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: adhesive tape / tolvaptan attending: chief complaint: hemoptysis major surgical or invasive procedure: tonsil biopsy () chemotherapy port placement () history of present illness: 61 year old male with history of nash cirrhosis who is on the transplant list, with ascites complicated by diuretics limited due to hyponatremia, s/p tips on who was recently admitted to the hospital for peritonsillar mass s/p biopsy on (discharged ), readmitted to the sicu on with oropharyngeal bleeding. he woke up the morning of admission and began coughing up small amounts of bright red blood and clots. he was discharged with a hematocrit of 30.5 the day prior and presented with a hematocrit of 31.5 (inr 2.7, plt 80), which nadired at 23.6 on . in the sicu, he again coughed up blood and so was intubated for airway protection. an og tube was placed which initially evacuated about 800cc of dark red blood over the first day and then progressed to bilious output therafter. ent packed his oropharynx and he was scoped by ent twice without signs of active bleeding. clot was visualized consistent with recent biopsy. cta was performed on presentation which did not show any one blood vessel feeding the mass. ir embolization was not pursued out of concern for necrosis of the tongue. packing remained in place and patient was stabilized with 6 units prbcs on units of plasma over the course of the admission (mostly ), 2 units of platelets initially, and 16 units of cryo over the admission. also received vitamin k 5mg x2. he remained in the icu as his hematocrit was not appropriately bumping for days, however no active bleeding was ever seen. per sicu resident, patient has not had melanotic stools. packing was removed on without signs of further bleeding. he was extubated on and his vs remained stable with one episode of afib during his sicu course, which converted out of with iv metoprolol. currently he is being diuesed with home lasix and additional lasix 40mg iv daily and treated with cefepime (d1=) for enterobacter uti, with subsequent clearing of urine. he is now being called out to the floor for continued managment. of note, the tonsillar mass biopsy results have returned and show nonhodgkin lymphoma. he and his family are aware of the diagnosis and that he will not currently be listed for a liver transplant. currently, he denies f/c, difficutly breathing. no cp/sob. no v/d. feels tired, but otherwise without complaints. past medical history: -decompensated cirrhosis with ascites secondary to nash, c/b ascites responsive to diuretics but developed hyponatremia -s/p tips on for management of ascites -hyponatremia -bilateral cataract repair. -incisional hernia repair. -history of sigmoid resection over 20 years ago due to diverticulitis. -diabetes, currently on metformin. -hypertension -hypovitmanosis d -aaa which measured 5.2 cm in social history: he lives with his wife and youngest son. has three sons. was working full time at the va in in the maintenance department. he quit smoking about 2 years ago, but smoked for 25 years. previously was a social drinker, not excessive. no illicits. family history: negative for liver disease or liver cancer. no gi cancer in his family physical exam: transfer physical exam vitals: 98.2 120/70 78 22 94% 4l general: no acute distress, alert heent: op with large right tonsilar mass. lymphatics: no cervical, supraclavicular, or axillary lymphadenopathy or inguinal adenopathy appreciated. right cervical exam limited by rij. heart: regular rhythm and rate without murmur, rub, or gallop lungs: breathing comfortably. decreased breath sounds at the bases bilaterally abdomen: distended ascitic abdomen without tenderness extremities: warm, well perfused , 3+ edema neuro: cranial nerves ii-xii grossly intact. strength 5/5 x4 extremities, sensation intact to light touch x4 extremities discharge physical exam vs: tm/tc 98.5/98.4, bp 112-126/65-78, hr 89-103, rr 18, 96% on ra general: appears well, but in nad. heent: mmm. mass noted paratonsilar with no active bleeding neck: no jvd cardiac: rrr with no m/r/g lungs: cta b/l