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: codeine / hydromorphone attending: chief complaint: left hip pain. major surgical or invasive procedure: complex conversion of failed left dynamic hip compression screw to a cemented left hip hemiarthroplasty with strut allograft, cerclage, trephine, removal of failed deep hardware. history of present illness: hpi: 65 yo f who underwent left tka with dr. and then suffered a left hip fx in 5/. she then underwent orif with a dynamic compression hip screw at an outside hospital. unfortunately the implant failed and the patient suffered from a nonunion, subsequent collapse, and repeat fracture of the hip. she presented for removal of hardware and left hip arthroplasty. past medical history: pmh: niddm, hl, gerd, liver disease (cryptogenic cirrhosis with portal hypertension), daily narcotic use, oa, bipolar disease, esophageal varices, essential tremor, anemia psh: left tka, partial hysterectomy, appendectomy, left hip dhs social history: sh: former smoker, no etoh. married with very supportive husband. family history: noncontributory. physical exam: well appearing in no acute distress afebrile with stable vital signs pain well-controlled respiratory: ctab cardiovascular: rrr gastrointestinal: nt/nd genitourinary: voiding independently neurologic: intact with no focal deficits psychiatric: pleasant, a&o x3 musculoskeletal left lower extremity: * incision healing well with staples * scant serosanguinous drainage * thigh full but soft * no calf tenderness * 5/5 strength ta/gs//fhl * silt dp/sp/t/s/s * toes warm pertinent results: 06:55pm blood wbc-8.6# rbc-3.01* hgb-8.8* hct-26.4* mcv-88 mch-29.1 mchc-33.3 rdw-14.5 plt ct-189# 10:20pm blood wbc-12.6* rbc-3.47* hgb-10.4* hct-29.9* mcv-86 mch-29.9 mchc-34.6 rdw-14.3 plt ct-158 06:55pm blood pt-15.0* ptt-29.7 inr(pt)-1.3* 10:20pm blood pt-14.7* ptt-26.5 inr(pt)-1.3* 10:20pm blood glucose-228* urean-13 creat-0.5 na-138 k-4.5 cl-108 hco3-24 angap-11 08:04am blood wbc-10.9 rbc-3.18* hgb-9.3* hct-27.3* mcv-86 mch-29.2 mchc-34.0 rdw-14.7 plt ct-153 04:39pm blood hct-23.1* 04:53am blood pt-15.3* ptt-26.9 inr(pt)-1.3* 04:53am blood glucose-164* urean-13 creat-0.6 na-138 k-4.4 cl-110* hco3-22 angap-10 calcium-8.6 phos-3.0# mg-1.2* 05:31am blood wbc-7.6 rbc-3.02* hgb-8.9* hct-26.7* mcv-88 mch-29.3 mchc-33.1 rdw-14.7 plt ct-88* 12:50pm blood wbc-7.1 rbc-2.76* hgb-8.1* hct-23.9* mcv-87 mch-29.5 mchc-34.1 rdw-15.0 plt ct-99* 07:10pm blood hct-26.7* 05:31am blood pt-14.6* ptt-26.9 inr(pt)-1.3* 05:31am blood glucose-177* urean-13 creat-0.6 na-133 k-3.6 cl-105 hco3-21* angap-11 calcium-8.4 phos-2.6* mg-1.9 02:20am blood hct-28.1* 05:00am blood wbc-7.3 rbc-3.18* hgb-9.4* hct-27.9* mcv-88 mch-29.6 mchc-33.7 rdw-14.9 plt ct-109* 10:30am blood hct-26.5* 03:00pm blood pt-14.3* inr(pt)-1.2* 05:00am blood glucose-166* urean-20 creat-0.8 na-133 k-3.6 cl-101 hco3-23 angap-13 calcium-8.6 phos-2.6* mg-1.8 05:20am blood wbc-6.4 rbc-2.79* hgb-8.4* hct-24.3* mcv-87 mch-29.9 mchc-34.4 rdw-15.3 plt ct-124* 05:20am blood pt-16.1* inr(pt)-1.4* 05:20am blood glucose-128* urean-21* creat-0.8 na-132* k-3.4 cl-100 hco3-25 angap-10 albumin-2.5* calcium-8.8 phos-2.0* mg-1.6 08:40am blood wbc-5.0 rbc-3.17* hgb-9.7* hct-26.9* mcv-85 mch-30.5 mchc-36.0* rdw-15.6* plt ct-139* 08:40am blood pt-27.1* ptt-35.7* inr(pt)-2.6* 08:40am blood glucose-127* urean-13 creat-0.5 na-136 k-2.6* cl-99 hco3-29 angap-11 albumin-2.8* calcium-8.8 phos-1.5* mg-1.6 brief hospital course: the patient was taken to the operating room on by dr. for a complex hip procedure involving hardware removal and cemented hemiarthroplasty. the procedure consisted of complex conversion of failed left dynamic hip compression screw to a cemented left hip hemiarthroplasty with strut allograft, cerclage, trephine, removal of failed deep hardware. the ebl was 2000cc and uop was 300cc. products infused included cellsaver 300cc, ivf 2000cc, 4u prbc, and 3u ffp. please see operative report for details. the patient tolerated the procedure well but was transferred intubated to the icu secondary to blood loss and concern for coagulopathy. after testing she was found not to have a coagulopathy and her blood volume began to normalize, but she required several transfusions to accomplish this. she was extubated on pod#1 and transferred out of the icu on pod#2. a medicine consult was requested and their recommendations were followed. peri-operative antibiotics (both ancef and vancomycin) were given due to her history of staph aureus colonization (no mrsa documented). lovenox for dvt prophylaxis was used as a bridge to coumadin anticoagulation. coumadin was started on pod#3 in anticipation of at least 6 weeks of anticoagulation. pain was controlled initially with a pca and then transitioned to oral pain meds on pod#2. the foley was removed on pod#4 and the patient was voiding independently thereafter. the surgical dressing was changed on pod#2 and an incisional vac was placed. the vac was removed on pod#4 and