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: levaquin / codeine attending: chief complaint: bilateral acetabular dysplasia with proximal femoral cam morphology with generalized ligamentous laxity with pain in both hips, right worse than left. osteoarthrosis, both hips. unimproved post arthroscopic surgery, both hips. major surgical or invasive procedure: right periacetabular osteotomy under ga on history of present illness: is a 42-year-old female from who has been referred to dr. for expert evaluation by dr. of bilateral hip pain persisting despite arthroscopic surgery on both hips. started having pain and discomfort in the hips at the age of 15, but really never sought medical attention at this point in time. she actually began experiencing a dramatic deterioration in both her hips in , when she began to experience a constant clicking and popping in her right hip. she was eventually referred to dr. , who did a right hip scope in , at which time, he debrided the labrum, which was found to be torn. she developed symptoms in her left hip, following which he did a left hip scope in . however some months ago she experienced sharp pain in her right hip following which she has noted a resurgence of pain, which she states is even worse than what she had prior to the scopes. she has pain and discomfort in the groin, the anterior aspect of her hip, as well as the lateral aspect of her thigh. she has night pain and a constant burning sensation over the lateral aspect of her thigh. she has a constant dull ache in her right hip. she is on a lot of opioid medications, which she states do not really help her too much. on the activity score, she rates herself as a 3, which translates that she sometimes participates in mild activities, such as slow walking and limited housework. she is able to climb stairs with the help of a bannister. she is not able to use public transportation, and she can comfortably sit in a chair for one-half hour. she has problems putting on her socks and tying her shoelaces. she uses a single cane for long walks, and is able to walk a maximum of two to three blocks. she often hears a grinding and clicking noise in both hips, and has moderate difficulties spreading her legs wide apart, and severe difficulties striding out when walking. she is constantly aware of her hip problem, and has totally modified her lifestyle to avoid activities that could be potentially damaging to her hips. she is extremely diffident about her hips. she states that her most bothersome symptoms are divided equally between pain and instability in her hips, especially the right hip. past medical history: she is the firstborn female child of a normal vaginal delivery. she was the only child in her family. there was no history of hip dysplasia in her childhood. she has had a slew of surgeries, namely the right hip scope in , a left hip scope in , l4-l5 fusion in , which resulted in complications in the form of a dural tear and a staphylococcal infection, which necessitated repeated washouts and a one-month stay in the . at this point in time, she continues to have a nonunion, and has been put in a bone stimulator in the hopes that it would produce l4-l5 fusion. she however states that the silver lining in all of this has been the improvement of sciatica-like symptoms in her legs following the spinal surgery, but she continues to have back pain. she has also had two dilatation and curettages. she had had a hysterectomy in . she has had multiple sinus surgeries. she has also had a coccygeal shaving as a young adult, which she states helped reduce her symptoms. social history: she used to work as a nurse recruiter in the past, but has been off work since . family history: her parents are orthopaedically okay. physical exam: she is a conscious, cooperative female in no apparent distress, who is alert and oriented times three. she has a normal abdominal and cardiovascular and respiratory examination. she walks with a bilateral trendelenburg gait, and has a strongly positive trendelenburg test on the right side. her flexibility is hampered both by her back, as well as her hamstrings, and she can only touch up to her mid-shins. she uses no assistive devices to walk. her height is 169 cm. her weight is 76.7 kg. her temperature is normothermic. on examination of her right hip, which is her more symptomatic side, she has pain at 85 degrees of flexion but was able to flex up to 100 degrees. she had external rotation of 45 degrees on flexion and internal rotation of 20 degrees of flexion. on extension, she was able to externally rotate 30 degrees, and internally rotate 15 degrees. she has an abduction of 40 degrees, and a straight leg raise of up to 50 degrees with a positive lasegue sign. on test, she was able to abduct up to 2-1/2 fists. she has a strongly positive impingement, as well as an apprehension, sign, in the right hip. she also has a positive bicycle sign. on examination of the left hip, she was able to flex up to 100 degrees, and had excellent rotation to 45 degrees and internal rotation to 20 degrees on flexion. she had external rotation of 40 degrees and internal rotation of 40 degrees on extension with abduction to 40 degrees and a straight leg raise of 60 degrees. was 2-1/2 fists in her left hip. she had a good abductor strength of 4+ in the left