no w/r/r. abdomen: distended but soft, non-tender to palpation. dullness to percussion over dependent areas but tympanic anteriorly. no hsm or tenderness appreciated. midline vertical scar s/p sigmoidectomy extremities: + pitting edema b/l (much improved over past few days). warm and well perfused, no clubbing or cyanosis. neurology: no asterixis, a and o x 3 pertinent results: microbiology ============ urine culture (final ): enterobacter cloacae complex. (vre) 10,000-100,000 organisms/ml. hcv viral load (final ): hcv-rna not detected. pathology ========= specimen submitted: tonsil mass. procedure date tissue received report date diagnosed by dr. . /qxn?????? diagnosis: right tonsil mass, biopsy: non-hodgkin b-cell lymphoma, diffuse large b-cell type, high grade (see note). note: sections are of squamous mucosa with underlying dense submucosal lymphoid infiltrates with focal necrosis, hemorrhage and crush artifact. the infiltrate is diffuse and comprised of large cells with moderate amount of eosinophilic to foamy cytoplasm, round to irregular vesicular nuclei, and dispersed chromatin. a large fraction of the cells contain a single, centrally located, prominent nucleolus. there are numerous apoptotic bodies and occasional mitotic figures. small lymphocytes are also admixed, but constitute only a minority of the cells in the sections. the overlying squamous epithelium is inflamed; however, it is without overt involvement by the previously described infiltrate. by immunohistochemistry, the lesion cells are diffusely positive for the pan-b-cell markers cd20 and co-express cd10 and bcl-6, but are negative for bcl-2 and cd30. scattered admixed t-cells are highlighted by cd3. - virus latent membrane protein (lmp) stain is negative. by mib-1 staining, the proliferation index is >95%. although the proliferation fraction is extremely high and lymphoma cells lack bcl-2 staining, the morphological features do not suggest burkitt lymphoma and are more in keeping with high grade diffuse large b-cell lymphoma. imaging ======= ct chest, abdomen, and pelvis with contrast () history: 61-year-old male with cirrhosis, awaiting liver transplant, now found to have b-cell lymphoma on the lateral aspect of the tongue, now in need of staging. study: ct of the torso with contrast; mdct images were generated through the chest, abdomen and pelvis after the uneventful iv administration of 130 cc of omnipaque intravenous contrast. oral contrast was also administered. coronal and sagittal reformatted images were also generated. comparison: cta of the torso from . findings: chest: the visualized portion of the thyroid demonstrates a 21 x 12 mm evidence nodule in the left lobe of the thyroid and an 11 x 8 mm nodule in the right thyroid lobe, similar to prior exam (2:3,7). there is no axillary or hilar lymphadenopathy. multiple prominent lymph nodes are seen in the mediastinum and in the paratracheal station measuring 9 mm (2:16), and 10 mm in the short axis (2:22), in the aortopulmonary window measuring 8 mm in its short axis (2:24) and in the subcarinal station measuring 16 mm in a short axis (2:28). these have progressed slightly since prior exam. the aortic arch demonstrates a common origin of the brachiocephalic and left common carotid arteries, a normal variant (2:16), a right-sided internal jugular central line tip sits in the lower svc. calcified coronary artery disease is present. there is no pericardial effusion. bilateral large nonhemorrhagic effusions are present with associated atelectasis resulting in near-complete collapse of the bilateral lower lobes. the remaining aerated upper and right middle lobes demonstrate emphysematous changes without masses or nodules. dependent edema is present in the left upper lobe (2:22). abdomen: the liver again demonstrates a shrunken nodular contour compatible with cirrhosis. hypodensity in the right lobe of the liver is not changed since prior exam and measures 10 mm (2:60); an additional hypodensity in the left lobe of the liver measures 10 mm, and is unchanged from prior exam (2:57). these previously were shown to represent cysts at mri. a 2.0 cm (2:50) lesion in segment ii anteriorly is hypodense on the delayed phase of imaging provided, and cannot be fully evaluated on a single phase examination. a tips is in place. the gallbladder shows no stones or wall edema. splenomegaly is present with the spleen measuring 15.9 cm in the axial dimension. an 11 mm splenule is present just inferior to the splenic hilum (2:71). the pancreas is somewhat atrophic, but shows no masses. the adrenal glands are normal appearing bilaterally. the kidneys enhance with and excrete contrast symmetrically; bilateral hypodensities in the bilateral mid pole is too small to characterize, but likely represent cysts. the large and small bowel shows no evidence of obstruction. no lymphadenopathy or free air is present. a large amount of nonhemorrhagic ascites is seen. the aorta demonstrates aneurysmal dilatation in its infrarenal portion, measuring 5 cm in diameter in the axial plane (2:83), similar to slight increased from prior exam. additionally, there is aneurysmal dilatation of the right common iliac artery up to 28 mm in diameter and the left common iliac artery measuring 21 mm in diameter (2:100), similar to slightly increased compared to prior exam. pelvis: the previously described intra-abdominal ascites also tracks into the pelvis. the rectum appears unremarkable. the bladder, there is small amount of layering excreted contrast within it as well as a focus of gas in the antidependent portion, likely the result of recent catheterization, although a gas-producing infection cannot be entirely excluded. no lymphadenopathy is seen. bones: no aggressive-appearing lytic or sclerotic lesions are present. an old right postero-lateral 8th rib fracture is present. impression: 1. mediastinal lymphadenopathy as described above. no abdominal or pelvic lymphadenopathy. 2. large bilateral non-hemorrhagic pleural effusions with associated atelectasis; emphysema. 3. cirrhotic liver with tips in place. 2.0 cm lesion in segment ii anteriorly is hypodense on the single delayed phase image provided and cannot be fully characterized. recommend multiphasic ct or mri as clinically indicated. known hepatic cysts unchanged. splenomegaly. 4. abdominal aortic aneurysm, 5 cm, and aneurysmal dilatation of the bilateral common iliac arteries, similar to slightly increased from prior exam. 5. locule of gas within the bladder, likely sequelae of recent catheterization, although if no recent catheterization then infection cannot be excluded; correlate with history. cbc trend ========= 06:40am blood wbc-2.8* rbc-2.69* hgb-8.8* hct-26.0* mcv-97 mch-32.9* mchc-34.0 rdw-19.5* plt ct-64* 11:45am blood wbc-3.3* rbc-3.32* hgb-11.1*# hct-31.5* mcv-95 mch-33.4* mchc-35.2* rdw-19.3* plt ct-70* 02:01am blood wbc-3.3* rbc-2.75* hgb-9.2* hct-26.2* mcv-95 mch-33.6* mchc-35.3* rdw-19.7* plt ct-101* 02:58am blood wbc-3.8* rbc-3.59* hgb-11.3* hct-32.1* mcv-90 mch-31.6 mchc-35.3* rdw-19.6* plt ct-82* 10:49am blood wbc-5.3 rbc-3.80* hgb-12.1* hct-34.8* mcv-92 mch-31.8 mchc-34.6 rdw-20.0* plt ct-69* 02:18am blood wbc-4.6 rbc-3.57* hgb-11.2* hct-33.3* mcv-93 mch-31.5 mchc-33.8 rdw-19.9* plt ct-68* 02:45am blood wbc-4.4 rbc-3.71* hgb-11.6* hct-35.1* mcv-95 mch-31.4 mchc-33.1 rdw-19.6* plt ct-48* 08:30pm blood wbc-3.7* rbc-3.49* hgb-10.9* hct-32.1* mcv-92 mch-31.3 mchc-34.2 rdw-19.7* plt ct-53* 12:00am blood wbc-3.9* rbc-3.50* hgb-11.3* hct-32.2* mcv-92 mch-32.3* mchc-35.1* rdw-19.6* plt ct-48* 12:00am blood wbc-5.7 rbc-3.17* hgb-10.0* hct-29.4* mcv-93 mch-31.6 mchc-34.1 rdw-19.6* plt ct-63* 12:00am blood wbc-7.2 rbc-3.20* hgb-10.2* hct-30.0* mcv-94 mch-31.9 mchc-34.1 rdw-20.2* plt ct-61* 12:00am blood wbc-8.3 rbc-3.10* hgb-9.9* hct-29.1* mcv-94 mch-31.9 mchc-33.9 rdw-20.2* plt ct-59* 12:00am blood wbc-6.8 rbc-3.05* hgb-9.8* hct-28.5* mcv-93 mch-32.1* mchc-34.4 rdw-20.4* plt ct-50* 12:00am blood neuts-88.9* lymphs-3.4* monos-7.1 eos-0.5 baso-0 12:00am blood wbc-6.5 rbc-3.10* hgb-10.1* hct-29.4* mcv-95 mch-32.4* mchc-34.2 rdw-20.6* plt ct-49* 05:29am blood wbc-5.7 rbc-3.17* hgb-10.2* hct-30.4* mcv-96 mch-32.2* mchc-33.6 rdw-21.1* plt ct-43* 06:38am blood wbc-5.7 rbc-2.98* hgb-9.7* hct-28.8* mcv-97 