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: iodine-iodine containing / aspirin attending: chief complaint: right lower leg swelling, dvt major surgical or invasive procedure: ivc filter placement history of present illness: history per records and son. pt unable to give any history directly due to language barrier and dementia. essentially, this is a 85 year old russian speaking female with cad, chf, ckd with multiple recent admissions for gi bleeding who prsents 10 days after her most recent discharge with a swollen right lower extremity. apparently, the patient was noted to have asymmetry with a larger right lower extremity and was sent from rehab to get an ultrasound, which showed a large right lower extremity thrombus. therefore, the patient was brought to the ed for further evaluation. in the ed vs t 98, p 80, bp 126/70, rr 18, o2 100% on ra. she had palpable pulses bilaterally. rectal exam with guiac+ brown stool given recent history of gib and guiac + stool, anticoaulation was not considered safe and was deferred. vascular was called and ruled the patient out for mechanical thrombectomy as this also requires large doses of anticoagulation. the patient is being admitted to medicine for further work-up. through her son the patient acknowledges discomfort in the right lower extremity. otherwise denies chest pain, sob, palpitations, or presyncope. review of systems: positive per hpi. through son pt denied chest pain or sob. past medical history: * coronary artery disease s/p mi () with wall motion abnormalities on echo in , nstemi/chf exacerbation at () * congestive heart failure (ef45% in ) felt due to ichemia, with poor nutritional status and compensated hypertension * moderate pulmonary artery systolic hypertension * mild-moderate tricuspid regurgiation * carotid stenosis (<40% stenosis within bilateral carotids, right vertebral artery with no color flow on doppler compatible with occlusion, ) * hypertension * hyperlipidemia * dementia (a&ox2 at ) * chronic renal insufficiency, stage iii * iron deficiency anemia with h/o heme positive stools * osteoporosis * anxiety * gerd * constipation * macular degeneration * s/p fall in with sah, sdh, right temporal intraparenchymal hemorrhage plus minimally displaced right superior ramus fracture, left radial fracture * h/o left hip fracture with replacement () * h/p right hip fracture with repair * h/o lower gi bleed * h/o pneumonias including aspiration pna () * h/o utis, staph aureus * left breast lumpectomy social history: denies tobacco/alcohol/illicit drugs. retired teacher of russian and , resides at senior life in , russian unit since . widowed, has two sons and who are actively involved in her care. she is able to use a walker with assistance. she is incontinent of urine and stool. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: on admission: vs: t 96.9, bp 116/74, p 79, rr 20, o2 97% on ra gen: thin, elderly woman lying in bed in nad heent: normocephalic, anicteric, op benign, mmm cv: rrr, no m/r/g; there is no jugular venous distension appreciated pulm: expansion equal bilaterally, ctab abd: soft, nt, nd, bs+, no organomegaly or masses appreciated extrem: warm and well perfused, 1+ edema on right, none on left, palpable dp's bilaterally neuro: alert and responsive, intermittently appears anxious with nursing interventions on discharge: exam was able to be performed with her son at her bedside vs: t 98, bp 125/75, p 74, rr 20, o2 98% on ra gen: thin, elderly woman lying in bed in nad heent: normocephalic, anicteric, op benign, mmm cv: rrr, no jvd pulm: ctab, no murmurs abd: soft, nt, nd, bs+, no masses appreciated extrem: warm and well perfused, 1+ edema on right, none on left, palpable dp's bilaterally neuro: alert and responsive pertinent results: labs: 02:47pm blood wbc-9.0 rbc-3.02* hgb-10.3* hct-29.9* mcv-99* mch-34.0* mchc-34.5 rdw-14.8 plt ct-296 02:47pm blood neuts-75.3* lymphs-19.3 monos-4.2 eos-0.9 baso-0.3 05:45pm blood wbc-9.4 rbc-2.96* hgb-9.8* hct-28.8* mcv-97 mch-33.1* mchc-34.0 rdw-14.8 plt ct-302 11:50am blood wbc-8.0 rbc-2.84* hgb-9.6* hct-28.0* mcv-98 mch-33.8* mchc-34.4 rdw-14.8 plt ct-323 06:10am blood wbc-9.3 rbc-3.14* hgb-10.4* hct-31.3* mcv-100* mch-33.2* mchc-33.3 rdw-14.9 plt ct-294 12:55pm blood wbc-8.6 rbc-3.45* hgb-11.4* hct-33.7* mcv-98 mch-33.1* mchc-33.8 rdw-14.8 plt ct-381 11:05am blood wbc-7.1 rbc-3.21* hgb-11.0* hct-31.6* mcv-98 mch-34.3* mchc-34.9 rdw-14.7 plt ct-356 06:15am blood wbc-7.1 rbc-3.30* hgb-11.2* hct-32.9* mcv-100* mch-33.8* mchc-34.0 rdw-15.0 plt ct-324 . 