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: transfer from outside hospital for r leg thrombectomy major surgical or invasive procedure: angiogram of right superficial femoral artery and right peroneal arteries with partial thrombectomy history of present illness: ms. is an 85 year old woman with history of hypertension, pvd presents as tranfer from for superficial femoral artery thrombectomy. she reported that she was about to take a shower the day of her admission to the outside hospital when she experienced dizziness and also pain from her right ankle to her right knee associated with some numbness of her right big toe as well as the 2nd and 3rd digits. she lied down on a bath mat, denied any loss of consciousness or head trauma. the dizziness resolved but then recurred, so her daughters took her to where she was admitted in complete heart block and noted to have an ischemic right foot with cyanosis extending to midfoot. she was noted at that time to have 2 episodes of near syncope from near asystole. at , she had emergent placement of temporary pacer wire in her right ij with restoration of heart rate. she was then taken to the or with thrombectomy of r leg and started on a heparin drip. later, a permanent pacer was placed. she had an echocardiogram that showed normal ef, mildly dilated ra, mild mr, and moderate tr. she was noted to have elevated troponin-t which trended 0.03, 0.037, 0.03 and was felt to have an nstemi. the right foot was noted to still be cold compared to the left, so she was referred to for rle angiogram with dr. . on presentation, pt was resting comfortably, reporting no pain or dizziness. she had a low grade temperature and had the following vitals: t 100.0 bp 164/62 hr 82 rr 22. review of systems as above, negative for fevers/chills/nausea, vision changes, has occasional headaches, no neurological signs. occasional dizziness at baseline, weakness attributed to age. no orthopnea, pnd, palpitations, or chest pain. no cough, sob. no nausea, vomiting, diarrhea, constipation, abdominal pain. no dysuria. no skin/joint changes other than above. past medical history: 1. cardiac risk factors: hypertension, tobacco use 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: ddd pacer placed recently at 3. other past medical history: hypertension left cheek basal cell carcinoma left eyelid basal cell carcinoma s/p resection s/p appendectomy pvd with arteriogram of left leg, followed by dr. social history: she lives alone. she has smoked for 60 years, had cut down to 5 cigarettes per day then quit . restarted smoking socially recently. has a daughter that lives nearby. family history: significant for a father with copd and cancer. physical exam: admission exam: 100.0 164/62 82 22 gen: elderly pleasant lady in no distress, rambling tangential conversation but answering appropriately, alert neck: no jugular venous distention noted, some external jugular pulsations noted around 5cm at 30 degrees. carotid pulsations palpable. lungs: scattered wheezes, light crackles and adventitious sounds are appreciated. cv: s1 and s2 are very faint but regular and no appeciable murmurs are heard abd: soft nt nd obese abdomen skin: diffuse senile ecchymoses on bilateral arms ext: no ble edema is noted. r foot is cold compared to very warm and well perfused l foot. tips of all toes bilaterally with some pinkness, but no cyanosis noted. dp's and pt's are not palpable bilaterally. prior to discharge, the feet were both warm and well perfused with only the right sided toes feeling cool to touch. the 2nd and 3rd digits on the right foot had decreased sensation. right posterior tibial pulse was dopplerable, but right dorsalis pedis pulse was not dopplerable. pertinent results: 12:30am blood wbc-9.2 rbc-4.19* hgb-10.3* hct-32.3* mcv-77* mch-24.7* mchc-32.0 rdw-16.8* plt ct-252 03:47am blood wbc-8.2 rbc-3.93* hgb-9.7* hct-30.7* mcv-78* mch-24.7* mchc-31.6 rdw-16.9* plt ct-307 03:47am blood pt-12.8 ptt-23.0 inr(pt)-1.1 12:30am blood glucose-141* urean-19 creat-0.9 na-141 k-3.9 cl-106 hco3-27 angap-12 03:47am blood glucose-102* urean-24* creat-1.0 na-141 k-4.3 cl-107 hco3-27 angap-11 12:30am blood ck(cpk)-146 12:30am blood ck-mb-3 ctropnt-0.03* 06:05am blood %hba1c-5.5 eag-111 06:05am blood triglyc-69 hdl-41 chol/hd-3.4 ldlcalc-85 cardiology report cardiac cath study date of comments: 1. access was obtained in retrograde fashion through the left common femoral artery. 