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: oxycontin attending: chief complaint: right hip fracture major surgical or invasive procedure: orif right hip. history of present illness: 86 f w/ alzheimer's dementia s/p fall from chair onto r hip w/ pain/deformity. no syncope or loc. past medical history: 1. aortic aneurysm - details unclear, per daughter pt was told she had no surgical options 2. alzheimer's dementia - lives in dementia unit/alf. at baseline does not always know place/time and prone to agitation in a new environment 3. osteoporosis 4. hx of multiple fractures 5. hx of falls 6. hx of recurrent utis 7. ?hx of crohn's disease 8. hypothyroidism 9. htn 10. depression 11. hx of k antigen in blood - should get k antigen neg blood transfusion if needed social history: lives in dementia unit, an alf, at . walks w walker at baseline. no significant smoking, alcohol, drug use family history: noncontributory physical exam: upon discharge: avss nad aao x 3 ncat rrr, s1s2 ctab soft, ntnd rle - wound c/d/i. soft compartments. nvi. silt. palpable dp pulse. pertinent results: 10:55pm blood wbc-10.7# rbc-3.43* hgb-10.9* hct-32.5* mcv-95 mch-31.6 mchc-33.4 rdw-14.5 plt ct-273 06:40am blood wbc-8.2 rbc-3.04* hgb-9.5* hct-28.7* mcv-94 mch-31.3 mchc-33.2 rdw-14.1 plt ct-303 05:05pm blood wbc-14.6*# rbc-2.95* hgb-9.2* hct-27.1* mcv-92 mch-31.3 mchc-34.0 rdw-15.4 plt ct-327 01:14am blood wbc-9.7 rbc-3.07* hgb-9.5* hct-27.6* mcv-90 mch-30.8 mchc-34.3 rdw-16.8* plt ct-223 06:15am blood hct-30.7* 06:45am blood wbc-7.6 rbc-2.69* hgb-8.4* hct-24.0* mcv-89 mch-31.3 mchc-35.1* rdw-16.2* plt ct-180 11:50pm blood wbc-9.7 rbc-3.42*# hgb-10.4* hct-30.0* mcv-88 mch-30.6 mchc-34.8 rdw-16.1* plt ct-173 06:50am blood wbc-9.6 rbc-3.31* hgb-10.2* hct-29.2* mcv-88 mch-30.8 mchc-35.0 rdw-16.4* plt ct-185 09:00am blood wbc-9.5 rbc-3.35* hgb-10.5* hct-29.6* mcv-88 mch-31.2 mchc-35.3* rdw-16.5* plt ct-193 06:40am blood wbc-8.4 rbc-3.08* hgb-9.5* hct-27.5* mcv-89 mch-30.8 mchc-34.5 rdw-16.6* plt ct-227 09:35pm blood hct-27.9* 10:45am blood hct-29.0* 09:25pm blood hct-31.9* 06:25am blood wbc-8.0 rbc-3.45* hgb-10.6* hct-31.2* mcv-90 mch-30.7 mchc-34.0 rdw-16.6* plt ct-284 10:55pm blood pt-13.0 ptt-24.9 inr(pt)-1.1 06:45am blood pt-12.6 ptt-26.4 inr(pt)-1.1 09:00am blood pt-12.1 ptt-26.5 inr(pt)-1.0 10:55pm blood glucose-125* urean-20 creat-0.9 na-137 k-4.8 cl-104 hco3-25 angap-13 06:40am blood glucose-131* urean-19 creat-0.7 na-136 k-4.9 cl-104 hco3-24 angap-13 05:05pm blood glucose-161* urean-18 creat-0.7 na-133 k-4.5 cl-102 hco3-22 angap-14 01:14am blood glucose-171* urean-19 creat-0.9 na-133 k-4.1 cl-104 hco3-21* angap-12 06:45am blood glucose-118* urean-15 creat-0.6 na-131* k-4.1 cl-103 hco3-23 angap-9 11:50pm blood glucose-90 urean-17 creat-0.7 na-133 k-4.0 cl-102 hco3-25 angap-10 06:50am blood glucose-102 urean-18 creat-0.7 na-134 k-3.9 cl-102 hco3-23 angap-13 09:00am blood glucose-134* urean-17 creat-0.8 na-134 k-3.9 cl-103 hco3-22 angap-13 06:40am blood glucose-100 urean-17 creat-0.6 na-139 k-4.1 cl-107 hco3-24 angap-12 06:25am blood glucose-pnd urean-pnd creat-pnd na-pnd k-pnd cl-pnd hco3-pnd 05:05pm blood ck-mb-3 ctropnt-<0.01 01:14am blood ck-mb-6 ctropnt-<0.01 05:05pm blood calcium-8.8 phos-3.7 mg-1.7 06:45am blood calcium-7.9* phos-1.9* mg-1.9 11:50pm blood calcium-7.9* phos-2.6* mg-2.0 06:50am blood calcium-7.8* phos-2.4* mg-1.9 09:00am blood calcium-8.0* phos-2.5* mg-1.9 06:40am blood calcium-7.6* phos-2.0* mg-2.2 xrays of r hip : impression: 1. comminuted, displaced right femoral intertrochanteric fracture. no dislocation. 2. osteoarthritis of bilateral hips. cxr: impression: 1. mild cardiomegaly, with mild chf. 2. slight cortical step-off and irregularity of the right humeral neck. correlate with site of symptoms, and if clinically indicated, dedicated right shoulder radiographs can be obtained to exclude an acute fracture. tte: the left atrium and right atrium are normal in cavity size. the estimated right atrial pressure is 0-5 mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and global systolic function (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. diastolic function could not be assessed because of aortic regurgitation. