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: augmentin / vicodin / zocor attending: chief complaint: abdominal aortic aneurysm major surgical or invasive procedure: - open retroperitoneal abdominal aortic aneurysm repair history of present illness: ms. is a 78-year-old woman referred by dr. for evaluation of abdominal aortic aneurysm. she had this detected several years ago and she has not had any symptoms referable to this. she has a family history in that her mother died from a ruptured abdominal aortic aneurysm. she also has a sister with an abdominal aortic aneurysm and that is being followed. over the past year, it grew from 4.2 cm to 5.5 cm on the ultrasound month ago and she had a ct today. she has chronic back pain related to fibromyalgia but has not had anything that has been different in her recent past. she has coronary artery disease and aortic valvular disease. she is status post cabg x2 plus avr on by dr. . she is a smoker. she has quit several times over the past several years. she does not have a long history of hypertension but has been hypertensive recently and has had medication adjustments for this. past medical history: borderline hyperlipidemia aortic stenosis psoriasis coronary artery disease osteoporosis gastroesophageal reflux disease fibromyalgia hepatitis treated in sleep apnea-does not use cpap 4.2 cm abdominal aortic aneurysm ectopic pregnancy past surgical history right total knee replacement tonsillectomy appendectomy social history: race: caucasian last dental exam: edentulous lives with: husband and daughter occupation: retired tobacco: 50 pack years (1ppd until several wks ago) etoh: occasional etoh and denies illicit drug use. family history: grandmother had "heart condition" physical exam: on physical examination on discharge, she is in no distress. pulse is 68. respirations are 16. blood pressure is 147/80. heent is unremarkable. neck is supple. chest is clear. heart is regular. abdomen is soft and nondistended. her incision is clean and intact, with small amounts of serous drainage. she has palpable femoral and pedal pulses. the popliteal pulses are not enlarged. she has psoriatic skin lesions in the lower extremities. she has 1+ edema of b/l lower extremities pertinent results: 05:46am blood wbc-10.3 rbc-3.45* hgb-10.6* hct-30.2* mcv-88 mch-30.6 mchc-34.9 rdw-13.6 plt ct-154 06:50am blood glucose-97 urean-14 creat-1.0 na-140 k-3.5 cl-101 hco3-24 angap-19 06:50am blood calcium-8.0* phos-2.8 mg-2.1 brief hospital course: on , ms open repair of her abdominal aortic aneurysm via a retroperitoneal approach. she was transferred to the icu intubated postoperatively due to the large amount of fluid and colloid resuscitation she received intraoperatively. however, she was extubated successfully the next day, and transferred to the vicu in stable condition. she was passing gas and having bowel movements by postoperative day 2. she began to tolerate a regular diet. she was actively diuresed with lasix. her appetite was decreased, which she has had in the past while on narcotic pain medications, so she was started on marinol and carnation instant breakfast supplements were added to her diet. she was seen by physical therapy, who recommended that she go to rehab. she was discharged to rehab on in good condition. medications on admission: omeprazole, pravastatin, metoprolol,aspirin, and losartan discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for bronchospasm. 4. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for bronchospam. 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 7. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 13. cortisone 1 % cream sig: one (1) appl topical tid (3 times a day). 14. losartan 50 mg tablet sig: one (1) tablet po daily (daily). 15. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 16. dronabinol 2.5 mg capsule sig: two (2) capsule po bid (2 times a day). 17. ondansetron 4 mg iv q8h:prn nausea discharge disposition: extended care facility: life care center of discharge diagnosis: abdominal aortic aneurysm hyperlipidemia fibromyalgia discharge condition: good condition. aaox3 ambulating with max assist 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: 2:15 procedure: resection of vessel with replacement, aorta, abdominal diagnoses: obstructive sleep apnea (adult)(pediatric) tobacco use disorder unspecified essential hypertension aortocoronary bypass status other and unspecified hyperlipidemia other specified cardiac dysrhythmias personal history of malignant neoplasm of large intestine heart valve replaced by transplant abdominal aneurysm without mention of rupture knee joint replacement myalgia and myositis, unspecified 

Answer: The patient is high likely exposed to