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: patient recorded as having no known allergies to drugs attending: chief complaint: bilateral calf claudication with left > right symptoms major surgical or invasive procedure: left angioplasty with stenting of ,,and left cfa-pt bpg w issvg, angioscopy and valve lysis history of present illness: patient refered to dr. for bilateral calf claudication . left greater than right. angio : diffuse atherosclerosis and calcified aorta, bilateral renal artery stenosis, mild to moderated rcia disease,rt. cfa mild to moderate disease, sfa occludes and reconstructs at adductor canal.disease ak and mid . a. at with mild stenosis,pt occluded thruout, small disease peroneal. dp fills by at with moderaate stenosis on the foot. left cia with severe focal stenosis, liia small and diffusley diseased. with mild to moderate disease. left cfa with severe stenosis.pfa patent. sfa occluded but reconstutes at ak . diffuse to moderate disease of bkpop. at with roximal stenosis and occludes at calf. tp very small and diffusely diseased. peroneal occluded. pt occludes proximally but reconstutes in mid calf and supplies foot perfusion. patient returns now for elective left leg revascularization. past medical history: history of pvd history of hypertension histoy of ischemic heart disease, stable angina, s/p cabg's history of caroitd disease with occluded and s/p rt. cea history of tobacco use, current 1ppd history of + stress with fixed inferolateral wall defect, no ischemia social history: married, lives with spouse tobacco, 1ppd, current etoh + family history: unknown physical exam: vital signs: afebrile,p54-18 2 sat 98% room air 166/89 gen: alert oriented x3, no acute distress heent: bilateral carotid bruits,perrla, no lad, no thyroidmegly lungs: clear to auscultation heart: rrr, no mumur,gallop or rub abd: soft, nontender, nondistended. no masses pv: pulses: palpable bilateral femoral s, dopperable dp bilaterally, absent pt's bilaterally.left foot cool. right foot pink,warm neuro: grossly intact. pertinent results: 06:11pm glucose-105 urea n-12 creat-0.9 sodium-139 potassium-3.3 chloride-106 total co2-25 anion gap-11 06:11pm calcium-8.1* phosphate-3.3 magnesium-1.6 06:11pm wbc-9.9 rbc-3.53* hgb-11.8* hct-33.2* mcv-94 mch-33.4* mchc-35.5* rdw-13.6 06:11pm plt count-176 05:21pm type-art po2-182* pco2-37 ph-7.46* total co2-27 base xs-3 vent-controlled 05:21pm glucose-104 lactate-1.8 na+-140 k+-3.4* cl--109 05:21pm hgb-11.1* calchct-33 05:21pm freeca-1.08* 04:29pm type-art o2-50 po2-167* pco2-39 ph-7.45 total co2-28 base xs-3 intubated-intubated 04:29pm glucose-110* lactate-1.5 na+-140 k+-3.4* cl--107 04:29pm freeca-1.08* 03:36pm type-art o2-50 po2-168* pco2-38 ph-7.45 total co2-27 base xs-3 intubated-intubated vent-controlled 03:36pm glucose-115* lactate-1.7 na+-140 k+-3.1* cl--107 03:36pm hgb-11.9* calchct-36 o2 sat-97 03:36pm freeca-1.08* 02:36pm type-art po2-164* pco2-41 ph-7.42 total co2-28 base xs-2 intubated-intubated 02:36pm glucose-120* lactate-2.0 na+-139 k+-3.7 cl--104 02:36pm hgb-12.5* calchct-38 o2 sat-98 02:36pm freeca-1.11* 12:30pm glucose-89 urea n-15 creat-1.1 sodium-141 potassium-3.4 chloride-98 total co2-27 anion gap-19 12:30pm wbc-10.2 rbc-4.27* hgb-13.3* hct-38.9* mcv-91 mch-31.1 mchc-34.1 rdw-13.7 12:30pm plt count-249 12:30pm pt-13.2* ptt-27.7 inr(pt)-1.2* 12:30pm urine color-yellow appear-clear sp -1.010 12:30pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 12:30pm urine rbc-0 wbc-0 bacteria-none yeast-none epi-<1 brief hospital course: -: patient was admitted to for his procedure. he was prepared and consented for surgery as per standard and brought to the operating room where he underwent anesthesia. he was draped and prepared for surgery in a sterile fashion. there were no intraoperative complications. the patient was brought to the recovery room in a stable manner. . -: the patient remained int he vicu and his diet was advanced and he was given oral pain medications. overnight, he had one episode of severe coughing, after which he began to bleed from the most superior aspect of his incision. his dressing was changed, after pressure was applied. he received one unit of packed red blood cells on this day. . -: the patient had episodes of confusion and anxiety overnight; he had been given one unit of prbc with improved symptoms; overnight, he was convinced he had had a stroke, and was not orientated to place. in the morning, he removed his surgical dressings and took out his central line. he got out of bed and into a chair; he was given haldol po in the afternoon for symptoms of anxiety, distress and confusion. he complained of right knee pain. . - - pod3: mr remained slightly confused but did improve from the prior day. he got out of bed into his chair and lightly ambulated around his room. his incision continued to drain blood, just above the knee. a pressure dressing was applied and changes 5 times throughout the course of the day. . -: the patient's incision continued to drain above the knee despite a pressure dressing. four 3-0 silk interuppted sutures were placed in the area of drainage and a pressure dressing applied. the patient was still slightly anxious, but again improved from the prior day. he did complain of some new visual changes - a ct head was ordered which showed a triangular area hy hypodensity. a neurology consult was called, who reccomended an mri of the head, and a cta or mra of the head and neck. he was started on seroquel 25 . . -:seroquel adjusted to hs only, per neurology's suggestion. head ct obtained ct head c/w wqtershead infract unchanged from ct done . ct of neck s/p rt. carotid endartectomy, left carotid ? high grade stenosis vs occlusion but difficulte to interpertate with given study. : mental status improved. visual changes improved. await final recommendation by neuro and echo results echo with small asd, no thrombus. b/p stable. d/c home. wound clean dry and intact. left thigh wound stable.patient instructed to f/up dr/ nurse clip removal in 2 weeks. medications on admission: asa 81 mgm plavbix 75mgm zocor zetia norvasc hctz atenolol discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 5. atenolol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 6. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 7. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 8. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed. 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 12. colchicine 0.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 13. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). 14. atenolol 50 mg tablet sig: one (1) tablet po bid (2 times a day): hold for spb <130 hr<55. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: bilateral calf claudication left> right,arterial insuffiency history of hypertension history of hyperlipdemia history of ischemic heart disease,stable angina,s/p cabg's1998 history of arthritis/gout with flare history of gastroesophgeal reflux history of carotid disease, 100%, <40% s/p right cea history of tobacco use, current 1ppd asd by echo postoperative delerium,resolved postoperative watershead infract postoperative blood loss anemia, transfused discharge condition: stable discharge instructions: call if develope fever >101.5 call if wound becomes red or drains no driving until seen in followup may shower, no but baths continue stool softner and or laxative while on pain medications( they can constipate) please followup with your primary care physcian for continued monitering of your gout and medication adjustment and blood pressure medications followup instructions: 10 days dr. , call for appointment @ procedure: angioplasty of other non-coronary vessel(s) other (peripheral) vascular shunt or bypass insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells transposition of cranial and peripheral nerves insertion of two vascular stents procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia atherosclerosis of native arteries of the extremities with intermittent claudication aortocoronary bypass status unspecified transient mental disorder in conditions classified elsewhere other and unspecified angina pectoris iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to