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: iv dye, iodine containing contrast media attending: chief complaint: left foot ulcers and ischemia major surgical or invasive procedure: - ultrasound-guided puncture of right common femoral artery, contralateral third-order catheterization of left external iliac artery, abdominal aortogram, serial arteriogram of left lower extremity, balloon angioplasty of left anterior tibial artery, stent placement at left anterior tibial artery, ultrasound-guided puncture of left common femoral artery, ipsilateral antegrade catheterization of left common femoral artery, snare capture and removal of foreign body at left anterior tibial artery, perclose closure of bilateral common femoral arteriotomies. history of present illness: the patient is a 64-year-old gentleman with history of chronic venous stasis ulceration with additional arterial ulcerations at the tip of the left second toe. past medical history: pmh: cad status-post quadruple bypass in with last catheterization in showing patent grafts, a.fib (metoprolol, coumadin), orthostatic hypotension, hypertension, cll followed by dr. with last ct scan in showing no active disease, insulin-dependent diabetes (hba1c 7.3 in ), gout, esrd (on peritoneal dialysis), diabetic retinopathy, chf (inferior , 50%) psh: cad status-post quadruple bypass in with last cath in social history: lives in , ma with his wife. two has grown children, one son who lives nearby and one daughter in . owns a machine shop with his brother, will work a few days a week when feeling well; not been working much last 2 weeks. in the past, he smoked cigars occassionally (1-2 per week). rare glass of wine, no drugs. family history: paternal grandmother - dm father - cad physical exam: vitals: afebrile, vital signs stable. heent: normocephalic, atraumatic. eomi. perrl. nares clear. mucous membranes moist. neck supple without lymphadenopathy. cvs: atrial fibrillation, otherwise normal rate, without murmurs, rubs or gallops. s1 and s2. resp: clear to auscultation bilaterally without adventitious sounds. no wheezing, rhonchi or crackles. abd: soft, non-tender, non-distended, with normoactive bowel sounds. no masses or peritoneal signs. no groin hematoma extr: palpable femoral pulses bilaterally, right popliteal palpable; left mid-calf extremity with some mild phlebitis in elevation and with ace bandages in place. pertinent results: 08:00am blood wbc-8.1 rbc-2.95* hgb-8.9* hct-26.6* mcv-90 mch-30.3 mchc-33.6 rdw-16.9* plt ct-128* 08:00am blood pt-18.0* ptt-26.3 inr(pt)-1.6* 08:00am blood glucose-103* urean-83* creat-11.8* na-133 k-4.3 cl-92* hco3-24 angap-21* 04:00pm blood ck-mb-17* mb indx-10.5* ctropnt-0.39* 07:05am blood ck-mb-10 mb indx-10.4* ctropnt-0.32* 11:11pm blood ck-mb-10 mb indx-11.2* ctropnt-0.32* 08:00am blood calcium-8.6 phos-6.5* mg-2.2 ct abd & pelvis w/o contrast: no retroperitoneal hematoma. ascites and intraperitoneal free air are normal in the presence of peritoneal dialysis catheter. marked diffuse arterial calcification consistent with known vascular disease. small left pleural effusion and adjacent atelectasis. brief hospital course: neuro/pain: the patient was maintained on iv pain medication in the immediate post-operative period and transitioned to po narcotic medication with adequate pain control on pod#0. the patient remained neurologically intact and without change from baseline. the patient remained alert and oriented to person, location and place. vascular: the patient did well following his left lower extremity angiography and left pta with anterior tibial stenting. his pulses were serially monitored with as dopplerable signal in his bilateral dp/pts. his extremities remained warm and well-perfused. there was some concern for left lower extremity phlebitis by hod# and the patient continued leg elevation with ace bandages, although nsaids were avoided given his on-going renal concerns. cardiovascular: the patient remained hemodynamically stable intra-op and in the immediate post-operative period. vitals signs were closely monitored via telemetry. he has a known diagnosis of atrial fibrillation. on pod#0-1 he developed some nausea with asymptomatic, v2-3 st depressions and ekg changes, for which cardiology was consulted. in the am of pod# he triggered by the nursing staff for hypotension and some sinus tachycardia, which was attributed to demand ischemia and volume depletion. this was attributable to demand ischemia, his troponin remained elevated at 0.32 with no change in his ck-mb. his beta-blocker dosing was titrated to a hr < 110 and 2u of packed red blood cells were administered on pod#. on discharge, he had no cardiac issues, his blood pressure had normalized with his beta-blocker, and his home coumadin was continued for his atrial fibrillation. the patient was continued on plavix in the post-op period for the placement of the left anterior tibial stent. respiratory: the patient was extubated in the immediate post-op period successfully. the patient had no episodes of desaturation or pulmonary concerns. the