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: latex attending: chief complaint: elective cardiac catheterization major surgical or invasive procedure: cardiac catheterization r femoral artery pseudoaneurysm repair ivc filter placement history of present illness: ms. is a 62 year-old woman with a history of cad s/p nstemi in who presented for catheterization on and who is now being transferred given worry for hematoma and bleeding. . after nstemi in , she underwent cardiac catheterization which a 90% stenosis of the lmca and a 70% proximal rca lesion. on she underwent cabg x 3 with a lima to the lad, svg to the om and svg to the rca. post operatively she had atrial fibrillation and was started on amiodarone. in addition she developed a mrsa sternal wound infection/high grade mrsa bacteremia and on she underwent exploration of the sternal wound and sternal debridement. two days later she underwent sternal debridement and bilateral pectoralis flaps. . approximately 6 months prior to admission, she began to notice that 4-5 minutes into her walks she would have to stop because she was gasping for breath. she has also noticed similar symptoms while doing her water aerobics, at times with associated chest discomfort. . a stress test was done on and revealed apical ischemia and septal hypokinesis with an lvef of 61%. given this, she was referred for cardiac cath. on she underwent cath which showed patent grafts. a poba was done to the lad. . post-cath she had a failed mynx with pressure held. at approximately 6pm, she moved her right leg and felt an acute onset of groin pain. she was given a percocet, after which she felt nauseated. after evaluation by the interventional fellow, decision was made to transfer her to the ccu for observation. . on review of systems, she reports a history of prior in at which time she experienced left facial numnbess/tingling. no interventions were performed and this has not recurred. also reports bleeding after a tubal ligation when she was 25 year-old. she denies any deep venous thrombosis, pulmonary embolism. . she has chronic joint pains, mostly in her knees and elbows. denies any hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. reports 20 pound weight gain over last 3 months; for this she was evaluated for hypothyroidism and started on replacement. all of the other review of systems were negative. . cardiac review of systems is notable for absence paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: (-)diabetes (+)dyslipidemia (-)hypertension . 2. cardiac history: -cabg (): lima -> lad; svg -> om1; svg -> rca -pci (): lmca 90% lesion -- no interventions -pacing/icd: none . 3. other past medical history: - remote - history of mrsa/bacteremia requiring debridement/flap - chronic mid sternal chest pain related to prior chest surgeries - gerd - hypothyroidism - anxiety/depression - arthritis - recurrent small bowel obstructions due to adhesions requiring multiple surgeries - history of tah/bso - history of laminectomy - history of resection of pilonidal cyst - history of cholecystectomy - history of hernia repair social history: - married with four children. - lives with: husband and daughter in - occupation: retired; previously worked as a secretary in a school - etoh: several glasses of wine per night - tobacco: quit in after 50 pack-years family history: brother had cabg in his 40??????s. father had a stroke at age 58. physical exam: vs: bp=110/57 hr=80s rr=16 o2 sat=99% on room air general: lying in bed in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. cardiac: rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. prior sternal wound noted but well-healed. lungs: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft. is ttp over right groin with extension into lower pelvis and to midline. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ dp 2+ pt 2+ pertinent results: laboratory studies: 06:44pm blood hct-34.9* plt ct-240 03:07am blood wbc-5.7 rbc-3.32* hgb-10.3* hct-29.5* mcv-89 mch-31.1 mchc-35.1* rdw-12.8 plt ct-224 11:24pm blood wbc-6.1 rbc-2.78* hgb-8.7* hct-25.1* mcv-90 mch-31.4 mchc-34.8 rdw-13.5 plt ct-162 04:21am blood wbc-4.7 rbc-2.41*# hgb-7.4*# hct-21.5* mcv-90 mch-30.8 mchc-34.4 rdw-13.8 plt ct-170 10:06am blood wbc-5.9 rbc-3.57*# hgb-11.3*# hct-30.7* mcv-86 mch-31.6 mchc-36.7* rdw-14.7 plt ct-165 07:30am blood wbc-5.4 rbc-3.67* hgb-11.4* hct-32.1* mcv-87 mch-31.0 mchc-35.5* rdw-14.6 plt ct-255 . 03:07am blood pt-12.4 ptt-23.9 inr(pt)-1.0 04:21am blood pt-13.1 ptt-58.2* inr(pt)-1.1 . 03:07am blood glucose-105 urean-14 creat-0.7 na-139 k-4.0 cl-107 hco3-26 angap-10 07:30am blood glucose-101 urean-12 creat-0.6 na-139 k-4.1 cl-104 hco3-26 angap-13 08:14am blood glucose-62* urean-10 creat-0.5 na-138 k-3.7 cl-106 hco3-25 angap-11 . 