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: patient recorded as having no known allergies to drugs attending: chief complaint: s/p mvc major surgical or invasive procedure: orif left femur fracture with im rod history of present illness: this is a 19 year-old otherwise healthy female who was the unrestrained driver in an mvc, with +loc and pre- and post-event amnesia. she was first taken to hospital, where she was found to have a left parietal subdural hematoma, a grade splenic laceration and a left femur fracture. she was then transferred to boarded and collared. en route and on arrival she was hemodynamically stable with a gcs of 15. past medical history: none social history: psa, reports only recent use as "crutch" in setting of stressors. denies etoh (says father is alcoholic) family history: etoh in father physical exam: afebrile p96 bp124/80 r18 99%ra gen: awake and alert, yelling and complaining of leg pain heent: perrl, eoemi, no head lacerations or skull deformities. tms clear. neck: +collar, diffusely tender but no step-offs or deformities. trachea midline. chest: atraumatic, no crepitus. equal breath sounds bilaterally. tender over left ribs. cv: rrr s1s2 abd: soft and flat, tender r<l upper quadrants. no rebound/guarding rectal: normal tone, no blood pelvis: stable. foley placed without difficulty, no gross hematuria. ext: right hand swelling and ecchymoses. left femur tender, leg in traction splint. 2+ dp pulses bilaterally, palpable popliteal/femoral pulses and radial pulses bilaterally. moving all extremities. pertinent results: 10:03pm glucose-114* urea n-10 creat-0.7 sodium-141 potassium-4.0 chloride-108 total co2-22 anion gap-15 10:03pm calcium-9.0 phosphate-4.1 magnesium-1.6 10:03pm wbc-12.2* rbc-3.56* hgb-11.1* hct-31.9* mcv-90 mch-31.3 mchc-34.9 rdw-12.4 10:03pm plt count-267 10:03pm pt-14.0* ptt-23.5 inr(pt)-1.3 06:28pm ph-7.29* 06:28pm glucose-142* lactate-1.9 na+-140 k+-4.1 cl--107 tco2-23 06:28pm hgb-13.0 calchct-39 o2 sat-91 carboxyhb-2 met hgb-1 06:28pm freeca-1.21 06:20pm urea n-13 creat-0.9 06:20pm amylase-45 06:20pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:20pm urine bnzodzpn-neg barbitrt-neg opiates-pos cocaine-pos amphetmn-neg mthdone-neg 06:20pm wbc-15.3* rbc-3.77* hgb-12.0 hct-33.6* mcv-89 mch-31.8 mchc-35.7* rdw-12.3 06:20pm plt count-300 06:20pm pt-14.0* ptt-22.1 inr(pt)-1.3 06:20pm fibrinoge-239 06:20pm urine color-straw appear-clear sp ->=1.035 06:20pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 06:20pm urine rbc-* wbc-0-2 bacteria-occ yeast-none epi-0 femur (ap & lat) left 7:57 pm hip unilat min 2 views left; femur (ap & lat) left reason: ?fx medical condition: 19 year old woman with reason for this examination: ?fx indication: femur fracture. comparison: trauma chest and pelvis, earlier, same day. findings: this exam consists of 5 radiographs: ap pelvis, 2 views of the left hip, and 2 views of the distal left femur. there is a partially imaged transverse fracture of the proximal left femoral metaphysis, with complete dislocation and foreshortening. this is incompletely imaged on these views. the femoral neck and immediate subtrochanteric regions appear intact. there is no hip joint dislocation. the knee appears grossly unremarkable. impression: transverse, displaced proximal femur fracture with foreshortening. ct head w/o contrast reason: f/u l subdural hematoma medical condition: s/p mva reason for this examination: f/u l subdural hematoma contraindications for iv contrast: none. indication: followup left subdural hematoma, status post mva. the prior study is not available for direct comparison. technique: non-contrast head ct. findings: there is a small hyperdense left subdural hematoma along the inner convexity measuring up to 3 mm in its greatest thickness. no other areas of hemorrhage are identified. there is no shift of normally midline structures, mass effect or hydrocephalus. the density values of the brain parenchyma are otherwise within normal limits. the ventricles, sulci and cisterns are within normal limits. the visualized paranasal sinuses are remarkable for a mucus retention cyst in the inferior right maxillary sinus. the osseous structures are normal in appearance with no fractures identified. impression: small left subdural hematoma. direct comparison with the prior outside study is recommended. ct abdomen w/contrast 5:09 pm ct abdomen w/contrast; ct pelvis w/contrast reason: evaluate splenic lac- iv contrast, please, no oral contrast field of view: 32 contrast: optiray medical condition: 19 y/o with s/p splenic lac.; hct dropping reason for this examination: evaluate splenic lac- iv contrast, please, no oral contrast contraindications for iv contrast: none. indication: splenic laceration and decreased hematocrit. technique: multidetector ct images were obtained from the lung bases through the symphysis pubis following the