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: vancomycin / oxycodone attending: chief complaint: llq abdominal pain major surgical or invasive procedure: status post ir-guided embolization of the inferior epigastric artery history of present illness: 87 yo man with h/o pafib on coumadin, copd (on 3l nc at home), and cad s/p cabg who presented to the ed from his nursing home with llq abdominal pain and a supratherapeutic inr of 4.4. in the ed, the patient had a ct scan of his abdomen, which demonstrated a rectus sheath hematoma with evidence of active extravasation into the retroperitoneum. his hct on arrival to the ed was 29.9, which was decreased from his baseline, so he was transfused 1 unit blood and 2 units of ffp. he also received vitamin k and his repeat inr was 1.7. upon discussion with ir, the patient was admitted to the sicu for observation overnight. . while in the icu, the patient had an emergent ir-guided embolization of the inferior epigastric artery on . he was observed throughout the day, and he received a total of 7 and 2 to date during this hospital stay. his hct has remained stable throughout the day after his ir-guided embolization. as his surgical issues are now stable, request was placed for transfer to medicine. past medical history: pmh: tracheobronchomalacia s/p stent and multiple bronchs gold stage iii copd p-afib prostate ca cll htn hyperlipidemia gerd depression cad s/p cabg and then stent within last 10 years ckd (baseline creatinine 1.5-2.1) aortic stenosis vit b12 defic arthritis ventral hernia hx of enterococcal urosepsis ccy . psh: silicon wire stent placement in , s/p cabg and then stent within last 10 years, ccy social history: widower x 3 times, used to be in airline sales. smoked a pipe for 10 years (quit 40y ago), no current tobacco use. family history: no family history of pulmonary disease physical exam: vs - afebrile, 98/60, 94-104, 20, 98% 3l nc gen'l - sitting in chair, nad heent - op clear, mm somewhat dry lungs - occasional crackles at right base, o/w clear cv - rrr no m/r/g abd - soft, tender over left abdomen over location of hematoma, markedly distended, +bs gu - no foley ext - scds present, no c/c/e skin - ecchymoses over abdomen over site of heparin sq injections pertinent results: labs on admission: 11:10am blood wbc-21.7*# rbc-3.24* hgb-10.1* hct-29.9* mcv-92 mch-31.2 mchc-33.7 rdw-16.1* plt ct-213 11:10am blood neuts-65.9 lymphs-31.5 monos-1.7* eos-0.6 baso-0.4 11:10am blood pt-31.7* ptt-27.9 inr(pt)-3.2* 11:10am blood glucose-170* urean-42* creat-1.3* na-135 k-4.7 cl-104 hco3-25 angap-11 11:10am blood alt-18 ast-17 alkphos-50 totbili-0.4 01:25am blood ck(cpk)-535* 11:10am blood lipase-38 01:25am blood ck-mb-5 ctropnt-0.05* 11:10am blood albumin-3.4* calcium-7.8* phos-3.1 mg-2.1 11:21am blood lactate-1.5 . labs on discharge: 03:59pm blood wbc-14.2* rbc-3.21* hgb-9.4* hct-27.8* mcv-87 mch-29.2 mchc-33.7 rdw-17.1* plt ct-157 03:59pm blood neuts-77.8* lymphs-20.6 monos-1.3* eos-0.2 baso-0.1 03:59pm blood plt ct-157 06:50am blood glucose-121* urean-30* creat-1.3* na-134 k-3.9 cl-98 hco3-27 angap-13 03:59pm blood ck(cpk)-427* 03:59pm blood ck-mb-6 ctropnt-0.06* 06:50am blood calcium-8.1* phos-2.5* mg-2.0 . cxr portable findings: cardiomediastinal contours are stable in appearance. bibasilar patchy and linear areas of atelectasis are present. no areas of airspace consolidation are identified to suggest a source of infection within the lungs, but standard pa and lateral chest radiographs may be helpful for more complete when the patient's condition permits. . ct abd/pelvis impression: 1. large left anterior abdominal wall hematoma with two distinct areas of active extravasation. hematoma extends into retroperitoneal space as well as into the subcutaneous tissues. 2. ventral abdominal hernia containing nonobstructed loops of bowel. brief hospital course: 87 y/o male on coumadin for paroxsymal afib presents with rectus sheath hematoma with rp extension s/p reversal of anticoagulation and s/p angio embolizalization of left inferior epigastric artery. . # rectus sheath hematoma: emergent ir-guided embolization of the inferior epigastric artery on . he received a total of 7 and 2 prior to transfer to the medical service. on the medical floor, patient received 2 more units of prbc and his hematocrit was stable for 24 hours prior to discharge. aspirin and coumadin were initially held in setting of active bleeding, but resumed once hct was stable. aspirin was resumed but coumadin should be resumed day after discharge on . . # pafib on coumadin: p/w elevated inr and rectus sheath hematoma with evidence of active extravasation into the retroperitoneum. aspirin and coumadin were initially held in setting of active bleeding, but resumed once hct was stable. patient was continued on home amiodarone dose and home lopressor was resumed and changed to 25mg tid. . # leukocytosis: no active signs/symptoms of infection. felt to be related to stress response as opposed to infection, given cxr without infiltrate, u/a without signs of infection, and lack of fever. . # copd: on 3l nc at home. stable. continued prn nebulizers and oxygen via nc. . # cad s/p cabg and unstable angina: patient developed sscp x 2 with dynamic ekg changes while on the medicine floor. cardiology was consulted, and etiology was felt to be demand ischemia in setting of low hct as opposed to plaque rupture. per discussion with cardiology and surgery, no plavix/heparin was initiated. patient was transfused to keep hct > 30. telemetry was without events or arrhythmias. patient was restarted on