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: lipitor attending: chief complaint: s/p mechanical fall major surgical or invasive procedure: cast placement blood transfusion chop chemotherapy history of present illness: 81 year old russian speaking female with a pmhx significant for large b cell lymphoma (recently dx on egd for gib; s/p 1st cycle chop ); who presented with confusion over the past few days. her daughter found her in bed with a head laceration. the patient reports she got up during the middle of the night to go to the bathroom and fell down about 10 steps. had a bedside commode but walked to the hallway instead due to a vivid dream, and opened the wrong doorway into a stairway rather than a bathroom. she was able to independently get back up and into bed. daughter took her to hospital where she was found to have a subdural hematoma & nondisplaced right radial sylet fracture and was transferred to for further management. . in the ed here, injuries were confirmed as above with the assistance of ortho trauma and neurosurgery consult team. both felt no surgical intervention was indication. her labs were remarkable for sodium 122 and hct 23. she received 2u prbc and fluid resuscitation with ns, then was admitted to trauma sicu for overnight observation. repeat head ct after 24h showed no progression of sdh. she remained stable with q2h neuro check and was transfered to the bmt floor for further management. . on the floor, she reported feeling pain all over (per russian translator) and reports feeling hungry. denied headache, vision changes. confirmed that her right arm had been red and swollen for a few days, at the site where her picc line was during the last admission. confirmed ongoing nocturnal urinary incontinence which was an improvement over 24h urinary incontinence prior to last admission. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies visual changes, headache, dizziness, sinus tenderness, neck stiffness, rhinorrhea, congestion, sore throat or dysphagia. denies chest pain, palpitations, orthopnea, dyspnea on exertion. denies shortness of breath, cough or wheezes. denies nausea, vomiting, heartburn, diarrhea, constipation, brbpr, melena, or abdominal pain. no dysuria, urinary frequency. no increasing lower extremity swelling. no numbness/tingling or muscle weakness in extremities. no feelings of depression or anxiety. all other review of systems negative. past medical history: onc history i. cervical cancer diagnosed in the ussr. s/p resection and adjuvant chemo/xrt; treatment complicated by bowel necrosis requiring resection in s/p permanent end colostomy. pulmonary metastasis, s/p lul pulm wedge resection + adjuvant chemo. ii. large b cell lymphoma, fall dx on upper endoscropy for gib . non-onc pmh multiple ventral hernias s/p repair diabetes mellitus ii s/p bilateral hip arthroplasty hypertension hyperlipidemia tia gastritis social history: lives alone; family in include daughter and grandson who are physicians. russian speaking. originally from the . denies tobacco use, alcohol use, or any drug use. . independent of adls and some iadls including cooking and accounting. she walks with a cane. she has help at home from surburban nursing - a russian speaking helper helps her clean her apartment and shops for her. family history: mother had cervical cancer. physical exam: admission exam vs: 98.6 126/62 84 20 95% ra; pain diffusely gen: no apparent distress heent: no trauma, pupils round and reactive to light and accommodation, no lad, oropharynx clear, no exudates cv: regular rate and rhythm, no murmurs/gallops/rubs pulm: clear to auscultation bilaterally, no rales/crackles/rhonchi gi: soft, non-tender, non-distended; no guarding/rebound ext: no clubbing/cyanosis/edema; 2+ distal pulses; peripheral iv present neuro: alert and oriented to person, place and situation; cn ii-xii intact, motor function globally derm: right arm 7 cm x 5 cm erythmatous, warm, endurated area discharge exam notable for rt arm induration decreased to 1.5x1.5cm with minimal surrounding erythema and small central eschar. pertinent results: admission labs 09:28pm glucose-114* urea n-15 creat-1.1 sodium-134 potassium-3.6 chloride-104 total co2-24 anion gap-10 09:28pm calcium-6.9* phosphate-2.8 magnesium-1.1* 09:28pm wbc-5.8 rbc-3.04* hgb-9.1* hct-26.6* mcv-88 mch-29.8 mchc-34.0 rdw-16.8* 09:28pm plt smr-very low plt count-43* 09:28pm pt-12.3 ptt-22.0* inr(pt)-1.1 03:10pm comments-green top 03:10pm hgb-7.4* calchct-22 02:35pm urine hours-random urea n-363 creat-49 sodium-44 potassium-31 chloride-44 magnesium-0.8 02:35pm urine osmolal-334 01:28pm urine color-straw