03:07am blood calcium-8.0* phos-3.7 mg-1.9 11:24pm blood calcium-6.7* phos-1.8*# mg-1.5* 07:30am blood calcium-8.6 phos-2.7 mg-1.7 08:14am blood albumin-3.3* calcium-7.3* phos-2.2* mg-1.8 . 06:44pm blood ck(cpk)-61 . 06:21am urine color-straw appear-clear sp -1.005 06:21am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-7.5 leuks-neg microbiology: nasal mrsa screen negative; bcx pending at time of discharge. imaging/studies: cardiac catheterization : final diagnosis: 1. three vessel coronary artery disease. 2. patent lima and svg's. 3. moderate left ventricular diastolic dysfunction. 4. moderate systemic arterial hypertension. 5. successful poba to the distal lad (immediately post anastomosis) via lima. 6. failed attempt to delived a mynx closure device to the rcfa. . ecg - sinus bradycardia. baseline artifact. non-specific anterior t wave changes. compared to tracing #1 artifact is new. tracing #2 read by: , k. intervals axes rate pr qrs qt/qtc p qrs t 54 158 86 446/435 69 -4 88 . ct pelvis/abdomen : . impression: moderately large hematoma centered primarily anterior to the bladder, likely with a predominantly intraperitoneal location, also extending into and expanding the right rectus sheath. . ecg : sinus rhythm. anterolateral st-t wave changes. consider myocardial ischemia. compared to tracing #2 the st-t wave changes are more pronounced and the baseline artifact is absent. tracing #3 read by: , k. intervals axes rate pr qrs qt/qtc p qrs t 62 146 88 12 . ct abdomen/pelvis: . mpression: compared to the study done one day earlier, there has been some improvement in the size of the hematoma within the space of retzius no new suspicious areas identified i.e., no findings to explain this patient's continued hematocrit drop. . vascular u/s : impression: 1. 2.2-cm pseudoaneurysm of the right common femoral artery at the site of puncture. neck difficult to measure but thought to be very small on the order of mm. 2. right common femoral vein thrombosed near the site of puncture. . u/s le : impression: 1. focal thrombosis of the right common femoral vein as identified on us from . 2. no left leg dvt. . ct abdomen/pelvis : impression: slight interval increase in size of a hematoma in the space of retzius associated with a femoral vascular catheter, with increased retroperitoneal component and extension into the right inguinal region. . ecg: . sinus rhythm. st-t wave abnormalities with predominantly t wave inversions in the anterolateral leads. since the previous tracing of atrial premature beat is no longer present. read by: , a. intervals axes rate pr qrs qt/qtc p qrs t 74 150 92 396/420 -7 -5 158 brief hospital course: 62 year old woman with known cad, s/p cabg for severe lm disease, complicated by a mrsa sternal wound infection/bacteremia, who presented for an elective cardiac catheterization (due to recent exertional symptoms and an abnormal ett) and eventually transferred to the ccu given concern for post-catheterization bleeding. . # hematoma. a failure of the mynx device to deploy during closure s/p cath occured. the sheath was reportedly pulled w/o complications. post procedure hct was found to drop from 34 to 29 and a ct pelvis was performed, a 6cm x 8cm pelvic hematoma with no rpb. patient was thus transferred to ccu for further care. hcts were checked q4h. pt received 2u prbcs and there was no improvement in hct. a repeat ct showed no change. given no response to transfusion and worsening groin pain, in consultation w/ vascular team, it was agreed that exploration of the groin was appropriate. an u/s of r femoral a/v was performed showing 2.2-cm pseudoaneurysm of the right common femoral artery near the site of puncture for catheterization as well as suspicion for a r femoral vein dvt. plavix was stopped. a pseudoaneurysm repair was performed on , successfully. a right femoral dvt was confirmed w/ leni and heparin gtt was started. with this, hct began to drop, minimum of 21. a repeat ct showed slight interval increase in size of a hematoma with increased retroperitoneal component and extension into the right inguinal region. at this time a decision with vascular, ccu teams and patient was made to place an ivc filter and d/c heparin. ivc filter was placed on and heparin was d/c. patient received an additional 4 units of blood over next 48hours. hct eventually stabilized at ~ 30 and patient did not require further transfusions. she remained relatively hemodynamically stable througout this time, with minimum bps reaching 85mmhg systolic temporarily during dropping hcts. episodes of hypotension were asymptomatic. bbk at this time was held. patient was maintained at bedrest until . hematoma was stabilized