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: hypotension following right hip arthroplasty major surgical or invasive procedure: right hip arthroplasty history of present illness: 85 year old man admitted to the medical icu from the post-operative care unit for persistent hypotension post-op. he was initially admitted with avascular necrosis/osteoarthritis of the right femoral head s/p orif intertrochanteric femur fracture. he underwent conversion of prior right hip fracture to total hip replacement. post opeartively, he was agitated and hypotensive (sbp 90s). in pacu he received 1.5mg haldol over several hours, and a total of 10mg iv of morphine for agitation and pain control. past medical history: 1. early dementia. 2. back pain/vertebral compression fractures/kyphosis. mri l-dpine - diffuse disc bulge at l3-l4 asymmetric to the right causing mild canal stenosis and mild right neural foraminal narrowing. vertebroplasty cement adjacent to l5 nerve root resulting in mild narrowing of the right neural foramen. 3. on clarithromycin followed by dr. 4. abdominal aortic aneurysm. 5. coronary artery disease. 6. chronic obstructive pulmonary disease/emphysema home oxygen (4l at night, 2l during day). fev1/fvc 59% pred (). 7. bronchiectasis. 8. retinal vein occlusion. 9. r hip fracture/surgery / s/p hardware removal in '. 10. seizures 11. osteoporosis - bone density 12. anemia - chronic social history: patient lives at home with his wife, who also uses home o2. patient ambulates with cane/walker at home. despite dementia, he was independent in his adl's until his recent fracture/surgery family history: non-contributory physical exam: physical exam on admission: pe: t:98.1 bp:91/42 hr:94 o2:100%ra gen: alert, not oriented heent: clear op, mmm neck: supple, no lad, no jvd cv: rr, nl rate. nl , rus1, s2. no murmursbs or lungs: cta, bs bl, no w/r/c abd: soft, nt, nd. nl bs. no hsm ext: no edema. 2+ dp pulses bl, post-op neuro: a, not oriented. cn 2-12 grossly intact. preserved sensation throughout. gait assessment deferred pertinent results: laboratory studies on admission wbc-11.1 hgb-9.1 hct-26.6 mcv-104 rdw-17.3 plt count-233 glucose-207* urea n-13 creat-0.5 sodium-137 potassium-3.9 chloride-106 total co2-28 7.5* phos-2.1* mg-2.1 recent laboratory studies wbc-7.5 hgb-11.7 hct-34.4 mcv-95 rdw-18.8 plt ct-371 glucose-143 urean-11 creat-0.5 na-145 k-3.6 cl-108 hco3-34 angap-7 ekg: baseline artifact. probable sinus rhythm with a single. vertical axis. right bundle-branch block. since the previous tracing of decreased qrs voltage in leads vi-v2 may be related to lead position radiology right hip plain films: the distal femoral component of the tha is excluded from intraoperative frontal film. there has been placement of a right total hip arthroplasty with a cemented acetabular and femoral component. on this single ap view, components are aligned. cxr: no pneumonia or chf. subtle increased interstitial markings at the bases are unchanged ct abdomen: moderate-sized hematoma with residual air pockets from recent surgery adjacent to right hip prosthesis. no extension with into the retroperitoneum or more inferiorly into the thigh. bilateral small pleural effusions, mild subcutaneous edema diffusely and some collection of fluid within the perirectal fat. findings consistent with mild anasarca. stable bilateral adrenal adenomas ct chest: the heart size is normal. extensive aortic and coronary calcifications are identified. there is no axillary, mediastinal or hilar lymphadenopathy. evaluation of the lung parenchyma is somewhat limited by respiratory motion. again seen are numerous small pulmonary nodules which are stable back to . scattered tree-in- opacities are also unchanged. there are moderate bilateral pleural effusions. visualized portions of the upper abdomen are stable with fullness of the adrenal glands again noted. there are no suspicious lytic or sclerotic osseous lesions. degenerative changes of the thoracic spine are noted. right proximal humeral enchondroma or bone infarct is again noted. kub/upright: there is no evidence of free intra-abdominal air. normal bowel gas seen. mild bibasilar atelectasis is identified. there is unchanged appearance of a right prosthetic hip. high-density material overlying the l5 vertebral