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: right hip fracture s/p fall out of scooter major surgical or invasive procedure: intramedullary rod fixation of right peritrochanteric hip fracture. history of present illness: this is a 74 year-old woman who presents with a r intertrochanteric femur fracture after a mechanical fall from her scooter. she was initially admitted to the icu in the setting of apneic/hypoxic episodes presumed to be from narcotics (she apparently received 3mg iv hydromorphone at osh ed and 1mg additional at ed). on , she was electively intubated and went to the or for intramedullary rod fixation of the right hip fracture. she was kept intubated overnight and extubated this am without event. for hct drop, she was transfused 1 unit prbcs this am, with subsequent stable hct. in the icu, her sbp has been persistently in the 90s, although she remains asymptomatic with good uop. on arrival to the floor, she noted hip pain, but denied fever, chills, night sweats, chest pain, shortness of breath, cough, wheeze, abdominal pain, nausea, vomiting, diarrhea, constipation, dysuria, black or bloody stools, lightheadedness or dizziness. this morning she reports good control of her pain. past medical history: cad s/p mi in chf (normal ef) osa (refuses bipap) type 2 dm c/b neuropathy, ?nephropathy benign hypertension hyperlipidemia gout anxiety "psoriasis", c/b rle ulcers. ckd baseline cr 1.5 social history: no tobacco (quit 15 years ago), no etoh or drugs. married x 53 years, lives at home with husband and son. family history: mother had mi in her sleep at age 35, father died of old age. physical exam: vital signs: 99.2 105/43 96 24 93%2l general: obese female in nad heent: mmm cv: rrr, ii/vi systolic murmur at lusb lungs: clear to auscultation bilaterally with mild crackles at bases, has wet cough abd: soft, obese, nt, nd, no masses or organomegaly, bs+ ext: wwp, mild ankle edema. rle wrapped with bandage. wiggles toes bilaterally, <2 sec cap refill, sensation in toes intact to light touch. has multiple lower extremity healing ulcerations. pertinent results: admission labs: 11:15pm wbc-15.0* rbc-3.98* hgb-11.5* hct-36.1 mcv-91 mch-28.8 mchc-31.8 rdw-15.7* 11:15pm plt count-267 11:15pm neuts-82* bands-0 lymphs-12* monos-4 eos-2 basos-0 atyps-0 metas-0 myelos-0 11:15pm pt-11.5 ptt-23.0 inr(pt)-1.0 11:15pm glucose-203* urea n-43* creat-1.5* sodium-142 potassium-5.4* chloride-109* total co2-25 anion gap-13 11:15pm calcium-8.8 phosphate-4.9* magnesium-1.5* 11:15pm ck-mb-3 11:15pm ctropnt-0.01 other pertinent labs: 12:17pm glucose-206* lactate-2.1* na+-143 k+-6.3* cl--107 02:23pm type-art po2-65* pco2-69* ph-7.13* total co2-24 base xs--7 intubated-not intuba discharge labs: 06:30am blood wbc-8.1 rbc-2.80* hgb-7.9* hct-25.4* mcv-91 mch-28.3 mchc-31.2 rdw-15.6* plt ct-242 06:30am blood glucose-137* urean-29* creat-1.3* na-144 k-4.2 cl-110* hco3-27 angap-11 06:30am blood calcium-7.4* phos-2.3* mg-2.2 studies: ecg: sinus rhythm. non-specific st-t wave changes in the lateral leads. no previous tracing available for comparison. chest xray: single portable chest radiograph is reviewed. the lung volumes are low. cardiac silhouette appears enlarged, though abundantly exaggerated by technique. there is increased opacity at the left base, increased from one day prior. this may reflect atelectasis, although evolving pneumonia is not excluded. it appears to be a mild degree of volume overload, without large effusion. there is no pneumothorax. marked degenerative changes are identified in the visualized thoracic spine. right femur xray: eight intraoperative radiographs were performed in the operating room for operative assistance without a radiologist present. these demonstrate an intratrochanteric right proximal femoral fracture, which appears comminuted. there is evidence of placement of a gamma nail fixation with a long femoral intramedullary rod. pre-existing right total knee arthroplasty is evident. for full details, please consult the operative report. chest xray (preliminary read): s/p removal of et tube, no other significant change. brief hospital course: 74 year old female with cad s/p mi, chronic diastolic chf and psoriasis who presented after a scooter accident with right hip fracture now s/p repair. #. closed femur fracture with acute blood loss anemia: she presented with right hip fracture and underwent surgical repair on without complication. she was given 1 unit of packed red cells post-operatively for a small hematocrit drop and her hematocrit subsequently remained stable. she was started on sc heparin instead of lovenox given her acute renal failure for dvt prophylaxis. she is weight bearing as tolerated on both lower extremities. she was seen by the physical therapy team who recommended rehab placement. her pain was controlled post-operatively with standing tylenol and oxycodone. #. hypoxia: she was mildly hypoxic post-operatively felt to be due to a combination of co2 retention in the setting of osa, atelectasis, and narcotic use for pain. she refused to wear cpap during this admission and her oxygen requirements decreased post-operatively. at discharge she was still requiring 2l o2. it is important for her to continue incentive spirometry after discharge. #. acute on chronic kidney disease stage iii: her creatinine increased to 1.9 during this admission from a presumed baseline of 1.3-1.5 of stage iii ckd. we were unable to validate her baseline creatinine and her kidney function should be followed after discharge. her creatinine improved to 1.3 with iv fluid hydration post-operatively and it was felt that she had prerenal azotemia in