02:47pm blood pt-12.1 ptt-22.5 inr(pt)-1.0 . 02:47pm blood glucose-129* urean-19 creat-1.0 na-139 k-3.6 cl-108 hco3-21* angap-14 11:50am blood glucose-100 urean-23* creat-0.9 na-139 k-3.7 cl-109* hco3-22 angap-12 06:10am blood glucose-97 urean-22* creat-0.8 na-138 k-4.1 cl-107 hco3-21* angap-14 12:55pm blood glucose-143* urean-21* creat-0.8 na-137 k-3.6 cl-106 hco3-20* angap-15 11:05am blood glucose-118* urean-25* creat-0.9 na-135 k-3.8 cl-105 hco3-23 angap-11 06:15am blood glucose-153* urean-26* creat-0.9 na-135 k-4.4 cl-107 hco3-20* angap-12 . 11:50am blood calcium-8.4 phos-1.5* mg-2.0 06:10am blood calcium-8.8 phos-2.6* mg-2.0 12:55pm blood calcium-8.5 phos-2.8 mg-2.0 11:05am blood calcium-8.5 phos-3.0 mg-2.1 06:15am blood calcium-8.9 phos-3.2 mg-2.1 studies: le u/s : deep venous thrombosis involving the right common and superficial femoral veins. the left common and superficial femoral veins appear patent. the popliteal and calf veins could not be evaluated. at the time of discharge: her urine culture was pending. brief hospital course: 85 y.o. russian speaking female with multiple medical problems including cad, chf, and dementia presenting with large right lower extremity dvt. #rle dvt: the patient presented with swelling and tenderness unilaterally consistent with dvt seen on ultrasound prior to admission. this finding was confirmed on ultrasound after admission. the most likely risk factor for dvt is immobility but she may also be at somewhat increased risk due to megestrol dosing. the patient was hemodynamically stable and demonstrated no sign of embolization. she was evlauated by vascular surgery who did not feel she was a candidate for thrombectomy. the patient is at high risk for gib given her history including a recent significant bleed attributed to esophageal erosions caused by gerd vs. - tears. the risks and benefits of treatment options were discussed with patient's son/hcp. it was explained that anticoagulation is not an option now until the patient has had more time to heal from gib and as she she is currently guaiac positive, and that anticoagulation may never be a viable option. we explained the role of an ivc filter to decrease the risk of life threatening embolic events including pe. the patient's sons were reluctant to have her undergo any procedure and were particularly nervous about reactions to contrast dye, which she has had in the past (anaphylaxis). filter placement without dye is not possible, but vascular would be prepared to place if pt premedicated prior to dye administration with steroids and anti-histamines. the patient was followed on telemetry. after thorough discussion regarding the risks and benefits, pt's son (her health care proxy) elected to have the placement of ivc filter. pt was premedicated prior to the procedure with solumedrol, zantac, and benadryl. the procedure was uncomplicated and she tolerated it well. please see the vascular surgeon's operative note for details. #cad: no signs of acute chf or acs. ekg stable. the patient was continued on her home medications including a beta blocker and a nitrate. #chronic systolic chf: appeared euvolemic to slightly dry on admission. oral fluid intake was encouraged and furosemide was held during her hospital course. #gi bleed: at the time of admission the patient was less than 10 days out from hospitalization for a gi bleed thought to be due to gastritis and possible tear. she was found to have guaiac positive brown stool. the patient was continued on sucralfate and a ppi. she was monitored with daily cbcs and her hct remained stable. #dementia/delirium: the patient has a history of agitation and refusing care/meds in the hospital. the is likely attributable to a combination of language barrier, delirium, and dementia with