administration of 120 ml of optiray nonionic contrast material. ct of the abdomen with iv contrast: no prior studies are available for comparison. there is a 1-cm right basilar fat intensity lesion which could represent small hamartoma or focal pleural fat. there is a small right pleural effusion. the liver, gallbladder, pancreas, and adrenal glands appear normal. there are a few tiny low-attenuation foci within the left kidney, which are too small to characterize further but which most likely represent cysts. the right kidney appears normal. both kidneys enhance and excrete contrast symmetrically. stomach and visualized loops of small and large bowel appear normal. a focal area of low attenuation within the mid portion of the spleen, which does not extend into the hilum and presumably represents the patient's known hepatic laceration. no perihepatic fluid collections are identified. there is no free fluid within the abdomen. ct of the pelvis with iv contrast: a foley catheter is present within the bladder. uterus, adnexa, and pelvic loops of bowel appear grossly normal. there is a moderate volume of free pelvic fluid. bone windows: the uppermost portions of the left femoral intramedullary rod are noted. many foci of gas are present adjacent to the left femur and are presumably postoperative. no fractures are identified. impression: small splenic laceration as above. no evidence of hemoperitoneum. brief hospital course: the patient was hemodynamically stable and awake on arrival. review of the outside scans and additional studies confirmed the subdural hematoma, splenic laceration and femur fracture. the patient was seen by neurosurgery and orthopedic surgery and admitted to the trauma icu under the care of the trauma surgery service. 1) femur fracture: the patient was taken to the or the following evening for orif of the fracture with im rod; please see the operative note for details. postoperatively the patient did well, with some swelling and/or bleeding in the leg but good advancement of activity with physical therapy. when the patient's hematocrit decreased (see below) the orthopedic service as consulted for concern she was bleeding in her thigh. pneumatic boots were used for dvt prophylaxis along with sc heparin; once the subdural hematoma and splenic laceration were deemed stable, lovenox was started. she will need to continue the lovenox for one month after discharge from hospital. she will follow up with dr. , orthopedics in 2 weeks for staple removal. 2) subdural hematoma: the patient was loaded on dilantin with monitoring of blood levels. a repeat head ct showed no change in the hematoma, and the patient's neurologic exam remained nonfocal. 3) splenic laceration: the patient was initially kept on bedrest and npo with frequent hematocrit checks. on hd 3/pod 1 the patient's hematocrit decreased to 23.2 and she became tachycardic but otherwise asymptomatic, with no change in her abdominal exam or increase in leg pain. an abdominal ct was obtained and showed no hemoperitoneum, with a stable-appearing grade 2 splenic laceration. 4) substance abuse: patient's initial tox screen was positive; social work and psychiatry were consulted for her etoh/substance abuse issues. medications on admission: none discharge medications: 1. enoxaparin 40 mg/0.4ml syringe sig: forty (40) mg subcutaneous q24h (every 24 hours) for 4 weeks. disp:*qs syringe* refills:*0* 2. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day) for 3 days: continue for next 3 days. disp:*9 capsule(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*45 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 6. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: home discharge diagnosis: small subdural hematoma left femur fracture, s/p im rod bruised right hand (no fracture) grade 2 splenic laceration discharge condition: stable discharge instructions: 1.you will need to continue with your lovenox injections for one month. 2.you will need to followup with orthopedics and neurosurgery after your discharge from hospital. 3.you may bear full weight on your left leg and can use your right hand. you can continue to wear the right hand splint for comfort. followup instructions: call ( for an appointment with dr. (orthopedics) in 2 weeks. your staples will be removed at that time. call ( for a follow-up appointment with dr. (neurosurgery) in 8 weeks. you will need a repeat head ct at that time. procedure: open reduction of fracture with internal fixation, femur diagnoses: hematoma complicating a procedure cocaine abuse, unspecified other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle opioid abuse, unspecified injury to spleen without mention of open wound into cavity, unspecified injury subdural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration other closed fracture of lower end of femur 

Answer: The patient is high likely exposed to