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: iodine; iodine containing / gadolinium-containing agents attending: chief complaint: abdominal pain, distention, vomiting, transfer from neb major surgical or invasive procedure: picc placement. colonoscopy history of present illness: patient is a 74 year old female with extensive pmh including colonic neoplasm resection in , who presented to the hospital on with nausea, vomiting, abdominal pain and distention for 3 days. she was treated conservatively, however not improving. the surgeon at hospital felt that she needed resection of the narrowed decending colon segment. however, the anesthesiologist felt that her post-operative course may well have exceded the ability of their icu to handle and felt that she should be transfered out. she is now directly transferred to us for further managment. the presumptive diagnosis at the neb was diverticulitis / constipation, patient was on sips of water, ivf with foley in place. at the time of presentation to neb patient she was also hypokalemic. her electrolytes were replaced as needed, her k this morning was 4.5. she was on a bowel regiment and had only 4 bms yesterday. per patient report her abdominal distention has improved. her wbc this morning was 9.4. at neb she was treated with zosyn from until , when she was switched to ertapenem. past medical history: pmh: afib, ra, cad, h/o mi, oa, h/o lung ca-chemo/xrt, gerd, htn psh: left axillary artery angioplasty and jump graft from left ax-fem graft to sfa w/ ptfe (), revision of left ax-fem graft w/ jump graft (ptfe) and left to right fem-fem bypass w/ ptfe (), left ax to fem-fem bypass graft bypass w/ ptfe (), r cia to bifemoral artery bypass w/ dacron (), ballon angioplasty x 2 rle , rul resection with xrt / chemo, tah with b/l saplingoopherectomy, appy, carpal tunnel release x 2 b/l, lipoma removal, cyst b/l hands social history: lives at home, uses wheel chair family history: n/c physical exam: pe: vs: 99 52 157/52 18 95 on 2l/min gen: wa/wd, nad cv: rrr, no murmur appreciated pulm: cta b/l abd: + bs, distended, mildly tender to palpation, typmany throughout, no peritoneal signs, no guarding extremities: no edema pertinent results: 10:21pm blood wbc-12.2*# rbc-3.52* hgb-9.5* hct-29.2* mcv-83 mch-26.8* mchc-32.3 rdw-15.9* plt ct-349 02:13am blood wbc-13.7* rbc-3.01* hgb-7.8* hct-24.7* mcv-82 mch-25.9* mchc-31.5 rdw-16.7* plt ct-347 02:09am blood wbc-14.3* rbc-3.92* hgb-10.7* hct-33.0* mcv-84 mch-27.2 mchc-32.4 rdw-16.5* plt ct-300 04:15am blood wbc-8.5 rbc-3.85* hgb-10.3* hct-33.2* mcv-86 mch-26.9* mchc-31.2 rdw-15.9* plt ct-208 06:00am blood wbc-6.5 rbc-3.71* hgb-10.3* hct-31.6* mcv-85 mch-27.7 mchc-32.5 rdw-15.9* plt ct-214 04:09am blood wbc-6.3 rbc-3.47* hgb-9.5* hct-29.2* mcv-84 mch-27.4 mchc-32.5 rdw-16.0* plt ct-216 04:15am blood pt-13.4 ptt-67.0* inr(pt)-1.1 06:00am blood pt-14.1* ptt-150* inr(pt)-1.2* 05:30am blood pt-14.4* ptt-38.3* inr(pt)-1.2* 10:21pm blood glucose-82 urean-19 creat-1.2* na-137 k-4.7 cl-101 hco3-25 angap-16 04:08am blood glucose-125* urean-11 creat-0.8 na-142 k-3.7 cl-102 hco3-33* angap-11 06:00am blood glucose-128* urean-17 creat-0.7 na-136 k-3.8 cl-98 hco3-31 angap-11 04:09am blood glucose-90 urean-17 creat-0.8 na-138 k-3.8 cl-102 hco3-30 angap-10 10:21pm blood alt-20 ast-41* alkphos-62 amylase-107* totbili-0.4 04:08am blood alt-20 ast-35 alkphos-57 totbili-0.3 10:21pm blood albumin-3.2* calcium-8.6 phos-2.5* mg-2.4 12:25pm blood calcium-7.2* phos-2.3* mg-1.9 06:35pm blood calcium-8.6 phos-8.6*# mg-2.9* 04:15am blood calcium-8.1* phos-2.9 mg-1.6 04:09am blood calcium-8.3* phos-3.2 mg-2.3 11:56pm blood lactate-1.0 . colonoscopy multiple shallow ulcers in sigmoid colon (17-25 cm) c/w ischemia kub massively dilated bowel, cecum less than 10cm in diameter. c. diff negative urine cx no growth kub prominent distention of large bowel brief hospital course: admitted to sicu from osh for attempt to perform colonoscopy. gastroenterology consulted. bowel prep initiated. unable to properly prep patient for procedure. intubation (per patient request) for the colonoscopy. colonoscopy was limited due to the poor prep, but they were able to get beyond a long narrowed segment (almost 10cm in length in decending colon. just proximal to this long stricture was a stool covered ? mass vs impacted stool ball. the anastamosis was well proximal to this area and was widely patent. an attempt was made to decompress the colon proximal to the long stricture. due to co-morbidities, patient was deemed a poor surgical candidate and we sought alternatives to a major operative procedure for this long stricture of uncertain etiology and possible mass vs impacted stool just proximal. consulted-patient well known to service for multiple issues. she was started on a heparin drip. inr