w/ above management and hct at time of discharge was 32. . # cad: known 3vd with prior cabg. after ett showed apical ischemia and a hypokinetic septum, performed for progressive dyspnea, underwent cardiac cath which showed three vessel coronary artery disease, patent lima and svg's, moderate left ventricular diastolic dysfunction and moderate pah. she underwent poba to distal lad. see above for failed mynx device closure complications. she was continued on asa. bbk was temporarily withheld during episodes of hypotension. plavix was discontinued as pt. did not have a stent in place and had developed a hematoma. simvastatin was continued. she was discharged home on asa, simvastatin and metoprolol 25mg . these doses should be optimized by outpatient cardiologist upon follow up. patient did not have chest pain, sob or other angina equivalent throughout hospitalization. # chf: ef of 60% on mibi done last month, 40-50% on echo from . pt. was not in hf throughout hospital stay. . # hypothyrodisim. pt. was continued on home regimen of levothyroxine. . fen/ppx. pt. received cardiac diet, pain managment with tylenol prn and a bowel regimen. . code: confirmed as dnr/dni; discussed with patient at time of transfer patient was discharged home in a hemodynamically stable condition, w/ stable hct and appropriate followup. contact person upon discharge: (husband): medications on admission: 1. aspirin 81mg daily 2. simvastatin 40mg daily 3. metoprolol succinate 100mg daily 4. levothyroxine 25mcg daily 5. fosamax 70mg every monday 6. omeprazole 20mg daily 7. colace 100mg daily 8. mvi discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. fosamax 70 mg tablet sig: one (1) tablet po once a week: every monday. 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. lactulose 10 gram/15 ml solution sig: thirty (30) ml po once a day as needed for constipation: as needed . disp:*2 bottles* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: 1. coronary artery disease 2. r femoral artery pseudoanerysm 3. r common femoral vein dvt 4. r groin hematoma 5. retroperitoneal bleed secondary diagnoses 6. hypothyroidism 7. depression 8. hypercholesterolemia 9. gerd 10. osteoporosis discharge condition: afebrile, hemodynamically stable, hematocrit stable discharge instructions: you were admitted to the hospital for cardiac catheterization. after the catheterization you had a hematoma of the right groin. a pseudoaneurysm was seen in the right femoral artery as well as a blood clot in the common femoral vein. you were put on heparin to thin your blood. you had the pseudoaneurysm repaired on . you had continued bleeding after this surgery and were found to have bleeding into your thigh and abdomen. you required 6 units of blood in total. you had an ivc filter placed on to prevent the blood clot from traveling into your lungs. the heparin was stopped and you had no further bleeding and blood counts were stable. you should follow-up with your cardiologist and pcp . in the next 1-2 weeks. you should also follow up with dr. as listed below. you should return to the hospital or seek medical attention with any fevers > 101.4, chills, night sweats, chest pains, shortness of breath, fast breathing or heart rate, sudden onset of dizziness or weakness, arm or jaw numbness, abdominal pain, bleeding in your bowel movements, increased pain, swelling or discoloration of your right thigh or groin, or any other symptoms that concern you. followup instructions: you should follow-up with your pcp and cardiologist, dr. in the next week. please follow up with dr. , your surgeon, on , 9am at , suite 5c in building at , for staple removal and evaluation of wound. please call ( with any question. procedure: coronary arteriography using two catheters left heart cardiac catheterization other and unspecified coronary arteriography interruption of the vena cava incision of abdominal wall other repair of aneurysm transfusion of packed cells angiocardiography of venae cavae excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism aortocoronary bypass status hematoma complicating a procedure other chronic pulmonary heart diseases depressive disorder, not elsewhere classified hemorrhage complicating a procedure other and unspecified angina pectoris peripheral vascular complications, not elsewhere classified osteoporosis, unspecified old myocardial infarction cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits acute venous embolism and thrombosis of deep vessels of proximal lower extremity mechanical complication of other vascular device, implant, and graft aneurysm of artery of lower extremity personal history of methicillin resistant staphylococcus aureus 

Answer: The patient is high likely exposed to