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: no known allergies / adverse drug reactions attending: chief complaint: speech difficulty, hemiparesis major surgical or invasive procedure: none history of present illness: ms. was unable to speak earlier today, according to family and is now sedated with olanzapine 20 mg. history obtained from family and review of medical records. ms. is a year-old right-handed woman with pmh significant for htn, dmii, moderate dementia and admission in for multiple rib fractures and small sah (though no witnessed or reported trauma) who presents with right sided weakness and aphasia. she was brought to the ed yesterday with chest pain and was ruled out for mi. she was discharged home yesterday evening; her daughter-in-law noted at that time that when she went to use her walker, she was able to use her left hand normally to put her hand on top of the walker, but was unable to place her right hand on top of the walker as usual, but was rather grabbing on to the walker lower down with her right hand and she seemed to have difficulty controlling her right arm. she went home and did not sleep well overnight. this morning, her daughter, with whom she lives, noted that she was dragging her right foot when walking and was not using her right arm well. her daughter-in-law then came over and saw that her right arm appeared further impaired than yesterday evening. her family also noted that she was not able to say any words today; they said words were just not coming out and they were unable to understand anything she was trying to say. her daughter-in-law is unsure if she was able to comprehend anything, but she says it did not appear she was paying attention to her family. her family also notes that it appeared at times as if she was trying to catch something in the air; it is unclear is she was having visual hallucinations. she was brought into the ed for further evaluation. in the ed, she was very agitated and pulling at lines so received zyprexa 10 mg x 2. ros: unable to obtain from patient as she was previously noted to be aphasic by family and is now sedated. past medical history: 1. hypertension 2. diabetes mellitus, type 2 3. moderate dementia 4. osteopenia 5. s/p right distal radial fracture () 6. h/o acute cholesystitis s/p open cholecystectomy () 7. recent admission for multiple rib fractures and small sah, family unaware of a fall 8. small bowel tumor s/p resection social history: per omr, lives with daughter . attended school, cannot read or write well. smokes a pipe, no etoh. of note, at baseline, she is able to ambulate, engage in limited conversation and is oriented to person. family history: per family, no known family history of strokes or seizures. physical exam: admission physical exam: vitals: t: 96.8 p: 90 r: 16 bp: 182/111 sao2: 99% ra general: somnolent, difficult to arouse (had previously received olanzapine 10 mg x 2). heent: nc/at, no scleral icterus noted,no lesions noted in oropharynx neck: supple pulmonary: anterior lung fields cta b/l cardiac: rrr, s1s2, ii/vi systolic murmur abdomen: soft, nondistended, +bs extremities: warm, well perfused neurologic: no eye opening. no commands (commands were given in her native language by her family). perrl 2-->1 mm. pupils in midline. she would resist doll's eyes maneuver, so unable to assess. blinks to threat on left but not on right. face appears symmetric at rest. she spontaneously moves left upper extremity more than right upper extremity, though there is spontaneous movement on the left. moves le spontaneously b/l. withdraws all exttremities to noxious stimuli briskly. during noxious stimuli testing, she did say "devil" in her native language, which is first word family says they understood her say all day. reflexes were 1+ and symmetric throughout. she had a withdrawal response with plantar testing b/l. discharge physical exam: vitals: 98.5, 136/80, 70, 20, 100% on ra gen: lying in bed in nad heent: op clear cv: rrr pulm: ctab abd: soft, nt, nd, peg in place with c/d/i dressing ext: no edema neuro: ms - aaox1 (with interpreter), unable to follow commands except to open and close eyes with miming cn - forced eye closure, pupils 2->1.5, tracks examiner motor - maee to tickle bilaterally sensation - intact to tickle as above coordination - pt unable to cooperate gait - deferred pertinent results: admission labs: 11:55am blood wbc-8.7 rbc-4.62 hgb-13.9 hct-42.5 mcv-92 mch-30.0 mchc-32.6 rdw-14.0 plt ct-234 05:05am blood wbc-5.8 rbc-3.94* hgb-11.8* hct-35.5* mcv-90 mch-29.9 mchc-33.2 rdw-14.8 plt ct-255 11:55am blood neuts-84.8* lymphs-11.9* monos-2.4 