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: codeine attending: chief complaint: recurrent epistaxis major surgical or invasive procedure: bilateral external carotid artery angiogram with embolization of nasal branches of the internal maxillary artery bilaterally history of present illness: 85 year old female with an 8 day history of intermittent brisk epistaxis. denies any recent trauma, no hx of prior epistaxis. notes bleeding every 4-6 hours and stops relatively independent of any interaction. she has been packed anteriorly 4 different times and has bleed through the packing. most recently a merocel was placed 2 days ago. she bled through this prompting an urgent follow up in clinic in and dr. removed the pack. she had brisk bleeding from nares (l>r), reportedly 75-100ml in minutes. a rapid rhino was placed which did not significantly slow bleeding, but it eventually stopped. she was transferred to ed from ed for further evaluation. past medical history: hypothyroid htn hypercholesterolemia gerd gastroparesis glaucoma profound hearing loss social history: lives with husband family history: non contributory physical exam: afebrile, vss nad rrr ctab, breathing comfortably op: no active bleeding, no lesions nares: dried blood, no active bleeding neck: supple, no lad pertinent results: 02:00am blood wbc-11.6* rbc-3.88* hgb-11.4* hct-34.6* mcv-89 mch-29.4 mchc-33.0 rdw-14.3 plt ct-262 02:00am blood glucose-139* urean-7 creat-0.4 na-139 k-3.9 cl-108 hco3-20* angap-15 06:25am blood ck(cpk)-55 06:25am blood ck-mb-3 ctropnt-<0.01 04:38pm blood ck(cpk)-70 04:38pm blood ck-mb-notdone ctropnt-<0.01 02:00am blood ck(cpk)-63 02:00am blood ck-mb-notdone ctropnt-<0.01 : ct head impression: no acute intracranial process including no sign of intracranial hemorrhage. brief hospital course: mrs. presented to the ed on . she was evaluated by the orl service and the l nare packing was maintained with minimal bleeding. she was admitted for observation and evaluation for neuroembolization. she was continued on keflex for antibiotic prophylaxis and her blood pressure was controlled with medications. she was also placed on telemetry for monitoring. overnight she had an episode of sinus tachycardia to 145 with no symptoms. an ekg showed non specific t wave changes, rbbb and cardiac enzymes were drawn. 3 sets of cardiac enzymes were negative and the patient had no further episodes or symptoms. she went for neuroembolization on and had bilateral external carotid artery angiogram with embolization of nasal branches of the internal maxillary artery bilaterally. she tolerated the procedure and was transferred to the pacu. she was somnolent on arrival to pacu and opened eyes to voice, however she was not verbalizing. she was monitored in pacu and continued to be somnolent and a ct of the head was ordered, which showed no acute intracranial process or bleed. 3 hours after arrival to pacu she was more alert and oriented x 3 but with slightly slurred speech. she was admitted to the sicu for observation overnight. on evaluation , the patient was back to baseline speech with a normal neurological exam. the l nare packing was removed and the patient did not have any further bleeding. she was transferred to the floor and her diet was advanced as tolerated. she continued to be afebrile, with her vital signs stable, pain well controlled, tolerating pos, voiding and ambulating well. the patient and team agree that she is stable for discharge on . she will follow up with dr. in days and be continued on epistaxis precautions--no nose blowing, no straining or heavy lifting, sneeze with mouth open, continue stool softeners and ocean nasal spray. she will also follow up with her primary care physician in the next week a bp check and managment of hypertension. she was started on metoprolol 12.5mg tid during her hospitalization for blood pressure control and was given a prescription for a month supply which should be managed by her pcp. medications on admission: asa 81mg (held for 5 days prior to admission) levoxyl 100mcg qd xalatan eye drops zetia omeprazole 40mg qd miacalcin ns qd discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 2. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 3. calcitonin (salmon) 200 unit/actuation aerosol, spray sig: one (1) spray nasal daily (daily). 4. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 6. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 7. nasal moisturizer 0.65 % aerosol, spray sig: one (1) spray nasal three times a day: 1 spray in each nostril. 8. zetia 10 mg tablet sig: one (1) tablet po once a day: continue home dose. 9. oxymetazoline 0.05 % aerosol, spray sig: one (1) spray nasal prn (as needed) for 2 weeks. 10. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po three times a day. disp:*45 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: epistaxis discharge condition: stable discharge instructions: seek immediate medical attention for fever >101.5, chills, chest pain, shortness of breath, heavy bleeding from nose, or anything else that is troubling you. no nose blowing, straining or spicy food for one week. sneeze with mouth open. if you experience light bleeding, apply pressure and ice pack and use afrin. if you experience heavy bleeding, go to the nearest emergency room immediately. resume all home medications. use ocean spray nasal spray three times a day, 1 spray in each nostril to keep nose moist. call to make follow up appointment with ent and pcp. followup instructions: follow up with dr. in days, call to schedule that appointment call to schedule a follow up with your primary care physician within the next week for blood pressure monitoring and management, blood pressure medication started while inpatient, your pcp will decide if it should be continued or adjusted. procedure: arteriography of cerebral arteries control of epistaxis by anterior nasal packing endovascular (total) embolization or occlusion of head and neck vessels endovascular (total) embolization or occlusion of head and neck vessels diagnoses: esophageal reflux unspecified essential hypertension unspecified acquired hypothyroidism unspecified glaucoma other and unspecified hyperlipidemia other specified cardiac dysrhythmias right bundle branch block unspecified hearing loss epistaxis gastroparesis long-term (current) use of aspirin 

Answer: The patient is high likely exposed to