appear-clear sp -1.007 01:28pm urine rbc-<1 wbc-1 bacteria-few yeast-none epi-0 01:28pm urine mucous-rare 10:58am lactate-1.5 10:40am glucose-182* urea n-21* creat-1.2* sodium-122* potassium-3.5 chloride-88* total co2-26 anion gap-12 10:40am wbc-4.4# rbc-2.64* hgb-8.1* hct-23.0* mcv-87# mch-30.6 mchc-35.0 rdw-15.7* 10:40am neuts-51 bands-7* lymphs-19 monos-16* eos-0 basos-0 atyps-0 metas-0 myelos-2* promyelo-4* other-1* 10:40am hypochrom-1+ anisocyt-normal poikilocy-1+ macrocyt-normal microcyt-normal polychrom-normal ovalocyt-occasional target-occasional schistocy-occasional 10:40am plt smr-very low plt count-52* 10:40am pt-12.4 ptt-24.6* inr(pt)-1.1 . discharge labs . micro: - urine cx pending - blood cx pending - mrsa screen pending . radiology ct head w/o contrast findings: there is small right frontal parietotemporal extra-axial hemorrhage (601b:51). there is a small posterior subfalcine subdural hematoma (601b:81) tracking along the right tentorial leaflet. there is no evidence of large acute territorial infarction or large masses. the ventricles and sulci are slightly prominent, likely age related. there is no shift of midline structures. there is possible nasal bone fracture (3:24). mucosal thickening is seen in the maxillary sinuses and ethmoid air cells. there is large soft tissue hematoma-laceration in the subcutaneous tissue of the left frontoparietal region. a left parotid lesion measuring approximately 2.5 cm is seen and better assessed on prior studies. impression: 1. small right frontal acute temporoparietal extra-axial, likely subdural hemorrhage. 2. small acute posterior subfalcine subdural hemorrhage layering along the right tentorial leafleft. follow up as clinically indicated. 3. large frontoparietal subcutaneous hematoma-laceration. 4. stable lesions within the left parotid gland characterized as likely a venolymphatic malformation on last mri brain from . 5. possible nasal bone fracture. the study and the report were reviewed by the staff radiologist. . radiology wrist(3 + views) right findings: subcutaneous edema. ther.e is a subtle linear lucency through the radial styloid of the distal radius, consistent with a nondisplaced fracture. no other fracture. no dislocation. impression: subtle nondisplaced radial styloid fracture. this was also reported to dr. by dr. via telephone . radiology ct c-spine w/o contrast findings: the alignement of the cervical spine is preserved. there is no prevertebral soft tissue edema. there is diffuse osteopenia. no discrete acute fracture is seen. there are multilevel degenerative changes in the cervical spine. posterior to vertebral bodies of c5-c6, there is a large osteophyte impinging on the thecal sac anteriorly. thin lucent line between the osteophyte and vertebral body may relate to the orientation; however, trauma related changes cannot be excluded as no recent priors are available. imaged portion of the lung apices show scarring in the left lung apex. similar lesion within the left parotid gland seen on multiple prior studies. impression: 1. osteopenia. no discrete acute fracture is seen. thin lucent line at c2 base can relate to artifact/osteopenia or very minimal fracture without displacement of the fragments. 2. c5-c6 level large posterior osteophyte impinging on the thecal sac and deforming the cord. thin lucent line between the osteophyte and vertebral body may relate to the orientation; however, trauma related changes cannot be excluded as no recent priors are available.correlate clinically to decide on the need for further workup. 3. stable lesion within the left parotid gland seen on multiple prior studies, characterized as likely a venolymphatic malformation. 4. scarring in the left lung apex. the study and the report were reviewed by the staff radiologist. . radiology ct chest/abn/pelvis w/o contrast findings: the study is suboptimal due to lack of iv contrast; limitations were discussed prior scanning. ct chest: there is interval decrease in size of mediastinal, hilar and axillary lymph nodes. scattered small lymph nodes are seen in the bilateral axilla, mediastinum, and hila, however, with interval decrease in size compared to last ct from . there are mild coronary artery calcifications. there is no pericardial effusion. there is a stable small right pleural effusion and adjacent opacity, likely small atelectasis. there is interval decrease in size of bilateral pulmonary nodules, largest in the right middle lobe measuring 5 mm (2:27). there is no pneumothorax. there is a stable linear scarring in the left lung apex. scattered calcifications are seen in the thoracoabdominal aorta. ct abdomen: evaluation