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: aspirin / milk attending: chief complaint: left hip pain major surgical or invasive procedure: left hip hemiarthroplasty with components, #9 press-fitted stem, 46-mm head, -3-mm neck. ivc filter placement right ac picc history of present illness: patient is an 82 year old female who fell down while ambulating unwitnessed today hit the left side of her body causing a left hip fracture. did not lose consciousness according to 24 hour caregiveer past medical history: pmh 1. atrial fibrillation 2. hypercholesterolemia 3. gerd 4. depression 5. osteoporosis 6. retroperitoneal bleed 7. diastolic heart failure psh 1. s/p mvr with mechanical valve 2. s/p l4-5 laminectomy social history: patient lives with a 24 hour aide and is able to do adls with help from aide. she is a holocaust survivor. her son, , is very involved in her medical care and is her hcp. : non-smoker etoh: none illicits: none family history: non-contributory physical exam: o: t:100.4 bp:144/49 hr:98 r 24 o2sats 98% gen: wd/wn, comfortable, nad. heent: pupils: 2.5 min reactive eoms full neck: in collar chest ctab pinpoint tenderness to l parasternal area cor rrr abd s/nd with llqminimal tenderness, spine tender to lumbar region (baseline per patient) ext moves all extremities, tender over left shoulder w/o deformity or crepitus, tender to l hip, otherwise extremities well perfused with intact range of motoin and sensatoin neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and but realized just occured. aware of hip fracture and possible surgery language: speech fluent with good comprehension cranial nerves: i: not tested ii: pupils equally round and reactive to light,2.5 min reactive mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout did not test left leg though wiggles toes. no pronator drift sensation: intact to light touch, toes downgoing bilaterally pertinent results: 12:10pm wbc-12.1* rbc-4.07* hgb-12.6 hct-38.7 mcv-95 mch-30.8 mchc-32.5 rdw-15.6* 12:10pm neuts-90.8* lymphs-6.5* monos-2.2 eos-0.3 basos-0.1 12:10pm plt count-187# 12:10pm pt-25.9* ptt-28.4 inr(pt)-2.5* 12:10pm glucose-94 urea n-18 creat-0.6 sodium-143 potassium-3.9 chloride-105 total co2-27 anion gap-15 head ct : acute subdural hemorrhage overlying the left temporal lobe extending to overly the left frontal lobe, with some effacement of the left temporal lobe. no significant midline shift. ct c spine : 1. no evidence of acute fracture. 2. multilevel degenerative disease. minimal anterolisthesis of c5 over c6. if continued clinical concern for spinal cord or ligamentous injury, mri is more sensitive. 3. 5 mm right upper lobe nodular density. follow up chest ct is indicated in months if patient is high risk (incl history of smoking or malignancy) or in 12 months if patient is low risk. 4. mild septal thickening in visualized portions of bilateral lung apices, may be due to mild edema. left hip fracture : subcapital fracture of the proximal left femur. ct torso : 1. multiple pulmonary nodules stable since . largest preexisting nodule, in the right upper lobe, is smaller and retracted, consistent with scar. 2. new left anterior third rib fracture. 3. small bilateral pleural effusions probably due and mild pulmonary edema., 4. concurrent conventional pa and lateral upright radiographs recommended to evaluate possible right lower lobe lesion (rounded atelectasis or abscess, less likely tumor) or fissural fluid loculation. if the abnormality is verified it can be followed with subsequent conventional films. 5. possible pulmonary arterial hypertension. 6. calcification of the coronary arteries, aortic valve and aorta extending into the brachiocephalic trunk. head ct : 1. small left subdural hematoma, unchanged in size. subdural blood layers along the falx and tentorium. 2. right frontal hyperdensity which is equivocal for a small focus of subarachnoid hemorrhage and can be reassessed on followup studies (2:23). note added at attending review: there is not evidence of subdural hemorrhage along the falx or tentorium. these structures are dense due to enhancement from prior administration of contrast material for the abdominal ct study. otherwise i agree with this interpretation. head ct : 1. little change in the 3 mm left subdural hematoma. 2. right frontal lobe hyperdensity is no longer identified. 3. possible subtle hypodensity of the left temporal lobe. if there is concern for acute or subacute infarct, mri is recommended. head ct : 1. unchanged 4-mm left subdural hematoma. 2. 2-mm hyperdense focus in the left frontal lobe equivocal for small focus of subarachnoid hemorrhage. attenation to this finding is recommended on follow-up studies. 3. unchanged left temporal lobe hypodensity can be due to contusion. if there is concern for acute infarct, mri is recommended. mri brain : no acute infarct identified. the ct demonstrated hypodensity in the left temporal region likely is secondary to artifacts as well as some associated changes of brain contusion and extra-axial blood. a small left- sided subdural is again identified. severe changes of small vessel disease and moderate ventriculomegaly and sulcal prominence due to atrophy is identified. eeg: no seizure activity non invasive carotid studies : no significant stenoses bilat. ica's brief hospital course: mrs. was evaluated in the emergency room by the trauma service and all scans were reviewed. based on her small sdh she was transferred to the trauma icu for close monitoring and frequent neuro checks. her admission inr of 2.5 was corrected with 2 units of fresh frozen plasma which normalized her inr along with some vitamin k. following a temperature spike of 101 she was fully cultured. she remained stable and on was taken to the operating room for repair of her