2. a 4f omniflush catheter was advanced into the lower abdominal aorta. non selective angiography revealed: - abodminal aorta: minimal disease - single patent renal artery bilaterally - left: patent cia, iia, eia and cfa. - right: patent cia, iia, eia and cfa. 3. an angled glide wire was then crossed over and advanced into the right sfa over which the omni flush catheter was exchanged for a straight glide catheter that was advanced to the cfa level and selective angiography was performed which demonstrated: - 90% sfa lesion proximally, - patent popliteal artery - patent tpt. - occluded anterior tibial artery - occluded posterial tibial artery - single peroneal artery run off with 100% occlusion at distal calf. 4. successful pta and stenting of the right sfa stenosis with a 5.0x40mm everflex protege stent that was 5.0mm. final angiography revealed no residual stenosis, localized perforation and good distal flow (see pta comments). 5. unsuccessful pta of the peroneal artery with 2.0mm and 3.0mm balloons. final angiography revealed localized perforation and unchanged flow status. final diagnosis: 1. peripheral artery disease. 2. pta and stenting of the right sfa. 3. unsuccessful intervention of the right peroneal artery. 4. stable localized perforation at the right sfa level as well as the right peroneal artery level. radiology report art ext (rest only) study date of 3:47 pm findings: doppler waveform analysis, pulse volume recording, and ankle- brachial index were calculated at rest. on the right, there is triphasic waveform within the femoral, superficial femoral, and popliteal distributions with monophasic waveforms in the posterior tibial and dorsalis pedis distribution. additionally, there is marked loss of amplitude at the level of the ankle and metatarsal on pulse volume recordings. the ankle brachial index is 0.43. on the left, there is a triphasic waveform at the level of the femoral artery, with loss of phasicity at the superficial femoral, popliteal, and posterior tibial and dorsalis pedis distributions, with monophasic waveform seen at levels. the ankle-brachial index measures 0.45. there is significant loss of amplitude at the level of the calf, ankle, and metatarsal levels. impression: findings are consistent with significant right tibial disease, and left disease at the sfa and tibial levels. brief hospital course: ms is a 85 year-old female with hypertension, pvd, complete block s/p pacemaker placement, and an ischemic right leg s/p thrombectomy and rle angiogram complicated by a small perforation transferred to the ccu for monitoring of hematoma formation. . # ischemic r foot s/p thrombectomy and rle angiogram with small perforation: patient had partial thrombectomy at outside hospital and was transferred to for further thrombectomy. during the catheterization, the superficial femoral artery was underwent successful percutaneous transluminal angioplasty. there was diffuse peripheral arterial disease but no intervention was made at the level of the right peroneal artery. the procedure was complicated by localized perforation of the right superficial femoral artery as well as the right peroneal artery. her anticoagulation with heparin was reversed with protamine. vascular surgery was consulted with no intervention. her right foot did become warm and of normal color after the procedure with just the toes feeling cooler to touch. posterior tibial pulses on both feet were dopplerable; dorsalis pedis pulse was dopplerable on the left foot but not the right foot. the patient was transferred to the ccu for monitoring but was not found to have any signs of compartment syndrome. she had a large anterior hematoma and ecchymoses. her groin site was tender and continues to have staples upon discharge, which should be removed during her followup appointment with dr. . she did have one episode of sudden throbbing leg pain which resolved after tylenol and one dose of oxycodone. ms. may require another procedure in the near future for her peripheral arterial disease and should follow up with dr. in two weeks to confirm. she was started on plavix during this hospitalization after placement of the stent. # coronary artery disease: patient is a current smoker with significant peripheral arterial disease, so she likely has coronary artery disease as well, though she reports no history. she was reported to have elevated cardiac enzymes at the outside hospital; however, her ck here was normal and her trop was stable at 0.03. she has no history of angina, though her peripheral vascular disease puts her at risk for cad as well. she was started on a beta blocker and aspirin which should