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: complex left cystic adnexal mass, bilateral cystic adnexal masses, and left colon cancer. major surgical or invasive procedure: laparoscopic left colectomy laparoscopic bilateral salpingo-oophorectomy history of present illness: a -year-old woman who presented with symptoms of obstruction who was found to have descending colon cancer as well as ovarian cyst. the risks and benefits including but not limited to infection, bleeding, leak, the need for more procedures, hernia, pneumonia, death and heart attack were discussed. the patient consented and agreed. past medical history: pmh: hypertension hyperlipidemia postural dizziness social history: patient lives alone independently, daughter lives in and son in . daughter-in-law lives close by and frequently visits the patient. she is very active and frequently does yard work on her own. physical exam: general: appears well, ambulating the floor independently, toelrating a regular diet, +flatus, appropriate amount of pain. vs: tmac: 99.0 tcurrent: 97.7 hr: 59 bp: 129/71 rr:16 sao2:98 ra' general: a&ox3 cardiac: rrr lungs: cta bil abdominal: soft, nontender, nondistended, no rebound/gaurding wound: cd&i, all laparoscopic sites covered with staples pertinent results: 05:30am blood wbc-12.4* rbc-2.97* hgb-9.5* hct-29.4* mcv-99* mch-32.1* mchc-32.5 rdw-14.6 plt ct-216 04:06am blood wbc-14.6*# rbc-2.86* hgb-9.3* hct-27.7* mcv-97 mch-32.5* mchc-33.5 rdw-14.5 plt ct-228 10:06pm blood hct-27.6* 09:25am blood wbc-9.2# rbc-3.38* hgb-11.2* hct-32.7* mcv-97 mch-33.1* mchc-34.1 rdw-14.3 plt ct-307 04:06am blood plt ct-228 09:25am blood plt ct-307 09:25am blood pt-12.4 ptt-22.9 inr(pt)-1.0 05:30am blood glucose-121* urean-9 creat-0.6 na-136 k-3.8 cl-103 hco3-25 angap-12 04:06am blood glucose-132* urean-11 creat-0.6 na-140 k-4.4 cl-107 hco3-23 angap-14 10:06pm blood na-140 k-3.3 cl-104 09:25am blood glucose-104* urean-12 creat-0.8 na-140 k-3.8 cl-102 hco3-30 angap-12 05:30am blood phos-2.5*# mg-2.1 04:06am blood calcium-7.7* phos-4.3 mg-2.2 10:06pm blood mg-2.2 09:25am blood albumin-3.7 calcium-9.4 phos-3.7# mg-2.7* brief hospital course: : yo f was admitted to the 0 s/p laparoscopic left colectomy and b/l salpingooothecectomy complicated by subcutaneous emphysema. subcutaneous emphysema thought to be likely secondary to intraoperative co2 insulfation . on transfer she had hypercarbic respiratory failure. her respiratory acidosis improved with change of ventilator settings and respiratory alkalosis was induced; vent settings were changed again to correct this. sedation was weaned overnight and patient was extubated in the morning. patient was made dnr/dni in discussion with her daughter. from now on will be determined by general surgery and gyn/oncology. the patient was extubated on post-operative day one. she was transferred to the inpatient floor after extubation. . pending on transfer: blood cultures the patient was transferred to the inpatient unit from the in stable condition. she progressed well without any acute event. she was started on a clear liquid diet which she tolerated well and her foley catheter was removed. she was able to void spontaneously. the subcutaneous emphysema from the operating room continued to steadily improve. the patient was cleared by physical therapy to be discharged home with services. the patient has a supportive family and this discharge plan was realistic. the patient continued to ambulate independently and on passed flatus and tolerated a regular diet. the patient was discharged home on post-operative day four in stable condition. medications on admission: nicardipine 20 daily enteric coated aspirin 325 daily valsartan 320 daily atorvastatin 10 daily metoprolol xl 50 daily mvi stool softener qid discharge medications: 1. toprol xl 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 2. valsartan 160 mg tablet sig: two (2) tablet po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. nicardipine 20 mg capsule sig: one (1) capsule po once a day. 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po tid (3 times a day) for 7 days: do not take more than 4000mg of tylenol daily, do not drink alcohol while taking tylenol. disp:*42 tablet(s)* refills:*0* 7. oxycodone 5 mg tablet sig: 0.5 tablet po q4h (every 4 hours) as needed for pain for 5 days: please call the office if you feel the need to take this medication. do not drink alcohol or drive a car while taking this medciation. disp:*10 tablet(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. miralax 17 gram powder in packet sig: one (1) packet po every other day as needed for constipation: please take if constipated. disp:*30 * refills:*0* discharge disposition: home with service facility: , discharge diagnosis: complex left cystic adnexal mass, bilateral cystic adnexal masses, and left colon cancer. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital after a left laparoscopic colectomy and bilateral salpingo-oophrectomy for surgical management of your adnexal masses and left colon cancer. you have recovered from this procedure well and you are now ready to return home. samples from your colon were taken and this tissue has been sent to the pathology department for analysis. you will receive these pathology results at your follow-up appointment. if there is an urgent need for the surgeon to contact you these results they will contact you before this time. you have tolerated a regular diet, passing gas and your pain is controlled with pain medications by mouth. you may return home to finish your recovery. please monitor your bowel function closely. you may or may not have had a bowel movement prior to your discharge which is acceptable, however it is important that you have a bowel movement in the next 2-3 days. after anesthesia it is not uncommon for patient??????s to have some decrease in bowel function but your should not have prolonged constipation. some loose stool and passing of small amounts of dark, old appearing blood are explected however, if you notice that you are passing bright red blood with bowel movments or having loose stool without improvement please call the office or go to the emergency room if the symptoms are severe. if you are taking narcotic pain medications there is a risk that you will have some constipation. please take an over the counter stool softener such as colace, and if the symptoms does not improve call the office. please follow the bowel regimen prescribed for you, you have been prescribed the medication miralax which is a powder that you may take every other day as needed for constipation. if you notice that you are developing loose stools you make take away one bowel medication at a time. if you have any of the following symptoms please call the office for advice or go to the emergency room if severe: increasing abdominal distension, increasing abdominal pain, nausea, vomiting, inability to tolerate food or liquids, prolonges loose stool, or constipation. you have laparoscopic surgical incisions on your abdomen which are closed with internal surtures and staples. these are healing well however it is important that you monitor these areas for signs and symptoms of infection including: increasing redness of the incision lines, white/gree/yellow/malodorous drainage, increased pain at the incision, increased warmth of the skin at the incision, or swelling of the area. please call the office if you develop any of these symptoms or a fever. youmay go to the emergency room if your symptoms are severe. you may shower, pat the incisions dry with a towel do not rub. the small incisions may be left open to the air. your staples will be removed at your post-operative appointment with dr. . please no baths or swimming for 6 weeks after surgery unless told otherwise by dr. . you may continue to take tylenol for pain. please do not take more than 4000mg of tylenol , not drink alcohol while taking tylenol. you will be given a small amount of the medication oxycodone for pain, please take only as needed as you have not taken this medication in the hospital. you should take a half tablet only if needed. if you find thta you are having abdominal pain requiring you to use pain medications please call dr. office. do not drink a car or drink alcohol if taking narcotic pain medicaitons. no heavy lifting greater than 6 lbs for until your first post-operative visit after surgery. please no strenuous activity until this time unless instructed otherwise by dr. or dr. . thank you for allowing us to participate in your care! our hope is that you will have a quick return to your life and usual activities. for a short time you will have visiting nurses check on you at home. good luck! followup instructions: please call the colorectal surgery office at to make an appointment for your first post-operative check with dr. 3 weeks after your discharge from the hospital. please call and make an appointment with your primary care provider to have you staples removed in 7 days. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube laparoscopic removal of both ovaries and tubes at same operative episode laparoscopic left hemicolectomy diagnoses: acidosis pure hypercholesterolemia unspecified essential hypertension other specified intestinal obstruction alkalosis emphysema (subcutaneous) (surgical) resulting from procedure removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation dizziness and giddiness benign neoplasm of ovary malignant neoplasm of descending colon 

Answer: The patient is high likely exposed to