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: asendin / vicodin / ultram attending: chief complaint: cecal adenoma major surgical or invasive procedure: ileocolectomy and ileocolostomy. history of present illness: this patient had a large sessile polyp emerging opposite the ileocecal valve and right at the base of the appendix. it was biopsied, and there was an attempt made to resect it, but there was no possible way this could be resected without making a huge hole in the cecum. past medical history: 1. hypertension 2. metabolic syndrome/glucose intolerance: fasting glucose 112-126. hba1c 6.3. started on metformin 6 days pta. 3. hypertriglyceridemia 4. asthma: albuterol prn, trigger- seasonal allergies, normal pfts in 4/. 5. multiple psychiatric hospitalizations for ptsd, depression, si 6. mother took des during pregnancy 7. morbid obesity 8. tobacco abuse 9. fibromyalgia 10. h/o gastritis: egd showed erosions in atrum, and path c/w chemical gastritis. 11. impaired hearing bilaterally 12. obstructive sleep apnea: dx , wears cpap every night at 14cm. 13. hyperplastic polyps by colonoscopy , and per patient's report, colonscopy in 80s showing multiple adenomatous polyps. 14. s/p cholecystectomy 15. s/p l acl repair social history: lives with wife , has been at hospital for inpatient psychiatric care for last 5d, +tob-1ppd x ~20y, rare etoh family history: mother died of mi at 65yo, father w/mi x 6 and 4v cabg (died several months ago), mother had dvts physical exam: no acute distress, anxious, alert and oriented x 3 clear to auscultation bilaterally regular rate and rhythm obese, soft nontender, nondistended, no masses or hernias palpated no clubbing, cyanosis or edema pertinent results: 02:29am blood wbc-15.6* rbc-4.27 hgb-11.4* hct-34.9* mcv-82 mch-26.8* mchc-32.8 rdw-14.9 plt ct-237 06:20am blood wbc-8.2 hct-31.7* 02:29am blood glucose-114* urean-9 creat-0.7 na-139 k-4.1 cl-104 hco3-24 angap-15 02:29am blood calcium-8.9 phos-3.4 mg-1.9 name birthdate age sex pathology # , j 41 female report to: dr. . gross description by: dr. /dif specimen submitted: rt. cecal adenoma. procedure date tissue received report date diagnosed by dr. /jip previous biopsies: colonoscopy, egd rt-lt scalp/st/jph. gallbladder & contents/hg/ah. gi bx/hg/ad. (and more) diagnosis: ileo-right colectomy specimen: 1. ileum and proximal margin: no diagnostic abnormalities recognized. 2. vermiform appendix: no diagnostic abnormalities recognized. 3. colon: a. cecal sessile tubulovillous adenoma with focal high-grade (severe) dysplasia. no malignancy identified. b. separate small tubular adenoma. c. twelve (12) pericolic lymph nodes: no diagnostic abnormalities recognized. d. distal margin: no diagnostic abnormalities recognized. brief hospital course: patient was taken to the or for an uneventful ileocolectomy and ileocolostomy without complications. patient was extubated in the or and brought to the sicu for monitoring strictly because of prior history of post-op respiratory distress. patient did well in the unit without any issues and used home cpap machine at night. pod 2: transferred to the floor, restarted bupropion and fluoxetine; sips of clears pod 3: foley out; restarted all home psych meds; po fluids at 60cc/hr pod 4: tolerating clears. pod 5: patient tolerating soft mechanical diet. pain well controlled with po pain medication. pod 6: patient was discharged home in good condition medications on admission: iron 325', aripiprazole 30', albuterol 90/actuation q6h, levothyroxine 25, lorazepam 0.5", gabapentin 300' am, 300"' hs, fluoxetine 80', salmeterol xinafoate 50 " bupropion sr 300, tizanidine 2am, 4pm, fluticasone 110", lidocaine 5 %(700 mg/patch) x3 qd 12 hours on, 12 hours off. aspirin ec 325 mg', clonidine 0.3 mg hs. discharge medications: 1. fluoxetine 20 mg capsule sig: four (4) capsule po daily (daily). 2. bupropion 150 mg tablet sustained release sig: two (2) tablet sustained release po qam (once a day (in the morning)). 3. tizanidine 2 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 4. tizanidine 4 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 5. gabapentin 300 mg capsule sig: one (1) capsule po qam (once a day (in the morning)). 6. gabapentin 300 mg capsule sig: three (3) capsule po qpm (once a day (in the evening)). 7. aripiprazole 15 mg tablet sig: two (2) tablet po daily (daily). 8. clonidine 0.3 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 9. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. 10. salmeterol 50 mcg/dose disk with device sig: one (1) disk with device inhalation q12h (every 12 hours). 11. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 12. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 13. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed: take as needed for pain. disp:*50 tablet(s)* refills:*0* 14. lansoprazole 15 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 15. lorazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 16. colace discharge disposition: home discharge diagnosis: cecal adenoma discharge condition: good discharge instructions: having worsening pains, fevers > 101.5, chills, nausea, vomiting, shortness of breath, chest pain, redness or drainage about the wounds, or if there are any questions or concerns. patient to take new medications as directed and resume home meds. patient not to drive or operate heavy machinery while on any narcotic pain medication such as percocet as it can be sedating. patient to take colace to soften the stool as needed for constipation as narcotic pain medication can cause this issue. patient should refrain from strenuous activity or lifting of heavy objects for 4-6 weeks following surgery unless otherwise directed by surgeon. followup instructions: please call dr. at to schedule your follow up appointment. your appointment should eb in weeks. procedure: open and other right hemicolectomy other small-to-large intestinal anastomosis diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled asthma, unspecified type, unspecified benign neoplasm of colon myalgia and myositis, unspecified 

Answer: The patient is high likely exposed to