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: elective surgical repair of b/l femoral artey anuerysms major surgical or invasive procedure: s/p repair b/l femoral a. pseudoaneurysm and b/l femoral endarterectomy past medical history: pmh: pvd, tobacco use, daily etoh, cad s/p rca , 57% psh: s/p cabg, aortobifem, r cfa- w/ ptfe, l cfa-sfa w/ ptfe, l profund- w/ r nrsvg, r carpal tunnel release, l subareolar excision', perc angioplasty dist. l fem- social history: pos smoker pos drinker family history: non contributary physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness ext: rle - palp fem, , pt, dp lle - palp fem, , pt, dp pertinent results: 05:15am blood wbc-10.4 rbc-3.63* hgb-10.5* hct-29.4* mcv-81* mch-28.9 mchc-35.7* rdw-15.1 plt ct-196 05:15am blood pt-11.0 ptt-29.0 inr(pt)-0.9 blood plt ct-196 blood glucose-106* urean-8 creat-0.6 na-126* k-3.7 cl-90* hco3-25 angap-15 calcium-8.0* phos-2.7 mg-1.6 freeca-1.14 urine color-straw appear-clear sp -1.011 urine blood-neg nitrite-neg protein-neg glucose-neg ketone-15 bilirub-neg urobiln-neg ph-6.5 leuks-neg 9:57 am chest (portable ap) portable upright chest radiograph shows interim removal of the patient's endotracheal tube compared to yesterday's exam. right-sided cordis introducer with coaxial catheter is in unchanged position. minimal streaky density is seen in the left retrocardiac region, and less so at the right lung base with an appearance more suggestive of subsegmental atelectasis than pneumonia, however, if symptoms continue, repeat pa and lateral views may be revealing. cardiac size and mediastinal contours are stable. callus at healed rib fractures bilaterally is again noted. calcification is seen in the arch of the aorta with calcified plaque at both carotid arteries and both subclavian and axillary arteries as well. conclusion: 1. maintained inspiratory volumes status post extubation. minimal subsegmental atelectasis at the bases without evidence of pneumonia. if symptoms continue, pa and lateral views may be helpful. 2. atherosclerosis. brief hospital course: pt admitted on pre-op'd in the usual fashion pt undergoes a resection of bilateral femoral pseudoaneurysms; right ilio to profunda bypass graft with dacron and replacement of fem- graft, proximal anastomosis onto ilioprofunda graft and left ilioprofunda bypass graft with dacron. pt tolerated the procedure well / extubated in the or / transfered to the pacu in stable condition. transfered to the vicu in stable condition pt delined / foley removed / diuresed pt stable / pt consult obtained / oob / diet advanced wounds c/d/i 2/9.06 pt stable taking po / ambulating / urinating / pos bm medications on admission: advair, albuterol, labetalol 400/600, imdur 60", lisinopril 40qhs, plavix 75', asa 81', detrol 2tid, lipitor 40', neurontin 600qid, klonipin 1prn, verapamil 120', zyrtec 10', primidone 100tid, nacl 1g qid, nexium 40', ntgprn discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. tolterodine 2 mg tablet sig: one (1) tablet po tid (3 times a day). 3. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 4. labetalol 200 mg tablet sig: four (4) tablet po tid (3 times a day). 5. isosorbide mononitrate 60 mg tablet sustained release 24hr sig: 1.5 tablet sustained release 24hrs po bid (2 times a day). 6. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 9. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 10. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 11. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 12. primidone 50 mg tablet sig: two (2) tablet po tid (3 times a day). 13. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 14. verapamil 120 mg tablet sig: one (1) tablet po q24h (every 24 hours). 15. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 16. oxycodone-acetaminophen 5-500 mg capsule sig: capsules po every 4-6 hours for 10 days. disp:*60 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: b/l femoral a. pseudoaneurysm and b/l femoral occlusion discharge condition: stable her alcoholism and severe medical conditions have been discussed with her and her primary care doctor. she refused to stay in the hospital any longer and it was felt she would be safer at home discharge instructions: discharge instructions following s/p repair b/l femoral a. pseudoaneurysm and b/l femoral endarterectomy surgery this information is designed as a guideline to assist you in a speedy recovery from your surgery. please follow these guidelines unless your physician has specifically instructed you otherwise. please call our office nurse if you have any questions. dial 911 if you have any medical emergency. activity: there are no specific restrictions on activity. you should be as active as is comfortable. some fatigue is expected for the first several weeks. leg swelling is typical following this type of surgery and can be controlled by elevating your leg above the level of your heart when you are not walking. please call us immediately for any of the following problems: redness in or drainage from your leg wound(s). new pain, numbness or discoloration of your foot or toes. watch for