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: sulfa (sulfonamide antibiotics) / nsaids / bactrim ds / adhesive tape attending: chief complaint: paroxysmal atrial fibrillation & osler rendu syndrome. major surgical or invasive procedure: : 1. bilateral mini thoracotomies with pulmonary vein isolation using the atricure synergy bipolar rf device with resection of left atrial appendage. history of present illness: the patient is a 71-year-old woman referred to me by dr. for consideration of minimally invasive maze procedure with resection of left atrial appendage due to her osler rendu syndrome prohibiting her from being anticoagulated. the patient has been relatively well controlled with antiarrhythmics but has breakthrough atrial fibrillation even on antiarrhythmics and has had to be cardioverted several times. past medical history: 1. paroxysmal atrial fibrillation, status post two cardioversions, most recently on and prior to that in 10/. - pt can only take asa for anticoagulation due to owr syndrome 2. paroxysmal atrial flutter. 3. lle lymphedema secondary to skin lesion removal. 4. asthma. 5. in , an episode of congestive heart failure secondary to presumed viral cardiomyopathy, this was the first onset of atrial fibrillation. 6. mild mitral valve regurgitation, severe tricuspid regurgitation by echocardiogram in 10/. 7. hypertension and lvh. 8. osler--rendu syndrome. 9. squamous cell ca s/p multiple excisions 10. pulmonary htn 11. esophagitis 12. ganglion cysts 13. s/p l tkr 14. s/p tonsillectomy 15. s/p tah/so on prempro social history: anesthesia nurse , retired 2.5 years ago. exercises and does low-impact aerobics 30 min/3x week. lives with husband. denies tobacco use or recreational drug use. patient 2 glasses of wine per night. family history: pt is adopted and therefore there is no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. . physical exam: discharge exam vs:t: 98.1 hr: 78 sbp: 135/71 sats: 92% ra wt: 189 general: 71 year-old female who appears well heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr resp: decreased breath sounds otherwise clear gi: benign extr: warm no edema incision: bilertal minithoracotomy site clean dry intact, no erythema neuro: awake, alert oriented pertinent results: wbc-6.4 rbc-3.82* hgb-11.1* hct-33.5* mcv-88 mch-29.0 mchc-33.0 rdw-15.9* plt ct-229 wbc-7.1# rbc-3.83* hgb-11.1* hct-34.1* mcv-89 mch-28.9 mchc-32.5 rdw-15.8* plt ct-179 glucose-91 urean-9 creat-0.6 na-136 k-4.2 cl-102 hco3-25 urean-10 creat-0.6 na-141 k-3.4 cl-110* hco3-20* mg-2.2 mrsa screen (final ): no mrsa isolated. cxr: : there is no evidence of pneumothorax. the rest of the examination is unchanged from one hour prior with mild vascular congestion and cardiomegaly. brief hospital course: the patient was brought to the operating room on where the patient underwent bilateral mini thoracotomies with pulmonary vein isolation using the atricure synergy bipolar rf device with resection of left atrial appendage. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. her pain was not well control and anesthesia performed on bilateral t6 paravertebral blocks x2 and repeat on bilateral t4, t7, t10 paravertebral block with better pain control. dofetilide was restarted. she transfer to the floor on pod1. she had brief episodes of self limiting atrial fibrillation 120's. she was gently diuresed toward the preoperative weight. chest tubes and pacing wires were discontinued without complication. she was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on the patient was ambulating freely, bilateral wounds were healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: amlodipine 5 mg daily, tikosyn 125 mcg twice daily, premarin 0.625 mg daily, fenofexadine 60mg twice daily, flovent 110mcg - 2 puffs twice daily, lisinopril 40 mg daily, medroxyprogesterone 5 mg daily, prilosec 20 mg daily, calcium and vitamin d daily, aspirin 325 mg daily discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 2. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 3. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 4. conjugated estrogens 0.625 mg tablet sig: one (1) tablet po daily (daily). 5. dofetilide 125 mcg capsule sig: one (1) capsule po q12h (every 12 hours). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. colchicine 0.6 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. indomethacin 25 mg capsule sig: one (1) capsule po three times a day. disp:*90 capsule(s)* refills:*2* 9. medroxyprogesterone 5 mg tablet sig: one (1) tablet po once a day. 10. acetaminophen 325 mg tablet sig: two (2) tablet po every hours as needed for pain, fever. 11. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 12. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 13. potassium chloride 8 meq tablet extended release sig: one (1) tablet extended release po once a day. disp:*5 tablet extended release(s)* refills:*0* 14. senna-s 8.6-50 mg tablet sig: one (1) tablet po twice a day: hold for loose stool. disp:*60 tablet(s)* refills:*2* 15. lisinopril 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: paroxysmal atrial fibrillation, s/p multiple dccv, hypertension, multinodular goiter, osler--rendu syndrome, history of melanoma s/p excision, complicated by lymphedema, squamous cell carcinoma of the leg, s/p 5fu cream, asthma, episode of congestive heart failure secondary to presumed viral cardiomyopathy, this was the first onset of atrial fibrillation, gerd, s/p melanoma excision , s/p sentinel node procedure complicated by persistent seroma discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office : the office will call you for a follow-up appointment surgeon dr. date/time: 2:45 in the building cardiologist dr. . please call for a follow-up appointment please call to schedule the following: primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: excision or destruction of other lesion or tissue of heart, open approach excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: mitral valve disorders unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified personal history of malignant melanoma of skin diseases of tricuspid valve nontoxic multinodular goiter hereditary hemorrhagic telangiectasia 

Answer: The patient is high likely exposed to