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: levofloxacin / azithromycin / amlodipine / clobetasol attending: chief complaint: shortness of breath major surgical or invasive procedure: extended right colectomy history of present illness: hpi: yo f w/ recent amdit for fall, thigh hematoma, supratherapeutic inr. gib during admission, got acs/nstemi. now 7lbs lighter w/ dyspnea increased work of breathing. was doing ok at home but still not very mobile, last night got suddent onset sob, no cp, no cough while drinking mgcitrate for prep. also endorses orthopnea, nocturia. trop trending down, bnp up to 16k. ekg showed std's deeper than prior, d-dimer 3100. got cta in ed for ? pe as she has been off warfarin which was negative. . in pt. was noted to have crackles to apices bilaterally and hypertensive to sbp 180s so she was given 1l ivf and admitted w/ chf exacerbation. . on the floor her twi/std's appear to have decreased . in the ed, vs: 89, 181/110, 24, 99%2l . currently, she complains of shortness of breath. past medical history: 1. atrial fibrillation, s/p cardioversion 2. congestive heart failure, ef 55% 3. stroke 4. hypertension 5. sciatica 6. aortic insufficiency 7. status post partial thyroidectomy 8. stress incontinence 9. hyperlipidemia 10. osteoporosis 11. hypothyroidism 12. glaucoma social history: lives with granddaughter, still driving and doing own shopping. occasional etoh quit tobacco 30 years ago, smoked for 5 yrs in her late 60s. family history: non-contributory. physical exam: vitals - t: 95.8 bp: 183/92 hr: 81 rr: 20 02 sat: 98%2l general: pleasant, well appearing woman in nad, appears to be somewhat labored breathing. heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck supple, no lad, no thyromegaly. cardiac: regular rhythm, normal rate. normal s1, s2. no murmurs, rubs or . jvp at angle of the jaw. lungs: crackles to apices bilaterally abdomen: nabs. soft, nt, nd. no hsm extremities: trace le edema 2+ dorsalis pedis pulses. skin: no rashes/lesions, ecchymoses. neuro: a&ox3. appropriate. pertinent results: 07:15pm blood wbc-11.2* rbc-4.11* hgb-12.0 hct-35.9* mcv-87 mch-29.2 mchc-33.4 rdw-13.6 plt ct-405 07:15pm blood neuts-87.7* lymphs-6.8* monos-4.3 eos-0.6 baso-0.6 07:15pm blood pt-12.4 ptt-22.2 inr(pt)-1.0 07:15pm blood glucose-129* urean-15 creat-0.8 na-133 k-3.1* cl-92* hco3-32 angap-12 07:50am blood glucose-128* urean-14 creat-0.8 na-137 k-3.9 cl-96 hco3-30 angap-15 07:15pm blood ck(cpk)-38 07:50am blood ck(cpk)-41 07:15pm blood ctropnt-0.03* 07:50am blood ck-mb-notdone ctropnt-0.02* 07:15pm blood ck-mb-notdone probnp-* 07:50am blood calcium-8.9 phos-3.5 mg-2.7* 09:38pm blood d-dimer-3136* chest radiograph performed on . comparison is made with a prior chest radiograph from as well as a prior cta chest from . clinical history: shortness of breath. question pneumonia. findings: pa and lateral views of the chest are obtained. patient is rotated to her right, which limits evaluation. coarsened interstitial markings are again noted and may reflect underlying scarring, better assessed on prior ct. areas of traction bronchiectasis in the right middle lobe likely accounts for the increased opacity seen in the right medial cardiophrenic recess. lungs are hyperinflated. there is no definite evidence of pneumonia or overt chf. no large pleural effusions are seen. calcification of the tracheobronchial tree is noted. cardiomediastinal silhouette is stable. there is no pneumothorax. bones are diffusely demineralized. degenerative changes are noted in the thoracic spine with kyphosis. impression: no definite evidence of pneumonia. chronic changes as described. wet read ct of chest: no pe, dissection or aneurysm. small bilateral pleural effusions. brief hospital course: patient is a year old woman with acute on chronic diastolic heart failure. she presented to the emergency department with an episode of shortness of breath after taking an entire bottle of mag-citrate. during her admission she was diuresed with iv lasix. her shortness of breath improved to her baseline. she was found on ct to have a stricture in the ascending colon. she is scheduled for surgery on . . #cad: patient has a history of chf. she had an nstemi/demand ischemia event a few weeks ago in the setting of a gi bleed and bowel prep. during the hospitalization she was continued on aspirin, atorvastatin, and a beta-blocker. she had a slightly elevated troponin which was likely residual from her previous event. . #chf: patient was volume overloaded in the ed. we diuresed her with several doses of iv furosemide. her breathing and clinical exam greatly improved. patient was able to ambulate in the halls without oxygen. we continued lisinopril throughout the hospital stay. an echocardiogram showed an ef of > 55% with severe pulmonary artery systolic hypertension. . #htn: she presented to the ed hypertensive and was noted to have labile blood pressure per clinic records. we switched her from metoprolol to labetalol which was her previous home medication. this resulted in improved bp control. . #af: she had a history of atrial fibrillation. when she presented, she was in sinus. during the hospitalization, her rate became irregular with bigeminy and rapid ventricular response. she was not anticoagulated given her recent episode of bleeding. we continued her beta-blocker and amiodarone. . # gi: during the patient's recent hospitalization she was