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 attending: chief complaint: right hip pain major surgical or invasive procedure: open reduction with internal fixation right hip history of present illness: 73yo rh f who is pod#1 from r hip repair after a mechanical fall caused a fracture. perioperatively, she has been treated with a beta blocker and now postoperatively she has been started on lovenox for dvt prophylaxis. she was completely normal per her daughter today around 4-5pm, apart from pain, which was controlled with oxycodone (last dose 3pm and no further narcotics). at 8:30pm, however, the ortho pa was paged by the patient's nurse after she was found to have a new left facial droop and was thought to be disoriented and "confused", with slurred speech. we are consulted for concern of an acute infarction. the patient has had no nausea/vomiting and denies headache (in fact, she denies any difficulty or impairment). she denies dysarthria, though her son-in-law attests that her speech is markedly different from baseline. past medical history: pmh: no prior history of mi/cad or stroke no h/o htn osteoporosis copd mv prolapse s/p tah seen by neurology in by for rls (neuro exam with mild peripheral neuropathy only) social history: non smoker, social alcohol family history: nc pertinent results: admission labs: chol 89 triglyc 491 hdl 47 chol/hdl 1.9 ld32 glucose-121* urea n-19 creat-1.0 sodium-141 potassium-3.8 chloride-103 total co2-28 anion gap-14 wbc-6.5 rbc-4.11* hgb-12.4 hct-36.4 mcv-88 mch-30.2 mchc-34.1 rdw-14.1 neuts-69.6 lymphs-24.0 monos-3.7 eos-1.3 basos-1.4 plt count-195 pt-12.0 ptt-26.9 inr(pt)-1.0 : wcc7.3 hgb 10.3 hct 29 plt360 inr 2.4 na 136 k 3.8 cl 100 co2 28 bun 16 cr0.6 ct/cta: 1. no obvious infarcts are noted on the non-contrast ct. however, mri with diffusion-weighted imaging is more sensitive for the detection of acute infarcts. 2. short segment focal stenosis in the pericallosal artery and right middle cerebral artery m2 segment which could be stenoocclusive or thromboembolic. 3. mild atherosclerotic calcification in bilateral cervical internal carotid arteries, close to their origins, with no flow-limiting stenosis. 4. multilevel degenerative disease of the cervical spine, not adequately evaluated on the present study. 5. biapical pleural scarring. mri/mra: limited study due to motion artifact. there are multiple acute infarcts in the distal right mca territory, possibly embolic in etiology. tte: no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a small secundum atrial septal defect is present withbidirectional shunting (small amount). left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the aortic valve leaflets are mildly thickened. no masses or vegetations are seen on the aortic valve. the mitral valve leaflets are structurally normal. no mass or vegetation is seen on the mitral valve. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. ct chest and abdomen 1. no central or segmental pulmonary embolism. 2. small bilateral pleural effusions with associated atelectasis. some small opacities in the right lower lobe are nonspecific, and could be regions of focal atelectasis. 5-mm pulmonary nodule in the right upper lobe. in the absence of known malignancy, followup in one year is recommended. postoperative appearance to the right hip and surrounding soft tissues and muscles consistent with recent surgery. cxr small bilateral pleural effusions with left basilar atelectasis. brief hospital course: mrs. presented to the emergency department complaining of right hip pain after a fall. she was evaluated by the orthopaedics department and found to have a right intertrochanteric hip fracture. she was admitted, consented, and medically cleared for surgery. on , she was prepped and brought down to the operating room for surgery. intra-operatively, she was closely monitored and remained hemodynamically stable. she tolerated the procedure well without any difficulty or complication. post-operatively, she was extubated and transferred to the pacu for further stabilization and monitoring. she was then transferred to the floor for further recovery. on the floor, she remained hemodynamically stable with her pain controlled. on , she had acute onset dysarthria, left facial droop and left arm/leg weakness. on exam, she also had left-sided neglect and anosognosia and was inattentive, falling asleep frequently. ct and mri showed right mca infarction and the patient was transferred to the icu for further monitoring. metoprolol was discontinued and blood pressure allowed to autoregulate. she was started on aspirin 325mg daily, as her previously documented "allergy" consisted only of gi upset. she was also started on zocor for secondary stroke prevention. flp was normal and hba1c 5.7. she had an uneventful icu course and by the next morning, her dysarthria and neglect had improved, leaving her with umn pattern of weakness, affecting her face/arm/leg. transferred to the floor. tte from was unremarkable for source of cardioembolism. tee showed small secundum asd with bidirectional flow, no source of thrombi and no significant aortic arch atheroma. cardioembolic event thought most likely etiology of stroke in presence inr 2.0, so new goal inr 2.5-3.5. cta of the neck showed "short segment focal stenosis in the pericallosal artery and right middle cerebral artery m2 segment" thought to be stenoocclusive or thromboembolic. she was covered with lovenox 60mg and started on coumadin 5mg qhs on , with the plan on continuing for 3-6 months and then transition to aspirin. lenis were negative for dvt. lovenox ceased on as inr therapeutic. inr supraptherapeutic to maximum 6.1 on . coumadin held. today () inr 2.4 and restarting coumadin at 2mg daily. please continue to monitor inr. there was an episode of hypotension overnight responsive to fluid treatment.repeat head ct was unchanged. abdominal ct was negative for retroperitoneal bleed. stools negative for blood. hct dropped to 22.0 and transfused 2 units rbc. conincident with hypotensive episode, increased oxygen requirement occurred with concern for pe in context of perioperative stroke. cta chest negative for pe. ct did show r upper lobe lung nodule which requires follow up scan at 1 year. hematocrit now stable. urinary tract infection was diagnosed on and treatment commenced with ciprofloxacin. switched from tablets to suspension following episode of vomiting. to complete 3 days course (day 2 today). repeat ct chest in 1 year for right upper lobe lung nodule. neurology and orthopedic follow up arranged. medications on admission: actenol discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain/fever. 2. oxycodone 5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 5. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 6. pantoprazole 40 mg recon soln sig: one (1) recon soln intravenous q24h (every 24 hours). 7. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 3 days. 8. warfarin 2 mg tablet sig: one (1) tablet po at bedtime. 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 10. please restart actonel weekly (?dose 30mg qw) discharge disposition: extended care facility: for the aged - macu discharge diagnosis: right hip fracture multiple infarcts in r mca territory likely cardioembolic (af) post operative anaemia-transfused rbc discharge condition: improved: no neurologic deficit. r hip wound healing. discharge instructions: keep the incision clean and dry. you may apply a dry sterile dressing as needed for drainage or comfort. if you have any redness, increased swelling, pain, drainage, shortness of breath, or a temperature greater than 100.5, please call your doctor or go to the emergency room for evaluation. you may bear weight on your right leg. resume all the medication you took prior to admission and take all medication as prescribed by your doctor. feel free to call the orhtopedic office with any questions or concerns regarding the fracture or the neurology service regarding the stroke. followup instructions: 1. neurology: neurology dr tuesday .30 am 8 please bring referral from pcp. 2. orthopedics: please call dr. office @ for a follow up appointment in 4weeks after hospital discharge. 3. pcp: follow up with dr. one week after discharge from rehab. md, procedure: diagnostic ultrasound of heart open reduction of fracture with internal fixation, femur transfusion of packed cells diagnoses: mitral valve disorders urinary tract infection, site not specified acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified unspecified fall osteoporosis, unspecified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other diseases of lung, not elsewhere classified cerebral embolism with cerebral infarction iatrogenic cerebrovascular infarction or hemorrhage closed fracture of intertrochanteric section of neck of femur 

Answer: The patient is high likely exposed to