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: right adnexal mass major surgical or invasive procedure: laparoscopic -> laparotomy salpingo-oophorectomy, small bowel resection and reanastomosis, appendectomy for right adnexal mass with significant small bowel adhesions history of present illness: ms. is 47f with history of stage iii colon cancer s/p l hemicolectomy 3 months ago, found to have r adnexal mass now s/p laparatomy b/l salpingo-oophorectomy and small bowel resection. it was initially planned to have laparascopic b/l salpingo-oophorectomy, however, because of small bowel adhesions, the case was converted to open laparatomy. colorectal surgery was also consulted, and assisted with small bowel resection. frozen path from the or showed evidence of metastatic colon cancer. the patient had a jp drain left in place. during the procedure, the patient dropped her pressures to the 40s systolic. she was started on phenylephrine and ultimately required 0.6 before it was weaned down; systolic pressures were as high as 150s. the patient had an intraoperative ebl of 1l, and was given 900cc lr. it was thought that her hypotension was due to not enough fluid resucitation. she also received 1u prbc prior to arrival to the . the patient had a foley placed and made about 15cc urine during the procedure (she still makes some urine at her baseline). on arrival to the , the patient reports feeling tired. denied having any chest pain or shortness of breath. denied any abdominal pain. no pain with urination. denied any dizziness or light-headedness. reports having some nausea. past medical history: htn, hld, dm, hpth, esrd (hd x 3 yrs, mwf schedule, on transplant list), anemia, depression . past surgical history: lue avf, c-section , lsc l hemicolectomy social history: denies h/o tobacco use, denies etoh consumption, and denies recreational drug use. lives with children. unemployed. family history: her mother has a history of diabetes and cad. father died of lung cancer (was a smoker). she denies any other family history of cancers, specifically no history of uterine, breast, ovarian cancer, or colon cancer. physical exam: icu admission exam: vs: 97.7 125/73 76 19 96 on 2l general: lethargic, but arousable woman, nad, laying comfortably in bed, alert and appropriate heent: sclera anicteric, mmm, oropharynx clear cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, slightly decreased inspiratory effort secondary to pain abdomen: lower abdominal dressing, with areas of bright red blood seeping through gauze, abdomen softly distended, no tenderness to soft palpation, no bowel sounds appreciated, jp full of bright red blood ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema. lue fistula pertinent results: admission: 09:13pm pt-14.2* ptt-31.0 inr(pt)-1.3* 09:13pm plt count-225 09:13pm wbc-12.1*# rbc-3.13* hgb-9.2* hct-28.7*# mcv-92 mch-29.3 mchc-32.0 rdw-17.0* 09:13pm calcium-8.5 phosphate-4.4 magnesium-1.9 09:13pm ck-mb-3 ctropnt-0.06* 09:13pm ck(cpk)-142 09:13pm glucose-226* urea n-24* creat-6.4* sodium-138 potassium-5.8* chloride-103 total co2-29 anion gap-12 10:47pm fibrinoge-247 10:47pm fdp-10-40* 10:47pm pt-13.4* ptt-28.1 inr(pt)-1.2* 10:47pm plt count-245 10:47pm wbc-12.1* rbc-3.02* hgb-8.8* hct-27.8* mcv-92 mch-29.3 mchc-31.8 rdw-16.4* 11:10pm lactate-1.7 unilat up ext veins us left study date of impression: 1. no evidence of deep venous thrombosis. 2. patent left arteriovenous dialysis fistula. if there is concern for fistula malfunction, consider fistulogram. neurophysiology eeg impression: this is an abnormal waking eeg because of generalized slowing and infrequent generalized slow sharp waves. these findings are indicative of moderate encephalopathy which is etiologically non-specific. there are no seizures or epileptiform discharges recorded. brief hospital course: ms. is 47f with history of colon cancer, and likely new metastatic disease, esrd on hd, htn, dm who is s/p bilateral salpingo-oophorectomy and small bowel resection. *) hypotension: the patient developed acute hypotension during her procedure, likely in the setting of acute blood loss. she was admitted to the icu for close monitoring. she continued to have significant blood drainage from jp over first 12-24 hours, which subsequently decreased. hematocrit was checked every 6 hours initially until blood volume stabilized. patient was transfused as needed to keep hct >10. she was given fluid boluses to maintain a map over 65 and blood pressures improved. *) metastatic colon cancer s/p exlap: the patient had b/l salpingo-oophorectomy and small