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 / streptomycin / sulfa (sulfonamides) attending: chief complaint: femur fracture, supratherapeutic inr major surgical or invasive procedure: cvl placement a-line placement left hemiarthroplasty history of present illness: history obtained from patient with russian interpreter (via phone) . hpi: ms. is a 78 y/o woman with pmh of cad s/p cabg, hypertension, and atrial fibrillation on coumadin wh presents after a mechanical fall at rehab. patient has been at tower rehab center following a presumed embolic stroke in (see d/c summary for details). yesterday morning, the patient sustained a fall onto her left side per her report. the patient denies any symptoms of chest pain, lightheadedness, dizziness, or palpitations prior to the fall. she remembers leaning against the wall and the walker that she was using not being in front of her. she fell onto her left side but did not strike her head. she did not lose consciousness. she reports that she was not confused following the fall and recalls being put back into bed. she experienced pain after the fall and could not ambulate. x-ray done at the facility showed ? femoral neck fracture so she was then taken to the hospital for further evaluation. . initial vitals on arrival to our emergency room were t 98.4, hr 72, bp 118/66, 97% (o2 unknown). x-ray of the left hip demonstrated a femoral fracture; the patient was evaluated by orthopedics but due to supratherapeutic inr and acute on chronic renal failure, she is admitted to medicine. for pain, she was treated with morphine 4 mg iv x 1 at 2230. she received 1 l ns. ct head demonstrated no acute hemorrhage. of note, oxygen saturations noted to be 97-98% on ra while patient was in ed. . on arrival to the floor, the patient is complaining of pain with any movement of her leg. she denies chest pain, difficulty breathing, dizziness/lightheadness, or palpitations. past medical history: pmh: * cad s/p cabg x 2 * hypertension * type 2 dm * atrial fibrillation on coumadin (goal inr 3-3.5 per recent d/c summary) * h/o stroke (, ) * h/o bioprosthetic mvr * s/p pacemaker social history: nonsmoker. no alcohol. recently living at tower rehab follow her stroke in . daughter lives in . family history: noncontributory physical exam: t: 99.8 bp: 118/60 hr: 60 rr: 20 o2 84% ra, 93% on 4.5l nc fsbs 133 gen: pleasant, elderly female in minimal distress, lying in bed, touching left hip heent: no conjunctival pallor, no scleral icterus, mmm, wearing dentures neck: supple, no lymphadenopathy cv: rrr, normal s1, s2, 3/6 systolic murmur at lusb lungs: clear anteriorly, no apparent crackles or rhonchi abd: soft, normoactive bowel sounds, nontender to palpation ext: warm, dp pulses 2+ bilaterally, able to wiggle toes on left leg, slight ecchymosis developing over left hip, tender to palpation of left hip, left leg slightly shortened & skin: no rashes/lesions, ecchymoses. neuro: a&o x 3, speech clear, face symmetric, moving bilateral arms without difficulty pertinent results: 09:00pm wbc-12.1*# rbc-4.36 hgb-11.7* hct-35.8* mcv-82 mch-26.8* mchc-32.6 rdw-17.1* 09:00pm plt count-245 09:00pm neuts-78.7* lymphs-15.0* monos-5.8 eos-0.2 basos-0.3 09:00pm glucose-127* urea n-21* creat-1.8* sodium-138 potassium-3.4 chloride-100 total co2-23 anion gap-18 . ekg: a-v paced at 60, lbbb with left axis, compared to prior, pacing is new, qtc 512 (old 450 but at higher rate) . cxr: right upper lobe opacity which is relatively stable in comparison to studies from . at that time, this was presumed pneumonia; however, no intervening radiographs are available to document a complete resolution. this may represent recurrent pneumonia or possibly the progression of an indolent growing bronchoalveolar cell carcinoma. chest ct is recommended for further evaluation as clinically indicated. there may be an element of superimposed mild edema. . left hip x-ray: fracture of the base of the left femoral neck with no definite trochanteric involvement. . head ct: 1. no acute intracranial process. specifically, no evidence of hemorrhage. 2. interval evolution of right middle cerebral artery territory infarct. brief hospital course: a/p: 78yo russian speaking woman with h/o cad s/p cabg, chronic diastolic chf with ef 55%, afib on coumadin, s/p cva x 2, dm who presented s/p fall with l femoral fracture now s/p hemiarthroplasty who was transferred to he micu with hypoxia and hypotension in pacu immediately following surgery. . 1. micu admission for hypotension/hypoxia- post-operatively patient became hypoxic after receiving 1 litre of fluid and 2 units of ffp on the day of the procedure. she received furosemide bolus 20mg iv and then developed hypotension with systolic in the 70s, with urine output below 20cc/hr. she was transiently on neosynephrine which was stopped on morning of . while in the micu, she required 3 250 cc boluses for sbp below 90 or urine output less than 20. workup for infectious sources revealed gram negative rods in urine culture and patient was started on ciprofloxacin for this. her oxygen requirement improved with the initial diuretics and remained stable prior to floor transfer. she did receive 1 unit of prbc for fall in hematocrit. her ucx came back with pan-sensitive e coli to be treated with cipro for five more days. her bb and home lasix were held and should be restarted as tolerated after discharge. . 