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: ruptured aaa major surgical or invasive procedure: 1. ultrasound-guided puncture of the right common femoral artery. 2. left common femoral endarterectomy and bovine patch angioplasty. 3. endograft exclusion of ruptured infrarenal abdominal aortic aneurysm with a 26 x 12 x 160 main body, a 26 x 33-mm proximal cuff , a 12 x 70-mm ipsilateral extension, a 14.5 x 140-mm contralateral limb extension. 4. balloon angioplasty of bilateral external iliac arteries and stenting of the left external iliac artery with an 8 x 60-mm protege stent and an 8 x 50-mm viabahn stent. 5. catheter placement in the abdominal aorta. 6. abdominal aortogram. 7. perclose closure of the right common femoral arteriotomy. history of present illness: 82m transferred from hospital for ct scan demonstrating ~9.5cm aaa with evidence of rupture. details of history below are from combined sources of patient, osh records and osh ed reports. the patient reports having a near-syncopal episode while on the toilet in the afternoon of . he presented to the ed at and was reported to be diaphoretic and pale appearing but vital signs were stable. a ct scan of the abdomen demonstrated the above findings. hct at that time was 34 and creatinine was reported as normal. the patient was transferred to for definitive management. on arrival he complained of back pain and the decision was made to take him to the operating room for an emergent repair. past medical history: hypertension dm hyperlipidemia gerd social history: lives with wife. supportive daughter. family history: n/c physical exam: t: 98.3 hr: 72 bp: 118/63 rr: 19 spo2: 97% gen: nad, alert and oriented x3 neuro: cn ii-xii cardiac: rrr, no mrg, afib on telemetry lungs: cta bilaterally abd: soft, nt, mildly distended wound: staples cdi + edema pulses: fem dp pt palp dop dop dop right palp dop dop dop pertinent results: 08:20am blood wbc-8.5 rbc-3.28* hgb-9.9* hct-29.7* mcv-91 mch-30.3 mchc-33.5 rdw-15.7* plt ct-326 06:36am blood wbc-9.5 rbc-3.18* hgb-9.5* hct-28.7* mcv-90 mch-29.9 mchc-33.2 rdw-14.9 plt ct-285 03:55am blood wbc-7.8 rbc-3.06* hgb-9.2* hct-28.4* mcv-93 mch-30.1 mchc-32.4 rdw-14.8 plt ct-271 08:20am blood plt ct-326 08:20am blood pt-29.4* inr(pt)-2.9* 07:30am blood pt-27.1* inr(pt)-2.6* 06:36am blood plt ct-285 10:53pm blood fibrino-223 08:20am blood glucose-112* urean-20 creat-1.1 na-141 k-4.5 cl-107 hco3-26 angap-13 06:36am blood glucose-165* urean-24* creat-1.1 na-142 k-3.8 cl-107 hco3-28 angap-11 03:55am blood glucose-141* urean-25* creat-1.0 na-145 k-4.1 cl-110* hco3-28 angap-11 03:27am blood alt-15 ast-18 ld(ldh)-122 alkphos-24* amylase-35 totbili-1.5 04:47am blood ck(cpk)-64 03:27am blood lipase-12 04:47am blood ck-mb-3 ctropnt-<0.01 08:20am blood calcium-8.5 phos-2.5* mg-1.9 06:36am blood calcium-8.2* phos-2.3* mg-1.9 03:55am blood calcium-8.0* phos-2.5* mg-2.0 final report indication: status post aaa repair with effusion. assess for interval change. technique: portable upright ap radiograph of the chest. comparison: multiple prior chest radiographs, most recently . findings: endotracheal tube is seen 4 cm above the carina. nasogastric tube passes through the ge junction and then is not well seen. a left subclavian line ends in the proximal svc. no significant interval change in the small-to-moderate left pleural effusion. there is unchanged bibasilar atelectasis, without new focal opacities. there is no pneumothorax. the heart is not enlarged with normal cardiomediastinal silhouette. impression: 1. unchanged small-to-moderate left pleural effusion with stable bibasilar atelectasis. 2. unchanged position of left subclavian catheter, endotracheal tube, with incomplete visualization of the nasogastric tube. the study and the report were reviewed by the staff radiologist. dr. 05:56am blood glucose-115* 12:02am blood glucose-127* k-3.6 04:59am blood k-4.0 9:04 am sputum source: endotracheal. **final report ** gram stain (final ): <10 pmns and <10 epithelial cells/100x field. no microorganisms seen. quality of specimen cannot be assessed. respiratory culture (final ): sparse growth commensal respiratory flora. 4:47 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. echo: conclusions no mass/thrombus is seen in the left atrium or left atrial appendage. spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). a patent foramen ovale is present. overall left ventricular systolic function is normal (lvef>55%). with normal free wall contractility. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. no masses or vegetations are seen on the aortic valve. severe aortic stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mass or vegetation is seen on the mitral valve. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. impression: no left atrial appendage thrombus. pfo is present. severe aortic stenosis. brief hospital course: on the patient was transferred to from hospital for an acute rupture of 9.5cm aaa. taken to the or for a evar with left common femoral endarterectomy and bovine patch angioplasty. transferred to the cvicu post operatively. resuscitation with ivf overnight, on neo and intubated and requiring a insulin drip overnight. received 3 units of blood for operative blood loss. on continues bladder pressures. remained the icu on pressors and intubated for several days. on a tee was done which showed no clot. started on amiodarone for afib and neo drip weaned off. the patient was extubated but required reintubation on for increased work of breathing. the patient continued to require diuresis with lasix. afib rate controlled. tube feeding for nutritional support while intubated. on continued on aggressive pulmonary toilet and the patient was oob to chair. cefepime iv started for high risk of ventilator induced pneumonia. oob to chair with physical therapy daily. vent continued to be weaned on with continued to diuresis. on the patient was successfully extubated. weight down to admission weight. some mild confusion, able to follow commands. speech and swallow did a bedside evaluation- they recommended a video swallow eval.physical therapy recommended rehab. stable and transferred to vicu . continued on coumadin for afib with a goal of . continued on cefepime iv for a total of 5 days. on the patient underwent a video swallow which he passed. recommendations included thin liquids and soft consistence solid. medications crushed with pureed. on discharge the patient was stable and conversant. oob to chair with assistance. respiratory status stable, 97% on ra. completed cefepime course. discharged to rehab in stable condition on . medications on admission: glyburide, simvastatin, omeprazole, metformin discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 4. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 4-6 puffs inhalation q4h (every 4 hours) as needed for wheezing. 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 6. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day). 7. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 8. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical daily (daily) as needed for rash. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. warfarin 2 mg tablet sig: one (1) tablet po once daily at 4 pm: goal inr . 13. regular sliding scale insulin sc sliding scale breakfast lunch dinner bedtime regular glucose insulin dose 71-150 mg/dl 0 units 0 units 0 units 0 units 151-200 mg/dl 2 units 2 units 2 units 2 units 201-250 mg/dl 4 units 4 units 4 units 4 units 251-300 mg/dl 6 units 6 units 6 units 6 units 301-350 mg/dl 8 units 8 units 8 units 8 units discharge disposition: extended care facility: nursing & rehabilitation center - discharge diagnosis: abdominal aortic aneurysm (pre-op_ pmh: hypertension diabettes m. hyperlipidemia gerd 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: division of vascular and endovascular surgery endovascular abdominal aortic aneurysm (aaa) discharge instructions medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? do not stop aspirin unless your vascular surgeon instructs you to do so. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and cta what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site or incision) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office. if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: , md phone: date/time: 11:45 procedure: continuous invasive mechanical ventilation for 96 consecutive hours or more continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) aortography insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) endovascular implantation of other graft in abdominal aorta endarterectomy, lower limb arteries transposition of cranial and peripheral nerves insertion of two vascular stents destruction of cranial and peripheral nerves procedure on three vessels diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified esophageal reflux toxic encephalopathy unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified protein-calorie malnutrition atrial fibrillation aortic valve disorders peripheral vascular disease, unspecified accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia 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 ostium secundum type atrial septal defect arterial embolism and thrombosis of lower extremity abdominal aneurysm, ruptured embolism and thrombosis of iliac artery other fluid overload 

Answer: The patient is high likely exposed to