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: abdominal pain major surgical or invasive procedure: - embolization of left inferior epigastric artery - central venous line placement history of present illness: 81 yo f with history of atrial fibrillation on coumadin, sick sinus sydrome s/p pacemaker presenting with llq abdominal pain for three days. she had a cold for one week with cough which has now resolved. she presented to her pcp's office with llq abdominal pain and swelling and was referred to the ed. . in the ed, her initial vitals were t 97.5, hr 65, bp 121/68, rr 12, 95% on ra. ct abdomen showed a large 10x16x6cm rectus sheath hematoma with possible active extravasation of blood. her inr was 4.3, and her hct had fallen to 34.9 from a baseline of 37-40. she received 5 mg of iv vitamin k, 2 units of ffp, morphine, and 1l ns in the ed. surgery consult recommended ir embolization. . on arrivial, pt complains of mild tenderness at llq. she denies melena or brbpr. she denies lightheadedness or chest pain. she reports some shortness of breath due to the productive cough. past medical history: -atrial fibrillation on coumadin/sotalol -hypertension -hyperlipidemia -memory loss -sick sinus syndrome s/p pacemaker -no hx of cad although this has previously been documented in her pmh social history: her husband works at , is her proxy. she denies tobacco use. she reports she drinks 1-2 drinks/day. family history: father had diabetes. physical exam: vs:99.2, 108/61, 73, 15, 99 on ra gen: elderly female, nad heent: eomi, o/p clear cv: rrr, no m/r/g pulm: mild wheezes in uppper lung fields bilaterally abd: left anterior abdominal firm hematoma with visable eccyhmoses in left lower abdomen extending to left lower back and right lower quadrant. mildly tender to palpation on llq. normoactive bowel sounds. ext: darkly pigmented le bilaterally. no peripheral edema, wwp neuro: axox3 pertinent results: laboratories: 04:30pm blood wbc-8.7# rbc-3.68* hgb-11.7* hct-34.9* mcv-95 mch-31.8 mchc-33.4 rdw-13.0 plt ct-232# 11:10am blood hct-23.5* 07:16am blood hct-29.5* 05:35am blood wbc-11.1* rbc-2.99* hgb-9.3* hct-26.9* mcv-90 mch-31.1 mchc-34.6 rdw-17.7* plt ct-127* 05:00pm blood hct-28.1* 06:20am blood wbc-8.6 rbc-2.91* hgb-9.2* hct-26.4* mcv-91 mch-31.6 mchc-34.8 rdw-16.5* plt ct-142* 06:15am blood hct-30.1* . 04:30pm blood pt-40.5* ptt-34.3 inr(pt)-4.3* 07:16am blood pt-13.0 ptt-27.3 inr(pt)-1.1 06:20am blood pt-13.5* ptt-25.9 inr(pt)-1.2* . 04:30pm blood glucose-169* urean-23* creat-1.2* na-128* k-4.0 cl-88* hco3-30 angap-14 04:23am blood glucose-119* urean-15 creat-1.0 na-135 k-3.8 cl-97 hco3-32 angap-10 06:28am blood calcium-8.3* phos-3.1 mg-1.9 04:23am blood calcium-8.1* phos-2.8 mg-2.3 09:24am blood glucose-112* lactate-0.9 na-129* k-3.3* cl-94* calhco3-29 06:20am blood glucose-96 urean-20 creat-1.0 na-133 k-3.7 cl-94* hco3-30 angap-13 ============= imagings: ct abd/pelvis with contrast () final: 1. large left rectus sheath hematoma measuring up to 16 x 10 x 6.1 cm, with possible focus of active extravasation in the lower portion. a follow up contrast-enhanced study (ct or mr) should be performed to ensure no underlying mass lesion is present in weeks time. 2. colonic diverticulosis with evidence for diverticulitis. 3. small sliding hiatal hernia. . cxr () final: no acute cardiopulmonary abnormality. . cxr () final: new mild pulmonary edema. stable position of the pacemaker leads and new right central venous line with its tip in the upper svc. ============= ekg (): a-paced, nml axis, prolonged qt interval (460, likely in setting of sotalol), no stt changes concerning for ischemia. brief hospital course: this is a 81 yo f on coumadin for afib presenting with a rectus sheath hematoma in the setting of a slightly supratherapeutic inr and vigourous coughing. . # rectus sheath hematoma: inr elevated at 4.3 which is the highest inr she has recoreded in our system (followed as outpt for coumadin mgt). no predisposing trauma; it is conceivable that severe cough could have caused this. in the early morning on hd2, pt triggered for hypotension sbp in the 80s, stat hct was found to be 23 and was transferred to micu after minimal sbp response to fluids and 2u prbc. in the mean time, pt's abdominal ecchymosis was expanding to the right side. patient was then taken to ir for inferior epigastric artery embolization. patient was transferred back to the floor the next day. since the embolization, patient's bp has been in the 90-140 range since. hct has been stable at 26-30. pt received