agitiation. we continued trazodone 50mg po qhs for insomnia. it was useful to redirect frequently and call her sons as needed as she is much calmer and more cooperative with her sons present or speaking to her by phone. non-pharmacologic measures such as lights/on blinds up during day, lights off/blinds down at night, and minimizing tethers were also used. #chronic nausea: the patient has a history of chronic nausea and is on antiemetics including zofran and prochlorperazine at which were continued. this was not an active issue for her during this hospitalization. #code: dnr but okay to intubate confirmed with son. medications on admission: 1. sucralfate 1 grampo qid 2. trazodone 50 mg po hs 3. 8.6 mg one tablet po bid 4. polyethylene glycol 3350 17 gram/dose one po daily. 5. megestrol 400 mg po bid 6. bisacodyl 10 mg po daily prn constipation 7. acetaminophen 650 mg po tid 8. isosorbide mononitrate 15 mg sustained release q 24 hr 9. metoprolol succinate 50 mg po daily 10. lorazepam 0.5 mg po tid. 11. lansoprazole 30 mg po q12h 123. ondansetron 4 mg po q8hr : prn nausea: 14. prochlorperazine 25 mg suppository q12h : prn nausea 15. torsemide 20 mg po daily discharge medications: 1. prochlorperazine 25 mg suppository : one (1) suppository rectal q12h (every 12 hours) as needed for nausea. 2. acetaminophen 325 mg tablet : two (2) tablet po every eight (8) hours as needed for pain. 3. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 4. lax 8.6 mg tablet : two (2) tablet po hs (at bedtime). 5. sucralfate 1 gram tablet : one (1) tablet po qid (4 times a day). 6. trazodone 50 mg tablet : one (1) tablet po hs (at bedtime) as needed for insomnia. 7. polyethylene glycol 3350 17 gram/dose powder : one (1) po daily (daily) as needed for constipation. 8. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 9. isosorbide mononitrate 30 mg tablet extended release 24 hr : 0.5 tablet extended release 24 hr po daily (daily). 10. lorazepam 0.5 mg tablet : one (1) tablet po tid (3 times a day). 11. pantoprazole 40 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 12. ondansetron 4 mg tablet, rapid dissolve : one (1) tablet, rapid dissolve po q8h (every 8 hours) as needed for nausea. 13. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: right lower extremity deep vein thrombosis discharge condition: level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. mental status: confused - sometimes. discharge instructions: ms. , it was a pleasure caring for your at . you were admitted after being found to have a blood clot in your right leg that was causing swelling. this clot was evaluated by ultrasound. the usual treatment for blood clots is anticoagulation. because you have a history of bleeding in your gastrointestinal tract anticoagulation would be dangerous for you. the options of anticoagulation, the placement of an ivf filter to stop blood clots from reaching your heart and lungs and supportive measures were all discussed with you and your sons. your son who is your health care proxy made the decision to proceed with ivf filter. you had the procedure done by vascular surgeons on . you tolerated the procedure well. we did not make any changes to your medications: please take your medications as prescribed. please keep your follow up appointments as scheduled. followup instructions: 1)please arrange appt with primary care physician 1 week or as needed. 2)department: cardiac services when: wednesday at 2:00 pm with: , md building: campus: east best parking: garage please follow up with your primary care physician as needed. procedure: interruption of the vena cava angiocardiography of venae cavae diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other chronic pulmonary heart diseases other persistent mental disorders due to conditions classified elsewhere other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) osteoporosis, unspecified chronic systolic heart failure iron deficiency anemia, unspecified nausea alone tricuspid valve disorders, specified as nonrheumatic chronic venous embolism and thrombosis of deep vessels of proximal lower extremity 

Answer: The patient is high likely exposed to