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: metoprolol / ambien attending: chief complaint: icu complaint: hypercarbic respiratory failure, hypotension major surgical or invasive procedure: 1. left orif 2. intubation, extubation history of present illness: ms. is an 88 y/o russian speaking female with a h/o multiple falls who presents s/p fall with a left hip fracture. she initially fell on and reportedly had an x-ray done at that time which did not show any fracture. however since the first she has been unable to walk due to left hip pain. when the pain persisted she had another x-ray done which showed a left femoral neck fracture so she was transferred to for further management. . in the ed, initial vs were: 98.8, 89, 158/84, 18, 97% ra. imaging was notable for a left hip fracture, head and neck ct's with no acute process. she was seen by orthopedics who requested a pelvis ct and given her intermediate home score wanted her to be admitted to medicine for preoperative evaluation and management. she was given morphine for pain control and admitted. vs prior to transfer: 98.1, 74, 138/76, 16, 95% on ra. . on the floor her initial vs were: 95.9, 152/88, 88, 18, 98% on ra. she is currently resting comfortably. . review of sytems: unable to obtain as patient is not cooperative with interview and is combative past medical history: 1. dm type 2 - diagnosed in , with neuropathy 2. coronary artery disease - s/p cabg in , s/p mi x3 3. pancreatic lesion, 4. chronic pain 5. renal cell cancer, s/p right nephrectomy in , in 6. congestive heart failure 7. hypothyroidism 8. depression 9. s/p glaucoma/cataract surgery, bilateral 10. basal cell carcinoma 11. multiple falls with hospitalizations, most recently in 12. s/p cholecystectomy . spinal stenosis 14. h/o multiple falls, prior subdural hematoma social history: lives in an facility. denies tobacco, alcohol, or ivdu. family history: m - diabetes b - lung cancer physical exam: on admission to medical floors: vitals: t:95.9 bp:152/88 p:88 r:19 o2:98% on ra general: somnolent, responds to self, not oriented to time, knows she is in a hospital but not why she is here (per russian interpreter), no acute distress heent: mmm, oropharynx clear neck: supple, no lad lungs: clear to auscultation bilaterally anteriorly cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: +bs, soft, tender to palpation, limited exam due to patient uncooperative ext: warm, well perfused, 1+ pulses, no edema neuro: not oriented to time, able to move extremities pertinent results: admission labs: 12:00pm blood wbc-9.8 rbc-4.65 hgb-14.2 hct-43.2 mcv-93 mch-30.6 mchc-32.9 rdw-14.9 plt ct-221 12:00pm blood neuts-73.2* lymphs-17.6* monos-4.0 eos-4.0 baso-1.2 12:00pm blood pt-12.8 ptt-21.8* inr(pt)-1.1 12:00pm blood glucose-157* urean-18 creat-0.9 na-138 k-4.3 cl-104 hco3-25 angap-13 07:00pm blood ck-mb-3 ctropnt-0.01 03:39am blood ck-mb-4 ctropnt-<0.01 07:00pm blood ck(cpk)-221* 03:39am blood ck(cpk)-340* 07:00pm blood calcium-10.0 phos-4.1 mg-2.1 discharge labs: 03:46am blood wbc-14.2* rbc-4.04* hgb-11.9* hct-37.7 mcv-93 mch-29.4 mchc-31.6 rdw-14.6 plt ct-208 03:46am blood glucose-188* urean-23* creat-0.9 na-141 k-4.4 cl-109* hco3-24 angap-12 03:46am blood calcium-10.0 phos-3.2 mg-2.0 studies: cxr : cardiomediastinal silhouette is unchanged including cardiomegaly. there is slight interval improvement in currently minimal pulmonary edema. surgical clips projecting over the mediastinum are unchanged. small amount of bilateral pleural effusion is most likely present. the study and the report were reviewed by the staff radiologist. . cxr : the et tube tip currently is in unchanged position approximately 6.7 cm above the carina. the heart size and mediastinal contours are unchanged. interval improvement up to almost complete resolution of interstitial edema is noted. right lower lobe opacity most likely consistent with small areas of atelectasis. micro: urine culture : pending brief hospital course: ms. is an 88 y/o f with a significant cardiac history who presents s/p a fall with a left femoral neck fracture. . #) hip fracture: pt was admitted for a left femoral neck fracture, which was successfully repaired by orthopedics. her immediate post-operative course was complicated by oversedation from medications (fentanyl, morphine, etc), leading to hypercarbic respiratory failure. she was reintubated as she was in respiratory failure and also deemed full code for the 24 hour perioperative period. she also had transient hypotension related to excess metoprolol (is allergic to this as it causes hypotension, bradycardia), morphine, fentanyl, and propofol and quickly normalized after holding these medications. patient was ruled out for mi and hypotension was thought not to be sepsis given no fever, white count, lactate elevation, clear cxr, focal signs/symptoms. u/a was mildly positive and she was started on ctx, with cultures sent and revealed no growth. she was extubated the following morning without complications and did very well from a respiratory standpoint after all the sedating medications wore off. her hip