bicarb and mucomyst for prophylaxis of contrast induced nephropathy. . # cough. patient has been having a minimally productive cough following a viral illness. the most likely etiology is bronchitis. cxr showed no infectious process, so antibiotics was discontinued. patient received one dose of levofloxacin. she also received albuterol nebulizers, robittusin, and benzonatate for cough. patient was afebrile during the hospitalization. . # a-fib: sotalol 80mg was continued except for when patient was hypotensive. coumadin was held, and patient needs to discuss with pcp regarding the risks/benefits of anticoagulation. . # htn: home antihypertensives dyazide 37.5/25mg daily and cozaar (50mg qam / 25mg qpm) were held during the hospitalization. patient was told to continue to hold the anti-hypertensives until follow up with her pcp. . # hyperlipidemia: home simvastatin 40 mg daily was continued. . # dementia: aricept was continued. patient received ivfs, a total of 4u prbc during this hospitalization. she had regular diet, and was tolerating pos. patient had 2 large bore piv and cvl for access. she used pneumoboots for dvt prophylaxis. she had full code. family (husband and daughter) were updated regularly. medications on admission: sotalol 80 mg aricept 5 mg daily dyazide 37.5/25 daily proair inhaler prn simvastatin 40 mg daily cozaar 50 mg q am, 25 mg qpm coumadin 3-4 mg every day except thursday discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) puff inhalation q4h (every 4 hours) as needed for sob. 2. simvastatin 40 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 3. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 4. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). 5. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. disp:*500 ml(s)* refills:*0* 6. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* 7. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 8. ascorbic acid 250 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: left rectus sheath hematoma secondary diagnoses: atrial fibrillation sick sinus syndrome s/p pacemaker hypertension hyperlipidemia memory loss discharge condition: stable, afebrile, ambulating. discharge instructions: it was a pleasure to be involved in your care, mrs. . you were admitted to because of bleeding into your abdominal wall in the setting of vigorous coughing and blood being too thin on coumadin. your inr on admission was 4.3 (your therapeutic inr range should ). we held your coumadin. your bleeding was stopped by our interventional radiologiest by embolization (coiling the bleeding vessel). your blood pressure, and blood counts have been stable since the procedure. it will take over a month for the bruises on your abdomen to resolve. your medications have been changed. - please hold your antihypertensives (cozaar and dyazide) until you see your primary care doctor dr. . - please continue to hold coumadin and discuss the risks and benefits of restarting coumadin with dr. . - you have been prescribed guaifenisin cough syrup to be used for your cough as you need it. - we have started iron supplementation to be taken twice daily with vitamin c. - we have started colace, a medicine to prevent constipation while you are on iron, to be taken twice daily. if you develop dizziness, hypotension, fainting, shortness of breath, worsening cough, chest pain, high fevers, or any other symptoms that concern you, please call your doctor, 911 or come to the emergency department immediately. followup instructions: you have an appointment with dr. on wednesday , he is expecting you, please call his office () to clarify the time. you need to have your blood counts and blood pressure checked. procedure: venous catheterization, not elsewhere classified arteriography of other intra-abdominal arteries other surgical occlusion of vessels, abdominal arteries transfusion of packed cells transfusion of other serum diagnoses: coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation asthma, unspecified type, unspecified other persistent mental disorders due to conditions classified elsewhere chronic kidney disease, unspecified diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia hypotension, unspecified cardiac pacemaker in situ nontraumatic hematoma of soft tissue anticoagulants causing adverse effects in therapeutic use diverticulosis of colon (without mention of hemorrhage) urinary incontinence, unspecified bronchitis, not specified as acute or chronic memory loss 

Answer: The patient is high likely exposed to