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: plavix / coumadin / statins-hmg-coa reductase inhibitors attending: chief complaint: aaa major surgical or invasive procedure: : open repair of a suprarenal abdominal aortic aneurysm. history of present illness: this is a man with an enlarging aneurysm just above the previously repaired infrarenal aortic aneurysm. the current aneurysm involves the visceral segment of the aorta. he is status post left retroperitoneal repair of the infrarenal aorta with multiple bowel obstructions and abdominal operations with hernia repair with mesh. therefore, we chose to approach this through a right retroperitoneal approach. because of the complexity, i asked dr. for assistance, as this was beyond the level of experience of the available resident. past medical history: pmhx: cad - cardiac cath - rca patent stents minimal dz lm, lad, lcx dislipidemia paf htn aaa (h/o prior repair in ' now with supragraft aneurysm) non small cell lung cancer s/p chemo/xrt/rulobectomy with brain mets cva with right sided involvement oa diverticuli prostate cancer kidney stones traumatic hip dislocation in , status post fusion hepatits a heart murmur nos depression/anxiety pshx: s/p hartmann's then colostomy reversal ' s/p right upper lung lobectomy ; lul vatwr s/p left occipital craniotomy s/p aaa repair s/p radical prostatectomy s/p ventral hernia repait s/p left hip fusion s/p right tkr s/p herniorrhaphy in with recurrent midline and left flank incisional hernias s/p appendectomy s/p tonsillectomy social history: former pack a day smoker; quit 6 years ago denies etoh at present ("heavy" drinker about 15 years ago) he lives part-time in with his current wife and part-time in where he owns a home. he is independent in adls. he is a high school graduate, currently retired. he has two daughters in their 20's from his first marriage. used to work with restaurant equipment family history: atherosclerotic cardiovascular disease, prostate and colon cancer, and hypertension his father died at 64 of a " problem" that the patient does not recall, and his mother died at 42 of rheumatic fever. sister died of colon cancer at a young age physical exam: gen: wdwn chronically ill-appearing elderly gentleman in no acute distress. cv: rrr lungs: cta bilat abd: obese, soft, no m/o, tender over incision site incision: clean/dry/intact with staples in place extremities: warm and well perfused without edema bilat. he has had bilateral hip surgeries and his left foot is externally rotated and about 4" shorter than the right. pulses: femoral - palp bilat dp - palp on left, dop on right pt - dop bilat pertinent results: admission: 02:33pm blood wbc-10.5 rbc-4.38* hgb-13.7* hct-39.0* mcv-89 mch-31.4 mchc-35.2* rdw-14.3 plt ct-135* 02:33pm blood pt-13.1 ptt-33.2 inr(pt)-1.1 02:33pm blood glucose-152* urean-25* creat-1.0 na-138 k-4.6 cl-111* hco3-20* angap-12 02:33pm blood alt-30 ast-39 ld(ldh)-187 ck(cpk)-101 alkphos-60 totbili-1.8* 02:33pm blood calcium-8.2* phos-3.4 mg-1.4* discharge: 07:35am blood wbc-7.7 rbc-3.95* hgb-12.2* hct-35.9* mcv-91 mch-30.9 mchc-34.0 rdw-14.2 plt ct-238 07:35am blood pt-11.6 ptt-24.2 inr(pt)-1.0 07:35am blood glucose-115* urean-28* creat-1.2 na-139 k-4.5 cl-107 hco3-24 angap-13 07:35am blood calcium-9.8 phos-2.8 mg-1.9 other pertinent labs: 02:33pm blood ck-mb-5 ctropnt-<0.01 10:45pm blood ck-mb-8 ctropnt-<0.01 05:52am blood ck-mb-9 ctropnt-<0.01 11:40am blood ck-mb-3 ctropnt-<0.01 08:14pm blood ck-mb-2 ctropnt-<0.01 04:48am blood ck-mb-2 ctropnt-<0.01 03:53pm blood ck-mb-1 ctropnt-<0.01 11:50pm blood ck-mb-1 ctropnt-<0.01 08:50am blood ck-mb-1 ctropnt-<0.01 2:33 pm mrsa screen source:nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. brief hospital course: the patient was admitted to the vascular surgical service for evaluation and treatment of aaa. vascular: underwnt open repair of a suprarenal abdominal aortic aneurysm, transferred to the cvicu. pt npo, on iv fluids, foley catheter, ng tube and lumber drain. the patient was hemodynamically stable. he did not require pressors. he was extubated with out complications. the ng tube was also removed without sequelae he was transferred to the vicu when stable from the acute setting. in the vicu he remained stable. acute pain service was following the patient. they stopped his sq heparin. his lumbar drain was pulled without sequelae. pt