aspirin, bb, statin. echo showed moderate aortic stenosis. mild basal left ventricular hypertrophy with preserved left ventricular systolic function. elevated pcwp. . # htn: initially held antihypertensives in setting of bleeding, but resumed on discharge. . # hld: continued statin . # gerd: continued ppi . # ckd: baseline creatinine 1.5-2.1, currently at baseline. . # pain: continued tylenol and ultram, morphine only for severe breakthrough pain. continued is . # elevated bg: continued qid fingersticks and iss while in house. did not require significant doses, and does not need to continue bg checks on discharge. . code: dnr, but may intubate and cardiovert for afib medications on admission: home medications (from rehab med sheet): alburol nebs prn tylenol prn amiodarone 200 mg daily aspirin 81 mg daily lipitor 80 mg daily benzonatate 200mg tid citalopram 20mg daily advair 500/50 atrovent neb prn imdur 60 mg daily lopressor 50 mg pred 10 mg daily ativan .25 mg tid coumadin ?dose (not on rehab med sheet from today) . : alburol neb tylenol prn amio 100 aspirin 81 lipitor 80 benzonatate 200mg tid citalopram 20mg advair 500/50 atrovent neb imdur 60 lopressor 50 prednisone 10 ativan 0.25tid coumadin ?dose (not on rehab med sheet from today)previously 2 mg advair 250 mcg-50 mcg/dose xopenenx 50 mg omeprazole 40 mg qday spiriva 18 mcg capsule daily mucinex 1200 mg tab discharge medications: 1. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) nebulizer inhalation every 4-6 hours as needed for shortness of breath or wheezing. 2. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 3. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 4. aspirin 81 mg tablet sig: one (1) tablet po once a day. 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 6. benzonatate 100 mg capsule sig: two (2) capsule po tid (3 times a day). 7. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 8. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 9. ipratropium bromide 0.02 % solution sig: one (1) inhalation inhalation q6h (every 6 hours) as needed for shortness of breath. 10. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 12. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 13. lorazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 14. polyethylene glycol 3350 17 gram/dose powder sig: one (1) packet po daily (daily) as needed for constipation. 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 16. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 17. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 18. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. 19. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 20. tramadol 50 mg tablet sig: 0.5 tablet po q4h (every 4 hours) as needed for pain. 21. guaifenesin 600 mg tablet sustained release sig: two (2) tablet sustained release po bid (). 22. coumadin 2 mg tablet sig: one (1) tablet po once a day: to be titrated by coumadin clinic please start on . discharge disposition: extended care facility: for the aged - discharge diagnosis: primary: 1. rectus sheath hematoma 2. supratherapeutic inr 3. status post ir-guided embolization of the inferior epigastric artery . secondary: 1. tracheobronchomalacia 2. gold stage iii copd 3. paroxysmal atrial fibrillation 4. prostate ca 5. hypertension 6. hyperlipidemia 7. gerd 8. depression 9. cad s/p cabg . ckd 11. aortic stenosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital for elevated inr and rectus sheath hematoma. you underwent a surgical procedure (ir-guided embolization of the inferior epigastric artery) to control the bleeding. your blood counts and hematocrit were stable for 24 hours prior to discharge. . during your admission, you also had two episodes of chest pain. you met with the cardiology doctors for further . your chest pain was felt to be related to low hematocrit and not from a tight blockage in your coronary artery. . new medications/medication changes: - decrease imdur to 30 mg daily - change metoprolol (lopressor) to 25 mg three times a day - decrease prednisone to 5 mg daily. this can be tapered per your primary care doctor. - start ultram 25 mg every four hours as needed for pain . please seek medical attention for dizziness, lightheadedness, worsening abdominal swelling or pain, blood in the stools, chest pain, shortness of breath, fevers, or any other concerning symptoms. please weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: please call to schedule a follow-up appointment with your primary care doctor, dr. , in weeks time. . department: gerontology when: thursday at 9:00 am with: , md building: lm campus: west best parking: garage department: podiatry when: tuesday at 10:10 am with: , dpm building: ba ( complex) campus: west best parking: garage department: gerontology when: tuesday at 11:30 am with: , md building: lm campus: west best parking: garage md, procedure: arteriography of other intra-abdominal arteries other endovascular procedures on other vessels diagnoses: acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate aortocoronary bypass status aortic valve disorders depressive disorder, not elsewhere classified chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease constipation, unspecified anxiety state, unspecified other and unspecified angina pectoris nontraumatic hematoma of soft tissue anticoagulants causing adverse effects in therapeutic use hemoperitoneum (nontraumatic) chronic lymphoid leukemia, without mention of having achieved remission other diseases of trachea and bronchus other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to