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: keflex attending: chief complaint: hematoma s/p procedure major surgical or invasive procedure: stenting of the right superficial femoral artery history of present illness: 80m with h/o htn, hl, cad, dm, presented for elective pta and stenting of right femoral/sfa, complicated by large hematoma requiring icu monitoring. . pt with lower extremity pain with rest and activity and open ulcers bilaterally since /. also reported swelling, rednes and scaliness. pt referred for angiography after abi on left was 1.66, left cfa and sfa were biphasic on doppler, left popliteal , dp and pt were monophasic. . procedure was successful to rsfa (ballooned and stented) but complicated by tear of branch of common femoral mid procedure causing large hematoma. an angioseal was placed, protamine given, pressure held on large hematoma. no aneurysm suspected. . ros: dizzy at baseline, denies sob, cp, palpitation, lightheadedness. back pain at center, behind umbilicus. past medical history: 1. cardiac risk factors: diabetes, dyslipidemia, hypertension 2. cardiac history: cad s/p lad stenting in . most recent ett : no ischemia. lvef 63%. 3. other past medical history: -- possible aaa. u/s: difficult study, no aneurysm seen. -- atrial fibrillation on coumadin -- pvd - noninvasive study: rle: moderate to severe atherosclerotic disease. evidence of severe rsfa stenosis and/or occlusion. right abi 0.31. lle: evidence for left sfa stenosis and/or occlusion. abi 1.66. - ct of pelvis and le: right sfa mid vessel occlusion. left popliteal artery focal 70% calcific stenosis at the level of the patella. -- gout -- insomnia -- vitamin b12 deficiency -- copd -- tremor, unsteady gait s/p fall with fractured right ribs (has refused to see neurologist) -- , : cellulitis -- lumbar spondylosis -- chronic back pain with possible compression fractures s/p fall -- full thickness right rotator cuff tear -- cataracts s/p surgery social history: patient is widowed and lives alone. he has five children. he has a history of multiple falls. he does not use a cane or a walker. tobacco: patient smoked for approximately 45 years. quit approximately 15 years ago. etoh: none family history: mother died of chf at age 66 physical exam: general: wdwn male in nad. oriented x3. frustrated heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, dry mucus membranes neck: jvp not elevated cardiac: irregular rhythm, rate 50s lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. left large groin hematoma with dark ecchymosis, no tenderness skin: back with no bruising or signs of retroperitoneal bleeding pertinent results: 09:42pm blood wbc-9.5 rbc-3.91* hgb-11.7* hct-35.0* mcv-90 mch-29.8 mchc-33.3 rdw-16.7* plt ct-143* 06:11am blood wbc-10.7 rbc-3.85* hgb-12.0* hct-34.9* mcv-91 mch-31.1 mchc-34.3 rdw-17.1* plt ct-158 08:15am blood pt-14.4* inr(pt)-1.2* 09:42pm blood glucose-109* urean-28* creat-1.4* na-139 k-4.1 cl-99 hco3-31 angap-13 06:11am blood glucose-100 urean-25* creat-1.3* na-142 k-4.0 cl-101 hco3-31 angap-14 09:42pm blood ck(cpk)-65 cardiology report cardiac cath study date of final diagnosis: 1. peripheral artery disease. 2. successful pta and stenting of the rsfa with a 8.0x60mm zilver stent that was postdilated with a 6.0x20mm viatrac balloon. final angiography revealed no residual stenosis, no angiographically apparent dissection and good distal flow (see pta comments). 3. successful deployment of angioseal closure device. radiology report ct abdomen w/o contrast study date of 3:40 pm preliminary report large subcutaneous hematoma extending from the left groin access site inferiorly to the superior medial thigh, and superiorly to the left iliac crest. no retroperitoneal blood radiology report femoral vascular us left study date of 9:06 am no pseudoaneurysm identified in the left groin. a limited examination was performed due to the large infiltrative hematoma in the left groin. no discrete collection identified. brief hospital course: mr. is an 80 year old male with history of hypertension, hyperlipidemia, cad, diabetes, who presented for elective percutaneous transluminal angioplasty and stenting of right superficial femoral artery, complicated by large hematoma requiring icu monitoring. # left groin hematoma: patient was transfused two units of prbcs, after which his hematocrit remained stable. his coumadin was held in the setting of bleed, but his aspirin and plavix were continued in the setting of recent stenting. left groin ultrasound ruled out aneurysm and av fistula, and noncontrast ct scan ruled out retroperitoneal bleed. ct scan showed extent of large hematoma in subcutaneous tissue. # peripheral vascular disease: right superficial femoral artery was successfully stented by interventional cardiology. the patient was noted to have complication of large left hematoma at the site of entry for the procedure. after the procedure, the patient's right foot was noted to have strong dorsalis pedis pulse and was warm, well perfused, while the left foot felt colder in comparison with dopplerable pulses. . # hypertension: home dose of metoprolol was held overnight in order to monitor hemodynamic status more effectively and in setting of bradycardia with ventricular rates in 50s; metoprolol was restarted prior to discharge. patient may benefit from an ace inhibitor for renal and cardiac