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: nausea major surgical or invasive procedure: none history of present illness: 80m, nh resident with prior abdominal surgeries presents with almost 24hr of nausea and inability to tolerate pos. started last evening. denies any fever/chills/ab pain/cp/sob. denies any vomitting or burping. states is passing gas, but no bms(chronically constipated). these particular symptoms have never happened before, but has had obstructions per daughter but with much more severe symptoms. past medical history: major recurrent depression, prostate cancer with mets to the spine, lacunar infarct, gastric volvulus s/p gastropexy, hiatal hernia and ventral hernia repair, chronic constipation social history: widowed, nh resident (). grew up in , ny and worked as teacher, sw, guidance counselor. was married and had 2 children; wife passed away in . daughter is a psychiatrist in area. family history: son died of a brain tumor at age 19 in . physical exam: on admission: pe: 96.8 88 145/69 18 97%ra nad aox3 ctab rrr soft nt nd 2 large ventral hernias, left of midline easily reducible, midline more difficult ? reduced, +bs no c/c/e guiac neg, lots impacted stool in vault pertinent results: 06:25am blood wbc-10.8 rbc-3.73* hgb-11.4* hct-34.2* mcv-92 mch-30.6 mchc-33.4 rdw-14.2 plt ct-199 06:25am blood glucose-133* urean-21* creat-0.8 na-144 k-4.3 cl-107 hco3-27 angap-14 10:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-neg 10:30 pm urine site: clean catch **final report ** urine culture (final ): <10,000 organisms/ml. ct abdomen w/contrast 1. moderate grade small-bowel obstruction with transition point noted within a fat and bowel containing umbilical hernia. multiple distal loops of jejunum and ileum are noted to be decompressed. the large bowel displays a moderate fecal load and is largely aerated. no finding to suggest underlying ischemia. 2. heterogeneous but bulk fat-containing exophytic right renal lesion is consistent with an angiomyolipoma. 3. diffusely metastatic prostate cancer with lesions within the pelvis, femurs, spine, and ribs. 4. a polypoid, partially calcified 1.4 x 1.7 cm lesion is noted to extend off the anterior wall of the gastric fundus. likely partially calcified polypoid lesion projecting off the anterior fundal wall. correlation with endoscopy is recommended. a polypoid, partially calcified 1.4 x 1.7 cm lesion is noted to extend off the anterior wall of the gastric fundus (2:9). surgical clips are also noted adjacent to the lower esophageal sphincter. 5. hypoattenuating splenic and left renal lesions, likely benign cysts. brief hospital course: in the ed, ct exam identified a moderate grade small-bowel obstruction with transition point noted within a fat and bowel containing umbilical hernia but no finding to suggest underlying ischemia. he was admitted to the surgery service for further treatment and evaluation. conservative management was begun. hydration was maintained with iv fluids. a foley was placed. serial abdominal exams were performed. a nasogastric tube was placed for decompression and was removed on hospital day 3. diet was advanced first to clear liquids and then to a regular diet. all psychiatric medications were restarted on hospital day 3. foley was removed on hd 3. the patient experienced flatus on hospital day 3 and bowel movements on hospital day 4. per the request of the family, a psychiatric consultation was obtained as the patient was fixating on his clothing. recommendations are as follows: 1) given his recent sbo i am reluctant to increase his zyprexa given anticholinergic side effects until some time has passed from the sbo, so would keep all medications as they are now. can consider increasing his zyprexa to 10mg qhs once his intestinal issues are resolved 2)he will follow up with his outpatient treater, and now is more willing to discuss ect which may be a good treatment option. he also may need an increase in effexor over time as well 3)check tsh if not recently checked. physical therapy deemed the patient appropriate for return to his home facility but recommended physical therapy services. otherwise, the patient was completely compliant with medical care, was not disruptive, and was deemed appropriate with for discharge to his facility. at the time of discharge, the patient was afebrile, and was tolerating food by mouth. medications on admission: : clonazepam - (prescribed by other provider) - 0.25 mg tablet, rapid dissolve - 1 (one) tablet(s) by mouth twice a day leuprolide - (prescribed by other provider) - dosage uncertain mirtazapine - (prescribed by other provider) - 45 mg tablet - 1 (one) tablet(s) by mouth at bedtime olanzapine - (prescribed by other provider) - 7.5 mg tablet - 1 (one) tablet(s) by mouth at bedtime polyethylene glycol 3350 - (prescribed by other provider) - dosage uncertain tamsulosin - 0.4 mg capsule, sust. release 24 hr - 1 (one) capsule(s) by mouth once a day venlafaxine - (prescribed by other provider) - 150 mg capsule, sust. release 24 hr - 1.5 (one and a half) capsule(s) by mouth once a day medications - otc aspirin ] - (otc) - 81 mg tablet, chewable - 1 (one) tablet(s) by mouth once a day calcium - (prescribed by other provider) - dosage uncertain cholecalciferol (vitamin d3) - 400 unit tablet - 1 (one) tablet(s) by mouth once a day cyanocobalamin - (prescribed by other provider) - dosage uncertain garlic - (prescribed by other provider) - dosage uncertain omega-3 fatty acids - (prescribed by other provider) - 1,000 mg capsule - capsule(s) by mouth discharge medications: 1. olanzapine 5 mg tablet, rapid dissolve sig: 1.5 tablet, rapid dissolves po qhs (once a day (at bedtime)). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 3. mirtazapine 15 mg tablet sig: three (3) tablet po hs (at bedtime). 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 5. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 6. venlafaxine 75 mg capsule, sust. release 24 hr sig: three (3) capsule, sust. release 24 hr po daily (daily). 7. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. medications please continue all home medications 10. lupron subcutaneous 11. polyethylene glycol 3350 oral 12. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po once a day. 13. calcium oral 14. cyanocobalamin oral 15. garlic oral 16. omega-3 fatty acids 1,000 mg capsule sig: one (1) capsule po once a day. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: small bowel obstruction discharge condition: good followup instructions: a polypoid lesion on the anterior wall of the gastric fundus was noted on your ct scan. please follow-up with your primary care phyiscian for a possible egd. you have a follow-up appointment with dr. on at 1pm. building, . . please call with questions. please follow-up with your psychiatrist dr. following discharge. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours parenteral infusion of concentrated nutritional substances insertion of endotracheal tube incisional hernia repair other incision of small intestine diagnoses: acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified unspecified essential hypertension personal history of malignant neoplasm of prostate unspecified transient mental disorder in conditions classified elsewhere pneumonitis due to inhalation of food or vomitus secondary malignant neoplasm of bone and bone marrow incisional ventral hernia with obstruction major depressive affective disorder, recurrent episode, unspecified 

Answer: The patient is high likely exposed to