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: newly identified duodenal mass. major surgical or invasive procedure: - pylorus-preserving whipple's resection and open cholecystectomy history of present illness: the patient is a 66 year old male with a newly identified duodenal mass, originally diagnosed at hospital as part of a work-up for blood loss and cholangitis. the patient was originally admitted to agh with complaint of nausea and epigastric discomfort. he was found be febrile and have elevated lfts/pancreatic enzymes and was treated initially for cholangitis with levaquin and flagyl (started ). abdominal ultrasound was unremarkable. hida scan was consistent with signs of acute cholecytitis. the patient underwent an egd, which showed a large exophytic mass involving 70% of the duodenum. he was transferred to for management of the cholangitis and evaluation for possible surgical intervention. the patient returns to for planned whipple surgery. past medical history: pmhx: newly discovered duodenal mass, htn, gerd, single episode paroxysmal atrial fibrillation. . pshx: (r) sided hernia repair. social history: married and lives with wife. retired . sedentary. does not smoke. no alcohol. family history: non-contributory. physical exam: on admission: avss/afebrile gen: obese male in nad. heent: sclerae anicteric. o-p clear. neck: supple. no . lungs: cta(b) cor: rrr; nl s1/s2 w/o m/c/r. abd: protuberant. soft/nt/nd. extrem: no c/c/e. neuro: a+ox3. non-focal/grossly intact. skin: intact w/o lesion or rash. pertinent results: 06:30pm glucose-137* urea n-15 creat-1.5* sodium-141 potassium-5.3* chloride-111* total co2-23 anion gap-12 06:30pm calcium-8.6 phosphate-5.1*# magnesium-1.9 06:30pm wbc-24.4*# rbc-3.58* hgb-9.4* hct-30.6* mcv-85 mch-26.1* mchc-30.6* rdw-13.9 06:30pm plt count-502* 06:30pm pt-13.4 inr(pt)-1.1 04:36pm type-art o2-43 po2-174* pco2-42 ph-7.33* total co2-23 base xs--3 intubated-intubated 04:36pm freeca-1.04* . pathology report tissue: gallbladder, proximal: pending. . portable ap cxr: in comparison with the study of , there is increasing basilar opacification on the right with a somewhat less opacification on the left. findings are consistent with atelectasis and probable fusion. upper lungs are clear. monitoring and support devices remain in place. . 06:40am blood wbc-17.0* rbc-3.31* hgb-8.8* hct-27.4* mcv-83 mch-26.7* mchc-32.3 rdw-15.4 plt ct-627* 06:40am blood plt ct-627* 06:40am blood glucose-128* urean-11 creat-1.0 na-141 k-3.9 cl-103 hco3-29 angap-13 06:40am blood calcium-8.2* phos-3.2 mg-2.0 brief hospital course: the patient was admitted to the general surgical service on for treatment of a duodenal mass. on , the patient underwent pylorus-preserving pancreaticoduodenectomy (whipple) and open cholecystectomy, which went well without complication (reader referred to the operative note for details). after a brief, uneventful stay in the pacu, the patient arrived on the floor npo with an ng tube, on iv fluids, with a foley catheter and a jp drain in place, and a bupivacaine/dilaudid epidural for pain control. the patient was hemodynamically stable. post-operative pain was initially well controlled with the bupivacaine/dilaudid epidural. the ng tube was accidentally self-discontinued by the patient on pod#2 instead of removal on pod#3; the ngt was not re-inserted as the patient exhibited bowel sounds and the ngt put out only 150ml overnight. the patient did not experience any subsequent abdominal pain, nausea, vomiting. on the morning of pod#3 (), the patient was noted to have incisional dehiscence, which, over the course of hours, became overt evisceration with omentum showing in the field. dr. was on hand to evaluate the finding immediately, and followed the patient closely until he was able to bring the patient to the operating room early that afternoon for emergent exploratory laparotomy and repair of the abdominal incision dehiscence, which went well without complication (see operative note for further details). upon return to the floor post-operatively, the patient was npo on iv fluids, with a foley catheter, and continued bupivacaine/dilaudid epidural for pain control with ongoing good effect. he was started on sips of clears on , and on the epidural was discontinued and changed to dialudid po prn for pain control with good effect. his diet was further advanced to clear liquids with good tolerability, and the foley was discontinued six hours after the epidural was removed. he was able to void without problem. by pod#6 s/p whipple, the patient was back on track on the whipple clinical pathway. his diet was adavnced to fulls, and later that evening a jp amylase was sent. on , the jp was discontinued, and his diet advanced to regular with continued good tolerability. mr. received 2 units of blood intraop on and a 3rd unit in when his hematocrit drifted to 25. at the time of discharge it was 27. during this hospitalization, the patient ambulated early and frequently, was adherent with respiratory toilet and incentive spirrometry, and actively participated in the plan of care. physical therapy was consulted. the patient received subcutaneous heparin and venodyne boots were used during this stay. the patient's blood sugar was monitored regularly throughout the stay; sliding scale insulin was administered when indicated. at the time of discharge on , the patient was doing well, afebrile with stable vital signs. the patient was tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. staples were removed, and steri-strips placed. he was discharged home without services. the patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. medications on admission: 1. atenolol 25mg po qday 2. diltiazem 60mg po qid 3. omeprazole 20mg po qday discharge medications: 1. metoclopramide 10 mg tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*0* 2. colace 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*0* 3. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation: over-the-counter. 4. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours as needed for fever or pain. 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. atenolol 25 mg tablet sig: one (1) tablet po once a day. 7. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*40 tablet(s)* refills:*0* 8. diltiazem hcl 60 mg tablet sig: one (1) tablet po qid (4 times a day). discharge disposition: home with service facility: discharge diagnosis: duodenal cancer. discharge condition: good. discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down 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 experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain is not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have staples, they will be removed at your follow-up appointment. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please call ( to schedule a follow-up appointment with dr. (surgery) in 2 weeks. please call ( to arrange a follow-up appointment with dr. (pcp) in 2 weeks. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours arterial catheterization diagnoses: unspecified essential hypertension intestinal bypass or anastomosis status atrial fibrillation hemorrhage complicating a procedure acute respiratory failure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation hemorrhage of gastrointestinal tract, unspecified other and unspecified coagulation defects 

Answer: The patient is high likely exposed to