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: no known allergies / adverse drug reactions attending: chief complaint: s/p 5 feet major surgical or invasive procedure: : 1. open reduction internal fixation distal radius fracture of percutaneous technique. 2. open reduction internal fixation proximal ulnar fracture, comminuted with bone graft. 3. closed treatment radial head fracture. : inferior vena cava filter placement : embolization with gelfoam slurry from the splenic artery branches history of present illness: 52m with a history of transferred from osh s/p fall from 15ft. pt fell from scaffolding at work today, landing primarily on left elbow, side. pt denies head strike or loc. pt was initially taken to hospital where ct showed evidence of active retroperitoneal extravasation associated with a left renal cyst rupture. pt was transferred to where he was hemodynamically stable on arrival. repeat imaging revealed persistent extravasation and an enlarging perinephric hematoma. additionally, imaging revealed a splenic contusion with pseudoaneurysm, fractures of the left radius and olecranon, pelvic fractures, and l2-l5 transverse process fractures. past medical history: pmh: cirrhosis, hcv, htn psh: removal of right arm mass social history: shx: smokes, but trying to quit, no alcohol, denies illicit drug use, works as truck driver, lives with wife/daughter. family history: fhx: neg for blood clots, bleeding problems, anesthetic complications physical exam: on arrival to : p 90 bp 142/p r 11 spo2 83% ra, gcs 15 gen: a&o, nad heent: wnl pulm: wnl cv: rrr abd: wnl extr: - rue: painless rom of shoulder/elbow/wrist/fingers. no tenderness to palpation throughout. silt throughout, motor intact. bcr distally, 2+ radial pulse - lue: nontender in shoulder. in splint. bcr distally. 2+ radial pulse. no open wounds, abrasion on elbow. silt in ax/m/r/u distributions. motor intact ain/io/epl. - lle/rle: nontender throughout, no abrasions, no swelling in knee/ankle. silt throughuot. motor intact throughout. bcr and 2+ dp pulses. on discharge (): t 98.6 bp 142/74 p 83 r 16 o2 sat 98%ra gen: a&o, nad pulm: ctab cv: normal s1s2, rrr abd: soft, nontender, nondistended. no palpable masses. no rebound or guarding. extr: lue casted and splinted, 2+ radial pulses, +csm. b/l le no edema, +pp. pertinent results: ct head : no evidence of acute intracranial process. ct c-spine : no acute fracture or malalignment. ct torso : 1. ruptured left renal cyst with intracystic hemorrhage and signs of active bleeding. small component of left perinephric retroperitoneal hematoma. 2. contusion of the lower pole of the spleen with probablepseudoaneurysm. no evidence of perisplenic hematoma. 3. acute fractures involving the left iliac , left superior and inferior pubic rami involving the anterior wall of the left acetabulum. fractures of the left l2 and l5 lumbar transverse processes. small associated intramuscular hematoma of the left obturator internus muscle. 4. incidental findings include cirrhotic liver, colonic diverticulosis cta torso : 1. ruptured left renal cyst with intracystic and perinephric hematoma and active contrast extravasation. left retroperitoneal hematoma increased since osh ct obtained three hours prior. 2. contusion involving the lower pole of the spleen with splenic pseudoaneurysms. these findings may predispose to delayed splenic rupture. 3. acute fractures involving left iliac , left superior and inferior pubic rami and left l2 and l5 transverse processes. 4. stable appearance of small intramuscular hematoma of the left obturator internus muscle. 5. no acute traumatic injury in the chest. 6. lobulated contour of the liver, compatible with underlying cirrhosis. 7. sigmoid colon diverticula without associated inflammatory changes. ecg: sinus rhythm bordering on sinus tachycardia. low precordial qrs voltage cta abd/pelvis: 1. known splenic laceration with worsening heterogeneous apperance of the spleen and a small pseudoaneurysm/focus of active extravasation. worsening perisplenic hematoma. worsening perihepatic hematoma. ir consult recommended. 2. stable left renal and perirenal hematoma/known rupture of the left renal cyst with hematoma layering within the cyst and retroperitoneal hematoma along the lower pole of the left kidney. no evidence of active extravasation about the kidney. 3. interval increase in small amount of dense fluid layering within the pelvis. 4. stable appearance of a small intramuscular hematoma of the left obturator internus muscle. 5. stable small left pleural effusion and adjacent atelectasis at the left lung base is seen. 6. known multiple fracture. 