of solid organs is suboptimal due to lack of iv contrast. with this limitation in mind, the appearance of the liver and spleen appears grossly within normal limits. there is cholelithiasis. the pancreas appears grossly unremarkable. bilateral adrenal glands are normal. diffuse wall thickening is seen in the stomach from known lymphoma. there is interval decrease in stranding about the duodenum. there is interval decrease in size of ill-defined retroperitoneal mass, difficult to measure. there is a persistent bilateral moderate hydronephrosis and hydroureter to the level of the retroperitoneal mass with associated stranding. there is interval decrease in size of retroperitoneal and mesenteric lymph nodes. no free air is seen. there are no acute findings on a noncontrast ct thought to be related to the acute trauma. ct pelvis: there are bilateral total hip prosthesis, which gives significant amount of artifact in the pelvis. ill-defined soft tissue surrounding the cervix is better evaluated on the last mr pelvis. there is interval decrease in size of bilateral inguinal lymph nodes. the urinary bladder appears grossly unremarkable. similar very large ventral abdominal wall hernia is seen containing loops of large and small bowel. there is trace fluid within the pelvis, similar to prior. there is a similar large parastomal hernia in the left lower abdominal quadrant. osseous structures: multilevel degenerative changes are seen. no acute fracture is seen. impression: 1. no evidence of acute injury on a noncontrast ct torso. 2. interval decrease in size of mediastinal, hilar, retroperitoneal and inguinal lymph nodes. 3. interval decrease in size of the retroperitoneal mass. 4. diffuse gastric wall thickening consistent with known gastric lymphoma. 5. interval decrease in size in bilateral pulmonary nodules. 6. persistent small right pleural effusion. 7. stable large ventral wall hernia containing loops of large and small bowel. no evidence of bowel obstruction. 8. persistent bilateral moderate hydronephrosis and hydroureter extending to the level of the retroperitoneal mass. 9. ill-defined soft tissue surrounding the cervix, better evaluated on most recent pelvic mr from . the study and the report were reviewed by the staff radiologist. . radiology ct head w/o contrast findings: there is no significant change in thickness or extent of the relatively thin right frontotemporoparietal region subdural hematoma, with little mass effect (2:12). additional subdural hematoma along the right portion of the posterior falx is slightly decreased in size, possibly related to redistribution over the right leaflet of the tentorium cerebelli. there is no new intracranial hemorrhage, edema, shift of normally midline structures, hydrocephalus, or acute large vascular territorial infarction. periventricular and subcortical white matter hypodensities are consistent with sequelae of chronic small vessel ischemic disease. prominence of the ventricles and sulci represents age-related involutional change. mucosal thickening is seen within the right maxillary sinus. the remainder of the visualized portions of the paranasal sinuses and mastoid air cells are well- aerated. the orbits are grossly unremarkable aside from evidence of bilateral ocular lens surgery. as before, there is a left frontoparietal subgaleal hematoma, unchanged in overall extent. additionally, more edema is evident in the right frontoparietovertex subgaleal scalp (2:16). impression: 1. no significant interval change in the extent of subdural hematoma overlying the right cerebral convexity. decreased right parafalcine component, posteriorly, could relate to redistribution. 2. no new intracranial hemorrhage or evidence of acute large vascular territorial infarction. 3. no shift of midline structures or central herniation. 4. stable left frontoparietal scalp subgaleal hematoma, without underlying fracture (better-assessed on yesterday's dedicated bone imaging). the study and the report were reviewed by the staff radiologist. . ct head non contrast findings: again, there has been no interval change in the thickness or extent of the small right frontotemporal subdural hematoma. a small amount of subdural hematoma tracking along the falx is also unchanged. there is no evidence of new hemorrhage, edema, mass, mass effect, or infarction. white matter changes consistent with chronic small vessel ischemic disease again noted. the left frontoparietal subgaleal hematoma is markedly smaller. the remainder of the osseous structures and extracranial soft tissues show no interval change. impression: no marked change from previous study to explain