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: history of present illness: this is a 78 year old woman with known multiple medical problems who was admitted to an outside hospital after falling twice at home. at the outside hospital she ruled in for a myocardial infarction. she transferred to for cardiac catheterization. past medical history: 1. coronary artery disease, status post myocardial infarction. 2. hypertension. 3. history of abdominal aortic aneurysm 4 cm. 4. peripheral vascular disease. 5. status post right femoral popliteal bypass. 6. chronic obstructive pulmonary disease. patient is pack year smoker. 7. obesity. 8. anxiety. 9. left atrophic kidney. 10. osteoarthritis. 11. degenerative joint disease. allergies: patient states she is allergic to codeine which causes nausea and vomiting. preoperative medications: include verapamil, lipitor, lisinopril, aspirin, nitroglycerin, protonix, bactrim, ambien, celebrex, cimetidine, tylenol number 3 and coumadin which was for her peripheral vascular disease and her femoral popliteal bypass. social history: she lives in an apartment by herself in . hospital course: on admission to the the patient was seen and evaluated by neurology. at the outside hospital the patient had a ct scan which showed chronic lacunar ischemic changes in the basilar region with no acute hemorrhage. it was felt that her presentation was consistent with a peripheral vestibular process and it was recommended that patient underwent mri to rule out any intracranial event that was not able to be seen on ct scan and also obtaining a carotid ultrasound. also patient had been noted to have elevated creatinine on arrival to the outside hospital. by the time she arrived at it was down to the 1.5 range. it had risen to a high of 2.9 at the outside hospital. the patient underwent an mri/mra and a carotid ultrasound. the carotid ultrasound showed a right internal carotid artery stenosis of 80 to 99 percent and left internal carotid artery stenosis of 40 to 59 percent. the mri/mra revealed microvascular disease. no evidence of discrete infarct. old cerebellar lesion. patient was cleared for bypass surgery and it was felt that it was no indication for carotid vascularization. patient was taken to the cardiac catheterization laboratory on . cardiac catheterization showed a 90 percent distal left main stenosis, 80 percent proximal left anterior descending coronary artery lesion, 80 percent origin of the left circumflex lesion and 50 to 60 percent first obtuse marginal lesion with a proximally occluded right coronary artery lesion. the patient underwent echocardiogram which showed an ejection fraction of 60 percent, mildly dilated left atrium, left ventricular hypertrophy, normal right ventricular chamber size and wall motion, mildly dilated aortic arch, mildly thickened aortic valve leaflet and some mild diastolic dysfunction. as patient had been cleared for surgery the patient was taken to the operating room by dr. on and underwent a coronary artery bypass graft times two, left internal mammary artery to the left anterior descending coronary artery and saphenous vein graft to first obtuse marginal. the patient tolerated the procedure well. total cardiopulmonary bypass time 56 minutes. crossclamp time 36 minutes. she was transferred to the intensive care unit in stable condition. patient remained intubated until postoperative day number one due to mild hypoxia. she was weaned and extubated from mechanical ventilation on postoperative day number one. patient continued to have mild hypoxia, was given diuresis and aggressive pulmonary toilet with gradual improvement in her oxygen status. on postoperative day number three patient developed atrial fibrillation. she was started on amiodarone. she was seen and evaluated by physical therapy where it was determined she would benefit from a stay at short term rehabilitation. on postoperative day number four patient was transferred to the intensive care unit to the regular part of the hospital. when she arrived in the regular part of the hospital she developed atrial fibrillation. patient was given lopressor to slow her heart rate. patient was started on coumadin for anticoagulation. on postoperative day number six patient was found to have a moderate amount of diarrhea. this was sent for c difficile but concerning the patient had mildly elevated white blood cell count postoperatively and continued to do so patient was empirically started on flagyl for presumed c difficile. patient was cleared for discharge to rehabilitation on postoperative day number six. condition on discharge: temperature 98.6, pulse 84 in sinus rhythm, blood pressure 146/70, respiratory rate 20, oxygen saturation 94 percent on 4 liters nasal cannula. laboratory data: white blood cell count 15.9, hematocrit 32.1, platelet count 252. sodium 140, potassium 3.3, chloride 102, bicarb 28, bun 33, creatinine 1.2, glucose 142. pt 14.8, inr 1.4, ptt 31.7. neurologically the patient is awake, alert, oriented times three, nonfocal. the patient is legally blind. lungs are clear bilaterally with no rales or wheezes. cardiac regular rate and rhythm without rub or murmur. incision is clean, dry and intact. there is no drainage or erythema. abdomen is soft, nontender, nondistended. patient is tolerating regular diet. patient vein harvest site is clean and dry. she has a moderate amount of ecchymosis in her left thigh. she has some serosanguineous drainage at her left knee at a previous drain site. there is no erythema. discharge medications: 1. lopressor 75 mg p.o. b.i.d 2. lasix 20 mg p.o. b.i.d 3. potassium chloride 20 meq p.o. b.i.d 4. colace 100 mg p.o. b.i.d 5. aspirin 81 mg p.o. q day. 6. coumadin 1 mg p.o. on . patient is to have a pt/inr checked daily and titrate coumadin for a goal inr of 1.5 to 1.8. 7. regular insulin sliding scale as directed. 8. percocet 5/325 one to two tablets p.o. q 4 hours prn 9. protonix 40 mg p.o. q day. 10. lipitor 10 mg p.o. q day. 11. amiodarone 400 mg p.o. b.i.d times one week and then 400 mg p.o. q day times one month. 12. norvasc 5 mg p.o. q day. 13. flagyl 500 mg p.o. t.i.d. times seven days. discharge diagnosis: 1. coronary artery disease. 2. status post coronary artery bypass graft times two. 3. status post non-st elevation myocardial infarction. 4. hypertension. 5. abdominal aortic aneurysm. 6. peripheral vascular disease. 7. status post right femoral popliteal bypass. 8. chronic obstructive pulmonary disease. 9. obesity. 10. anxiety. 11. atrophic left kidney. 12. osteoarthritis. 13. degenerative joint disease. 14. urinary incontinence. 15. carotid artery stenosis. patient is to be discharged to rehabilitation in stable condition. she should follow up with her primary care physician, . in one to two weeks. she should follow up with dr. in three to four weeks. , m.d. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart arteriography of cerebral arteries (aorto)coronary bypass of one coronary artery transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction unspecified disorder of kidney and ureter obesity, unspecified legal blindness, as defined in u.s.a. benign paroxysmal positional vertigo contusion of multiple sites of trunk 

Answer: The patient is high likely exposed to