was elevated to 7 range, and reversed with ffp. patient continued to exhibit obstructive symptoms. an attempt to insert a cecostomy tube via interventional radiology was not successful as the bowel had suprisingly significantly decompressed after the colonoscopy. we elected to wait on any further intervention and eventually the patient's obstructive symptoms subsided, and she began to pass stools with decrease in abdominal distention. she became medically & surgically stable, and was transferred from icu to floor. . admitted to 5 from sicu. stable vitals and labwork. given golylytely via ngt for multiple days in preparation for colonoscopy. rectal tube inserted. prep successful. underwent colonoscopy under general anesthesia on which revealed multiple shallow ulcers in sigmoid colon (17-25 cm) consistent with ischemia. no strictures identified in large colon and at previous anastamosis site. there were no masses or tumors found. . patient returned to stoneman5. started on regular diet. tolerated well. swithced to oral medications. started on more aggressive bowel regimen to prevent constipation-colace and miralax. continued with heparin drip. coumadin dosed daily, inr's checked daily. started on lovenox with planned bridge to coumadin once inr therapeutic (). patient will continue lovenox bridge at home. she has experience with self-injections in past. . she was evaluated per physical therapy during this admission, and was discharged home with for inr checks and physical therapy. coumadin management will be continued per dr. who was contact by phone by dr. prior to the patients discharge to co-ordinate her post-hospital management. medications on admission: asa 81' colace 100 qam, 200 qpm pyridoxine 100', coumadin 4' omeprazole 20' meclizine 12.5' lidocaine 0.5% patch 11pm-11am furosemide 20' tue, thr, sat compazine 1' prn albuterol nebs prn atorvastatin 40' fentanyl 75 mcg/hr q72 hrs aldactizide 25/25' discharge medications: 1. fentanyl 75 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 2. meclizine 12.5 mg tablet sig: one (1) tablet po q24h (every 24 hours). 3. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for sob, wheeze. 5. furosemide 20 mg tablet sig: one (1) tablet po tue, thurs, sat (). 6. pyridoxine 100 mg tablet sig: one (1) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po bid (2 times a day). disp:*qs * refills:*2* 9. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 10. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): for 12 hours - 11p-11a over right shoulder . 11. acetaminophen 160 mg/5 ml solution sig: 15-30ml po q6h (every 6 hours) as needed for pain/fever for 2 weeks: do not exceed 4gm in 24hrs. 12. aldactazide 25-25 mg tablet sig: one (1) tablet po once a day. 13. warfarin 2 mg tablet sig: two (2) tablet po at bedtime: titrate dose to goal inr of . 14. enoxaparin 60 mg/0.6 ml syringe sig: 50mg subcutaneous q12h (every 12 hours): please discard 10mg prior to injection. disp:*60 * refills:*3* 15. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). discharge disposition: home with service facility: discharge diagnosis: large bowel obstruction discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * 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. * continue to ambulate several times per day. . lovenox to coumadin bridge: -please continue injecting yourself as prescribed. -make sure you expel 10mg prior to injection. -the syringe is pre-filled 60mg. your dose is 50mg. -continue injections until inr is . dr. will adjust your coumadin dose accordingly. . port-a-cath: -continue monthly flushes with heparin as indicated per your doctor. followup instructions: 1. please follow-up with dr. in weeks. . provider: lab phone: date/time: 10:30 provider: , md phone: date/time: 11:10 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of endotracheal tube percutaneous abdominal drainage closed [endoscopic] biopsy of large intestine flexible sigmoidoscopy diagnoses: abnormal coagulation profile anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of bronchus and lung other specified intestinal obstruction hypopotassemia chronic kidney disease, unspecified constipation, unspecified other and unspecified hyperlipidemia hypotension, unspecified atherosclerosis of renal artery osteoporosis, unspecified old myocardial infarction osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of malignant neoplasm of large intestine rheumatoid arthritis anticoagulants causing adverse effects in therapeutic use unspecified hereditary and idiopathic peripheral neuropathy atherosclerosis of native arteries of the extremities, unspecified insomnia, unspecified irritable bowel syndrome unspecified vascular insufficiency of intestine ulceration of intestine 

Answer: The patient is high likely exposed to