bowel resection. patient followed by dr for oncology and will follow up as outpatient. *) esrd on hd: the patient has esrd on hd. she was seen by renal and dialyzed as recommended. she tolerated this well. volume status and electrolytes were monitored. sevelemer and nephrocaps were cotinued. *) htn: patient has chronic hypertension. anti-hypertensives were initially held in the setting of acute hypotension. these medications were restarted after volume resuscitation as systolic blood pressures increased to a max of 200. hypertension likely secondary to volume resuscitation and holding anti-hypertensives. the patient remained asymptomatic without any neurological deficits. hydralazine was administered in settting of severe hypertension. hemodyalysis was performed the following day and systolic blood pressures improved. patient then restarted on home dose of labetalol. *) dm: the patient is on humalog iss and lantus at home. lantus was held in setting of being npo and restarted as diet advanced. lantus dose was decreased to 4units qhs as patient had episode of blood glucose to 40's on hd6 likely secondary to decreased po intake following surgery. patient was discharged on pod 6 in stable condition with follow up scheduled with dr , dr , and with her pcp. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. amlodipine 10 mg po daily 2. lantus *nf* (insulin glargine) 100 unit/ml subcutaneous 6 units at bedtime 3. humalog *nf* (insulin lispro) 100 unit/ml subcutaneous units per sliding scale 4 times a day 4. labetalol 300 mg po bid 5. lisinopril 20 mg po daily 6. sevelamer carbonate 800 mg po tid w/meals 7. simvastatin 10 mg po daily 8. aspirin 81 mg po daily 9. renal caps *nf* (b complex-vitamin c-folic acid) 1 mg oral daily discharge medications: 1. amlodipine 10 mg po daily 2. labetalol 300 mg po bid 3. lisinopril 20 mg po daily 4. sevelamer carbonate 800 mg po tid w/meals 5. lantus *nf* (insulin glargine) 100 unit/ml subcutaneous 4 units at bedtime 6. renal caps *nf* (b complex-vitamin c-folic acid) 1 mg oral daily 7. simvastatin 10 mg po daily 8. humalog *nf* (insulin lispro) 100 unit/ml subcutaneous units per sliding scale 4 times a day 9. aspirin 81 mg po daily 10. docusate sodium 100 mg po bid rx *docusate sodium 100 mg 1 capsule(s) by mouth twice daily disp #*60 capsule refills:*0 11. oxycodone-acetaminophen (5mg-325mg) 1 tab po q4h:prn pain rx *oxycodone-acetaminophen 5 mg-325 mg 1 tablet(s) by mouth every 4 hours disp #*30 tablet refills:*0 discharge disposition: home discharge diagnosis: metastatic colon cancer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms you were admitted to the gynecologic oncology service after undergoing the procedures listed below. you have recovered well after your operation, and the team feels that you are safe to be discharged home. please follow these instructions: general instructions: * take your medications as prescribed. * do not drive while taking narcotics. * do not combine narcotic and sedative medications or alcohol * do not take more than 4000mg acetaminophen (apap) in 24 hrs * no strenuous activity until your post-op appointment * you may eat a regular diet incision care: * you may shower and allow soapy water to run over incision; no scrubbing of incision. no bath tubs for 6 weeks. * your staples will be removed at your follow-up visit. to reach medical records to get the records from this hospitalization sent to your doctor at home, call . followup instructions: you have an appointment with dr , md , at 9:30am for removal of staples. phone: date/time: 9:30 you have an appointment with dr , md at 11am phone: date/time: 11:00 you have an appointment with dr , md at 10am phone: date/time: 10:00 procedure: other partial resection of small intestine hemodialysis other removal of both ovaries and tubes at same operative episode other appendectomy laparoscopic lysis of peritoneal adhesions diagnoses: anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia peritoneal adhesions (postoperative) (postinfection) long-term (current) use of insulin personal history of malignant neoplasm of large intestine secondary hyperparathyroidism (of renal origin) awaiting organ transplant status diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy secondary malignant neoplasm of retroperitoneum and peritoneum laparoscopic surgical procedure converted to open procedure secondary malignant neoplasm of large intestine and rectum secondary malignant neoplasm of small intestine including duodenum secondary malignant neoplasm of ovary 

Answer: The patient is high likely exposed to