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: compazine / adhesive tape / mold/yeast/dust attending: chief complaint: hypotension post-op major surgical or invasive procedure: medial thigh lift, mastopexy, l arm scar revision and autologous fat transfer to face, liposuction thighs history of present illness: ms. is a 46yo f w/ a pmh of morbid obesity s/p rygb and paniculectomy who presents for complex plastic surgery today (s/p medial thigh lift, mastopexy, l arm scar revision and autologous fat transfer to face, liposuction thighs) who was hypotensive post-operatively. her bp fluctuated intraoperatively from 60s-170s, though they trended down towards the end of her procedure to the 90s. anethesia details are as follows: intraop: ivf = 3700/1230 (300 ebl); pacu: ivf = 2550/110 bolus meds: midazolam 2mg, fentanyl 250mcg, propofol 200mg, ephedrine 75mg, dexamethasone 8mg, glycopyrrolate 0.6mg, clonidine 0.1mg, succinylcholine 120mg, cefazolin 6gm, hydromorphone 6mg, phenylephrine 1000mcg, ondansetron 4mg. infusion meds: ketamine 83.62mg, phenylephrine 15.81mg, bupivicaine 0.1% 65.97mg . postop in pacu: bp dropped to 70/40 -> started neo. bp improved to 100s-110s systolic. sats stable 99-100% on 3l nc. bupivicaine was discontinued at 1740. neosynephrine was started w/ improvement in sbp. started on dilaudid pca at . ms contin 120mg po x1 given at . epidural catheter was removed at 2045 due to dense lle numbness/paresthesia and slow recovery of function. ketamine gtt was started at in its place, with the idea that it would help her wean off of neosynephrine. sbp remained in the 80s so patient was transferred to the for further monitoring. . on arrival to the , the patient was mentating well. foley catheter was in place and draining clear yellow urine. pt was awake and interactive, but sometimes slow to respond. pupils were pinpoint but she was aaox3 and answered all questions appropriately. states that she was in pain in her mid-section and in her breasts, but denied pain in any other location. she was using her pca frequently and states that she will need "a lot" of dilaudid. her only other complaint was numbness in her lle from her toes to her knee that is gradually improving. . ros: denies fevers, chills, dizziness, lh, vision changes, uri sx, , , chest pain, palpitations, n/v/d, hematuria, dysuria, le edema, numbness or tingling in her hands or feet, bruising, or bleeding + for constipation; + numbness in lle from toes to knee past medical history: # morbid obesity # rygb - successful 250 lb weight loss # bilateral pe s/p tpa # dvt (on ocps), (s/p surgery) # s/p paniculectomy complicated by wound dehiscience # menorrhagia # discoid lupus # spinal stenosis social history: works as a clinical social worker at . no tob, no etoh, no recreational drug use. family history: pgf w/ dm; mgm w/ heart failure; m is a breast cancer survivor, also has osteoporosis and hiatal hernia. has 2 younger sisters, both of whom are healthy. no h/o blood clots or bleeding. physical exam: vs - t 96.1, bp 83-121/38-63, hr 53-77, rr 11-17, sats 97-100% 3l nc wt 97.8kg gen: wdwn middle aged female in nad. heent: sclera anicteric. pupils pinpoint, minimally reactive bilaterally. op clear. l ej in place, l subclavian. both lines are nontender, w/o any erythema. cv: bradycardic, regular, normal s1, s2. no m/r/g. lungs: cta anteriorly and at bases bilaterally. no crackles, wheezes, rhonchi. abd: soft, ntnd. multiple bandages along her lower abdomen, c/d/i. ext: no pitting edema. ext warm, well perfused. no cyanosis. 