mch-32.6* mchc-33.7 rdw-20.9* plt ct-36* coags trend =========== 06:40am blood pt-22.5* ptt-42.4* inr(pt)-2.1* 11:45am blood pt-28.2* ptt-50.4* inr(pt)-2.7* 05:00pm blood pt-23.4* ptt-44.3* inr(pt)-2.2* 04:37am blood pt-21.8* ptt-37.3* inr(pt)-2.1* 04:20pm blood pt-19.0* ptt-36.1 inr(pt)-1.8* 07:40am blood pt-18.3* ptt-37.6* inr(pt)-1.7* 02:40am blood pt-22.3* ptt-39.7* inr(pt)-2.1* 04:49pm blood pt-23.3* ptt-41.5* inr(pt)-2.2* 09:56am blood pt-20.9* ptt-41.5* inr(pt)-2.0* 02:17pm blood pt-23.6* ptt-43.9* inr(pt)-2.3* 04:55am blood pt-26.8* ptt-56.4* inr(pt)-2.6* 08:30pm blood pt-24.8* ptt-48.5* inr(pt)-2.4* 12:00am blood pt-23.9* ptt-46.6* inr(pt)-2.3* 12:00am blood pt-24.3* ptt-45.4* inr(pt)-2.3* 12:00am blood pt-29.6* ptt-49.4* inr(pt)-2.9* 12:00am blood pt-30.8* ptt-55.0* inr(pt)-3.0* fibrinogen trend ================ 11:45am blood fibrino-49* 08:01am blood fibrino-176* 07:40am blood fibrino-176* 04:49pm blood fibrino-136* 09:56am blood fibrino-139* 02:17am blood fibrino-134* 02:17pm blood fibrino-100* 02:45am blood fibrino-103* 04:55am blood fibrino-47*# 12:00am blood fibrino-81* 12:00am blood fibrino-<35*# 12:00am blood fibrino-38*# chemistry trend =============== 06:40am blood glucose-91 urean-7 creat-0.4* na-134 k-3.0* cl-99 hco3-27 angap-11 01:42pm blood glucose-123* urean-14 creat-0.4* na-139 k-3.1* cl-101 hco3-27 angap-14 04:40pm blood glucose-107* na-138 k-3.2* cl-101 02:18am blood glucose-106* urean-15 creat-0.5 na-141 k-3.4 cl-104 hco3-33* angap-7* 02:17am blood glucose-99 urean-16 creat-0.4* na-142 k-3.1* cl-105 hco3-32 angap-8 02:45am blood glucose-102* urean-13 creat-0.4* na-141 k-3.8 cl-102 hco3-32 angap-11 04:55am blood glucose-108* urean-9 creat-0.4* na-135 k-3.6 cl-99 hco3-34* angap-6* 12:00am blood glucose-201* urean-14 creat-0.4* na-133 k-3.6 cl-96 hco3-29 angap-12 12:00am blood glucose-214* urean-12 creat-0.5 na-129* k-4.2 cl-93* hco3-29 angap-11 12:00am blood glucose-164* urean-11 creat-0.5 na-131* k-3.8 cl-94* hco3-31 angap-10 12:00am blood glucose-156* urean-11 creat-0.5 na-131* k-3.7 cl-92* hco3-32 angap-11 05:29am blood glucose-153* urean-10 creat-0.4* na-130* k-3.9 cl-94* hco3-31 angap-9 06:38am blood glucose-162* urean-9 creat-0.5 na-128* k-3.5 cl-91* hco3-31 angap-10 liver panel trend ================= 11:45am blood alt-26 ast-50* alkphos-128 totbili-12.3* 02:01am blood alt-25 ast-46* alkphos-114 totbili-11.5* 02:58am blood alt-24 ast-37 alkphos-96 totbili-11.7* 02:40am blood alt-23 ast-42* alkphos-118 totbili-10.1* 02:18am blood alt-16 ast-36 alkphos-105 totbili-10.4* 02:17am blood alt-20 ast-38 alkphos-99 totbili-10.1* 02:17pm blood alt-19 ast-44* ld(ldh)-348* alkphos-104 04:55am blood alt-16 ast-39 ld(ldh)-325* alkphos-113 totbili-10.2* 12:00am blood alt-19 ast-39 ld(ldh)-350* alkphos-133* totbili-9.3* dirbili-3.6* indbili-5.7 12:00am blood alt-22 ast-43* ld(ldh)-355* alkphos-130 totbili-9.2* dirbili-3.4* indbili-5.8 12:00am blood alt-29 ast-49* ld(ldh)-353* alkphos-133* totbili-8.3* dirbili-3.3* indbili-5.0 12:00am blood alt-30 ast-53* ld(ldh)-348* alkphos-138* totbili-8.5* 05:29am blood alt-30 ast-44* ld(ldh)-325* alkphos-137* totbili-9.8* 06:38am blood alt-29 ast-43* alkphos-132* totbili-10.4* electrolytes/albumin trend ========================== 06:40am blood calcium-8.0* phos-2.4* mg-1.6 02:58am blood albumin-2.9* calcium-9.0 phos-2.6* mg-1.9 02:18am blood albumin-2.9* calcium-8.2* phos-2.8 mg-1.8 02:17am blood albumin-3.0* calcium-8.7 phos-2.6* mg-1.9 04:55am blood albumin-2.8* calcium-8.6 phos-2.8 mg-1.6 uricacd-1.4* 12:00am blood albumin-3.1* calcium-9.0 phos-2.2* mg-1.9 uricacd-1.8* 12:00am blood albumin-3.2* calcium-9.3 phos-3.1 mg-1.7 uricacd-1.8* 12:00am blood albumin-3.3* calcium-9.3 phos-2.7 mg-1.8 uricacd-1.8* 12:00am blood albumin-3.1* calcium-8.8 phos-2.9 mg-1.7 uricacd-1.9* brief hospital course: primary reason for hospitalization ================================== 61yo m with history of nash cirrhosis and new diagnosis of non-hodgkin b-cell lymphoma, now off the liver transplant list, who presented one day after being discharged following peripharyngeal biopsy with hemoptysis. he was initially managed in the