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: "confusion, headache, imbalance" major surgical or invasive procedure: bilateral burr hole craniotomies history of present illness: this is a 80 year old right handed man who is full code who lives at home with his sister. initially presented on when he stuck the back of his head on a table when picking an item up off the floor. the head ct taken at was consistent with bilateral hygromas and he was sent here for further evaluation by neurosurgery. today, he presents again with increased mental confusion, imbalance, gait disturbance, and increased headache. he stood up from bed this morning and tripped but did not hit his head. the patient denies syncopy or palpitations at the times of his fall this morning. he denies loss of consiuousness, nausea, vomiting, weakness, numbness, or tingling sensation. he denies taking anticoagulant medication other than daily aspirin 325 mg. the patient has basline difficulty with hearing, a right knee that is fused/imobile although he ambulates without cane or walker, and decreased motion of both shoulders for the past 10 + years past medical history: htn hyperlipidemia palpitations - on/off x years right knee surgery right shoulder surgery social history: lives with his sister. as a tailor. no tobacco, etoh, or illicit drug use. family history: family history of diabetes mellitus physical exam: physical exam: on admission o: t:99.3 bp: 174/73 hr:61 r: 16 o2sats: 98 gen: wd/wn, comfortable, nad. heent: pupils: 4-3mm bilaterally eoms: intact neck: supple. extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 3 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing decreased at baseline left worse than right ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout except pt unable to bend right knee due to prior surgery and fusion in . also limited rom of bilateral shoulders at basline with prior right shoulder surgery years ago. no pronator drift sensation: intact to light touch bilaterally. toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements. ct:: nchct- large left sdh subacute, smaller right sided sdh. ekg: possible new t wave inversions v 4-v6 labs:platlets 129, pt12.7, ptt23.1, inr 1.1, k 3.3, na 143 on discharge :neurologically intact. pertinent results: 12:45pm plt count-136* 12:45pm neuts-74.8* lymphs-19.6 monos-4.1 eos-0.6 basos-0.8 12:45pm wbc-7.9 rbc-4.33* hgb-13.7* hct-39.6* mcv-91 mch-31.6 mchc-34.6 rdw-14.1 12:45pm glucose-123* urea n-19 creat-0.8 sodium-145 potassium-3.4 chloride-105 total co2-29 anion gap-14 01:00pm urine blood-tr nitrite-neg protein-25 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg ct head there are bilateral subdural fluid collections containing areas of acute hemorrhage larger on the left. the left collection along the frontoparietal convexity measures up to 2.1 cm in maximal thickness. on the right the collection is smaller measuring up to 1 cm. there is some compression of the cerebrum greater on the left. shift of midline structures measure up to 2 mm (2:14). no evidence of downward herniation is seen. there is some compression of the left lateral ventricle. however no evidence of entrapment is seen. no concerning osseous lesion is seen. the visualized paranasal sinuses are clear. ct head patient is status post bifrontal subdural evacuation with burr holes in the bilateral occiput of the vertex. there has been near-complete evacuation of the subdural hematoma with small residual iso- to slightly hyperdense material near the vertex (2:24). there is bifrontal pneumocephalus, larger on the left causing mass effect upon the left frontal lobe. there is no midline shift. no evidence for herniation. there is no acute hemorrhage. the size and configuration of the ventricles appears normal. the visualized paranasal sinuses, mastoid and ethmoid air cells are clear. ct head 1. status post bifrontal subdural hematoma evacuation with resulting pneumocephalus, now resolving. 2. apparent prompt recurrence of bilateral subdural hygromas, seen previously on , raising the possibility of csf leak through persistent tears in the -arachnoid membrane, bilaterally. brief hospital course: pt admitted to neurosurgery service at taken to the or urgently for bilateral burr hole craniotomies and evacuation of chronic subdural hematomas. pt tolerated this procedure very well with no complications. post operatively he was transferred to the icu for further care including q1 neurochecks and strict blood pressure control less than 140 systolic. upon post op exam he is doing well. he is awake and alert and following commands. he was moving all extremities with full strength. his pain was well controlled and his surgical site was clean and dry. a post op head ct showed good resolution of subdural hematomas. pt seen on morning rounds and doing well. his exam remained unchanged and he remained in the icu on this day for continued care and blood pressure control. pt transferred to the floor in stable condition. on , patient was observed to have tachycardia to the 140s in the morning, ivf were started as well as a bolus. upon examination, patient reported palpitations, but denied chest pain or sob. ekg was also ordered which rapid a-fib. medicine was re consulted for assistance in management for untreated a-fib, they increased his beta blocker. patient also fell in room, denied hitting his head, but complained of headache. head ct was ordered and showed no new hemorrhage. he was neurologically intact. on he was medically cleared for dc. medicine changed his metoprolol to toprol xl for convenience. pt was recommended for home. he was discharged on medications on admission: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 2. amlodipine-benazepril 5-10 mg capsule sig: one (1) capsule po twice a day. 3. aspirin 325 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. dilantin kapseal 100 mg capsule sig: one (1) capsule po three times a day. disp:*90 capsule(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): over the counter . 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 4. amlodipine 2.5 mg tablet sig: two (2) tablet po bid (2 times a day). 5. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 7. benazepril 10 mg tablet sig: one (1) tablet po bid (). discharge disposition: home with service facility: vna discharge diagnosis: bilateral sdh discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions wound care ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not drive until you are seen at the first follow up appointment. ?????? do not lift objects over 10 pounds until approved by your physician. diet usually no special diet is prescribed after a craniotomy. a normal well balanced diet is recommended for recovery, and you should resume any specially prescribed diet you were eating before your surgery. medications ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: o narcotic pain medication such as dilaudid (hydromorphone). o an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? you have been prescribed dilantin (phenytoin) for anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing in one week. this can be drawn at your pcp??????s office, but please have the results faxed to . ?????? you may use aspirin on . ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. activity the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not drive until you speak with your physician. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour, that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: follow-up appointment instructions ??????please return to the office in days (from your date of surgery) for removal of your and a wound check. although we try to be thorough, we may miss or staples. be sure to point out any incisions, which may be covered by clothing at the time of suture/staple removal. this appointment can be made with the nurse practitioner. please make this appointment by calling . if you live quite a distance from our office, please make arrangements for the same, with your pcp. ??????please call ( to schedule an appointment with dr. , to be seen in 4_weeks. ??????you will need a ct scan of the brain without contrast. procedure: incision of cerebral meninges diagnoses: unspecified essential hypertension atrial fibrillation atrial flutter abnormality of gait compression of brain other and unspecified hyperlipidemia altered mental status subdural hemorrhage arthrodesis status history of fall 

Answer: The patient is high likely exposed to