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: penicillins attending: chief complaint: abdominal pain major surgical or invasive procedure: laparoscopic cholecystectomy history of present illness: 89 yo woman who presented to hospital with abdominal pain. she reports 3-4 days of epigastric pain, nonradiating, with some 3 episodes of bilious emesis. has only been able to take water and pepsi for 3 days prior to adimssion. has never had similar symptoms. abd seems swollen to her. denies diarrhea or urinary symptoms. all other ros negative. ct and labs at osh revealed pancreatitis. given zosyn and levofloxacin. she was transferred to for ongoing care. in , bp 90-108/82, hr 118, t 97.8, rr 18, 98% ra. her ct scan was uploaded into pacs. surgery was consulted, who recommended supportive care and admission to medicine. her lipase was 290 and wbc = 21.3 with 6 bands. ultrasound was performed which showed "sludge balls" but no gb wall edema. she was given ivf, morphine, zofran and ativan. past medical history: pmh htn psh s/p hysterectomy social history: former smoker, quit 20 years ago, 30 pk year history. drinks 1 shot per day, 3-4 times per week (brandy). she lives with her husband in , 2 adult children live near by. contact is daughter, , . with dementia. family history: denies family history of gastrointestinal disorders and cancers. denies family history of other cancers. physical exam: t: 97.9 p: 88-110 bp: 140/80 rr: 16 o2sat: 96%ra general: awake, alert, uncomfortable heent: ncat, eomi, anicteric. mm are dry. heart: rapid rate, irregular, nmrg lungs: ctab no crackles. intermittant tachypnea - ? due to pain back: no cvat abdomen: obese, soft, distended / tympanic to percussion. tender in epigastrium with palpation, no guarding, + rebound. neuro: 5/5 strength x 4. oriented x3, easily able to relate medical history in detail. extremities: wwp, no edema or cyanosis. skin: + psoriasis over elbows pyschiatric: calm, appropriate affect pertinent results: 12:21am lactate-1.4 12:11am glucose-122* urea n-31* creat-1.0 sodium-133 potassium-3.3 chloride-94* total co2-31 anion gap-11 12:11am alt(sgpt)-33 ast(sgot)-70* alk phos-84 tot bili-1.2 12:11am lipase-290* 12:11am albumin-3.7 12:11am wbc-21.3* rbc-4.64 hgb-13.9 hct-39.9 mcv-86 mch-30.0 mchc-34.9 rdw-13.6 12:11am neuts-85* bands-6* lymphs-3* monos-4 eos-0 basos-0 atyps-1* metas-1* myelos-0 12:11am plt count-273 ruq us: gallbladder appears distended with billiary sludge and possibly sludge balls vs. nonshadowing gallstones. no gallbladder wall edema. negative son sign. ct abdomen/pelvis: 1. blurring of pancreatic margins with surrounding peripancreatic stranding extending into the anterior renal fascia with no definite areas of hypoenhancement to suggest necrosis, no definite e/o pseudoaneurysms. findings concerning for uncomplicated pancreatitis. 2. distended gallbladder with billiary sludge and minimal surrounding stranding which may be extension of inflammation from pancreatitis. 3. right small pleural effusion and right atelectasis vs pna. 4. ascites. 5. mildly thickened limbs of bilateral adrenals. 6. 21 x 24 mm rounded structure in the left paraortic region may represent small focal fluid collection vs lymph node. 7. diverticulosis. brief hospital course: mrs is a healthy 89 yo woman admitted with acute pancreatitis. 1. acute pancreatitis, likely secondary to gallstones / sludge. she was treated supportively with bowel rest, iv fluids and iv narcotic analgesia with rapid improvement in her symptoms. she was evaluated by surgery, and taken for a laproscopic cholecystectomy on which she tolerated well. she maintained stable hemodynamics in the pacu and her pain was well controlled. following transfer to the surgical floor she developed rapid atrial fibrillation. her rate was difficult to control with iv lopressor and she was transferred to the icu for further management. **icu course*** # tachycardia: most likely atrial flutter on ekg. given iv lopressor and diltiazem on floor wo effect. no significant cardiac history. on transfer to the icu she was given 15mg iv dilt and started on a drip at 5mg/hr with rapid conversion to normal sinus rhythm: sbp 130s, hr 60s. ekg checked and at nsr. she was started on po diltiazem 30mg qid and dilt drip was discontinued wo difficulty. her hemodynamics were monitored and her lisinopril was not restarted after bp noted to be stable on diltiazem alone. she remained in nsr in the 70's throughout the rest of her recovery. her pcp will follow her after discharge and decide whether diltiazem alone is sufficient for bp control. she was continued on baby aspirin. # sob: likely related to diminished forward flow secondary to rapid atrial rate and poor filling. chest xray noted to have bibasilar atelectasis with small pleural effusions. she was encouraged to increase her use of the incentive spirometer. her symptoms resolved after converting to normal sinus rhythm. following transfer back to the surgical floor she began to make good progress. her diet was gradually advanced and she tolerated it well. she did have some problems with constipation which is a longstanding problem for her but with stool softeners and suppositories she improved. her rhythm remained sinus and her blood pressure was 130/70 on diltiazem 30 mg qid. the physical therapy service evaluated mrs. to assure that she was safe ambulating on her own. she did well with a rolling walker and will continue to use it at home. her abdominal port sites were dry and she was improving daily. she was discharged home on with vna services. medications on admission: lisinopril 10mg qd aspirin 81mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po once a day. discharge disposition: home with service facility: vna and hospice service discharge diagnosis: gallstone pancreatitis. atrial fibrillation 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 with abdominal pain from gallstone pancreatitis. * your gallbladder was removed on . * after the surgery you developed atrial fibrillation which is an irregular heart rate and rhythm which required an icu stay for special iv medication. * currently your heart rate and rhythm is normal with some new medication which you will continue to take at home. your primary care doctor will decide the length of treatment. * you are being discharged home with vna services and the following instructions: you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. please call your doctor or return to the emergency room if you have any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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 have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications except lisinopril and take any new meds as ordered. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: call the acute care clinic at for a follow up appointment in weeks. call dr. for a follow up appointmment in weeks. procedure: laparoscopic cholecystectomy diagnoses: unspecified pleural effusion unspecified essential hypertension acute kidney failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation atrial flutter hypopotassemia disorders of phosphorus metabolism calculus of gallbladder with other cholecystitis, without mention of obstruction acute pancreatitis 

Answer: The patient is high likely exposed to