sicu but later called out to the floor after he was extubated and bleeding stopped. #) acute anemia: patient presented with bleeding, suspected to be from recent biopsy of tonsillar mass. ent scoped patint twice and only saw appropriately formed clot over biopsy site. he additionally is known to have grade 1 esophageal varices, which are not suspected to be the source at this time, although have not been visualized this admission. patient was stabilized with 6 units prbcs on units of plasma over the course of the admission (mostly ), 2 units of platelets initially, and 16 units of cryo over the admission. baseline hct ranges widely from high 20s to mid30s. currently hct is 35.1. he has been cleared by speech and swallow and has been eating a soft diet for a couple days now. no signs of active bleeding. hematocrit improved while on bmt service. #) hypervolemia: dry weight is 188 lbs, peaked at 229 lbs on this admission. large pleural effusions seen on ct scan. new oxygen requirement while on bmt service with oxygen saturations in low 90s, but without dyspnea. desaturated to 80s on exertion. increased diuresis with spironolactone and iv lasix and patient was negative 5 liters in two days with stable/improved electrolytes and oxygen saturations. further increased diuresis when he returned to the floor. patients anasarca much improved with increased diuretics and on discharge, his dosage was decreased and told to have his electrolytes checked as an outpatient and his diuretics titrated by his pcp or hepatologist. #) tonsilar non-hodgkin b-cell lymphoma: currently no respiratory compromise or dysphagia. patients lymphoma would have to be treated prior to him being considered for liver transplant. transferred to bmt service and received rituximab and steroids. pet ct showed disease localized to tonsil, but suspicious mediastinal lymphadenopathy seen. bone marrow biopsy deferred due to coagulopathy. seen by rad-onc and will start xrt on (in dispo plan.) will also see heme/onc as outpatient to receive chemo on . #) nash cirrhosis, c/b recurrent ascites: s/p tips and tips redo (no intervention required at that time). he is no longer on the liver transplant list given his diagnosis of lymphoma. last egd in showed erosive esophagitis/duodenitis with grade 1 esophageal varices and portal gastropathy. he is currently grossly fluid overloaded (3+ edema), abdomen comfortable but with ascites. we continued his home bactrim ss qday for sbp ppx. lactulose titrated to 3-4bm daily to prevent hepatic encephalopathy. possibly starting nadolol for variceal bleed prophylaxis. #) uti: patient does not clearly have uti given lack of symptoms prior and negative ua. it may be that he is colonized given sputum grew same organism. patient was started on cefepime in the unit and d/c when on the floor with repeat ua )no pyruria) and ucx to see if still growing bug. chronic issues ============== #) diabetes mellitus: controlled on metformin at home. cont iss, mointor fsbg. hold home metformin transition issues ============== #) anarsarca: diuresing well and kidneys fine on increased dosage of lasix and spironolactone. at home, he was on 20mg lasix prn for weight gain which he rarely took. he was discharged on 20mg lasix and spironolactone 50mg and told to have electrolytes checked prior to his tuesday hem/onc appointment. his diuretics should be changed based on his electrolytes, fluid status, and kidney status by his pcp or hepatologist. #) cirrhosis with mass seen in liver: patient should follow up with his hepatologist to discuss the results of the mri to evaluate the mass seen on abdominal ct. #) b cell lymphoma: patient to follow up with hem/onc on tuesday to receive chemotherapy and radiation. medications on admission: preadmission medications listed are correct and complete. information was obtained from . 