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: tetracycline / dilaudid (pf) / pravastatin attending: chief complaint: crohn's disease with enterocutaneous fistula major surgical or invasive procedure: completion colectomy and end ileostomy history of present illness: pt with complex crohn's disease, previous hernias and hostile abdomen has new entercutaneous fistulae from active disease in her colostomy. entire colon with some level of disease activity. patient presents for surgical management with completion colectomy, fistula takedown, and end ileostomy past medical history: - crohn's disease (diagnosed ) c/b fistulas, sigmoidectomy, sbos - atrial fibrillation since ---> dccv x3 at ---> cardioversion at - nonsustained ventricular tachycardia - benign multinodular goiter (followed by dr. - s/p cervical cancer - gerd - paraspinal cyst (followed by dr. - pulmonary lesions - mediastinal mass (stable on mri) - portal vein clot - arthritis - anxiety social history: - married, living with her family in - previously worked as physical therapist - tobacco: smoked intermittently in college, but no recent use - etoh: denies - illicit drug use: nil. family history: - father: uc, esophageal cancer --- paternal aunt with - mother: basal & squamous cell carcinoma - grandmother developed afib at 80 years of age - maternal grandmother: lung cancer - diagnosed with ibd at age 14 physical exam: at time of discharge: vs: afebrile, vital signs stable gen: nad, alert and oriented x3 cv: irregular rate, rhythm, nl s1, s2 resp: ctab abd: soft, appropiately tender, non-distended, ostomy pink with gas, green liquid stool in bad inc: wide staples, serous drainage from midline of incision. ext: 1+ bilat le edema pertinent results: 05:05am blood wbc-12.5* rbc-2.85* hgb-8.6* hct-28.2* mcv-99* mch-30.3 mchc-30.7* rdw-14.3 plt ct-391 05:05am blood glucose-151* urean-21* creat-1.0 na-135 k-5.6* cl-102 hco3-28 angap-11 04:00pm blood na-135 k-5.9* cl-100 05:05am blood calcium-8.0* phos-3.1 mg-2.5 06:10pm blood calcium-8.1* phos-3.6 mg-1.1* 06:10pm blood digoxin-2.5* 05:00am blood wbc-11.8* rbc-2.71* hgb-8.2* hct-26.4* mcv-97 mch-30.1 mchc-30.9* rdw-14.9 plt ct-442* 11:35am blood glucose-88 urean-7 creat-0.7 na-139 k-4.4 cl-104 hco3-24 angap-15 brief hospital course: patient was admitted following completion colectomy with end ileostomy. she tolerated the procedure well. an extensive lysis of adhesions was performed, and an ng tube was placed in the or. she was transferred to the floor. overnight she was npo and her heart rate in the setting of atrial fibrillation was controlled with iv metoprolol. her pain was controlled with iv pain medications. on pod #1 her digoxin level was found to be elevated at 2.5 and her digoxin dose was held. she had tachycardia with ambulation and her iv metoprolol was increased. she was kept npo and her ng tube was kept in place. she did not have flatus. her pca was increased with improved pain control. her k+ was elevated at 5.6 and was found to be 5.9 on re-check in the pm. an ekg showed chronic digoxin changes. on pod #2 the patient remained npo, with ngt in place. patient's foley catheter was removed. on pod #3 the patient's ngt was removed. the patient was started on sips and advanced to clear liquids. patient restarted on digoxin. patient with anxiety -> controlled by ativan. on pod #4 the patient was started on a clear liquid diet. her ostomy began to put out gas and stool. on pod #5 the patient was started on a regular diet. the patient became tachycardic to the 140's. she was restarted on her home lopressor and her heart rate returned to . on pod #6 the patient was restarted on coumadin at her home dose of 4mg. on pod #7 the patient was restarted on her home medications. patient was started on immodium 2mg for high ostomy output. at time of discharge on pod 8 the patient was tolerating a regular diet. her pain was controlled on oral pain medication, she was ambulating without assitance, voiding without difficulty. medications on admission: calcium, lantus 36u qam, codeine 60", advair 250-50 1 puff", humira 40mg every other week, humalog sliding scale, vitamin b12 1000mcg', tylenol prn, lorazepam 2''', diltiazem er 360', lisinopril 20', simvastatin 5', omeprazole 20', digoxin 250', imodium 2", metoprolol 100", iron 325', coumadin 4', metformin 500", folic acid 400 mcg' discharge medications: 1. oxycodone 5 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 2. loperamide 2 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. warfarin 2 mg tablet sig: two (2) tablet po once daily at 4 pm. 4. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 6. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. diltiazem hcl 180 mg capsule, extended release sig: two (2) capsule, extended release po daily (daily). 8. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 9. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 10. simvastatin 10 mg tablet sig: 0.5 tablet po daily (daily). 11. folic acid 1 mg tablet sig: five (05) tablet po daily (daily). 12. lorazepam 1 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for anxiety. 13. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 14. cyanocobalamin (vitamin b-12) 500 mcg tablet sig: two (2) tablet po daily (daily). 