be continued as an outpatient. she may require further workup for coronary artery disease as an outpatient. she was counseled on the importance of smoking cessation. # hypertension: the patient was continued on her home dose of amlodipine during hospitalization and should restart her home lasix upon discharge. # complete heart block: patient was noted to be in complete heart block at the outside hospital and had a pacemaker placed. ekg showed v-paced rhythm. she was monitored on telemetry. upon discharge, the visiting nurse will monitor her site of pacemaker placement. # urinary tract infection: patient was started on ciprofloxacin 500mg twice daily on and should be continued for three days total. # tobacco use: patietn was counseled on smoking cessation. medications on admission: norvasc lasix potassium meds on transfer: nexium, morphine, tylenol, zofran discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 doses. disp:*5 tablet(s)* refills:*0* 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. lasix - dosage unknown 7. potassium - dosage unknown discharge disposition: home discharge diagnosis: primary diagnosis: right superficial femoral artery thrombosis secondary diagnoses: urinary tract infection hypertension peripheral vascular disease tobacco abuse discharge condition: stable. alert and oriented x3. ambulatory. discharge instructions: dear ms. , you were transferred to from another hospital because you were having right leg pain and needed to have an angiogram and removal of the blood clot in your leg. at the other hospital, you had a pacemaker placed because you had passed out from an abnormal heart rhythm. it also appears that you may have had a small heart attack at the other hospital. it appears that a clot had blocked off an artery in your right leg, so you had a procedure here at to remove the clot. most of the clot was removed, though you may need to have another procedure to remove the rest at a later time. during the procedure, you experienced a complication in which part of your artery was perforated and blood leaked into your leg. you were monitored for this complication and found to be stable, though you should seek medical attention if you are experiencing increasing leg pain at home. you will need to follow up with dr. as scheduled below. please be sure to quit smoking, as it can contribute to heart disease and the peripheral vascular disease in your legs. because you may have had a small heart attack that caused the abnormal rhythm in your heart at the other hospital, you should be evaluated for coronary artery disease by your primary care physician or cardiologist. you have high risk of heart disease because you have smoked for many years and because you have peripheral vascular disease. you were started on daily aspirin for this reason. the following changes have been made to your medications. - please start taking aspirin 325mg daily - please start taking metoprolol succinate (or toprol xl) 50mg daily - please start taking clopidogrel (plavix) 75mg daily until you are told by dr. that you no longer need it - please start taking ciprofloxacin 500mg twice daily for 3 days total for a urinary tract infection please be sure to keep all of your followup appointments. please seek medical attention if you begin to experience worsening leg pain, chest pain, sudden shortness of breath, lightheadedness or any other symptoms concerning to you. followup instructions: please be sure to keep all of your followup appointments. dr. office , at 2pm - at this visit, please be sure to discuss your new medications, including how much longer you should be taking plavix, and your risk for cardiac disease. you may need a stress test in the future. also, please be sure to discuss whether or not you will need a followup procedure to remove the rest of the clot in your leg. please set up an appointment with your primary care physician, . at . procedure: angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) arteriography of renal arteries cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder urinary tract infection, site not specified unspecified essential hypertension hematoma complicating a procedure accidental puncture or laceration during a procedure, not elsewhere classified atrioventricular block, complete other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiac pacemaker in situ arterial embolism and thrombosis of lower extremity atherosclerosis of native arteries of the extremities with rest pain 

Answer: The patient is high likely exposed to