the surgical incision was found to be clean and intact without erythema or abnormal drainage. postoperatively the patient was given a total of 6 units prbc with the goal of keeping her hct >26. while in the hospital, the patient was seen daily by physical therapy. labs were checked throughout the hospital course and repleted accordingly. at the time of discharge the patient was tolerating a diabetic diet and feeling well. she was afebrile with stable vital signs. on the day of discharge the patient's hematocrit was stable and her pain was adequately controlled on an oral regimen. the operative extremity was neurovascularly intact and the wound was benign. the patient progressed well with physical therapy. post-operative xrays demonstrated hardware in good position. the patient was discharged to rehab in stable condition. daily report: (pod#0): patient transferred to icu intubated concern for blood loss and possible coagulopathy. poc done by moonlighter. left hip and femur xrays : hardware in good position, no evidence of complication. hct 26.4, inr 1.3, fibrinogen 299. (pod#1): extubated. drain removed. hct 23.1 so stayed in icu. transfused 2 units prbc. mg 1.2 repleted. inr 1.3. (pod#2): hct 26.7. dressing changed and incisional vac placed to 75mm hg continuous suction. repeat hct 23.9, ordered additional 2units prbc. (pod#3): hct 27.9 and inr 1.2. : hct 23.4. asymptomatic. transfused an additional 2 units prbc and gave 10mg iv lasix in between units. inr 1.4, ordered 2mg coumadin. repleted lytes. left hip and femur xrays : hardware in good position, no evidence of complication. : hct 26.9 and inr 2.6. lovenox bridge discontinued. labs notable for low potassium and phosphate: daily supplements started per medicine consult recommendations. discharge to rehab. medications on admission: meds: effexor, zyprexa, lamictal, actonel, ursodiol, primidone, simvastatin, metformin, potassium, lasix, hctz, lactulose, dilaudid, extra-strength tylenol, protonix, colace, iron, mvi all: dilaudid iv, codeine discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain: do not drive, operate machinery, or drink alcohol while taking this medication. as your pain decreases, take fewer tablets and increase the time between doses. take a stool softener to prevent constipation. 2. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: 15-30 mls po q6h (every 6 hours) as needed for dyspepsia. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): hold for loose stools. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day) as needed for constipation. 7. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 8. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 9. multivitamin tablet sig: one (1) tablet po daily (daily). 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 11. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 12. primidone 250 mg tablet sig: one (1) tablet po daily (daily). 13. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 14. lamotrigine 100 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 15. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day) as needed for constipation. 16. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily): 25mg po daily. 17. venlafaxine 75 mg capsule, sust. release 24 hr sig: two (2) capsule, sust. release 24 hr po daily (daily): 150mg po daily. 18. ursodiol 300 mg capsule sig: one (1) capsule po tid (3 times a day). 19. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 20. insulin lispro 100 unit/ml solution sig: 1 - 3 units subcutaneous asdir (as directed): for blood glucose control. 21. olanzapine 5 mg tablet sig: two (2) tablet po hs (at bedtime): 10mg po qhs. 22. acetaminophen 325 mg tablet sig: two (2) tablet po q 8h (every 8 hours): do not exceed 4000mg tylenol per 24hr period. 23. nadolol 20 mg tablet sig: one (1) tablet po daily (daily): hold for sbp<100. 24. rifaximin 200 mg tablet sig: two (2) tablet po tid (3 times a day): 400mg po tid. 25. warfarin 2 mg tablet sig: variable tablet po once daily at 4 pm: goal inr 2.0 - 2.5, last dose 2mg on . 26. dextrose 50% in water (d50w) syringe sig: one (1) syringe intravenous prn (as needed) as needed for hypoglycemia protocol. 27. furosemide 20 mg tablet sig: 0.5 tablet po bid (2 times a day): 10mg . please give potassium supplement at the same time. . 28. potassium & sodium phosphates 280-160-250 mg powder in packet sig: one (1) powder in packet po daily (daily). 29. potassium chloride 20 meq packet sig: two (2) 20meq packets po bid (2 times a day): 40mg . please give lasix at the same time. . discharge disposition: extended care facility: life care center of discharge diagnosis: failed left dynamic hip compression screw with four part intertrochanteric femur fracture and avascular necrosis of the femoral head. discharge condition: avss, hemodynamically stable, pain well-controlled, tolerating a regular diet, voiding independently, ambulating with crutches, neurovascularly intact distally. mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - requires assistance or aid (walker or cane) discharge instructions: 1. please return to the emergency department or notify your physician if you experience any of the following: severe pain not relieved by medication, increased swelling, decreased sensation, difficulty with movement, fevers greater than 101.5, shaking chills, increasing redness or drainage from the incision site, chest pain, shortness of breath or any other concerns. 