patient's worsening symptoms. . ct c-spine non contrast indings: there has been no interval acute change since the prior study three days ago. once again noted is a prominent disc osteophyte causing moderate but non-critical stenosis of the vertebral canal, abutting the spinal cord at the c5-c6 level. there are several vertebral body lucencies at the c2, c3, and c4 levels, which are unchanged from the prior study but were not present on the mri of the brain performed in . there is no marked change in the prevertebral soft tissues. impression: 1. no acute interval change to explain patient's symptoms. if there is continued clinical concern, mri of the neck is recommended for evaluation of the neural structures or ligamentous injury to the spine. 2. several vertebral body lucencies in the cervical spine, new from , which may be related to the patient's osteopenia; however, evaluation with mri is recommended due to the patient's history of leukemia. . rue doppler ultrasound findings: -scale and color doppler imaging was obtained of the right subclavian, internal jugular, axillary, basilic, brachial and cephalic veins. there is nonocclusive thrombus seen in the right basilic vein which is a superficial vein. there is no thrombus seen in the deep veins which demonstrate normal flow, compressibility and augmentation. there is no abscess or fluid collection seen. impression: thrombus in the right basilic vein, a superficial vein. no evidence of dvt in the right upper extremity. no drainable fluid collection or abscess. discharge labs 07:45am blood wbc-12.2* rbc-2.70* hgb-8.5* hct-25.0* mcv-93 mch-31.7 mchc-34.2 rdw-18.4* plt ct-311 07:45am blood neuts-84.3* lymphs-9.0* monos-6.5 eos-0.1 baso-0.1 06:20am blood pt-10.4 ptt-28.7 inr(pt)-1.0 07:45am blood gran ct-* 07:45am blood glucose-136* urean-32* creat-1.1 na-138 k-4.3 cl-107 hco3-21* angap-14 07:45am blood alt-25 ast-22 ld(ldh)-260* alkphos-117* totbili-0.1 07:45am blood calcium-9.1 phos-3.3 mg-2.1 02:06pm urine color-straw appear-clear sp -1.006 02:06pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-neg 02:06pm urine hours-random urean-279 creat-20 na-45 k-18 cl-41 brief hospital course: principle reason for admission 81f w/pmh cervical ca and recent diagnosis stage 4b-e dlbcl admitted after mechanical fall in setting of days confusion at home, found to have stable subdural hematoma, nondisplaced right radial fx, hyponatremia, uti, and r arm cellulitis surrounding former picc site. . #. right temporal sdh noted on osh ct head, confirmed here by radiology in the ed. in interviews with russian interpreters she was alert and oriented, answering questions appropriately. family noted some waxing/ mental status. a third ct head/neck was performed on (unchanged) when she c/o worsening l-sided headache and vertigo with neck flexion. neurosurgery re-evaluated but felt no intervention necessary given lack of focal exam findings and serial head ct stable x3. she received 10 days of anti-epileptic therapy (3 days dilantin, then 7 days keppra) starting . pain controlled with home lyrica tid + prn percoset. she needs follow-up head imaging (head ct) and neurosurgery clinic evaluation 8 weeks from admission. . #c-spine intravertebral lucencies neuroradiology did note some abnormal lucency within cervical vertebral bodies on all ct exams, which were stable but new since imaging in , ddx included lymphoma vs osteopenia. suggested f/u c-spine mri which was not performed given the on going chemotherapy . #right arm cellulitis noted at former picc site; patient reported redness and swelling on admission. given exam findings of erythema and induration centered upon former picc insertion sites, she was started on vancomycin. doppler us of the r arm ruled out dvt or abscess, but confirmed superficial phlebitis which was consistent with exam. a repeat doppler of the picc site itself reveal a small fluid collection that was too small to drain per surgery. the patient was started on bactrim ds after vancomycin was stopped 6 days after admission. the patient was afebrile for over 1 week prior to discharge. she was discharged to complete an additional 14 days of ds bactrim . #elevated pmn count wbc acutely elevated from 6 to 23 on hd2 at time of transfer from tsicu to bmt floor, for which the differential included infection (picc site cellulitis and/or uti) but most likely reflects delayed response to neulasta received in outpatient clinic the week prior to admission. she was continued on vancomycin for her rue cellulitis. the patient's wbc remained elevated into the 20 until a few days prior to discharge, which likely reflected the neulasta . # uti/urinary