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: trauma: mvc: injuries: r frontal sah l occipital condyle fx r radial/ulnar fx major surgical or invasive procedure: 1. irrigation and debridement left laceration and removal of foreign body. 2. open reduction internal fixation both bones forearm fracture with plating of the ulna and radius. history of present illness: history of presenting illness this patient is a 50 year old male who complains of mvc. patient s/p single vehicle mvc. no recall of event. + head trauma, forehead laceration. pain and deformity to r distal forearm/wrist. denies any ha, visual changes, neck pain, cp, sob, abd pain. timing: sudden onset quality: sharp severity: moderate duration: minutes location: r arm past medical history: pmh: htn, pe (5 yrs ago) on coumadin, ?clotting d/o social history: unknown family history: nc physical exam: physical examination: upon admission temp: 98.4 hr: 80 bp: 154/88 resp: 14 o(2)sat: 98 normal constitutional: comfortable heent: pupils equal, round and reactive to light, extraocular muscles intact, abrasions to forehead c collar in place chest: clear to auscultation cardiovascular: regular rate and rhythm, normal first and second heart sounds abdominal: soft, nontender, nondistended rectal: nl tone on residnet exam gu/flank: no costovertebral angle tenderness, no midline tenderness extr/back: + pulses, + deformity r wrist, hematoma l forearm skin: no rash, warm and dry neuro: speech fluent psych: normal mood, normal mentation heme//: no petechiae pertinent results: 05:10am blood wbc-10.7 rbc-3.08* hgb-9.6* hct-27.4* mcv-89 mch-31.4 mchc-35.2* rdw-13.2 plt ct-146* 04:20pm blood wbc-11.6* rbc-3.50* hgb-10.6* hct-29.9* mcv-85 mch-30.4 mchc-35.6* rdw-13.1 plt ct-145* 03:17am blood wbc-10.4 rbc-3.46* hgb-10.6* hct-29.3* mcv-85 mch-30.5 mchc-36.0* rdw-13.1 plt ct-144* 05:10am blood plt ct-146* 05:10am blood pt-13.2 ptt-22.5 inr(pt)-1.1 04:20pm blood plt ct-145* 04:20pm blood pt-13.7* ptt-21.1* inr(pt)-1.2* 11:40am blood pt-24.8* ptt-25.3 inr(pt)-2.3* 11:40am blood fibrino-354 05:10am blood glucose-144* urean-15 creat-0.7 na-139 k-3.8 cl-101 hco3-30 angap-12 04:20pm blood glucose-176* urean-22* creat-0.9 na-141 k-3.4 cl-102 hco3-29 angap-13 03:17am blood glucose-190* urean-22* creat-0.9 na-138 k-3.6 cl-100 hco3-27 angap-15 05:10am blood calcium-7.4* phos-2.4* mg-2.1 04:20pm blood calcium-8.1* phos-3.0 mg-2.2 12:14pm blood glucose-165* lactate-2.7* na-136 k-3.6 cl-99* calhco3-24 : ekg: sinus rhythm and occasional ventricular ectopy. left ventricular hypertrophy. prior anterospetal myocardial infarction. no previous tracing available for comparison. : chest x-ray: impression: no acute intrathoracic process. : head cat scan: impression: 1. small right subarachnoid hemorrhage. 2. left occipital condyle fracture, better assessed on accompanying cervical spine ct. : cat scan of abdomen and pelvis: impression: no acute traumatic injury to the torso. : cat scan of the c-spine: impression: 1. left occipital condyle fracture. 2. no cervical spine fracture or malalignment : left knee x-ray: impression: no acute fracture or dislocation. : bilatera wrist x-ray: impression: 1. comminuted fracture of the distal radial diaphysis and displaced fracture of the distal right ulna with volar and radial angulation. 2. 9-mm radiopaque foreign body within the ventral soft tissues of the left mid forearm. no acute fracture or dislocation in the left wrist or forearm. : right fore-arm x-ray: findings: ap and lateral views of the right forearm were obtained. overlying splint/cast placed in the interval since the prior study, partially obscures fine bony detail. there is a displaced fracture of the distal ulnar diaphysis with at least one-shaft width of medial displacement, but with decreased angulation from the prior study. additionally, comminuted fracture of the mid radial diaphysis is seen, with decreased displacement and decrease in angulation since the prior study, but still displaced approximately one-shaft width anteriorly, but without significant angulation. : cat scan of the head: impression: 1. small subarachnoid hemorrhage seen right of the vertex, unchanged in size and distribution from prior study. no evidence of new hemorrhage or infarction. 2. periventricular and white matter hypodensity consistent with chronic small vessel ischemic disease. 