signs and symptoms of infection. these are: a fever greater than 101 degrees, chills, increased redness, or pus draining from the incision site. if you experience any of these or bleeding at the incision site, call the doctor. exercise: limit strenuous activity for 4 weeks. no heavy lifting greater than 20 pounds for the next 7 days. do not drive untill cleared by surgeon bathing/showering: you shower immediately upon coming home. no bathing. a clear dressing may cover your leg incision and this should be left in place for three (3) days. remove it after this time and wash your incision(s) gently with soap and water. dissolving sutures, which do not have to be removed, were probably used. if you have staples these will be removed on your follow-up appointment. wound care: sutures / staples may be removed before discharge. if they are not, an appointment will be made for you to return for removal.). when the sutures / staples are removed the doctor may or may not place pieces of tape called steri-strips over the incision. these will stay on about a week and you may shower with them on. if these do not fall off after 10 days, you may peel them off with warm water and soap in the shower. avoid taking a tub bath, swimming, or soaking in a hot tub for two weeks after surgery. medications: unless told otherwise you should resume taking all of the medications you were taking before surgery. you will be given a new prescription for pain medication, which can be taken every three (3) to four (4) hours only if necessary. remember that narcotic pain meds can be constipating and you should increase the fluid and bulk foods in your diet. (check with your physician if you have fluid restrictions.) if you feel that you are constipated, do not strain at the toilet. you may use over the counter metamucil or milk of magnesia. appetite suppression may occur; this will improve with time. eat small balanced meals throughout the day. cautions: no smoking! we know you've heard this before, but it really is an important step to your recovery. smoking causes narrowing of your blood vessels which in turn decreases circulation. if you smoke you will need to stop as soon as possible. ask your nurse or doctor for information on smoking cessation. avoid bending for 4-6 weeks. no strenuous activity for 4-6 weeks after surgery. diet : there are no special restrictions on your diet postoperatively. poor appetite is expected for several weeks and small, frequent meals may be preferred. for people with vascular problems we would recommend a cholesterol lowering diet: follow a diet low in total fat and low in saturated fat and in cholesterol to improve lipid profile in your blood. additionally, some people see a reduction in serum cholesterol by reducing dietary cholesterol. since a reduction in dietary cholesterol is not harmful, we suggest that most people reduce dietary fat, saturated fat and cholesterol to decrease total cholesterol and ldl (low density lipoprotein-the bad cholesterol). exercise will increase your hdl (high density lipoprotein-the good cholesterol) and with your doctor's permission, is typically recommended. you may be self-referred or get a referral from your doctor. if you are overweight, you need to think about starting a weight management program. your health and its improvement depend on it. we know that making changes in your lifestyle will not be easy, and it will require a whole new set of habits and a new attitude. if interested you can may be self-referred or can get a referral from your doctor. if you have diabetes and would like additional guidance, you may request a referral from your doctor. follow-up appointment: be sure to keep your medical appointments. the key to your improving health will be to keep a tight reign on any of the chronic medical conditions that you have. things like high blood pressure, diabetes, and high cholesterol are major villains to the blood vessels. don't let them go untreated! please call the office on the first working day after your discharge from the hospital to schedule a follow-up visit. this should be scheduled on the calendar for seven to fourteen days after discharge. normal office hours are 8:30-5:00 monday through friday. please feel free to call the office with any other concerns or questions that might arise. followup instructions: call dr office in two weeks and schedule an appoinment for 2 weeks. he can be reached at provider: , cardiology-private date/time: 1:30 provider: . 1 radiology phone: date/time: 2:00 provider: , ob/gyn (sb) date/time: 2:30 procedure: other revision of vascular procedure aorta-iliac-femoral bypass transfusion of packed cells resection of vessel with replacement, lower limb arteries diagnoses: unspecified essential hypertension aortocoronary bypass status other convulsions peripheral vascular disease, unspecified other and unspecified angina pectoris 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 other complications due to other vascular device, implant, and graft obstructive chronic bronchitis without exacerbation aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to