protection in the setting of diabetes and heart disease if there are no contraindications to its use in him. . # hyperlipidemia: lipid panel was last checked in the system in , and lipids appear to have been well controlled at that time. patient was continued on home dose atorvastatin during this hospitalization. . # coronary artery disease: patient was continued on aspiring, plavix, statin. his metoprolol was held overnight to monitor his hemodynamic status and was restarted prior to discharge. . # chronic renal insufficiency: patient presumed to have chronic renal insufficiency because creatinine in in system was 1.2, though patient may have had acute issue at that time elevating creatinine; current baseline renal function unclear. creatinine 1.4 prior to angiography, stable at 1.3 prior to discharge. creatinine should be closely monitored after contrast load for procedure in the setting of renal insufficiency. . # diabetes mellitus: patient's metformin was held during hospitalization and is to be restarted the day after discharge. his blood sugars were monitored, and he was placed on an insulin sliding scale during this hospitalization. . # atrail fibrillation: patient is on coumadin at home, which was held overnight in the setting of bleed and restarted the next day when hematoma was found to be stable. patient remained in slow atrial fibrillation, rates in 50s during this hospitalization, likely with some vagal response from groin hematoma. metoprolol was held in the setting of already slow rate. . # copd: home advair was continued. . # gout: patient was continued on home dose allopurinol. medications on admission: allopurinol 300 mg by mouth once a day atorvastatin 40 mg by mouth every evening fluticasone-salmeterol 250 mcg-50 mcg 1 puff twice a day furosemide 20 mg on m/w/f, 2 tablets all other days gabapentin 300 mg by mouth daily l-methylfolate-vit b12-vit b6 2 mg-2.8 mg-25 mg by mouth daily metformin 500 mg by mouth twice a day metoprolol tartrate 25 mg by mouth twice a day omeprazole 20 mg by mouth every morning warfarin 6 mg by mouth every evening, last dose pre angiogram aspirin 325 mg by mouth daily cyanocobalamin 1,000 mcg by mouth daily vit c-vit e-copper-znox-lutein 226 mg-200 unit- mg-0.8 mg-34.8 mg by mouth twice a day vitamin a-vitamin c-vit e-min by mouth twice a day discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. gabapentin 300 mg capsule sig: one (1) capsule po daily (daily). 6. allopurinol 300 mg tablet sig: one (1) tablet po once a day. 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) puff inhalation once a day. 8. furosemide 20 mg tablet sig: as directed tablet po once a day: please take 20mg (1 tab) on mon, wed, fri, please take 40mg (2 tabs) on tue, , sat, sun. 9. l-methylfolate-vit b12-vit b6 2.8-2-25 mg tablet sig: one (1) tablet po once a day. 10. metformin 500 mg tablet sig: one (1) tablet po twice a day. 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po twice a day. 12. famotidine 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. vit c-vit e-copper-znox-lutein 226-200-5 mg-unit-mg capsule sig: one (1) capsule po twice a day. 14. vitamin a-vitamin c-vit e-min tablet sig: one (1) tablet po twice a day. 15. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain for 15 doses. disp:*15 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: 1. hematoma 2. pvd secondary diagnoses: 1. atrial fibrillation 2. copd 3. lumbar spondylosis discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: dear mr. , you were admitted to the hospital after a procedure to stent an artery in your right leg because you had a lot of bleeding into your left groin that we wanted to monitor. we transfused you with two units of blood and monitored you overnight to make sure your blood counts were stable and you did not continue to bleed. your blood counts were stable and you were discharged home. you should not take your coumadin for the next three days. you will be contact by dr. on monday. if you do not hear from him by noon on monday please call him at . please discuss restarting your coumadin at this appointment. also, please discuss whether an ace inhibitor would be beneficial. the following changes have been made to your medications: - stop coumadin until your appointment with dr. on monday** - start plavix 75mg by mouth daily - please do not stop taking this for any reason. only your cardiologist should stop this medication. - stop omeprazole - as this medication interacts with plavix - start famotidine 20mg by mouth daily please be sure to keep all of your followup appointments. please seek medical attention if you experience any symptoms concerning to you. followup instructions: please be sure to keep all of your followup appointments. you will be contact by dr. office on monday . if you do not hear from his office by noon please call them at and schedule an appointment immediately. procedure: angioplasty of other non-coronary vessel(s) arteriography of femoral and other lower extremity arteries insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified atherosclerosis of native arteries of the extremities with intermittent claudication hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation hematoma complicating a procedure chronic kidney disease, unspecified other b-complex deficiencies long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to