3. left occipital condyle fracture, better assessed on prior studies. : fluro. upper ext.: findings: six fluoroscopic spot images are provided, with 15.7 seconds of fluoroscopy time. there has been interval open reduction and internal fixation of the distal diaphyseal radial and ulnar fractures with plate and screw fixation. tiny bone fragment at the dorsal margin of the radius. alignment is anatomic. no new fracture : cat scan of the head: impression: overall no change, with redemonstration of a small amount of right extra-axial hemorrhage : carotid studies: impression: less than 40% stenosis in internal carotid arteries bilaterally brief hospital course: 50 year old gentleman admitted to the acute care service after being involved in a motor vehicle accident. upon admission, he was made npo, given intravenous fluids, and underwent radiographic imaging. he was admitted to the intensive care unit after he was found to have an elevated inr and required reversal with vitamin k and fresh frozen plasma. because of his injuries, he was evaluated by neurology who determined that he had a small sub-arachnoid hemorrhage. no treatment was needed and his neurological status was monitored. his coumadin was held. he was also evaluated by orthopedics after he was reported to have a right ulnar and radial fracture. he was taken to the operating room on where he underwent an irrigation and debridement of a left laceration and removal of foreign body and an open reduction internal fixation both bones forearm fracture with plating of the ulna and radius. his operative course was stable with minimal blood loss and he extubated without incident in the operating room. his post-operative course has been stable. he was evaluated by the social worker to provide additional support to him and his family. he was also evaluated by physical and occupational therapy who made recommendations for his discharge home with vna services. his vital signs are stable and he is afebrile. he is tolerating a regular diet and voiding without difficulty. he is preparing for dishcarge home with follow-up visits with cognitive neurology, neurology, orthopedics and with the acute care service. of note: his coumadin had been on hold since his admission for elevated inr. his current inr is 1.1. he has been cleared by neurology and with the acute care service to resume his coumadin on . he has been instructed to follow-up with his primary care to monitor and dose his coumadin. he will also need his blood sugar repeated since he was running elevated blood sugars while hospitalized. ( he was informed of this) medications on admission: : losartan, hctz, coumadin discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po q4h (every 4 hours): may cause drowsiness. disp:*10 tablet(s)* refills:*0* 2. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 3. hydrochlorothiazide 50 mg tablet sig: one (1) tablet po daily (daily). 4. losartan 50 mg tablet sig: two (2) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation: hold for loose stool. 6. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 7. bariatric commode 8. coumadin 3.5 mg daily except on sunday and wednesday 9. coumadin 1.75 mg on wednesday and sunday discharge disposition: home with service facility: discharge diagnosis: trauma: mva r frontal sah l occipital condyle fx r radial/ulnar fx discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital after you were involved in a motor vehicle accident. you sustained a small bleed in your head and a fracture to your right arm. you were taken to the operating room where you had an open reduction, internal fixation to your right arm. you were evaluated by physical and occupational therapy and recommendations have been made for your discharge home with vna services and with the following instructions: because you had a bleed in your head, please report: *severe headache *visual changes *weakness on one side of your body *difficulty speaking you may resume your coumadin on you have a splint on your right arm, please report: *increased numbness fingers *increased swelling fingers *decreased sensation in fingers you will need to wear the cervical collar at all time for weeks. followup instructions: please follow up with cognitive neurology in weeks. you can scheudle this appointment by calling # please follow-up with your primary care provider on discharge to monitor your pt/inr for your coumadin dosing follow up with orthopedics in 2 weeks. you can schedule your appointment with dr. nurse practitioner, at # follow up in clinic in weeks. you can scheudule this appointment by calling # please follow up with in clinic in 2 weeks. dr. telephone number is #. please let the office know that you will need a non-contrast head cat scan prior to your visit. please follow up with ortho-spine, dr. office in weeks. the telephone number is # md procedure: incision with removal of foreign body or device from skin and subcutaneous tissue open reduction of fracture with internal fixation, radius and ulna diagnoses: abnormal coagulation profile unspecified essential hypertension long-term (current) use of insulin long-term (current) use of anticoagulants personal history of venous thrombosis and embolism anticoagulants causing adverse effects in therapeutic use motor vehicle traffic accident of unspecified nature injuring driver of motor vehicle other than motorcycle closed fracture of base of skull with subarachnoid, subdural, and extradural hemorrhage, with loss of consciousness of unspecified duration open wound of forearm, complicated closed fracture of shaft of radius with ulna chronic venous embolism and thrombosis of deep vessels of proximal lower extremity 

Answer: The patient is high likely exposed to