body unchanged and likely represents a prior history of vertebroplasty. cxr: no evidence of pneumonia. stable small bilateral pleural effusions. pathology right hip: the articular surface of the bone appears focally eburnated with small osteophyte formation of which representative sections are submitted in a-b. decalcified. transthoracic echochardiogram : ef 50%. mid inferior (and probable inferolateral) hypokinesis. trace aortic regurgitation is seen, + mr. brief hospital course: 85 year old male initially admitted to the medical icu with hypotenstion following a right total hip replacement. he was stabilized and transferred to the general medical floor . his hospital course was notable for nstemi, right hip/left groin hematomas, atrial fibrillation, and diarrhea (likely c. diff). 1) hypotension: the patient's post-op hypotension was most likely secondary to nstemi (see below) and peri-op blood loss. his blood pressure stabilized and, at time of discharge, his sbp was 120s. 2) coronary artery disease with nstemi: the patient's troponin peaked at 0.27 on . an echocardiogram was obtained, which showed an ef 50% (down from pre-op pmibi 66%) with mid inferior and probable inferolateral hypokinesis. the cardiology service was consulted, who recommended medical management. he was started on high dose statin, continued on beta-blocker (sotolol), and aspirin. he will follow-up with his cardiologist as an outpatient. 3) supraventricular tachycardia: the patients telemetry monitoring showed a predominantly sinus rhythm with pvcs and occasional runs of atrial fibrillation/flutter along with rare 4-5 beats of nsvt. his sotalol dose was increased to 80 mg daily with improved rate control. 4) mental status change: the cause of the patient's poor mental status, which was clearing by time of discharge, was likely multifactorial - delirium due to multiple acute illnesses (diarrhea, recent surgery/anesthesia, pain) superimposed on his underlying dementia. the patient was restarted on namenda and donepezil. vitamin b12, rpr, and tsh were within normal limites. the patient was very sensitive to narcotics, and, on the evening of required multiple doses of narcan for depressed mental status. at time of discharge, his pain was controlled on standing tylenol with tramadol as needed. 5) right hip and left groin hematomas: these developed while the patient had a supratherapeutic inr. he required 2 tranfusions of prbc (last ), and his inr was reversed with vitamin k and ffp. his hematocrit remained stable (34.4 on discharge), and he was restarted on coumadin. his hematocrit will need to be closely monitored as an outpatient, particularly while he is anticoagulated. 6) anemia: this was likely due to peri-operative bleeding as well as to the hematomas mentioned above. the patient was transfused 6 units of blood in the immediate post-op period, followed by 2 units of blood (the last ) when he developed the above hematomas. further work-up included iron studies (not consistent with deficiency, vitamin b12/folate (not deficient), haptoglobin (not consistent with hemolysis), spep/upep (negative), and fibrinogen (not consistent with dic). his hematocrit on discharge was stable at 34.4. he will need to have his hematocrit monitored closely (especially while he is anticoagulated). 7) right total hip replacement: the patient was followed by the orthopedics service throughout his hospital stay. he will be maintained on coumadin (goal inr 2-2.5) for a total of 6 weeks from surgery (4 additional weeks following discharge). he was briefly on keflex given serosanguinous drainage from the right hip incision site, which was discontinued once the incision was dry. he will follow-up 1 week following discharge for staple removal. 8) diarrhea: the patient developed copious diarrhea while in-house. he was started on empiric metronidazole for suspected c. diff with good effect, although c. diff a toxin was negative x 5. c. diff toxin b is pending at discharge. given clinical improvement, he will continue metronidazole for a 14 day course for presumed c. difficile colitis. 9) copd: the patient was continued on albuterol/atrovent and flovent. he remained stable on his home o2 (2 liters). 10) chronic : the patient was continued on azithromycin. 