patient denied cough or respiratory symptoms. pulse oximetry was monitored closely and the patient maintained adequate oxygenations. supplemental oxygen was weaned on pod#1. gastrointestinal: the patient was npo following their procedure and transitioned to sips and a clear liquid diet on pod#. the patient experienced no nausea or vomiting. the patient was transitioned to a regular diet on pod#3 and iv fluids were discontinued once adequate po intake was established. genitourinary: the patient's urine output was closely monitored in the immediate post-operative period, but is minimal given his peritoneal dialysis needs. the patient's intake and output was closely monitored. the patient's creatinine was elevated, but this is baseline. heme: the patient's post-op hematocrit was trended closely and he was transfused 2 units of packed red cells over the course of hod# which was attributed to demand ischemia. he was continued on coumadin in the post-op period given his need for anticoagulation related to atrial fibrillation. a ct scan was obtained on to ensure there was no retroperitoneal bleeding to create the demand ischemia and cardiac issues. his hematocrit stabilized and no further transfusions were required. id: the patient showed no signs of infection and remained afebrile in the post-op period. their white count was stable post-operatively and their incision was closely monitored for any evidence of infection or erythema. antibiotics were not required in the post-op period. endocrine: the patient's blood glucose was closely monitored in the post-op period with q6 hour glucose checks. blood glucose levels greater than 120 mg/dl were addressed with an insulin sliding scale. prophylaxis: the patient was maintained on heparin 5000 units sq tid for dvt/pe prophylaxis and encouraged to ambulate immediately post-op. the patient also had sequential compression boot devices in place during immobilization to promote circulation. gi prophylaxis was sustained with protonix/famotidine. the patient was encouraged to utilize incentive spirometry, ambulate early and was discharged in stable condition. he was discharged with vna services given his peritoneal dialysis and lle dressing changes for his phlebitis. medications on admission: allopurinol 100 mg', complex b vitamin-vit c-folic acid 1 mg', calcitriol 0.25 mcg' (2-tabs on mwf), epogen 10,000 units 3 x weekly, insulin lispro/humalog 15 units qam, 24 units qpm, lisinopril 2.5 mg', metoprolol 25 mg er'', pravastatin 80 mg', sevelamer 800 mg 4-tabs po q8h with meals, warfarin 5 mg po 5 days a week (2.5 mg po 2 days a week), aspirin 81 mg' discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 3. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 5. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm: coumadin 5 mg po daily 5 days a week; 2.5 mg 2-days per week. 6. sevelamer carbonate 800 mg tablet sig: five (5) tablet po tid w/meals (3 times a day with meals). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po tid (3 times a day). 8. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain/ fever. 10. insulin nph & regular human 100 unit/ml (70-30) suspension sig: twenty four (24) units subcutaneous qpm. 11. insulin nph & regular human 100 unit/ml (70-30) suspension sig: fifteen (15) units subcutaneous qam. discharge disposition: home with service facility: vna assoc. of discharge diagnosis: left lower extremity ischemia with ulceration discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? if instructed, take plavix (clopidogrel) 75mg once daily ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated ?????? it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and ultrasound what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office . if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: , md phone: date/time: 11:00 provider: , : date/time: 11:00 provider: , md phone: date/time: 2:00 procedure: angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries arterial catheterization aortography peritoneal dialysis insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) arteriography of other specified sites cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: end stage renal disease renal dialysis status anemia, unspecified gout, unspecified atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease ulcer of other part of foot peripheral vascular complications, not elsewhere classified long-term (current) use of insulin other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants awaiting organ transplant status other specified complications of procedures not elsewhere classified other nonspecific abnormal serum enzyme levels diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy atherosclerosis of native arteries of the extremities with ulceration volume depletion, unspecified venous (peripheral) insufficiency, unspecified nonspecific abnormal electrocardiogram [ecg] [ekg] chronic lymphoid leukemia, in remission phlebitis and thrombophlebitis of lower extremities, unspecified 

Answer: The patient is high likely exposed to