15. lantus 100 unit/ml solution sig: thirty six (36) units subcutaneous once a day. 16. insulin lispro 100 unit/ml insulin pen sig: per home sliding scale subcutaneous per home regimen. discharge disposition: home with service facility: vna caregroup discharge diagnosis: crohn's disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after a completion colectomy and end ileostomy. you have recovered from this procedure well. samples from your colon were taken and this tissue has been sent to the pathology department for analysis. you will receive these pathology results at your follow-up appointment. if there is an urgent need for the surgeon to contact you these results they will contact you before this time. you have tolerated a regular diet, passing gas and your pain is controlled with pain medications by mouth. you have an incision on your abdomen that is closed with staples. this incision can be left open to air or covered with a dry sterile gauze dressing if the staples become irritated from clothing. the staples will stay in place until your first post-operative visit at which time they can be removed in the clinic, most likely by the office nurse. please monitor the incision for signs and symptoms of infection including: increasing redness at the incision, opening of the incision, increased pain at the incision line, draining of /green/yellow/foul smelling drainage, or if you develop a fever. please call the office if you develop these symptoms or go to the emergency room if the symptoms are severe. you may shower, let the warm water run over the incision line and pat the area dry with a towel, do not rub. no heavy lifting for at least 6 weeks after surgery unless instructed otherwise by dr. or dr. . you may gradually increase your activity as tolerated. you will be prescribed a small amount of the pain medication. please take this medication exactly as prescribed. you may take tylenol as recommended for pain. please do not take more than 4000mg of tylenol daily. do not drink alcohol while taking narcotic pain medication or tylenol. please do not drive a car while taking narcotic pain medication. thank you for allowing us to participate in your care! our hope is that you will have a quick return to your life and usual activities. good luck! you have a new ileostomy. the most common complication from a new ileostomy placement is dehydration. the output from the stoma is stool from the small intestine and the water content is very high. the stool is no longer passing through the large intestine which is where the water from the stool is reabsorbed into the body and the stool becomes formed. you must measure your ileostomy output for the next few weeks. the output from the stoma should not be more than 1200cc or less than 500cc. if you find that your output has become too much or too little, please call the office for advice. the office nurse or nurse can recommend medications to increase or slow the ileostomy output. keep yourself well hydrated, if you notice your ileostomy output increasing, take in more electrolyte drink such as gatorade. please monitor yourself for signs and symptoms of dehydration including: dizziness (especially upon standing), weakness, dry mouth, headache, or fatigue. if you notice these symptoms please call the office or return to the emergency room for evaluation if these symptoms are severe. please monitor the appearance of the ostomy and stoma and care for it as instructed by the wound/ostomy nurses. the stoma (intestine that protrudes outside of your abdomen) should be beefy red or pink, it may ooze small amounts of blood at times when touched and this should subside with time. the skin around the ostomy site should be kept clean and intact. monitor the skin around the stoma for buldging or signs of infection listed above. please care for the ostomy as you have been instructed by the wound/ostomy nurses. you will be able to make an appointment with the ostomy nurse in the clinic. you will have a visiting nurse at home for the next few weeks helping to monitor your ostomy until you are comfortable caring for it on your own. followup instructions: call the colorectal surgery office to make an appointment for follow-up two weeks after surgery with the colorectal surgery outpatient nurse , np. at that appointment you will be set up with an appointment for your second post-operative check. call to make this appointment. provider phone: date/time: 2:00 provider , md phone: date/time: 11:50 provider gi (st-3) gi rooms date/time: 10:30 procedure: other lysis of peritoneal adhesions exteriorization of small intestine other and unspecified total intra-abdominal colectomy diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation asthma, unspecified type, unspecified anxiety state, unspecified regional enteritis of unspecified site peritoneal adhesions (postoperative) (postinfection) long-term (current) use of insulin morbid obesity long-term (current) use of anticoagulants personal history of venous thrombosis and embolism personal history of malignant neoplasm of cervix uteri fistula of intestine, excluding rectum and anus other colostomy and enterostomy complication body mass index 40.0-44.9, adult 

Answer: The patient is high likely exposed to