hip. she has a positive impingement sign and a bicycle sign in her left hip, but a negative apprehension sign. her leg lengths are equal at 88 cm, and thigh circumferences are equal at 51 cm. she has external tibial torsion around 10 degrees bilaterally pertinent results: 10:20am blood wbc-8.2 rbc-3.49*# hgb-10.0* hct-28.9* mcv-83 mch-28.7 mchc-34.7 rdw-14.0 plt ct-157 brief hospital course: lost almost 4 liters of blood intraoperatively and was given back almost a litre of blood through the cell . her prior use of opioid medication and inability to have an epidural due to prior spine surgery resulted in poor pain control and necessitated an icu admission as she was on extremely high doses of pain medication (particularly pressidex) that made it unsafe for the regular floor to manage her. she was transfused 2 units of blood for acute blood loss anemia. her drain was pulled out on the 2nd post op day and dressing was changed. she was shifted to the floor on the 2nd post op night. poor pain control continued to plague her throughout her stay in hospital and pt was difficult most of the times. it was decided to shift her to a acute rehab center where she could continue with pt and other aspects of her convalescence before discharge home. she was approved for rehab on . medications on admission: oxycontin, dilaudid, levothyroxine, ambien, trazadone, amitryptiline discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day) as needed. 3. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime). 4. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). tablet(s) 5. enoxaparin 40 mg/0.4 ml syringe sig: one (1) 40 mg/0.4 ml syringe subcutaneous daily (daily) for 4 weeks. 6. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 7. gabapentin 400 mg capsule sig: two (2) capsule po tid (3 times a day) as needed for pain. 8. amitriptyline 50 mg tablet sig: one (1) tablet po hs (at bedtime). 9. hydromorphone 4 mg tablet sig: two (2) tablet po q3-4h () as needed for pain. tablet(s) 10. oxycodone 60 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 8 hr po q8h (every 8 hours) as needed for pain. 11. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for pain, spasm. 12. hydromorphone (dilaudid) 0.5-1 mg iv pre and post pt q 3-4 hrs prn pain please hold for sedation. please use 30 minutes prior to pt and post. 13. ondansetron 4 mg iv q8h:prn nausea/vomiting discharge disposition: extended care facility: hospital of and islands discharge diagnosis: bilateral hip dysplasia discharge condition: afebrile, vitals within normal limits, pain relatively under control, dressing clean and dry and intact discharge instructions: absorbable sutures do not need removal dressing to be changed only if soiled, use waterproof dressing material can shower on dressing, if incision area gets wet pat dry and redress physical therapy 1/6th weight bearing with crutches for 6 weeks. avoid hip flexion beyond 90 degrees until first post-op visit (4-6 weeks). no antigravity exercises should be started until about 2 months raises or any exercise which potentially uses a long lever arm at the hip. aarom of the involved hip within the restrictions indicated by the orthopedic surgeon. (rom is usually flexion 30-80, abd/adduction , ir/er .) rom restrictions are not absolute contraindications. patients will utilize crutches for an average of 3 months. they should not wean unless cleared by md. although the patient should try to stay within the stated precautions, he/she can sit at 90 degrees, and won??????t ??????ruin?????? the surgery by moving hip outside of specified rom. active exercises also include quad sets, glut sets, and ankle pumps. physical therapy: physical therapy 1/6th weight bearing with crutches for 6 weeks. avoid hip flexion beyond 90 degrees until first post-op visit (4-6 weeks). no antigravity exercises should be started until about 2 months raises or any exercise which potentially uses a long lever arm at the hip. aarom of the involved hip within the restrictions indicated by the orthopedic surgeon. (rom is usually flexion 30-80, abd/adduction , ir/er .) rom restrictions are not absolute contraindications. patients will utilize crutches for an average of 3 months. they should not wean unless cleared by md. although the patient should try to stay within the stated precautions, he/she can sit at 90 degrees, and won??????t ??????ruin?????? the surgery by moving hip outside of specified rom. active exercises also include quad sets, glut sets, and ankle pumps. treatments frequency: remove outer dressing in 10 days from day of surgery. absorbable sutures do not need removal dressing to be changed only if soiled, use waterproof dressing material can shower on dressing, if incision area gets wet pat dry and redress followup instructions: please call dr office to schedule appointment procedure: excision of bone for graft, other bones transfusion of packed cells internal fixation of bone without fracture reduction, other bones other division of bone, other bones other arthrotomy, hip bone graft, other bones diagnoses: acute posthemorrhagic anemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hypovolemia osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh other congenital deformity of hip (joint) other acute postoperative pain 

Answer: The patient is high likely exposed to