pain was controlled with standing tylenol and oxycodone prn. lovenox was continued post operatively as prophylaxis and should be continued for four weeks per ortho recs. she was seen by physical therapy who recommended a rehab stay. she will f/u with ortho after discharge. . #) cad s/p: continued home isosorbide mononitrate, and aspirin. beta blockade was held because of her allergy to beta blockers leading to severe hypotension, bradycardia. . #) chf: continued her home lasix dose prior to operation, no evidence of decompensated heart failure prior to operatiion. she had mild pulmonary edema on chest x-ray after procedure but remained stable at her home o2 requirement of 2lnc. . #) a flutter: patient was in and out of sinus and a flutter with only one episode of rvr in the post-operative period. otherwise remained in sinus with normal rate. patient has not been anticoagulated secondary to falls risk. #) hypothyroid: continued home levothyroxine . #) diabetes: continued home glargine, add a humalog sliding scale, held home humalin with meals while npo. . #) depression: continued home citalopram . #) glaucoma: continued home eye drops . code: dnr/dni per documentation from nursing home and discussion with hcp. was temporarily reversed to full code in the 24 hour perioperative period. medications on admission: -acetaminophen 650mg tid prn pain -regular insulin sliding scale -insulin glargine 8 units qhs -citalopram 40mg daily -levothyroxine 12.5mcg daily -furosemide 40mg daily -aspirin 325mg daily -latanoprost 1gtt ou qhs -senna 17.2mg q1700 -isosorbide mononitrate 30mg qam, 15mg qpm -cosopt 2-0.5% 1gtt -sebulex shampoo -gabapentin 300mg , 100mg -flonase 0.05% nasal spray discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po three times a day for 1 weeks. 2. oxycodone 5 mg capsule sig: one (1) capsule po every hours as needed for pain. 3. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous qpm (once a day (in the evening)) for 2 weeks. 4. keflex 500 mg capsule sig: one (1) capsule po once for 1 days: take in the morning on 7/911. 5. insulin glargine 100 unit/ml solution sig: eight (8) units subcutaneous at bedtime. 6. insulin humalog sig: one (1) units three times a day: please resume sliding scale. 7. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 8. levothyroxine 25 mcg tablet sig: 0.5 tablet po daily (daily). 9. furosemide 40 mg tablet sig: one (1) tablet po once a day: hold if sbp<100. 10. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 11. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 12. senna 8.6 mg tablet sig: one (1) tablet po q1700. 13. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 14. fluticasone 50 mcg/actuation spray, suspension sig: spray nasal once a day. 15. gabapentin 300 mg capsule sig: one (1) capsule po qam. 16. calcium carbonate 500 mg calcium (1,250 mg) tablet sig: two (2) tablet po daily. 17. vitamin d 1,000 unit tablet sig: one (1) tablet po once a day. 18. gabapentin 100 mg capsule sig: one (1) capsule po qpm. discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: primary: hip fracture . secondary: hypercarbic respiratory failure, atrial fibrillation, hypotension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hospital for a hip fracture. you required intubation for respiratory distress in the peri-operative period likely due to the medications that you received during the surgery. you also had a few episodes of fast heart rate which resolved with medications. . because of your heart failure, we recommend that you weigh yourself every morning, md if weight goes up more than 3 lbs. . the following changes have been made to your medications: -start taking enoxaparin to prevent clots. you should take lovenox 40 mg daily for 2 wks -take one dose of keflex on discharge -take tylenol and oxycodone for pain -stop taking isosorbide mononitrate 30mg every morning and 15mg every evening as your blood pressures were low during your hospitalization. these should be re-started at rehab as your blood pressures tolerate. -start calcium/vitamin d followup instructions: please follow up with the appointments below: department: orthopedics when: thursday at 11:40 am with: , np building: campus: east best parking: garage department: orthopedics when: thursday at 11:20 am with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube partial hip replacement diagnoses: other iatrogenic hypotension acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified acquired hypothyroidism aortocoronary bypass status unspecified fall polyneuropathy in diabetes unspecified glaucoma depressive disorder, not elsewhere classified atrial flutter other persistent mental disorders due to conditions classified elsewhere acute respiratory failure chronic systolic heart failure other antihypertensive agents causing adverse effects in therapeutic use personal history of malignant neoplasm of kidney intravenous anesthetics causing adverse effects in therapeutic use closed fracture of unspecified part of neck of femur diabetes with neurological manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to