eos-0.5 baso-0.4 11:55am blood plt ct-234 04:09pm blood pt-10.5 ptt-29.0 inr(pt)-1.0 11:55am blood glucose-116* urean-12 creat-0.9 na-142 k-4.0 cl-103 hco3-27 angap-16 05:01am blood glucose-124* urean-12 creat-0.8 na-141 k-3.4 cl-106 hco3-24 angap-14 02:01am blood alt-17 ast-27 alkphos-91 totbili-0.7 12:08pm blood ck(cpk)-343* 05:01am blood ck(cpk)-250* 11:55am blood probnp-276 11:55am blood ctropnt-<0.01 05:01am blood ck-mb-5 ctropnt-0.01 02:01am blood albumin-4.4 calcium-9.4 phos-2.8# mg-1.9 cholest-185 05:05am blood calcium-8.4 phos-3.6 mg-1.9 12:13am blood %hba1c-5.5 eag-111 02:01am blood triglyc-48 hdl-93 chol/hd-2.0 ldlcalc-82 discharge labs: 04:25am blood wbc-7.8 rbc-4.06* hgb-12.1 hct-36.5 mcv-90 mch-29.7 mchc-33.1 rdw-14.3 plt ct-452* 04:25am blood glucose-142* urean-21* creat-0.9 na-134 k-4.3 cl-98 hco3-27 angap-13 04:25am blood calcium-9.7 phos-3.7 mg-1.8 reports: nchct findings: there is a large left 4.8 x 3.4 parieto-occipital intraparenchymal hemorrhage with surrounding edema and intraventricular extension into the left lateral ventricle and occipital (2:18, 601:51). there is no shift of midline structures or evidence of central herniation. prominent ventricles and sulci are consistent with age-related atrophy, without evidence of hydrocephalus. periventricular white matter hypoattenuation is compatible with chronic small vessel infarciton. the basal cisterns are patent. there is no fracture. the visualized paranasal sinuses, mastoid air cells, and middle ear cavities are clear. impression: large 4.8-cm left parieto-occipital acute intraparenchymal hemorrhage with surrounding edema and intraventricular extension. no evidence of central herniation. cxr findings: as compared to the previous radiograph, the patient has received a dobbhoff catheter. the tip of the catheter projects over the middle parts of the stomach, the course of the catheter is unremarkable, there is no evidence of complications, notably no pneumothorax. borderline size of the cardiac silhouette. mild areas of atelectasis at the left and right lung bases. no evidence of other parenchymal opacities, notably no evidence of pneumonia. cxr findings: as compared to the previous radiograph, the lung volumes have decreased. there is mild fluid overload and a plate-like atelectasis at the left lung bases that has minimally increased in extent. the pre-existing minimal left pleural effusion is unchanged. unchanged course of the nasogastric tube. no pneumothorax. cxr findings: comparison is made to previous study from . the dobbhoff tube has been removed. there has been placement of nasogastric tube whose tip and side port are well below the gastroesophageal junction in the distal body of the stomach. however, there is a loop in the distal nasogastric tube. the cardiac silhouette and mediastinum is prominent but stable. there is improvement of the atelectasis at the lung bases. there remains low lung volumes. there are no pneumothoraces. brief hospital course: yo rhf with htn, dm, moderate dementia, with acute onset r sided weakness and facial droop and found to have large iph on nchct. neurological exam is significant for fluctuating agitation/drowsiness, inattention, inability to follow commands, ?facial droop, decreased spontaneous movement on the right. etiology most likely amyloid angiopathy. other causes include underlying vascular abnormalities (eg. avm). localization of iph was not typical for hypertensive bleed. . icu course : overnight patient was agitated with hypertension and tachycardia and received olanzepine. she was given standing iv tylenol for presumed pain which made her drowsy and less agitated. she did not demonstrate clinical seizure activity. patient underwent repeat nchct which showed stable l parieto-occipital hemorrhage and she was transfered to the floor for further monitoring and treatment. . floor : the patient was transferred to the neurology floor from the icu in stable condition. she as kept on contact precautions for prior staphylococcus aureus infection with one negative mrsa isolate on screening on this admission. her blood pressure medications were uptitrated to maintain an sbp < 140. she was noted to have intermittent nonsustained vt which lessened after repleting electrolytes. she was placed on low-dose beta-blocker therapy. she was evaluated by pt/ot/speech. she would not cooperate with speech therapy. she was continued on tube feeds via ngt. her family agreed to have a gastrostomy placed. acs was consulted who recommended ir-guided placement due to a prior abdominal surgery. this was placed on without complication. she was discharged to rehab