did see the patient, recommended rehab. on dc pt is taking po, urinating, has had bm. neuro: the patient received pain medications through lumbar drain, this was removed without sequelae. he did receive hydromorphone pca, this was weaned, on dc he is taking po pain medications with good effect and adequate pain control. cv: the pt did have an episode of sustained asymptomatic vtach and several episodes of non - sustained vtach. a cardiology consult was obtained. pt was hemodynamically stable at all times. he was given iv amiodarone bolus at the initial event and converted to sinus rhythm. he was loaded with an amio gtt and then converted to po amiodarone. dr followed his throughout his hospitalization. pt was r/o out for mi. the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. he was in sinus rhythm without issues for over 48 hours prior to discharge. he is discharged on oral amiodarone, with 2 more days of the load (400mg tid thru ) and then starting 400mg daily. he will follow up with cardiology as an outpt. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. good pulmonary toilet, early ambulation and incentive spirometry were encouraged throughout hospitalization. gi: post-operatively, the patient was made npo with iv fluids. diet was advanced when appropriate, which was well tolerated. pt did have a ng tube. this was removed when pat started to have flatulence. he was on a bowel regime. he has had a bm on this admission. gu: patient's intake and output were closely monitored, and iv fluid was adjusted when necessary. his foley was dc'ed. he is urinating without difficulty. he remains on oxybutynin chloride 5 mg fen: electrolytes were routinely followed, and replete when necessary. id: the patient's white blood count and fever curves were closely watched for signs of infection. wound care include dry bandage, he received pre-op antibiotics. there were no id processes during this hospital stay. endocrine: the patient's blood sugar was monitored throughout his stay; there were no abnormalities detected hematology: the patient's complete blood count was examined routinely; no transfusions were required. prophylaxis: the patient received subcutaneous heparin and venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: atenolol 50'; folic acid 1'; lisinopril 20'; omeprazole 20'; oxybutynin chloride 5'; probiotic 4 '; aspirin 81'; multivitamin'; omega-3 fatty 1,000'' discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for sob. 6. amiodarone 200 mg tablet sig: two (2) tablet po tid (3 times a day) for 5 days: stop , then start 400 qd. dr will manage amiodarone. 7. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po tid (3 times a day). 8. ditropan xl 5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) m l injection (2 times a day): until fully ambulatory. 10. amiodarone 400 mg tablet sig: one (1) tablet po three times a day for 2 days: last dose, pm of . 11. amiodarone 400 mg tablet sig: one (1) tablet po once a day: please start this on am, after pt has finished load. discharge disposition: extended care facility: for the aged - discharge diagnosis: aaa v tach htn, hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs 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 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? 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: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk, gradually increasing your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (let the soapy water run over 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 over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 101.5f for 24 hours ?????? bleeding from incision new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 10:45 dr , . 1530 hrs. partk, . this is to discuss your v tach episode that you had after your operation procedure: resection of vessel with replacement, aorta, abdominal insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation personal history of malignant neoplasm of prostate personal history of malignant neoplasm of bronchus and lung percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia other and unspecified hyperlipidemia personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits abdominal aneurysm without mention of rupture hip joint replacement ptosis of eyelid, unspecified 

Answer: The patient is high likely exposed to