incontinence admission ucx grew coag-negative staph >100k. this was her second uti in past 2 weeks, different organism; due for outpatient urology follow-up studies for ongoing unexplained urinary incontinence (which had resolved prior to admission, per patient report) and hydronephrosis/hydroureter. patient seen by urology consult during last admission but deferred intervention (stenting vs nephrostomy tube placement) given patient's good urine output. she had been scheduled for functional bladder studies/cystoscopy in urology outpatient clinic but missed these appointments during this admission. patient did report improved daytime bladder control during interim at home, possibly due to interval improvement in size of retroperitoneal mass after chop as seen on admission ct abd/pelvis. however, ongoing nocturnal urinary incontinence, hydroureter may contribute to recurrent uti. she was continued on vancomycin per above. repeat urine culture showed no growth. . # nondisplaced r radial styloid fracture noted on outside hospital imaging. ortho trauma service consulted, placed soft cast. recommend follow-up in 2 weeks (appointment request placed by ortho trauma at ). pain controlled with tid lyrica + prn percoset. . #hx confusion prior to admission this may have been the precipitating cause for her injuries. potential causes include infection (r arm cellulitis, uti), hyponatremia, and/or side effects of steroids received during last admission. she did report vivid dreams during last admission. likely predisposed to mechanical fall. discussed increasing home health aide options with her family after discharge. of note, pt recommended hospital discharge, which the patient refused knowing the risks and benefits. . #dlbcl discovered on egd workup for anemia prior to last admission. started chop without rituxan during that admission, tolerated it without complications. ct torso performed during trauma workup in the ed here revealed interval decrease in size of diffuse adenopathy and interval decrease in size of retroperitoneal mass, no change in peri-cervical mass. plt and hct were stable after initial transfusion on admission. she was continued on ppx acyclovir and allopurinol (given recent hyperuricemia even prior to initiation of chemotherapy). she recieved c2 of chop prior to discharge. . #. hypotension: noted on admission, subsequently resolved. received 250 ns bolus on in tsicu with good response. no recurrence. . #. dyslipidemia continued holding home simvastatin. . #. history of gastritis: egd showed nonbleeding ulcers in fundus and antrum. she was continued on a ppi, initially iv while in the icu, then returned to her home po ppi when transitioned to the floor. . #. hyponatremia: initially 122 --> 134 --> 139. stable wnl thereafter. likely due to siadh in setting of head trauma, but also may have pre-dated head trauma and therefore possibly contributed to confusion/fall. . #. dm2 blood sugars wnl, conrolled on insulin sliding scale (rather than home glyburide). diabetic diet. no notable hyperglycemia (much improved since last admission when taking steroids). . # hx arf creatinine clearance wnl during this admission. initially maintained on ivf, transitioned to pos with additional ivf prn. did have brief elevation of creatinine of unknown etiology, urine lytes were indicative of intrinsic renal disases. creatinin returned back to baseline of 1.1 prior to discharge. . transitional issues 1. needs neurosurgery followup scheduled - 8 weeks from , also needs repeat head imaging at that time (phone number for nsg office staff in discharge papers). 2. needs urology follow-up rescheduled, for cystoscopy & functional bladder studies planned prior to admission to further work up urinary incontinence. 3. c-spine mr c-spine lucencies seen on ct c-spine medications on admission: acetaminophen-codeine - 300 mg-30 mg tablet - tablet(s) by mouth q 6 h prn acyclovir 400 mg 1 tablet by mouth every eight (8) hours allopurinol 100 mg 2 tablets by mouth daily dipyridamole-aspirin - (on hold from to unknown for gi bleed) - 25 mg-200 mg cap, er multiphase 12 hr - 1 cap(s) by mouth twice a day donepezil - 10 mg 1 tablet by mouth once a day glipizide - 2.5 mg er 1 tablet by mouth once a day oxybutynin chloride 5 mg er one tablet by mouth each morning pantoprazole 40 mg e.c. 1 tablet by mouth twice a day pregabalin 150 mg 1 capsule by mouth three times a day prochlorperazine maleate 10 mg 1 tablet by mouth q6 hours prn nausea simvastatin - 10 mg 1 tablet by mouth once a day otc: capsaicin - 0.025 % cream - apply to affected area tid prn cholecalciferol (vitamin d3) - 2,000 unit tablet by mouth once a day docusate sodium 100 mg 1 capsule by mouth twice a day multivitamin 1 tablet by mouth once a day psyllium 1 powder by mouth as instructed discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain: do not take more than 6 tablets in one day. do not drive while taking this medication. disp:*60 tablet(s)* refills:*0* 2. acyclovir 400 mg tablet sig: one (1) tablet po q8h (every 8 hours). 