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: penicillins / fluarix attending: chief complaint: common hepatic artery aneurysm major surgical or invasive procedure: resection of common hepatic artery aneurysm, with right greater saphenous vein interposition graft. history of present illness: this is a 74-year-old male with a history of chronic weight loss of unknown etiology, who, while undergoing a workup, was found to have a 2- to 3-cm common hepatic artery aneurysm. he was consented for resection of the aneurysm. past medical history: htn djd hepatic artery aneurism migraines psh: status post cholecystectomy bilateral carpal tunnel releases recent biateral laparoscopic inguinal hernia repairs c3-c4 posterior discectomy. social history: current tobacco use - 7 cigarettes/day no etoh use family history: non contributory physical exam: vss afebrile gen: thin male in nad neck: supple, no jvd, trach midline card: rrr lungs: cta bilat abd: soft +bs, no m/t/o; incision c/d/i extremities: fem/dp/pt pulses palpable bilat pertinent results: 06:55am blood wbc-4.6 rbc-3.71* hgb-11.7* hct-33.2* mcv-90 mch-31.7 mchc-35.4* rdw-14.2 plt ct-208 08:10am blood wbc-4.9 rbc-3.69* hgb-11.3* hct-32.8* mcv-89 mch-30.6 mchc-34.4 rdw-14.3 plt ct-218# 03:45am blood wbc-6.1 rbc-3.32* hgb-10.6* hct-30.8* mcv-93 mch-32.0 mchc-34.4 rdw-14.7 plt ct-137* 04:26am blood wbc-6.4 rbc-3.45* hgb-10.8* hct-31.4* mcv-91 mch-31.3 mchc-34.3 rdw-14.9 plt ct-204 02:21pm blood wbc-9.2 rbc-3.75* hgb-12.0* hct-35.2* mcv-94 mch-31.9 mchc-34.0 rdw-14.9 plt ct-255 06:55am blood glucose-107* urean-10 creat-0.8 na-138 k-4.0 cl-98 hco3-35* angap-9 08:10am blood glucose-96 urean-9 creat-0.7 na-133 k-3.8 cl-94* hco3-31 angap-12 03:30am blood glucose-152* urean-7 creat-0.5 na-133 k-3.8 cl-97 hco3-30 angap-10 03:45am blood glucose-113* urean-10 creat-0.6 na-134 k-3.7 cl-100 hco3-30 angap-8 04:26am blood glucose-115* urean-9 creat-0.6 na-137 k-4.0 cl-104 hco3-27 angap-10 02:21pm blood glucose-138* urean-13 creat-0.9 na-140 k-4.6 cl-111* hco3-23 angap-11 06:55am blood alt-229* ast-44* alkphos-71 amylase-77 totbili-0.5 08:10am blood alt-333* ast-91* alkphos-72 amylase-64 totbili-0.5 03:30am blood alt-507* ast-355* alkphos-66 amylase-66 totbili-0.4 03:45am blood alt-555* ast-592* alkphos-63 amylase-65 totbili-0.3 04:26am blood alt-325* ast-336* alkphos-67 amylase-88 totbili-0.4 02:21pm blood alt-316* ast-333* alkphos-71 amylase-81 totbili-0.3 03:30am blood lipase-30 03:45am blood lipase-30 04:26am blood lipase-42 02:21pm blood lipase-88* 06:55am blood calcium-8.3* phos-3.3 mg-2.0 08:10am blood calcium-8.1* phos-3.6# mg-1.9 03:30am blood albumin-3.0* calcium-8.0* phos-1.8* mg-1.4* iron-20* 03:45am blood calcium-8.1* phos-2.8 mg-1.9 04:11pm blood calcium-8.0* phos-3.2 mg-1.7 04:26am blood calcium-8.4 phos-4.3 mg-2.0 11:47pm blood calcium-8.1* mg-2.4 02:21pm blood calcium-8.2* phos-4.7* mg-1.6 2:20 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. brief hospital course: mr. was admitted and underwent hepatic artery aneurysm repair under general anesthesia with a tohoracic epidural on . he tolerated the procedure well, was extubated and was transfered to the cvicu postoperativey. he was hemodynamically stable but did have some brief episodes of bradycardia which resolved on their own. on pod 1 he was noted to have some elevated lfts, as expected. he was quite stable and was transfered to the vicu for further recovery. in the vicu he remained hemodynamically stable with good pain control. on pod 2 he tolerated a clear liquid diet and was oob with assistance. a nutrition consult was obtained given his recent weight loss and preoperative status of having poor nutrition. he was advanced to a regular diet on pod 3 with ensure supplements which he tolerated well. he was transfered to the floor on pod 3 as well. on pod 4 his epidural was removed. he tolerated po pain meds quite well. later that day his foley was removed, and he voided a small amount, however, by the evening he had not voided in several hours and a bladder scan showed over 800cc of residual, hence a foley was re placed. he was also started on flomax . his jp drain was also removed on pod 4 without difficulty. he was hemodynamically stable and able to ambulate without assistance. on pod 5 he was tolerating his diet well and felt comfortable with his foley and leg bag. he was evaluated by pt and found stable to go home. he will follow up with his pcp on friday for foley removal. medications on admission: atenolol 50 mg orally once a day, lisinopril 10 mg orally once a day, trazodone 150 mg at night, a multivitamin, vitamin b12, and vitamin c supplements. discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 2. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 3. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*0* 4. trazodone 150 mg tablet sig: one (1) tablet po at bedtime. 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. diphenhydramine hcl 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for itching. 9. resume otc vitamins and minerals discharge disposition: home discharge diagnosis: common hepatic artery aneurysm. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk, gradually increasing your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (let the soapy water run over incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions you had urinary retention and had your foley catheter replaced. you will go home with a leg bag and catheter in place. follow up with your primary care doctor in days for removal of the catheter. followup instructions: provider: , md phone: date/time: 9:45 dr. 1115 am - follow up and foley removal procedure: resection of vessel with replacement, abdominal arteries diagnoses: tobacco use disorder urinary tract infection, site not specified unspecified essential hypertension loss of weight retention of urine, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus nutritional marasmus aneurysm of other visceral artery body mass index less than 19, adult 

Answer: The patient is high likely exposed to