11) urinary retention: the patient failed multiple voiding trials while in-house (most recent foley placed ). he was started on flomax and should have a repeat voiding trial at rehab. medications on admission: acetaminophen oxycodone 20 mg tablet sustained release 12hr sig oxycodone 5 mg tablet sig calcium carbonate 500 mg tablet cholecalciferol (vitamin d3) 400 unit tablet phenobarbital 30 mg tablet sotalol 80 mg 0.5 tablet daily aspirin 81 mg tablet donepezil 5 mg tablet gabapentin 300 mg capsule docusate sodium 100 mg capsule fluticasone 110 mcg/actuation aerosol albuterol-ipratropium 103-18 mcg/actuation aerosol memantine 5 mg senna enoxaparin 30 mg/0.3 ml pantoprazole 40 mg tablet lidocaine 5 %(700 mg/patch) discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 2. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 3. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po once a day. 4. phenobarbital 30 mg tablet sig: two (2) tablet po bid (2 times a day). 5. sotalol 80 mg tablet sig: one (1) tablet po daily (daily). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 8. gabapentin 300 mg capsule sig: one (1) capsule po qam (once a day (in the morning)). 9. gabapentin 300 mg capsule sig: two (2) capsule po qpm (once a day (in the evening)): at 9 p.m. 10. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 11. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 12. albuterol sulfate 0.083 % solution sig: one (1) neb inhalation q6h (every 6 hours). 13. memantine 5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for dementia. 14. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 15. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 16. azithromycin 250 mg capsule sig: two (2) capsule po q24h (every 24 hours). 17. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 18. mirtazapine 30 mg tablet sig: one (1) tablet po hs (at bedtime). 19. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 5 days: through . tablet(s) 20. tramadol 50 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for pain: hold for oversedation. 21. warfarin 2 mg tablet sig: one (1) tablet po hs (at bedtime) for 4 weeks: to complete 6 weeks of anticoagulation from surgery. 22. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed: to groin. discharge disposition: extended care facility: - discharge diagnosis: primary: total hip replacement for avascular necrosis secondary: hypotension, coronary artery disease, nstemi, congestive heart failure, atrial fibrillation, right thigh/left groin hematoma, anemia, myocbacterium avium complex, diarrhea discharge condition: stable discharge instructions: 1) please take all medications as prescribed. - you have been started on atorvastatin - you will complete a 14 day course of metronidazole for c. diff colitis; it is important that you not drink alochol while taking this medication. - flomax was added to your regimen for benign prostatic hypertrophy - you have been started on anticoagulation to prevent clots following surgery; you will continue this for 4 weeks following discharge. 2) please follow-up as indicated below. 2) please come to the emergency room if you develop chest pain, shortness of breath, increased pain, or other symptoms that concern you. followup instructions: 1) orthopedics provider: , md phone: date/time: 3:00 - plan for staple removal at that time 2) primary care: please follow-up with your pcp . () within 1-2 weeks following discharge. 3) pulmonary: provider: . /dr. phone: date/time: 12:00 provider: breathing tests phone: date/time: 11:40 md procedure: transfusion of packed cells transfusion of other serum total hip replacement diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified atrial fibrillation hematoma complicating a procedure other persistent mental disorders due to conditions classified elsewhere systolic heart failure, unspecified osteoporosis, unspecified intestinal infection due to clostridium difficile retention of urine, unspecified aseptic necrosis of head and neck of femur delirium due to conditions classified elsewhere late effect of fracture of neck of femur major osseous defects late effects of injury, undetermined whether accidentally or purposely inflicted osteoarthrosis, localized, primary, pelvic region and thigh 

Answer: The patient is high likely exposed to