unable to complete the bowel prep because of her nstemi/demand ischemia. her abdominal symptoms of bloating, cramping, distention, and constipation worsened throughout this hospital stay cosistent with a high grade partial obstruction. a ct scan of the abdomen and pelvis showed a stricture in the ascending colon. both gi and surgery were asked to consult. she was scheduled for surgery on . ______________________________ ms. was taken to surgery on and underwent an extended r colectomy. the operation itself went well. postoperatively, she was oliguric and hypotensive. she was evaluated for mi and her ekgs and cardiac enzymes were reassuring. on exam, she had no signs of heart failure and did respond to iv fluids. on pod#1, her urine output increased but her blood pressure remained low. she was transferred to the vicu, and then to the sicu for close monitoring for her asymptomatic hypotension and rapid heart rate requoring medications and fluids. her diet was advanced to clears and then to regular diet after resumption of bowel function and after her abdominal exam was reassuring. pathology returned adenocarcinoma t3 n1 m0 with 1/16 nodes involved. she remained in the icu until pod#4. she was transferred to the floor. on pod#5, she started having small amounts of hematochezia. she had tachycardia to 110-120s. her hct dropped to 25. inr was elevated to 3.5 despite holding coumadin. this was corrected with vit k and ffp. over the next 2 days, the bleeding continued, but at a slower rate, and she was given a total of 4 units of blood. she was started on ppi and her asa was reduced from 325mg to 81mg. the bleeding stopped eventually, and she had 6 stable hcts above 30. she had lower extremity edema which is quite a bit better at the time of discharge. she is discharged home with services and pt. she is tolerating a regular diet though her appetite is somewhat depressed. she will follow up in office with dr. , her primary care doctor and with dr. for check-up and skin clip removal. consideration for adjuvant chemotherapy will be addressed at gi oncology conference, but it is unlikely that this will be recommended, given her comorbidities. medications on admission: 1. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 2. amiodarone 200 mg tablet sig: 0.25 tablet po daily (daily). 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 5. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 6. lasix 40 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 20 mg tablet sig: one (1) tablet po twice a day. 8. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. tylenol arthritis 650 mg tablet sustained release sig: one (1) tablet sustained release po at bedtime. 10. glucosamine-chondroitin complx 500-400 mg capsule sig: one (1) capsule po once a day. 11. synthroid 75 mcg tablet sig: one (1) tablet po once a day. 12. ecotrin low strength 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 13. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*2* 14. trazodone 25 mg po qhs prn insomnia; disp: 30, refills: 1 discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 160 mg/5 ml solution sig: po q6h (every 6 hours). 4. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 6. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) as needed for home regimen. 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. docusate sodium 100 mg tablet sig: one (1) tablet po twice a day: take while taking narcotic pain medication to prevent constipation. disp:*20 tablet(s)* refills:*0* 9. amiodarone 100 mg tablet sig: tablet po once a day. disp:*15 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: primary diagnosis: carcinoma of the colon with obstruction secondary diagnosis: acute on chronic diastolic heart failure atrial fibrillation with rapid ventricular response post operative hypovolemia post operative blood loss anemia requiring transfusion coagulopathy hypertension dyslipidemia discharge condition: stable discharge instructions: you may resume all your prehospital medications. you may shower - pat wound dry afterward. no swimming or soaking in a tub for 4 weeks after your surgery. call dr. office or come to the emergency room if you have: * fever above 101.5f * nausea, vomiting or diarrhea that doesn't stop * chest pain or difficulty breathing * opening up or drainage from your wound * any other concerning symptoms weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1500 ml followup instructions: in weeks with dr , please call at to schedule this appointment. the following appointments have been made for you: provider: (st-3) gi rooms date/time: 1:30 provider: , md phone: date/time: 1:30 provider: , m.d. date/time: 7:40 procedure: open and other right hemicolectomy diagnoses: other iatrogenic hypotension congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism atrial fibrillation other specified intestinal obstruction acute on chronic diastolic heart failure aortic valve disorders other chronic pulmonary heart diseases other and unspecified hyperlipidemia osteoporosis, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits hemorrhage of gastrointestinal tract, unspecified hypovolemia subendocardial infarction, subsequent episode of care diseases of tricuspid valve oliguria and anuria secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes edema malignant neoplasm of transverse colon 

Answer: The patient is high likely exposed to