2. uti: pt with positive ua. pt febrile to 102 on arrival to pacu, however resolved to 100 without intervention. wbc jumped to 16 however on recheck returned to 8.5. replaced foley catheter on arrival to micu. started empiric ciprofloxacin. her ucx came back with pan-sensitive e coli to be treated with cipro for five more days. . 3. afib: pt on amio and bb as outpt. held bb given hypotension but pt was continued on amio and was monitored on telemetry. pt on coumadin with inr goal of .5 given 2 cvas while anticoagulated. she was on a heparin drip and restarted on her coumadin on day of discharge. inr should be checked daily given multiple medical interactions (amio, cipro) and coumadin dose to be adjusted as needed. heparin drip can be discontinued once stable inr in therapeutic range for two days. . 4. l hip fracture s/p hemiarthroplasty: pt was followed by ortho. vac was placed post-op and needs to be discontinued on sunday . pt received morphine iv prn pain and vancomycin x 2 doses peripoeratively per ortho recs. pt needs to follow up with ortho 14 days after the operation for staples removal. weight bearing as tolerated with anterior hip precautions. . 5. chronic diastolic chf with ef 55%: held home bb and lasix dose (20po qday) during hypotensive episode. should be retarted as tolerated after discharge. . 6. cad s/p cabg: stable at present. pt was ruled out for mi. not on asa at baseline for unclear reasons, to be clarified as outpatient with her pcp. was continued on her statin. held bb as above. . 7. dm ii: pt is diet controlled as outpt. followed qid fs and kept on iss. . 8. arf: on admission pt with cr 1.8 from baseline 1.2. this has improved during her stay, likely prerenal in origin. cr was back at baseline of 1.2 on discharge. . 9. chronic rul infiltrate: present since 1/. needs to be followed up as outpatient as concerning for possible carcinoma. pt likely needs outpatient ct for further workup. . 10. fen: repleted lytes prn. kept transiently npo. cleared by speech/swallow to received pills crushed in purree and nectar thick liquids. . 11. ppx: heparin drip, ppi, bowel regimen . 12. access: r ij placed under sterile conditions in pacu by anesthesiology on . r radial a-line. . 13. code: full code . 14. comm: daughter is hcp (lives in ) . medications on admission: * amiodarone 200 mg daily * colace 100 mg * metoprolol 12.5 mg * modafinil 200 mg qam * omeprazole 20 mg daily * senna 2 tabs qhs * simvastatin 40 mg daily * dulcolax suppository 10 mg pr daily prn * coumadin 2 mg daily * tylenol 650 mg po q6h prn pain * lasix 20 mg po daily discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. modafinil 100 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 4. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. insulin lispro 100 unit/ml solution sig: as directed subcutaneous asdir (as directed): per iss. 7. polyethylene glycol 3350 17 gram (100 %) powder in packet sig: one (1) powder in packet po daily (). 8. warfarin 2 mg tablet sig: one (1) tablet po daily16 (once daily at 16): adjust per daily inr checks. 9. cipro 250 mg tablet sig: one (1) tablet po twice a day for 5 days: until . 10. morphine 10 mg/ml solution sig: one (1) ml intravenous every four (4) hours as needed for pain. 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 12. heparin (porcine) in d5w 10,000 unit/100 ml parenteral solution sig: per sliding scale intravenous per ss: until inr 3-3.5 on coumadin. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary diagnosis: 1. l femur fracture, s/p hemiarthroplasty 2. hypoxia post-op, requiring non-rebreather, likely from fluid overload 3. hypotension post-op, transiently on pressors 4. acute blood loss anemia post-op, requiring 1u prbc 5. e.coli uti, pansensitive . secondary diagnosis: 1. chronic, diastolic chf 2. afib, on coumadin 3. diabetes mellitus discharge condition: hemodynamically stable, afebrile discharge instructions: you have been admitted after a fall. orthopedics has operated on you and placed a left hemiarthroplasty. you were briefly hypotensive after the operation requiring transiently pressors. you were found to have a uti and are being treated with ciprofloxacin. . vac needs to be discontinued on sunday, . followup instructions: please follow up with dr. from orthopedics 14 days after your surgery, i.e. 10 days from day of discharge. please call to schedule this important appointment. on that day, your staples will be taken out. . please also follow up with your pcp (, ) within the next 1-2 weeks. procedure: venous catheterization, not elsewhere classified arterial catheterization partial hip replacement transfusion of packed cells diagnoses: abnormal coagulation profile other postoperative infection urinary tract infection, site not specified congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified septicemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure aortocoronary bypass status unspecified fall sepsis heart valve replaced by other means chronic kidney disease, stage iii (moderate) long-term (current) use of anticoagulants anticoagulants causing adverse effects in therapeutic use closed fracture of unspecified part of neck of femur 

Answer: The patient is high likely exposed to