midline, no dysarthria motor: normal bulk, increased tone throughout with slight cogwheeling; slight asterixis bilaterally; no pronator drift. delt tri we fe grip c5 c6 c7 c6 c7 c8/t1 l 5 5 5 5 5 5 r 5 5 5 5 5 5 ip quad hamst df pf l2 l3 l4-s1 l4 l5 s1/s2 l 5 5 5- 5 5 5 r 5 5 5- 5 5 5 reflex: no clonus tri bra pat an plantar c5 c7 c6 l4 s1 cst l 2 2 2 1 0 flexor r 2 2 2 1 0 flexor -sensory: no deficits to light touch, but significantly reduced vibratory sense and proprioception in le. no extinction to dss. -coordination: + resting tremor, r>l as well as postural tremor and intention tremor. no dysmetria on fnf or hks bilaterally. -gait: deferred given concern for severe htn pertinent results: 05:40am blood wbc-6.7 rbc-3.17* hgb-10.1* hct-27.8* mcv-88 mch-31.9 mchc-36.5* rdw-14.2 plt ct-222 05:40am blood glucose-97 urean-12 creat-0.8 na-129* k-3.6 cl-94* hco3-28 angap-11 03:05pm blood ctropnt-<0.01 05:30am blood ck-mb-notdone ctropnt-<0.01 ct head pre-operation: 1. stable left frontoparietal subdural hematoma, subacute on chronic. no new hemorrhage is identified. 2. stable mass effect. no herniation identified. 3. stable chronic microangiopathic small vessel ischemic changes. mild diffuse parenchymal volume loss. ct head post-opeartion: status post partial evacuation of left subdural collection via left burr holes, with expected postoperative changes and with decreased mass efect on the subjacent left frontoparietal brain and the left lateral ventricles. small subdural collection remains, mainly along the superior convexity, where it is isodense. no evidence of new hemorrhage. brief hospital course: the pt is an 88 year-old rh man with a complex pmh including seizures, cad and afib off coumadin, recent traumatic sdh and very recent admission for transient difficulty producing speech and r hand weakness. he now presents with a similar episode although the symptoms were more extensive involving right face, arm, and leg hemiparesis and dysarthria. the duration of symptoms is also longer and he now has a l facial droop. the remainder of his exam is stable. given the recurrence of his symptoms for over an hour, seizure is less likely and there was more concern of the mass effect from his sdh hence he was evaluated per neurosurgery. cardiology consult cleared him for the operation. dr. performed the left-sided burr hole craniotomy for evacuation of the symptomatic left sdh without complication. post-op imaging showed expected post surgical changes. given his risk factors including cad and afib, aspirin 81mg was started the next morning and he remained symptom free including speech and r arm weakness for the remainder of the admission. he was re-evalauted per pt who recommended returning to rehab for inpatient physical therapy and he is, once again discharged to rehab for acute therapy. he is to follow up with dr. (neurology) on 2:30pm at center . per dr. , neurosurgery, the patient should not restart coumadin until 3 months after the left sdh evacuation. the patient/family have been recommended to call dr. office to schedule a follow-up appt in 4 weeks with repeat ct of head without contrast. during this admission, his blood pressure consistently remained > 150 hence his atenolol has been increased to 100mg . given mild hyponatremia, his tegretol has been decreased to 200mg in the morning and 300mg at night. patient should have weekly labs and he needs to follow-up with pcp upon discharge from the rehab. medications on admission: 1. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed. 2. insulin regular human 100 unit/ml solution : one (1) injection asdir (as directed). 3. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed. 4. docusate sodium 100 mg tablet : one (1) tablet 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. 6. prevacid 30mg po qhs 7. doxazosin 4 mg tablet : one (1) tablet po hs (at bedtime). 8. aliskiren 150 mg tablet : one (1) tablet po qday (). 9. furosemide 20 mg tablet : one (1) tablet po daily (daily). 10. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed. 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : inhalation q6h (every 6 hours) as needed. 12. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 13. diltiazem hcl 180 mg capsule, sustained release : one (1) capsule, sustained release po daily (daily). 14. carbamazepine 100 mg tablet sustained release 12 hr : three (3) tablet sustained release 12 hr po daily (daily). 15. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 16. lisinopril 20 mg tablet : one (1) tablet po daily (daily). 17. atenolol 25 mg tablet : three (3) tablet po bid (2 times a day). 18. polyvinyl alcohol 1.4 % drops : 1-2 drops ophthalmic prn (as needed). 19. cardizem 180mg po qd discharge medications: 1. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed. 2. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day) as needed: hold for loose stools. 3. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day): hold for loose stools. 4. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 5. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 6. doxazosin 4 mg tablet : one (1) tablet po hs (at bedtime). 7. aliskiren 150 mg tablet : one (1) tablet po qday (). 8. furosemide 20 mg tablet : one (1) tablet po daily (daily). 9. ipratropium bromide 0.02 % solution : one (1) inhalation q6h (every 6 hours) as needed. 10. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization : one (1) inhalation q6h (every 6 hours) as needed. 11. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 12. diltiazem hcl 180 mg capsule, sustained release : one (1) capsule, sustained release po daily (daily). 13. lisinopril 20 mg tablet : two (2) tablet po daily (daily). 14. polyvinyl alcohol-povidone 1.4-0.6 % dropperette : drops ophthalmic prn (as needed). 15. zolpidem 5 mg tablet : 1-2 tablets po hs (at bedtime) as needed. 16. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 17. carbamazepine 100 mg tablet sustained release 12 hr : three (3) tablet sustained release 12 hr po hs (at bedtime). 18. carbamazepine 200 mg tablet sustained release 12 hr : one (1) tablet sustained release 12 hr po daily (daily). 19. atenolol 50 mg tablet : two (2) tablet po bid (2 times a day). 20. outpatient lab work please check chem 7 (na+, k+, hco3-, cl-, bun, cr and glucose) every monday. 21. ct head without contrast prior to seeing dr. (neurosurgery) in 4 weeks discharge disposition: extended care facility: discharge diagnosis: l sdh s/p evacuation atrial fibrillation discharge condition: stable - slight r sided weakness including mild facial droop plus occaional difficulty with words. discharge instructions: you returned soon after discharge with another transient episode of slurred speech, r hand weakness in the morning. although transient, given the duration of the deficit and its recurrence plus the ct of head showing some mass effect from the subdural hemorrhage, you underwent the evaucation per dr. on without complications. you remained without events since the surgery and your aspirin was restarted the morning after the surgery. you were continued on your seizure medication, tegretol and its level was monitored but given the level mildly supratherapeutic, it was decreased to 200mg in the morning and 300mg in the evening. again, you were evaluated per physical therapy during this admission who recommended for you to return to rehab for continued acute, intense therapy. you will be following up with dr. (neurology) on during which time he will be advising you about when to restart coumadin given your atrial fibrillation. as for your surgery, please call dr. office to schedule follow-up in 4 weeks from discharge. you will get a repeat head ct before the appointment. please take your meds as prescribed. given that you are on tegretol, you will be getting weekend blood draw including na+. also, please follow-up with your physicians as scheduled. please call your doctor or go to the nearest ed if you have worsening weakness or speech problems, new numbness or visual problems, fever and/or unabating headache. followup instructions: provider: phone: date/time: 8:40 neurology: , md phone: date/time: 2:30 please call dr. office at to schedule follow-up in 4 weeks from discharge with repeat ct head prior to the appointment. provider: phone: date/time: 9:00 procedure: incision of cerebral meninges diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia paralysis agitans cardiac pacemaker in situ epilepsy, unspecified, without mention of intractable epilepsy subdural hemorrhage aphasia peptic ulcer of unspecified site, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney other and unspecified anticonvulsants causing adverse effects in therapeutic use facial weakness muscle weakness (generalized) 

Answer: The patient is high likely exposed to