2+ radial and dp pulses bilaterally. oozing wound in r upper thigh, nontender to palpation. multiple port entry sites in lue, dsg c/d/i. neuro: aaox3. pupils pinpoint, but pt responding to questions appropriately. cn otherwise appear intact. strength in ue are at triceps, biceps and deltoids. strength is on dorsiflexion and plantarflexion bilaterally. pt can raise legs off bed bilaterally, bending at knee on own bilaterally. sensation to lt intact in ue bilaterally and in le bilaterally. pertinent results: 07:04pm hct-32.4* 11:34am hct-21.7* 11:37am hct-25.5* brief hospital course: a/p: 46yo f w/ a pmh of morbid obesity s/p plastic surgery who was admitted to the for post-operative hypotension due to oversedation and intraoperative blood loss. . hypotension. patient had hypotension due to volume loss intraoperatively and pain medication/oversedation. she was initially treated with ivfs and neosynephrine drip. she was weaned off the neosynephrine drip within 24 hours. cvp improved with ivf boluses. patient was mentating well and had good urine output throughout stay. bp was in ??? upon discharge. . anemia. hematocrit was initially 41.4 on and dropped to 21 following surgery. patient was transfused 2 units prbcs. . s/p multiple plastic surgery procedures. patient had extensive surgery with intraoperative time of 9hrs 25 minutes. estimated blood loss of 300cc. patient was given cefazolin 1gm iv q8 and given lovenox for post-op dvt prophylaxis. . pain. pt has chronic pain issues, for which she is followed at pain clinic (bilateral hip pain, nerve pain in her lue, and spinal stenosis). at home, she takes: lyrica, cymbalta, , oxycodone, butalbital/apap, tigan, ketorolac, alprazolam. patient was initially treated with ketamine drip and dilaudid pca, which was stopped on . patient was treated with oxycontin, oxycodone, ms contin, cymbalta, and lyrica. pain appeared well controlled. . communication: w/ patient and her husband #; # (cell); hcp is pt's sister . full code . medications on admission: (ms contin) 120mg po bid lyrica 150mg po tid cymbalta 60mg po qd oxycodone 20mg po q4 prn butalbital/apap/caffeine/codeine 60mg po q6h prn tigan 300mg po prn ketorolac 10mg po qid prn alprazolam .25mg tab po tid prn (takes 0.75mg po qhs) protonix 40mg po qd triamterene 37.5/hctz 25mg po qd **for "water weight", not htn lactulose prn mvi polyethylene glycol qd prn vitamin c benadryl 50mg po qd prn discharge medications: 1. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous qd (). disp:*7 * refills:*0* 2. hydromorphone 4 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 3. duricef 500 mg capsule sig: one (1) capsule po twice a day. disp:*28 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: 1.s/p medial thigh lift, mastopexy, l arm scar revision and autologous fat transfer to face, liposuction thighs discharge condition: good discharge instructions: you were admitted to the hospital for your surgery. your post-operative course was complicatted by low blood pressure which required icu care for a brief time period. please return to the hospital if you experience fevers greater then 101.4, chills, or other signs of infection. also return to the hospital if you experience chest pain, shortness of breath, redness, swelling, or purulent discharge from the incision site. return if you experience worsening pain or any other concerning symptoms. certain pain medications may have side effects such as drowsiness. do not operate heavy machinery while on these medications. certain pain medications such as percocet or codeine can cause constipation. if needed you can take a stool softner such as colace (one capsule) or gentle laxative (such as milk of magnesia) once per day. restart taking all your regular medications once you arrive at home. . please do not place any pressure at the surgical site. . please resume previous medications as prior to your surgery. please take pain medications and stool softener as prescribed. . please follow-up as directed. followup instructions: please f/u with dr. as scheduled. procedure: reconstruction of eyelid with hair follicle graft other local excision or destruction of lesion or tissue of skin and subcutaneous tissue transfusion of packed cells size reduction plastic operation mastopexy mastopexy diagnoses: other iatrogenic hypotension acute posthemorrhagic anemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation bariatric surgery status spinal stenosis, lumbar region, without neurogenic claudication lupus erythematosus other specified hypertrophic and atrophic conditions of skin 

Answer: The patient is high likely exposed to