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: quinidine / propranolol / heparin agents / warfarin / zolpidem attending: chief complaint: hypotension, hip fracture, renal failure major surgical or invasive procedure: left orif history of present illness: mr. is an 87 yo male with a history of diastolic chf (ef 65% 1/10), afib not on coumadin, mild as, stage iv ckd, and htn, who presented from acute rehab after falling at his nursing home. yesterday he had been feeling well, walking with pt (using a walker) and feeling well. today he was reaching onto a shelf for batteries when he turned too quickly and twisted his left foot under him, falling on his left side and left arm. he was sent from rehab to the ed. on exam, his hip was externally rotated and shortened. he had no other complaints and denied loss of consciousness or hitting his head on the fall. hct was 29.6 at rehab, na 142, k 4.0, bun 51, creat 2.1, wbc 6.8, plt 215. . in the ed, triage vs were: t 96.3 p 60 bp 107/62 r 16 o2 sat 96% on ra, but he was then found to have systolic bp of 83-90s on exam. he had good peripheral pulses. he was evaluated for trauma and plain films of the left hip and femur were completed, showing multiple comminuted fractures for which the patient would need a thr. ct c-spine showed no fracture or malalignment, and moderate multilevel degenerative change on preliminary read. ct head without contrast showed no fracture or hemorrhage (preliminary read). . the patient was given 1l ivf and fentanyl 100 mcg for pain. his sbps persisted in the 80s/90s. his hct was found to be 24, down points. ct ab/pelvis was performed in the setting of the hct drop, showing left hip intertrochanteric fracture, a large retroperitoneal mass likely from left adrenal gland (non-urgent mr recommended for further evaluation), and no retroperitoneal hematoma on preliminary read. he was found to be guaiac negative. he continued with hr in 60s and systolics in 90s, received an additional 1l ivf (and a second liter was begun prior to transfer), and was typed and crossed for 2 units prbc. cxr showed a retrocardiac opacity and he was given levofloxacin 750 mg for empiric pneumonia coverage after a single blood culture was drawn. a foley was placed. transfer vitals in the ed were hr 64, rr19 100% on 4l (desatted after ns to low 90s), 88/48. . the patient was admitted to the micu, where initial vitals were hr 69 bp 102/63-120/75, rr 32-20, spo2 100% on 1l nc. . on ros, the patient denies any loc, dizziness/lightheadedness, recent diarrhea (though had diarrhea in prior admission). +cough with small amounts of yellowish sputum but not in past few days. no fevers. past medical history: -congestive heart failure with preserved lvef (65% 1/10) --> per dcs from , thought to have left hf leading to right hf without primary pulm htn -chronic atrial fibrillation, not on warfarin given recent ugib () -pulmonary artery hypertension (30mmhg + ra ) -mild mr, moderate tr, mild ai, mild as (peak 25 mmhg ) -mild ascending aortic dilatation (3.7 cm) -left ventricular hypertrophy -prostate enlargement (followed by dr. ) -hypertension -hypercholesterolemia -severe essential tremor, since (wwii) -venous stasis, followed by dr. hernia repair -anemia, multifactorial (chronic illness, ckd, recent gib) -hemorrhoid repair -history of mrsa cellulitis () -chronic renal failure poor forward flow from chf: stage iv with egfr of 24 ml/min (mdrd). near dialysis. recommend to check pth every 3 months with target of 70-110. -left foot abscess s/p i&d -multiple episodes of c. diff colitis (third episode this year during hospitalization) -gib () with guaiac positive stools, but no endoscopy performed . recent hospitalizations: to -- for chf exacerbation, given lasix ggt -- left foot cellulitis/fluid collection managed medically with vanc/cipro/flagyl -- afib subtherapeutic on coumadin so bridged with heparin with subsequent rectal bleeding, traumatic hematoma, oozing from newly placed picc line -- incidentaloma seen in pancreas on ruq u/s without further w/u . to -- also for chf exacerbation, given lasix ggt and metolazone -- supratherapeutic inr on admission, complicated by epistaxis and melena (gi followed but endoscopy was deferred) -- c diff colitis treated with ? both po flagyl and vancomycin, course should have been completed . to -- unresponsive while sleeping after trazadone; negative infectious work up -- 16 beat run of vt -- decreased metoprolol from 12.5mg->6.25mg -- renal failure attributed to torsemide and pre-renal . to -- sent in by rehab for sleepiness, low hct, weight gain, cough. -- c. diff colitis -- gib (guaiac positive, had been on coumadin until when had presumed ugib requiring 1u prbc); transfused for hct 23.5 (but near baseline of 24) -- hypotension to the 70s systolic (baseline 90-100s) -- chf -- uti -- acute on chronic kidney disease -- pancytopenia: found to be hit antibody positive but serotonin assay negative so not likely hit; nonetheless heparin products were avoided. pancytopenia improved over hospital course; thought to be infection related. -- increased ap and ggt with elevated lipase and an abnormality on ultrasound suggestive of a pancreatic mass. gi was consulted and recommended an outpatient mrcp. social history: usually lives with wife, married for >50yrs, currently at rehab. 