once her restraints were able to be stopped for 24 hours. . pending studies: none . transitional care issues: please continue to titrate her blood pressure medications to maintain sbp < 140. please continue pt/ot for maximal functional recovery. please avoid long-term antithrombotic medications such as aspirin or warfarin. ** aha/asa core measures for intracerebral hemorrhage ** 1. dysphagia screening before any po intake? (x) yes - () no 2. dvt prophylaxis administered? (x) yes - () no 3. smoking cessation counseling given? () yes - (x) no (reason () non-smoker - (x) unable to participate) 4. stroke education given? (x) yes - () no 5. assessment for rehabilitation? (x) yes - () no medications on admission: -lisinopril 30 mg daily -calcium + d 500 mg-200 units -proair 2 puffs q6h prn -senna 8.6 mg qhs -docusate 100 mg -tylenol 650 mg tid discharge medications: 1. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 2. proair hfa 90 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation every six (6) hours as needed for shortness of breath or wheezing. 3. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po at bedtime. 5. calcium 500 + d 500 mg(1,250mg) -200 unit tablet oral 6. acetaminophen 650 mg tablet sig: one (1) tablet po three times a day as needed for pain. 7. heparin (porcine) 5,000 unit/ml solution sig: 5,000 units injection tid (3 times a day). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: primary diagnosis: intracerebral hemorrhage (intraparenchymal), amyloid angiopathy secondary diagnosis: hypertension, diabetes mellitus discharge condition: mental status: confused - always. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. neuro exam: aaox1 (chronic dementia), moves all extremities spontaneously discharge instructions: dear mrs. , you were hospitalized due to symptoms of speech difficulty and weakness resulting from an acute ischemic stroke, a condition where a blood vessel providing oxygen and nutrients to the brain is blocked by a clot. the brain is the part of your body that controls and directs all the other parts of your body, so damage to the brain from being deprived of its blood supply can result in a variety of symptoms. stroke can have many different causes, so we assessed you for medical conditions that might raise your risk of having stroke. in order to prevent future strokes, we plan to modify those risk factors. we are changing your medications as follows: 1. please do not take any blood thinners such as aspirin or warfarin. 2. we are increasing your lisinopril to 40 mg one tablet daily for better blood pressure control. 3. we have started metoprolol tartrate to help control your blood pressure and heart rate. 4. we have started you on subcutaneous heparin three times a day to prevent dvts while you are at rehab. 5. we have started you on docusate 100mg twice a day to prevent constipation. please take your other medications as prescribed. please followup with neurology and your primary care physician as listed below. if you experience any of the symptoms below, please seek medical attention. in particular, since stroke can recur, please pay attention to the sudden onset and persistence of these symptoms: - sudden partial or complete loss of vision - sudden loss of the ability to speak words from your mouth - sudden loss of the ability to understand others speaking to you - sudden weakness of one side of the body - sudden drooping of one side of the face - sudden loss of sensation of one side of the body - sudden difficulty pronouncing words (slurring of speech) - sudden blurring or doubling of vision - sudden onset of vertigo (sensation of your environment spinning around you) - sudden clumsiness of the arm and leg on one side or sudden tendency to fall to one side (left or right) - sudden severe headache accompanied by the inability to stay awake it was a pleasure providing you with care during this hospitalization. followup instructions: primary care provider: , md phone: date/time: 12:00 neurology provider: , md phone: date/time: 2:30pm, , , , ma md procedure: enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] arterial catheterization diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled intracerebral hemorrhage paroxysmal ventricular tachycardia other malaise and fatigue aphasia disorder of bone and cartilage, unspecified arthropathy, unspecified, site unspecified other amyloidosis physical restraints status hemiplegia, unspecified, affecting dominant side dementia, unspecified, without behavioral disturbance unspecified cerebrovascular disease 

Answer: The patient is high likely exposed to