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: aspirin / fosamax / avelox / shellfish derived attending: chief complaint: splenic laceration s/p colonscopy major surgical or invasive procedure: - interventional radiology selective embolization of spleen history of present illness: 75 year old female transferred from an osh after splenic rupture. patient underwent colonscopy on where a colon polyp was discovered. she then presented on to osh with sudden onset on luq pain around 10pm. patient underwent ct scan revealing splenic laceration. patient transferred to for further management. repeat read of ct scan evaluated by radiology shows splenic laceration with questionable blush. labs at time of presentation to showed hct at osh 37.7 with repeat hct 35.7. patient with pain in luq with radiation to her left shoulder blade. she denies any sob, cp or difficulty breathing. patient with no dizziness, lightheadedness or confusion. past medical history: copd spinal stenosis emphysema herniated disk hiatal hernia pshx: knee replacementx2 bladder suspensionx2 hysterectomy cholecystectomy hernia repair x4 right lower lobe lobectomy colonoscopy x2 social history: lives at home family history: non-contributory physical exam: physical exam: gen: a&o, nad heent: no scleral icterus cv: rrr, no m/g/r pulm: ctab abd: soft, nondistended, nontender, no rebound or guarding ext: no le edema, le warm and well perfused pertinent results: - ct abd - splenic laceration with hemoperitoneum and focus of active extravasation. multiple bilateral pulmonary nodules, increased in size and number from prior examination of . nonemergent dedicated chest ct recommended - ct abd/pelvis - 1. new extraperitoneal hematoma intimately associated with the right external iliac and femoral arteries, spanning approximately 13 cm cc. cannot assess for active extravasation in the absence of iv contrast. 2. persistent hemoperitoneum from prior splenic laceration, now collecting more in the dependent pelvis, but overall, not increased. stable hct: 09:20am blood hct-25.8* 06:25pm blood hct-26.7* 05:55am blood hct-25.5* 12:50pm blood hct-28.2* 08:00am blood hct-23.9* 02:46am blood hct-24.9* 04:20pm blood hct-25.9* brief hospital course: the patient was admitted to the acute care service on for evaluation and treatment of splenic lacerations s/p colonoscopy on . abdominal ct scans showed active bleeding from splenic lacerations and patient was for splenic arteriogram and selective embolization on by interventional radiology. follow-up angiogram showed minimal devascularization of the spleen. after the procedure patient was brought to the floor to monitor hemodynamincally and to monitor serial hematocrits. pain was well controlled. patient's condition improved, diet was advanced as tolerated, and patient produced adequate urine output. serial hcts stablized over 96 hours before discharge to home. cv: the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient remained stable from a pulmonary standpoint; vital signs were routinely monitored.. id: the patient was found to have uti and started on a 3-day course of bactrim on and sent home on with remaining doses of medication. endocrine: the patient's blood sugar was monitored throughout his stay; insulin dosing was adjusted accordingly. prophylaxis: the patient received subcutaneous heparin after hematocrit stabilization; was encouraged to get up and ambulate as early as possible. at the time of discharge, the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: medications: --------------- --------------- --------------- --------------- active medication list as of : medications - prescription albuterol sulfate - (prescribed by other provider) - 90 mcg hfa aerosol inhaler - 1 twice a day alprazolam - (prescribed by other provider) - 0.25 mg tablet - tablet(s) by mouth as needed amlodipine - (prescribed by other provider) - 10 mg tablet - tablet(s) by mouth once a day amoxicillin-pot clavulanate - (prescribed by other provider) - 875 mg-125 mg tablet - tablet(s) by mouth before surgery or dentist fluticasone-salmeterol - (prescribed by other provider) - dosage uncertain furosemide - (prescribed by other provider) - 40 mg tablet - tablet(s) by mouth once a day levothyroxine - (prescribed by other provider) - 75 mcg tablet - tablet(s) by mouth once a day omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - capsule(s) by mouth once a day simvastatin - (prescribed by other provider) - 20 mg tablet - tablet(s) by mouth at bedtime tiotropium bromide - (prescribed by other provider) - 18 mcg capsule, w/inhalation device - 2 once a day medications - otc acetaminophen - (prescribed by other provider) - 650 mg tablet sustained release - 2 tablet(s) by mouth as needed calcium carbonate - (prescribed by other provider) - 600 mg (1,500 mg) tablet - 2 tablet(s) by mouth at bedtime cetirizine - (prescribed by other provider) - 10 mg capsule - capsule(s) by mouth as needed for allergy symptoms docusate sodium liqui-gels] - (prescribed by other provider) - 100 mg capsule - capsule(s) by mouth at bedtime echinacea - (prescribed by other provider) - dosage uncertain multivitamins-minerals-lutein - (prescribed by other provider) - tablet - tablet(s) by mouth at bedtime --------------- --------------- --------------- --------------- discharge medications: 1. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 weeks. disp:*14 tablet(s)* refills:*0* 2. percocet 5-325 mg tablet sig: one (1) tablet po every hours as needed for pain for 1 weeks. disp:*30 tablet(s)* refills:*0* 3. colace 100 mg capsule sig: one (1) capsule po twice a day for 1 weeks. disp:*14 capsule(s)* refills:*0* 4. sulfamethoxazole-trimethoprim 800-160 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 days. disp:*4 tablet(s)* refills:*0* patient will resume home medications. discharge disposition: home discharge diagnosis: splenic laceration discharge condition: stable. alert and oriented. ambulating. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. followup instructions: please follow-up with clinic in one week, call . will discuss possible colonic polyp resection. procedure: arteriography of other intra-abdominal arteries other endovascular procedures on other vessels diagnoses: urinary tract infection, site not specified unspecified acquired hypothyroidism accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia anxiety state, unspecified other emphysema hemoperitoneum (nontraumatic) accidental cut, puncture, perforation or hemorrhage during endoscopic examination injury to spleen without mention of open wound into cavity, capsular tears, without major disruption of parenchyma 

Answer: The patient is high likely exposed to