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: percocet attending: chief complaint: right ischemic leg/foot major surgical or invasive procedure: right groin exploration thrombectomy tpa catherer placement arteriogram history of present illness: 71 year-old man well-known to vascular service presents with sudden onset of right leg pain that began at 2 pm this afternoon. patient was discharged home early after having a 2nd toe amputation for osteomyelitis (done by podiatry). during this hospitalization, the patient was evaluated by vascular surgery to see if his left leg had good enough blood flow to heal a toe amp of his left foot. at that time, his right leg had palpable femoral and dp pulses. his left leg had a palpable femoral pulse and dopplerable pulses of all arteries below the popliteal. he underwent his toe amputation without any complications. his hospital stay was significant for evaluation by hematology, in which they diagnosed him with likely hit type 2. they saw a drop in his platelet count that coincided with the start of his dialysis (early ), which they attributed to him receiving heparin flushes during dialysis sessions. he was discharged home, and now returns with severe right leg pain that begins at his hip and shoots down to his knee, and that began at 2 pm today. he has never had pain like this since his bypass graft was performed back in . pain has been constant in both the reclining and standing positions. his family brought him here to the ed for further evaluation. past medical history: 1. chf: diastolic & systolic hf with cri, ef 40-45% in and 2. cad s/p 2v-cabg 3. cva: () 3-4 days of slurred speech and right facial droop without residual symptoms. s/p cea (documented however patient without memory of this procedure) 4. htn 5. hyperlipidemia 6. iddm (retinopathy, nephropathy, neuropathy) 7. nsvt 8. afib 9. pvd s/p r fem- (), r 2nd toe amputation, gangrene l 1st toe s/p amp ((?)) 10. cri (b/l around 2.9-3.1) 11. colon ca s/p hemicolectomy 12. h/o diverticulosis 13. h/o angioectasia in stomach w/ugib and again 14. prostate ca (dx'd ): s/p orchiectomy (), turp () & pelvic xrt () with radiation 'proctopathy'. 15. iron deficiency anemia on bone marrow aspirate () 16. interstitial lung disease w/mediastinal lad & a negative cma. (differential diagnosis included burned out sarcoidosis versus interstitial pulmonary fibrosis versus malignancy.) s/p flexible bronchoscopy and cervical mediastinoscopy with biopsies () 17. left cataract surgery social history: social history is significant for the absence of current tobacco use; he has a remote history of tobacco use but quit in his 20s. there is no history of alcohol abuse or illicit drug use. patient is widowed and lives in senior citizen home in with vna services 3 times a week. he is independent in his adls but has help with meals. he is a retired foreman for . at baseline, he gets short of breath walking less than one block and uses a walker. family history: father: dm, alcohol related death mother: dm,passed away giving birth to 22nd child daughter: macular degeneration physical exam: exam on discharge: vs: t 97.2 hr: 74 (af) bp: 101/42 rr: 16 o2: 94% ra gen: nad, a&ox3 neck: supple, no bruits cv: irregularly irregular, no m/r/g lungs: bibasilar crackles, l>r abd: soft, nt, nd ext: l foot amp site healing well vasc: fem pt dp r palp dop dop dop (before thrombectomy, there were no signals below femoral) l palp d non-dop palp (his pt was non-dop before the procedure as well) skin: resolving hematoma of right groin pertinent results: admit h/h: 11.5/38.3 discharge h/h: 9.5/29.7 admit wbc: 7.3 discharge wbc: 6.3 cardiac enzymes were negative x 3, ekg shows no significant changes compared to previous ekg done before hospitalizations. discharge inr: nias: significant left sided tibial disease, abi of 0.88 le u/s: no evidence of dvt in his le hit negative x 2 beta glycoprotein negative anti-cardiolipin antibodies negative serotonin releasing assay negative ***patient is hit negative per heme/onc*** brief hospital course: this is a 79-year-old male who was recently discharged from the hospital 1 day ago, after debriding a left toe and doing a primary amputation, and the patient returns with the acute onset of right leg pain at 2:00 p.m. today. the patient was with his family and they called an ambulance and he was immediately transported to the emergency room. exam at that time revealed no femoral pulse and no signals in his right foot along with normal sensation and normal motor, but a cool foot with poor capillary refill. due to a question of heparin-induced thrombocytopenia the patient was bolused with argatrobran and started on an infusion and plans were made for the operating room. immediately before going to the operating room, he regained a femoral pulse, and he was then brought into the operating room on . an emergent angiogram/angioplasty of his right sfa and right ak popliteal artery and an emergent thrombectomy of his sfa- and tibial vessels/grafts was done in the or. subsequent trips back to the or for adjustment of his thromolysis catheter and repeat thromolysis were done in the next few days. the patient tolerated each procedure well. his post-operative course was uncomplicated until the morning of (ppd 7 from his initial thromolysis). he developed vague chest pain, difficulties breathing, and triggered secondary to his hypotension with his sbp being in the 80's. he did not recieve his metoprolol dose that morning. on he was only dialysed -400 cc secondary to low bp in the dialysis unit. the vascular team evaluated him quickly; he indeed was hypotensive to the 80's with an irregular irregular hr (chronic a-fib) in the 60's. he was mentating well but was c/o cp which was reproducible with palpation. he did not have any murmurs but did have an irregular irregular