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is markedly dilated. no dissection flap is seen (best excluded by , mr/ct). the aortic valve leaflets (3) are thickened but with good leaflet excursion. there is no aortic valve stenosis. moderate to severe (3+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is a physiologic pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global biventricular systolic function. moderate to severe aortic regurgitation. markedly dilated ascending aorta. ct head: impression: no acute intracranial process. ct chest: impression: 1. limited study with no evidence of pneumonia. mild changes of both lung bases may represent atelectasis versus mild chronic interstitial changes due to chf. 2. stable cardiomegaly. based on the radiographic appearance, pulmonary edema seen on has resolved today. 3. ascending aortic aneurysm, unchanged. 4. interval increase in diameter of aberrant right subclavian artery, with resultant proximal dilatation of the esophagus. brief hospital course: mrs. was seen in the ed and found to have a right subtrochanteric femur fracture. she undwerwent orif on . she tolerated the procedure well, but had an epidose of svt intra-op that was quickly controlled with an esmolol drip. she was sent to the icu overnight for observation. she then transferred to the general floor in stable condition the next day. post op anemia: she was transfused a total of 6 units of prbcs post op for acute blood loss anemia. on discharge, her blood volume was stable. hypoxia: on pod 2 she desaturated down into the 70s. a ct of her chest showed atelectasis and was otherwise benign. she improved with supplemental oxygen and remained stable thereafter. her foley came out pod 4. her pain was well controlled with iv and then po pain meds. she tolerated a regular diet throughout her stay she was seen and evaluated by pt. she is being discharged today in stable condition with her staples still in place. medications on admission: synthroid 25', asa 81', omeprazole 20', wellbutrin 75'', donepezil 10qhs, vit d, fosamax 70qfriday, mirtazapine 15qhs discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. bupropion hcl 75 mg tablet sig: one (1) tablet po bid (2 times a day). 5. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 6. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 7. multivitamin tablet sig: one (1) cap po daily (daily). 8. enoxaparin 40 mg/0.4 ml syringe sig: one (1) injection subcutaneous daily (daily) for 4 weeks. 9. senna 8.6 mg tablet sig: one (1) tablet po daily (daily). 10. calcium carbonate 500 mg (1,250 mg) tablet sig: one (1) tablet po tid (3 times a day). 11. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours). 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for crackles/wheezing. 13. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 14. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 15. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 16. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for crackles/wheezes. 17. insulin insulin sc sliding scale breakfast lunch dinner bedtime regular regular regular regular glucose insulin dose insulin dose insulin dose insulin dose 0-50 mg/dl 4 oz. juice 4 oz. juice 4 oz. juice 4 oz. juice 51-150 mg/dl 0 units 0 units 0 units 0 units 151-200 mg/dl 2 units 2 units 2 units 2 units 201-250 mg/dl 4 units 4 units 4 units 4 units 251-300 mg/dl 6 units 6 units 6 units 6 units 301-350 mg/dl 8 units 8 units 8 units 8 units 351-400 mg/dl 10 units 10 units 10 units 10 units discharge disposition: extended care facility: of discharge diagnosis: right hip fracture discharge condition: stable, improved. discharge instructions: wbat on your leg. continue to ambulate daily and work with pt as planned. continue to take your blood thinning medication as planned. return to the er if: * if you are vomiting and cannot keep in fluids or your medications. * if you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. physical therapy: wbat treatments frequency: reinforce dressing as needed for drainage lovenox 40mg sc q24 hrs x 4 weeks followup instructions: please follow up with , np in 2 weeks. call to make that appointment. md, procedure: closed reduction of fracture with internal fixation, femur diagnoses: unspecified essential hypertension acute posthemorrhagic anemia hyposmolality and/or hyponatremia unspecified acquired hypothyroidism cardiac complications, not elsewhere classified depressive disorder, not elsewhere classified other specified cardiac dysrhythmias other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hypoxemia alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance abdominal aneurysm without mention of rupture closed fracture of subtrochanteric section of neck of femur accidental fall from chair history of fall personal history of traumatic fracture 

Answer: The patient is high likely exposed to