3 children. no tobacco, etoh, ivdu. retired, formerly worked manufacturing and distributing batteries. he smoked cigars for 2-3 years and quit >45 years ago. he has not smoked cigarettes. he does not drink alcohol on a regular basis. denies iv, illicit, or herbal drug use. family history: parents are both deceased. father (73 years; "heart" disease); mother (48 years; stomach cancer). he has 2 siblings (80- breast cancer, brother with ? abdominal cancer). he has 3 children (55, 53, 49 years; all well). a son has atrial fibrillation. physical exam: t 91.2 (axillary) hr 69 bp 102/63-120/75, rr 32-20, spo2 100% on 1l nc. wt 167. general: alert, oriented, breathing heavily and appears in pain heent: sclera anicteric, mmm neck: supple, jvp 11 cm lungs: clear to auscultation bilaterally anteriorly but difficult to assess with much transmitted upper airway sounds, no wheezes, rales, ronchi cv: irregularly irregular rhythm, normal rate, distant heart sounds, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding gu: foley ext: cool, 2+ dp pulses bilaterally, no clubbing. + pitting edema bilaterally; lower legs wrapped in ace bandages. multiple small ecchymoses on ue bilaterally. left leg externally rotated and shortened, with ecchymosis noted on lateral hip area. . on discharge: vss, bps in 80s-100s systolic. jaundiced with icteric sclera. jvp at earlobe. lungs clear, irregular rate, le edema improved, surgical scar covered. medications on admission: -vicodin 5/500 2 tabs qd -pantoprazole 40 mg tablet qd -vancomycin 125 mg po q6h; taper as follows: 125mg q6h; 125mg q12h; 125mg daily; 125mg; every other day 125mg; every third day; then stop. -ativan 0.125 mg tid prn -ammonium lactate 12% lotion topical -ipratropium bromide 0.5 mg neb inhalation q6h prn sob/wheezing. -torsemide 40 mg po bid (if weight > 160lbs, increase to 80mg in the morning and 40mg at night; if weight < 145lbs, decrease torsemide to 40mg daily) -spironolactone 25 mg tablet po daily -metoprolol tartrate 12.5 mg po bid -simvastatin 40 mg po qpm -ergocalciferol (vitamin d2) 5,000 unit po weekly -bisacodyl suppository 10 mg qd prn -senna qd prn -aspirin 81 mg po qd -acetaminophen 325 mg 1-2 tablets po q4h prn pain / fever. -tums -cadexomer iodine topical gel q3d topical -dextromethorphan-guaifenesin 30 mg q12hr prn discharge medications: 1. vancomycin 125 mg capsule sig: one (1) capsule po as directed: 125mg q12h; 125mg daily; 125mg; every other day 125mg; every third day; then stop. . 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 3. ativan 0.5 mg tablet sig: tablet po three times a day as needed for anxiety. 4. ammonium lactate 12 % cream topical 5. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for sob/wheeze. 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 7. ergocalciferol (vitamin d2) oral 8. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily). 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 10. aspirin 81 mg tablet sig: one (1) tablet po once a day. 11. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever. 12. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po twice a day. 13. cadexomer iodine topical 14. dextromethorphan-guaifenesin 10-100 mg/5 ml syrup sig: five (5) ml po q12h (every 12 hours) as needed for cough. 15. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 16. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 17. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 18. sodium chloride 0.65 % aerosol, spray sig: sprays nasal tid (3 times a day) as needed for congestion. 19. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal daily (daily). 20. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q24h (every 24 hours) for 1 months: last day . discharge disposition: extended care facility: newbridge on the - discharge diagnosis: primary: hip fracture . secondary: hypotension, renal failure, hyperbilirubinemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted for a hip fracture and treated for hypotension and renal failure while in the hospital. additionally, your heart failure was managed and a work-up was initiated to determine the cause of your elevated bilirubin. . the following changes were made to your medications: -your diuretics (torsemide, spironolactone) were held because you were hypotensive -your statin was held out of concern for liver disease -start taking lovenox for 1 month . weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: we are working on a follow up appointment with dr. in cardiology within 4-8 days. the office will contact you with an appointment. if you have not heard or have any questions please call . . also, please follow-up in the liver center and with orthopedics as outlined below: . department: liver center when: friday at 10:50 am with: , md building: lm campus: west best parking: garage . department: orthopedics when: tuesday at 2:45 pm with: , md building: campus: east best parking: garage procedure: open reduction of fracture with internal fixation, femur diagnoses: hyperpotassemia thrombocytopenia, unspecified anemia in chronic kidney disease unspecified pleural effusion congestive heart failure, unspecified acute kidney failure, unspecified chronic kidney disease, stage iv (severe) atherosclerosis of aorta hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other chronic pulmonary heart diseases hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) pulmonary collapse hypotension, unspecified intestinal infection due to clostridium difficile calculus of gallbladder without mention of cholecystitis, without mention of obstruction dehydration fall from other slipping, tripping, or stumbling myalgia and myositis, unspecified hematuria, unspecified chronic diastolic heart failure venous (peripheral) insufficiency, unspecified closed fracture of intertrochanteric section of neck of femur essential and other specified forms of tremor abdominal or pelvic swelling, mass, or lump, other specified site 

Answer: The patient is high likely exposed to