3. allopurinol 100 mg tablet sig: two (2) tablet po once a day. 4. aricept 10 mg tablet sig: one (1) tablet po once a day. 5. glipizide 2.5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 6. ditropan xl 5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 8. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. 9. simvastatin 10 mg tablet sig: one (1) tablet po once a day. 10. cholecalciferol (vitamin d3) 2,000 unit tablet sig: one (1) tablet po once a day. 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. multivitamin capsule sig: one (1) capsule po once a day. 13. psyllium powder sig: one (1) dose po once a day. 14. pregabalin 75 mg capsule sig: two (2) capsule po tid (3 times a day). 15. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po bid (2 times a day) for 14 days. disp:*28 tablet(s)* refills:*0* 16. prednisone 50 mg tablet sig: two (2) tablet po once a day for 2 days. disp:*4 tablet(s)* refills:*0* 17. zofran odt 4 mg tablet, rapid dissolve sig: tablet, rapid dissolves po three times a day as needed for nausea. disp:*30 tablet, rapid dissolve(s)* refills:*0* 18. keppra 500 mg tablet sig: one (1) tablet po twice a day for 7 days. discharge disposition: home with service facility: , discharge diagnosis: large b-cell lymphoma fracture of right radial subdural hematoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear ms. , it was a pleasure to care for you at . you were admitted to the hospital for a fall resulting in a fracture of your wrist. you also developed a small bleed within your head that has been stable. we found that you had a urinary tract infection that was treated with antibiotics. you also had a skin infection in your upper right arm that was treated with antibiotics. these infections may have contributed to your fall. you will need to follow up with dr. this week. his office will call you with the appointment details. you will also need to follow up with orthopedic surgery and neurosurgery. you can make this appointments by following the insturctions below. medication changes: start bactrim ds 1 tablet by mouth twice daily for 14 days start prednisone 50mg tablet: 2 tablets by mouth once daily for 2 days (through ) start zofran (ondansetron) 4mg tabs: 1-2 tabs three times daily as needed for nausea start percocet 5/325 tab: 1 tab by mouth every 6 hours as needed for pain. do note take any other medicines with tylenol (aceteminophen while taking this) start keppra 500 mg twice daily for 7 additional days, then stop. stop tylenol #3 stop caspacin stop aggrenox no other changes were made to your medications. please keep taking them as prescribed. it has been a pleasure taking care of you. followup instructions: -dr. office will call you with the appointment details for this week. the appointment will be either or . if you do not hear from him by tuesday afternoon, please call . you will need to schedule an appointment with the orthopedic surgeons this week to evlauate your broken wrist. make this appointment by calling . you will also need to schedule an appointment with neurosurgery, dr. , in 8 weeks. please make this appointment by calling ; they will arrange for repeat imaging studies to the small bleed inside your head. please see the following appointments that have already been scheduled: department: medical group when: friday at 10:30 am with: dr. building: (, ma) campus: off campus best parking: on street parking department: neurology when: thursday at 10:30 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: closure of skin and subcutaneous tissue of other sites injection or infusion of cancer chemotherapeutic substance diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified open wound of forehead, without mention of complication accidental fall on or from other stairs or steps cellulitis and abscess of upper arm and forearm hydronephrosis other disorders of neurohypophysis subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness personal history of malignant neoplasm of cervix uteri home accidents other closed fractures of distal end of radius (alone) other and unspecified escherichia coli [e. coli] large cell lymphoma, unspecified site, extranodal and solid organ sites 

Answer: The patient is high likely exposed to