the setting of her hip fracture. her outpatient was restarted prior to discharge but held during most of her stay. #. type 2 diabetes mellitus uncontrolled with complications: she was managed with her home insulin regimen post-operatively. actos and glimeprimide were held during her stay but restarted at discharge. #. cad s/p mi: she would likely benefit from aspirin treatment as an outpatient but this was deferred to her pcp. #. chronic diastolic chf: her home lasix dose was initially held due to acute renal failure but was restarted prior to discharge. she may need better heart rate control to optimize her chf treatment. #. benign hypertension: her blood pressure was slightly elevated on admission and post-operatively and her antihypertensives were restarted prior to discharge. #. hyperlipidemia: she was continued on her statin and her fenofibrate was held during this admission. #. gout: continued on allopurinol. #. psoriasis c/b rle ulcers: she receives methotrexate weekly which she was not due for during this hospitalization. it should be resumed at discharge although her dose could not be confirmed during her stay as her primary care doctor's office was closed. #. prior cellulitis: she reported recent antibiotic use on admission for a possible cellulitis although had no signs of cellulitis on physical exam. she was given antibiotics perioperatively and then was not continued on them medications on admission: bactrim since 7 days ago (pt cannot confirm) diflucan for leg infection (pt unsure if course still active) allopurinol 300 qday atacand 32mg ativan 0.5 mg tid fenofibrate 150 qd tenoritic 50/25 mg methotrexate qw (6 pills on sunday) furosemide 20 mg folic acid humulog 75/25 --> 32 units actos 15 mg amaryl 4 mg lipitor 40 mg discharge medications: 1. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 2. atacand 32 mg tablet sig: one (1) tablet po once a day. 3. lorazepam 0.5 mg tablet sig: one (1) tablet po twice a day as needed for anxiety. 4. fenofibrate 160 mg tablet sig: one (1) tablet po once a day. 5. tenoretic 50 50-25 mg tablet sig: one (1) tablet po once a day. 6. methotrexate sodium 2.5 mg tablet sig: unknown dose - please confirm with pcp who is open on thursday, tablet po once a week: on sunday. 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 8. folic acid 1 mg tablet sig: one (1) tablet po once a day. 9. humalog mix 75-25 100 unit/ml (75-25) suspension sig: thirty two (32) units subcutaneous twice a day. 10. actos 15 mg tablet sig: one (1) tablet po once a day. 11. amaryl 4 mg tablet sig: one (1) tablet po twice a day. 12. lipitor 40 mg tablet sig: one (1) tablet po once a day. 13. acetaminophen 650 mg tablet sig: one (1) tablet po every six (6) hours. 14. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po three times a day. 15. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 16. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. 17. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation. 18. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed for rash. 19. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: extended care facility: hospital of & islands - discharge diagnosis: primary diagnosis: right subtrochanteric femur fracture secondary diagnosis: type 2 diabetes mellitus obstructive sleep apnea hypertension discharge condition: mental status: clear and coherent, a&ox3 but with transient periods of disorientation level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital after you fell from your scooter. you were found to have a fracture of your right hip and this was fixed in the operating room by dr. . post-operatively, you required oxygen supplementation and experience transient confusion, which resolved. it was felt that these side effects were likely due to the pain medication that you were receiving. your medications were unable to be confirmed with your primary care doctor because your primary care doctor's office was not open. it is important for your rehab facility to confirm your outpatient medications. changes to your medications: decreased ativan to 0.5mg by mouth twice daily as needed for anxiety added acetaminophen 650mg by mouth every 6 hours added oxycodone 5mg by mouth every 6 hours as needed for pain added subcutaneous heparin 5000units three times daily added calcium carbonate 500mg by mouth three times daily added vitamin d 800 units by mouth daily added docusate sodium 100mg by mouth twice daily added senna 1 tab by mouth daily as needed for constipation added miconazole powder as needed for rash ** if your pain in uncontrolled, your rehab could consider starting gabapentin help your pain control** followup instructions: you have the following appointments scheduled in follow-up: department: orthopedics physician: . date/time: tuesday, , at 2:10pm phone: location: , building, floor 2 when you leave your rehab facility, you should call your primary care doctor a follow-up appointment. procedure: closed reduction of fracture with internal fixation, femur diagnoses: hyperpotassemia obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified polyneuropathy in diabetes other opiates and related narcotics causing adverse effects in therapeutic use other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) old myocardial infarction hypoxemia obesity, unspecified other psoriasis chronic diastolic heart failure ulcer of other part of lower limb diabetes with neurological manifestations, type ii or unspecified type, uncontrolled closed fracture of intertrochanteric section of neck of femur other accidental fall from one level to another 

Answer: The patient is high likely exposed to