1. clotrimazole 1 troc po asdir 2. furosemide 20 mg po daily:prn weight gain > 3 lbs 3. metformin (glucophage) 500 mg po daily 4. sulfameth/trimethoprim ss 1 tab po daily 5. cyanocobalamin 50 mcg po daily 6. vitamin d 1000 unit po daily 7. ascorbic acid 500 mg po bid 8. lactulose 15-30 ml po tid titrate to bm daily discharge medications: 1. artificial tears 1-2 drop both eyes prn dry eyes 2. caphosol 30 ml oral qid:prn pain rx *caphosol 30ml oral four times a day disp #*1 bottle refills:*0 3. ciprofloxacin hcl 500 mg po/ng q12h rx *ciprofloxacin 500 mg 1 tablet(s) by mouth twice a day disp #*30 tablet refills:*3 4. diltiazem 30 mg po bid hold for sbp<90 and hr<60 rx *diltiazem hcl 30 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*3 5. lactulose 30 ml po tid 6. lactulose 30 ml po prn rass<0 notify md if change in mental status 7. pantoprazole 40 mg po q24h rx *pantoprazole 40 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*3 8. senna 1 tab po bid:prn constipation 9. rifaximin 550 mg po bid rx *xifaxan 550 mg 1 tablet(s) by mouth twice a day disp #*30 tablet refills:*3 10. furosemide 20 mg po once duration: 1 doses please take until appointment with physician and then readdress. rx *furosemide 20 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*3 11. spironolactone 50 mg po daily please take until appointment with physician and then readdress. rx *spironolactone 50 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*3 12. outpatient lab work please check basic metabolic profile (electrolytes, creatinine, bun, glucose) and fax results to: name: , l. (pcp) address: one pearl st, , , phone: fax: discharge disposition: home with service facility: vna discharge diagnosis: primary diagnosis- diffuse large b-cell lymphoma end stage liver disease coagulopathy of chronic liver disease hypervolemia secondary diagnosis- anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you at . you were admitted for a mass in your tonsil that was unfortunately found to be lymphoma. the biopsy of your tonsil was complicated by bleeding requiring blood products, but you were stabilized and transferred to the oncology floor. while with oncology you were treated with chemotherapy and supportive care and you improved. because of your liver disease, you became volume overloaded, so we increased your water pills to remove excess fluid which helped your breathing. you will need to check your lab values on tuesday, before your appointment with radiation and chemotherapy. please follow up in liver clinic, they will be calling you to schedule an appointment. also, please follow-up on tuesday for radiation therapy and another round of chemotherapy. your primary care physician will also be calling you to schedule an appointment. followup instructions: department: liver center when: tbd, they will call you with appointment with: building: lm campus: west best parking: garage department: radiation oncology when: tuesday at 9 am with: dr. , md ( campus: east best parking: garage department: hematology/bmt when: tuesday at 1 pm with: , md building: sc clinical ctr campus: east best parking: garage name: , l. address: one pearl st, , , phone: fax: procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube enteral infusion of concentrated nutritional substances laryngoscopy and other tracheoscopy laryngoscopy and other tracheoscopy injection or infusion of cancer chemotherapeutic substance injection or infusion of cancer chemotherapeutic substance biopsy of tonsils and adenoids central venous catheter placement with guidance diagnoses: thrombocytopenia, unspecified anemia, unspecified unspecified pleural effusion unspecified essential hypertension cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acquired coagulation factor deficiency hyposmolality and/or hyponatremia atrial fibrillation personal history of tobacco use other malignant lymphomas, unspecified site, extranodal and solid organ sites hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other ascites awaiting organ transplant status hepatic encephalopathy abdominal aneurysm without mention of rupture other chronic nonalcoholic liver disease unspecified vitamin d deficiency other specified bacterial infections in conditions classified elsewhere and of unspecified site, other gram-negative organisms esophageal varices without mention of bleeding other fluid overload 

Answer: The patient is high likely exposed to