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: patient recorded as having no known allergies to drugs attending: chief complaint: pain, nausea, emesis major surgical or invasive procedure: exploratory laparotomy, extensive lysis of adhesions, and small bowel resection on history of present illness: the patient is an 85 y/o f with pmhx significant for htn, copd, and djd, who was admitted to the surgical service on with abdominal pain, nausea, and bilious emesis. she reports that these symptoms began 5 days prior to her presentation. they were waxing and in nature. at the time of presentation, she had not had a bowel movement in approximately 3 days. . on presentation to the ed, the patient had an ngt tube placed for decompression in the setting of a suspected sbo. she was admitted to the surgical service, where she was monitored for several days. when her symptoms did not improve over several days, the patient was brought to the or for ex lap. during her ex lap this afternoon, she was found to have a segemnt of small bowel that was adhered to the mesh from a previous hernia repair. she underwent resection of this segment of small bowel as well as lysis of other adhesions. her surgical procedure was ultimately longer than planned (3.5 hours). she also reportedly did not get as much fluid resuscitation as she should have during surgery. as a result, she developed hypotension in the intra- and post-operative period. uop was reportedly low (0-30/hr in the pacu). she was given albumin (32.5 gm total), bolused 2l lr, and started on lr at 150 cc/hr. sbp was reportedly in the 90's in the pacu (baseline in the 140's). she is now admitted to the for monitoring of her blood pressure overnight. . on arrival to the , the patient's vs were t: 96.2 bp: 105/55 p: 91 r: 20 o2: 91% on 3lnc. she complained of abdominal pain and nausea. she denied any chest pain or shortness of breath. she reported that she did feel very thirsty. she denied any other complaints. she reported that her last bm was last sunday; she also denied passing flatus. she described her emesis as biliary. past medical history: past medical history (per pt, , and surgery admit note): - htn - copd - djd - osteoporosis - psoriasis - varicose veins with chronic varicose dermatitis . past surgical history: - cholecystectomy via a midline exlap - incisional hernias s/p repair at hospital reportedly by dr. - cataract surgery left eye - excision of a vocal cord polyp social history: remote smoking history; quit ~20 years ago. admits to occasional alcohol use. retired. used to work in sales. family history: reports cancer in her father (unknown type). daughter died of lung cancer. does not report any other family history. physical exam: vitals: t: 96.2 bp: 105/55 p: 91 r: 20 o2: 91% on 3lnc general: alert; nad; oriented to person, place, and time heent: nc/at; sclera anicteric; dry mm; some submandibular lad bilaterally; jvp not elevated lungs: non-labored breathing; lungs cta anteriorly with diminised breath sounds in the lower lung fields; no wheezes or rhonchi noted cv: rrr; no murmurs, rubs, or gallops appreciated abdomen: diffuse mild tenderness to palpation; surgical site present with dressing intact in the the midabdomen; no masses appreciated; minimal bs present gu: foley present ext: cool; no cyanosis; no significant pitting le edema; 2+ dp pulses present bilaterally neuro: alert; oriented x 3; grossly non-focal pertinent results: 01:05pm glucose-119* urea n-29* creat-1.5* sodium-138 potassium-4.3 chloride-94* total co2-30 anion gap-18 01:05pm alt(sgpt)-16 ast(sgot)-15 alk phos-97 tot bili-1.0 01:05pm lipase-20 01:05pm albumin-4.8 phosphate-4.0 magnesium-1.8 01:05pm wbc-12.0* rbc-5.60* hgb-16.8* hct-49.3* mcv-88 mch-30.1 mchc-34.2 rdw-15.5 01:05pm neuts-85.8* lymphs-10.1* monos-3.6 eos-0.2 basos-0.4 01:05pm plt count-232 01:05pm pt-12.9 ptt-22.4 inr(pt)-1.1 . kub: impression: findings are consistent with early small bowel obstruction. . ct abd/pelvis:impression: 1. high-grade small-bowel obstruction with transition point at the anterior abdominal wall surgical wound, without discrete mass seen, may be secondary to adhesions. 2. indetermiante splenic hypodensities, can be further evaluated by mri or ultrasound. 3. 1.5 x 0.7 cm duodenal lipoma. 4. colonic diverticulosis with no evidence of acute diverticulitis. 5. moderate-large hiatal hernia. brief hospital course: 85 y/o f with pmhx significant for htn, copd, gerd, djd, a/w sbo, now s/p ex-lap with bowel resection and lysis of adhesions. admitted to the from the pacu for monitoring in the setting of post-operative hypotension. . # hypotension: likely dehydration in the setting of sbo and recent surgery. uop and bp responded well to fluid boluses. boluses were continued prn to maintain uop. her home antihypertensive regimen was held. no pressors were ever needed. . # sbo, s/p bowel resection and lysis of adhesions: patient presented with abdominal pain and n/v. she was found to have an sbo and was brought to the or for bowel resection and loa. morphine pca for pain control. immediately post-operatively she was oliguric