left hip fracture and placement of an ivc filter. she tolerated this well and subsequently underwent repeat head ct's which showed no progression of the sdh. she was transferred to the trauma floor for further management. she was transfused with 2 units of packed red blood cells post op for a hematocrit of 24. forty eight hours after an unchanged head ct she began anticoagulation with heparin for her mechanical valve and atrial fibrillation. about 3-4 hours after the heparin started she developed left sided weakness and seemed more somnolent. she also had rapid atrial fibrillation. this prompted transfer back to the icu. a repeat head ct showed no increase in the sdh and she was seen by the stroke service for full evaluation. an mri of the head was recommended and showed no acute stroke, a stable sdh and small vessel disease. the hypodense area at the left temporal lobe was artifact. her mental status continued to wax and wane between sleepy to alert and conversant. ( her primary language is polish but she can speak and understand a little english.) her left sided weakness resolved and she was improving daily. carotid studies were negative and an eeg showed no evidence of seizure activity. she was on prophylactic dilantin for her sdh which ended today. currently she remains on iv heparin and her was started 2 days ago ( 2 mg each day). her inr today is 1.7 and she should receive another 2 mg. tonight. her heparin is at 1100 units an hour. her last ptt was 100 which reflected 1150 units an hour. her ptt should be checked every 6 hours. her heparin can be discontinued when her inr is 2.2. from a surgical standpoint, her left hip incision has a small amount of serous drainage on the dressing and is changed . she has not been febrile and there is no wound erythema. her weight bearing status is full weight bearing left lower extremity. mrs. ' appetite is slowly improving. she has no trouble swallowing and her best meal is breakfast. she's also willing to take supplements. calorie counts will need to continue. following a prolonged hospital stay she was discharged to rehab today for more intense physical therapy and continued adjustment of her with the hope that she will be able to return home with her caregiver. medications on admission: 1. mirtazapine15 mg po qhs 2. folate 1 mg po daily 3. methotrexate 12.5 mg qweek 4. lopressor 25 mg po bid 5. prednisone 4 mg po daily 6. simvastatin 20 mg po daily 7. 2 mg po daily 8. cymbalta 9. vicodin 5/500 mg po q4 hours prn pain discharge medications: 1. prednisone 1 mg tablet sig: four (4) tablet po daily (daily). 2. docusate sodium 50 mg/5 ml liquid sig: one hundred (100) mg po bid (2 times a day). 3. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: 2.5 mg inhalation q6h (every 6 hours) as needed for shortness of breath or wheezing. 4. warfarin 2 mg tablet sig: one (1) tablet po tonight. 5. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical q12 () as needed for pain. 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po q6h (every 6 hours). 8. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 10. heparin (porcine) in d5w 12,500 unit/250 ml parenteral solution sig: 1100 (1100) units per hour intravenous continuous. 11. simvastatin 40 mg tablet sig: one (1) tablet po once a day. 12. calcium carbonate 500 mg (1,250 mg) capsule sig: one (1) capsule po once a day. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary diagnosis s/p fall 1. 4mm sdh 2. left hip fracture 3. left anterior 3rd rib fracture 4. acute blood loss anemia secondary diagnoses 1. atrial fibrillation 2. hypercholesterolemia 3. gerd 4. depression 5. osteoporosis 6. retroperitoneal bleed 7. diastolic heart failure 8. s/p mvr with mechanical valve 9. s/p l4-5 laminectomy discharge condition: stable, has some periods of sleepiness but wakes up and is alert and oriented. appetite waxes and wanes, needs some assistance and calorie counts discharge instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. these medications include but are not limited to: narcotics and benzodiazepines. use extreme caution when combining these substances with each other, alcohol, or other central nervous system depressants. take all medications as directed. please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. activity: full weight bearing left lower extremity. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. staples will be removed on please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: provider: , md phone: date/time: 11:45 call the clinic at for a follow up appointment 2 weeks after you are discharged from rehab call dr. at for a follow up appointment in 2 weeks md procedure: venous catheterization, not elsewhere classified interruption of the vena cava partial hip replacement diagnoses: esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified long-term (current) use of steroids acute posthemorrhagic anemia atrial fibrillation depressive disorder, not elsewhere classified other persistent mental disorders due to conditions classified elsewhere heart valve replaced by other means osteoporosis, unspecified long-term (current) use of anticoagulants family history of ischemic heart disease rheumatoid arthritis closed fracture of one rib subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness fall from other slipping, tripping, or stumbling injury to liver without mention of open wound into cavity, hematoma and contusion delirium due to conditions classified elsewhere acute pain due to trauma chronic diastolic heart failure lumbosacral spondylosis without myelopathy cervical spondylosis without myelopathy other closed transcervical fracture of neck of femur muscle weakness (generalized) thoracic spondylosis without myelopathy 

Answer: The patient is high likely exposed to