2. please follow up with your primary physician regarding this admission and any new medications and refills. 3. resume your home medications unless otherwise instructed. while you were in the hospital you were found to have consistently low potassium and phosphate levels. this is dangerous in patients with liver disease because it can cause encephalopathy. we have started potassium and phosphate supplements. your electrolytes should be checked every other day and the doses of potassium and phosphate supplements revised accordingly. goal potassium is and goal phosphate is > 2.5. in addition, your creatinine should be monitored while taking lasix. 4. you have been given medications for pain control. please do not drive, operate heavy machinery, or drink alcohol while taking these medications. as your pain decreases, take fewer tablets and increase the time between doses. this medication can cause constipation, so you should drink plenty of water daily and take a stool softener (such as colace) as needed to prevent this side effect. 5. you may not drive a car until cleared to do so by your surgeon or your primary physician. 6. please keep your wounds clean. you may shower starting five days after surgery, but no tub baths or swimming for at least four weeks. no dressing is needed if wound continues to be non-draining. any stitches or staples that need to be removed will be taken out by the visiting nurse or rehab facility two weeks after your surgery. 7. please call your surgeon's office to confirm your follow-up appointment in four weeks. 8. please do not take any non-steroidal anti-inflammatory medications (nsaids such as celebrex, ibuprofen, advil, aleve, motrin, etc). 9. anticoagulation: please continue coumadin with a goal inr of 2.0 - 2.5. coumadin therapy will continue for at least 6 weeks: total duration of therapy to be determined at your follow-up appointment with dr. . inr should be checked daily at rehab and coumadin dosed accordingly. due to your liver disease, inr may be hypersensitive to coumadin dosage adjustments and should be checked daily. when you leave rehab your inr and coumadin dosing will be followed by your pcp or by in dr. office. inr can then be checked every other day by the vna. please call if there is any confusion about who will follow your inr and adjust your coumadin doses. 10. wound care: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two weeks. 11. vna (once at home): home pt/ot, dressing changes as instructed, wound checks, and staple removal at two weeks after surgery. inr checks and coumadin dosing as above. monitoring of electrolytes (particularly potassium and phosphate) as above. 12. activity: weight bearing as tolerated on the operative extremity. posterior hip precautions and trochanteric osteotomy precautions. no active abduction and no excessive hip flexion, adduction, or internal rotation. abduction pillow while in bed. no strenuous exercise or heavy lifting until follow up appointment. physical therapy: activity: weight bearing as tolerated on the operative extremity. posterior hip precautions and trochanteric osteotomy precautions. no active abduction and no excessive hip flexion, adduction, or internal rotation. abduction pillow while in bed. no strenuous exercise or heavy lifting until follow up appointment. treatments frequency: wound care: please keep your incision clean and dry. it is okay to shower five days after surgery but no tub baths, swimming, or submerging your incision until after your four week checkup. please place a dry sterile dressing on the wound each day if there is drainage, otherwise leave it open to air. check wound regularly for signs of infection such as redness or thick yellow drainage. staples will be removed by the visiting nurse or rehab facility in two weeks. followup instructions: provider: , : date/time: 1:40 procedure: partial hip replacement transfusion of packed cells transfusion of other serum removal of implanted devices from bone, femur diagnoses: esophageal reflux cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension other and unspecified hyperlipidemia hemorrhage complicating a procedure surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation seroma complicating a procedure bipolar disorder, unspecified nonunion of fracture aseptic necrosis of head and neck of femur other mechanical complication of other internal orthopedic device, implant, and graft essential and other specified forms of tremor 

Answer: The patient is high likely exposed to