and hypotensive requiring admission to the . it was determined that this was secondary to inadequate fluid resuscitation. she responded appropriately to fluid resuscitation. she was admitted to the floor. she did have an ileus which resolved. she was started on cipro/flagyl for empiric coverage of bowel sources of infection which was completed after a 7 day course. by the time of discharge she was tolerating regular diet and her pain was controlled on po meds. . # copd: she is not on home oxygen. her home respiratory medications include albuterol, symbicort, and theophylline. she was continued on albuterol. advair was started to replace symbicort while in house. theophylline was also on hold and would likely be restarted. . # uti: urine culture was growing e.coli sensitive to cipro. she was continued on cipro. . # h/o hypertension: on amlodipine/benazepril, atenolol, and furosemide at home. holding home antihypertensive and asa regimen for now given hypotension and recent surgery. #dvt: pt found to have unilateral rue swelling. underwent rue us which demosntrated extensive dvt extending from the subclavian to the basilic vein. she was started on coumadin for anticoagulation on . inr was monitored and dose adjusted appopriately. she will need follow up with her primary care provider and coumadin clinic for continued treatment. . # hyperlipidemia: home lovastatin on hold, likely restart on discharge. . # psych: patient was reportedly on alprazolam, oxazepam, and sertraline at home. these meds have been on hold while patient in house and can likely be restarted on discharge. . #. gerd- continued home ppi. . #. code: confirmed full code . #. communication: patient; hcp is granddaughter medications on admission: - albuterol 90 q6hrs prn - alprazolam .25 tid prn - amlodipine benazepril daily - atenolol 100 daily - symbicort 160/4.5 - lasix 20 daily - lovastatin 30 daily - oxazepam 30 daily prn - kcl 20 daily - robitussin - sertraline 50 daily - theophylline 600 daily - tylenol - asa 81 daily - calcium 600 daily - ergocalciferol 1000 daily - ?omeprazole discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 2. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 3. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for sob. 4. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: inhalation q6h (every 6 hours) as needed for sob wheeze. 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 6. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 7. alprazolam 0.25 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 11. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 13. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 14. cholecalciferol (vitamin d3) 400 unit tablet sig: 2.5 tablets po daily (daily). 15. warfarin 2.5 mg tablet sig: one (1) tablet po once daily at 4 pm: adjust dose based on inr, follow up with coumadin clinic and pcp. 16. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 17. heparin, porcine (pf) 10 unit/ml syringe sig: one (1) ml intravenous prn (as needed) as needed for line flush. 18. heparin flush (10 units/ml) 2 ml iv prn line flush mid-line, heparin dependent: flush with 10 ml normal saline followed by heparin as above, daily and prn per lumen. discharge disposition: extended care facility: discharge diagnosis: 1. small bowel obstruction secondary to adhesions and incarceration to previously placed marlex mesh. 2. oliguria 3.urinary tract infection 4. right upper extremity dvt 5. post operative ileus discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: call if fever >101 f. call if signs of wound infection including increased redness and foul smelling discharge. call if chest pain, shortness of breath. call with any questions or concerns. followup instructions: please call dr. clinic to schedule follow up appointment in weeks. follow up with coumadin clinic (call to schedule) for your anticoagulation with coumadin. patient will need close follow up with pcp for this as well. procedure: venous catheterization, not elsewhere classified other partial resection of small intestine other lysis of peritoneal adhesions diagnoses: other iatrogenic hypotension esophageal reflux urinary tract infection, site not specified unspecified essential hypertension chronic airway obstruction, not elsewhere classified accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure osteoporosis, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other complications due to other vascular device, implant, and graft osteoarthrosis, unspecified whether generalized or localized, site unspecified paralytic ileus accidental cut, puncture, perforation or hemorrhage during other specified medical care mechanical complication due to other implant and internal device, not elsewhere classified surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation other psoriasis oliguria and anuria intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) acute venous embolism and thrombosis of subclavian veins acute venous embolism and thrombosis of superficial veins of upper extremity 

Answer: The patient is high likely exposed to