rhythm on cardiac exam. his lungs did have bibasilar crackles, l>r. a cxr did suggest possible effusions, l>r versus intersitial edema. cardiology evaluated him and did not think this was a cardiac etiology. cardiac enzymes were negative x 3. ekg was unchanged. renal was called but they did not want to perform an urgent dialysis as they did not think he was volume overloaded. instead the patient was transfused one unit of prbcs (chronic low hct of 27-28). during this entire duration, his oxygen saturation was high 90's on 2l. discontining the oxygen did not drop his sats (96% on ra). we sat him up to his chair, which made him feel immediately better. afterwards, the patient was more calm and his bp was in the 100's. he did well the rest of the hospital course. because his last hospitalization questioned the possibility of heparin induced thrombocytopenia (hit), per heme-onc, a hit panel was ordered. it was negative x 2. further tests such as b2 glycoprotein, anti-cardiolipin, and serotonin releasing assay were negative. he was taken off his agatroban and continued on coumadin, although the agatroban was stopped one day before all the tests were negative anyway given that he reached a goal inr (). given the results of these tests, heme-onc is deciding that he is hit negative. physical therapy was consulted and requested he be discharged to rehabilitation. case management was advised and screened him. his pmd (dr. ) was , and stated that after he is discharged from his rehabilitation facility, he would be willing to monitor the patient's inr. day of discharge, the patient is afebrile with a normal wbc count. his pulse exam remains unchanged after his procedure. he was hemodialysed. he is ambulating with assistance. he is mentating well. he is tolerating a regular diet and moving his bowels. arrangements were made for him to have his inr drawn at the hospital during hd and results to be sent to dr. . discharged in good condition. medications on admission: calcitriol 0.25 mcg capsule q day digoxin 125 mcg tablet - one half tablet po daily epoetin alfa - 2,000 unit/ml solution - 25,000 units sc weekly insulin glargine - 100 unit/ml solution - lantus 16 units sc every am metoprolol tartrate - 75 mg pantoprazole -40 mg tablet simvastatin 10 mg tablet by mouth daily torsemide 100 mg - one tablet by mouth in morning; tablet in evening aspirin - 81 mg once daily ferrous sulfate 325 mg q day discharge medications: 1. digoxin 125 mcg tablet sig: 0.5 tablet po daily (daily). tablet(s) 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. torsemide 100 mg tablet sig: one (1) tablet po qam. 7. torsemide 100 mg tablet sig: 0.5 tablet po qpm. 8. insulin regular hum u-500 conc 500 unit/ml solution sig: one (1) sliding scale injection four times a day: please resume your sliding scale with humalog like you did before you came into the hospital. 9. lantus 100 unit/ml solution sig: thirty two (32) units subcutaneous four times a day. 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. epoetin alfa 10,000 unit/ml solution sig: one (1) injection asdir (as directed). 12. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 13. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 14. warfarin 1 mg tablet sig: take one (1) on odd numbered days, 2 (2) on even numbered days tablet po once a day. disp:*45 tablet(s)* refills:*2* 15. calcitriol 0.25 mcg capsule sig: one (1) capsule po daily (daily). 16. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day) as needed for with meals. discharge disposition: home with service facility: vna discharge diagnosis: ischemic right leg carotid stenosis s/p cva () cri (cr 2.3-2.5) iddm retinopathy neuropathy cad chf (ef 50% 2/07) nsvt htn hyperlipidemia prostate ca s/p pelvic xrt () colon ca diverticulosis angioectasia (, , ) fe deficiency anemia interstitial lung disease with mediastinal lad discharge condition: good discharge instructions: medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? if instructed, take plavix (clopidogrel) 75mg once daily ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg 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 ?????? it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and 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: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin 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 or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and ultrasound what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office . if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: make an appointment to see dr. and have an ultrasound of your graft in one month. follow up with pcp . procedure: other revision of vascular procedure hemodialysis angioplasty of other non-coronary vessel(s) injection or infusion of thrombolytic agent arteriography of femoral and other lower extremity arteries transfusion of packed cells procedure on single vessel diagnoses: anemia in chronic kidney disease end stage renal disease unspecified pleural effusion congestive heart failure, unspecified unspecified septicemia atrial fibrillation personal history of malignant neoplasm of prostate diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes sepsis paroxysmal ventricular tachycardia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other complications due to other vascular device, implant, and graft postinflammatory pulmonary fibrosis personal history of malignant neoplasm of large intestine personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits anticoagulants causing adverse effects in therapeutic use diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled arterial embolism and thrombosis of lower extremity angiodysplasia of stomach and duodenum without mention of hemorrhage diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to