7. ivc filter in place. ir embolization: 1. heterogeneous appearance of the lower portion of the spleen with a vague rounded abnormality which may correspond to the pseudoaneurysm finding on the cta. 2. after discussion between dr. and dr. regarding treatment options for the known bleeding from the spleen in the presence of difficult to demonstrate blush or pseudoaneurysm on the arteriogram, a decision was made to perform distal embolization the branches supplying the lower portion of the spleen. 3. embolization with gelfoam slurry from the splenic artery branches supplying the lower portion of the spleen. 4. diagnostic arteriogram of the left renal artery did not demonstrate active extravasation or pseudoaneurysm. labs on admission: 07:30pm glucose-114* urea n-13 creat-0.8 sodium-137 potassium-4.0 chloride-102 total co2-27 anion gap-12 07:30pm wbc-11.4* rbc-4.72 hgb-14.9 hct-42.8 mcv-91 mch-31.5 mchc-34.7 rdw-13.5 07:30pm wbc-11.4* rbc-4.72 hgb-14.9 hct-42.8 mcv-91 mch-31.5 mchc-34.7 rdw-13.5 07:30pm pt-11.6 ptt-28.4 inr(pt)-1.1 07:30pm plt count-170 07:30pm urine color-straw appear-clear sp -1.030 07:30pm urine blood-sm nitrite-neg protein-neg glucose-neg ketone-10 bilirubin-neg urobilngn-neg ph-5.5 leuk-neg 07:30pm urine rbc-17* wbc-3 bacteria-few yeast-none epi-0 07:30pm urine mucous-rare 07:30pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:30pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg labs at discharge: 03:28am blood wbc-10.0 rbc-3.15* hgb-10.0* hct-29.7* mcv-94 mch-31.7 mchc-33.5 rdw-17.2* plt ct-239 brief hospital course: after initial evaluation in the ed, mr. was admitted to the ticu for further evaluation and monitoring. on he was stable and was transferred to the floor. the following details his hospital course by systems: neuro: he remained alert and oriented throughout his course without neurological defecits. pain initially managed iv dilaudid. once patient had adequate pain control and remained stable, he was transitioned off the dilaudid pca to an oral regimen. cardiovascular: at the moment of admission patient's vital signs were stable, hct was 42, no signs or symptoms of organs hypoperfusion. however over the course of 2 days his hematocrit dropped to 21. patient received 2u prbc's. repeat cta demonstrated splenic laceration with multiple foci of either active extravasation or small pseudoaneurysm at the lower pole similar compared to admission cta. increased in size of left renal and perirenal hematoma/known rupture of left renal cyst with hematoma layering within the cyst and increased retroperitoneal hematoma along the lower pole of the left kidney. no evidence of active extravasation. small amount of dense fluid layering within the pelvis. stable appearance of a small intramuscular hematoma of the left obturator internus muscle. on patient was tachycardic to 100s, sbp down to 100, diaphoresis and pre-syncope (no cp/sob) with change in posture, relieved with supine. ekg with sinus, 96, na/ni, no stemi, twi iii. provided 1l lr bolus and repeated basic labs and troponin. hct down to 19, and again transfused 2 units prbc's. pt remained with no cp/sob but intermitent tachycardia. abdomen became increasingly firm and tender. therefore, he was taken to ir for splenic pseudoaneurysm, and underwent gelfoam embolization of inferior splenic artery. postprocedure, his hematocrit remained stable. he was noted to be slightly hypertensive on and was started on metoprolol and then transitioned to lisinopril per his home regimen. he continued to remained persistently hypertensive with a sbp in the 160's and so his lisinopril dose was increased from 10 mg to 20 mg daily. pulmonary: initially in the ed his o2 sat was 86% on ra. he was placed on supplemental o2 via nc, which was weaned with pain control and incentive spirometry and pulmonary toileting. his respiratory status remained uncompromised and his o2 sats remained ?90% on ra. gi/gu: patient remained npo for the first days of his hospitalization due to concern of continue intraabdominal bleeding. after angiogram his hematocrit remained stable then diet was advanced to regular which he tolerated without abdominal pain, nausea/vomiting. he was also started on a bowel regimen given his decreased mobility and administration of narcotics. a foley catheter was placed on admission and his i&o's were closely monitored. on his urine output remained adequate and the foley was removed, at which time he voided without difficulty. msk: ortho trauma was consulted for his pelvic fractures and determined them to be stable and nonoperative. he was taken to the operating room on for orif l olecranon, crpp l distal radius open reduction internal fixation distal radius fracture of percutaneous technique. postoperatively he remained nonweightbearing on his lue and in a splint. on his olecranon incision was noted to be errythematous and he was started on a course of 10 days of keflex for this. prophylax: ivc filter placed on . sqh held given concern for bleed until . physical therapy and occupational therapy were consulted to assess the patients mobility. medications on admission: celexa 50 mg daily lisinopril 10 mg daily discharge medications: 1. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep. 2. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. simethicone 80 mg tablet, chewable sig: 0.5-1 tablet, chewable po qid (4 times a day) as needed for bloating/gas. 7. ondansetron hcl 4 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for nausea. 8. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily): hold for sbp<110. 9. hydromorphone 2 mg tablet sig: 1-3 tablets po q3h (every 3 hours) as needed for pain. 10. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 9 days. 11. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 12. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day). discharge disposition: extended care facility: discharge diagnosis: primary: polytrauma s/p fall injuries: 1. left renal retroperitoneal hematoma 2. left splenic contusion with pseudoaneurysm 3. left distal radius intra-articular fracture. 4. left olecranon fracture, comminuted intra-articular. 5. radial head fracture. 6. left anterior acetabular wall/superior pubic ramus fracture w/minimal displacement 7. left inferior pubic ramus fracture with minimal displacement 8. minimally displaced left iliac fracture 9. l2-l5 transverse process fractures secondary: acute blood loss anemia hypertension discharge condition: mental status: clear and coherent. 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 falling from a scaffolding. you sustained multiple injuries including pelvic fractures, left arm and elbow fractures, fractures in the bony processes of your lumbar spine, and bleeding and bruising in your spleen and left kidney. your arm and elbow fractures were repaired in the operating room by the orthopedic surgeons. you should remain nonweightbearing on your left arm and follow up with orthopedics at the appointments listed below. your pelvic fractures are nonoperative and you may bear weight as tolerated on both of your legs. you had a procedure in interventional radiology called gelfoam embolization to control the bleeding from your spleen. you have no further evidence of bleeding. you had an ivc filter placed to prevent blood clots in your lungs because of your increased risk for this related to your injuries. the fractures in the bony prominences of your spine do not require intervention. you are being given medication to control your pain. your blood pressure was elevated while you were in the hospital so your home dose of lisinopril was increased from 10 to 20 mg daily. please follow up with your primary care provider after discharge from rehab to discuss future management of your medications and blood pressure. followup instructions: department: general surgery/ when: tuesday at 1:30 pm with: acute care clinic building: lm bldg () campus: west best parking: garage department: orthopedics when: tuesday at 9:00 am with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage department: orthopedics when: tuesday at 9:20 am with: , np building: campus: east best parking: garage md procedure: interruption of the vena cava injection or infusion of other therapeutic or prophylactic substance arteriography of other intra-abdominal arteries open reduction of fracture with internal fixation, radius and ulna arteriography of renal arteries bone graft, radius and ulna diagnoses: tobacco use disorder unspecified essential hypertension cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia hypovolemia closed fracture of lumbar vertebra without mention of spinal cord injury closed fracture of head of radius closed fracture of pubis closed fracture of acetabulum injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum injury to kidney without mention of open wound into cavity, laceration cyst of kidney, acquired injury to spleen without mention of open wound into cavity, hematoma without rupture of capsule other closed fractures of distal end of radius (alone) closed fracture of olecranon process of ulna closed fracture of ilium accidental fall from scaffolding aneurysm of splenic artery 

Answer: The patient is high likely exposed to