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: colon cancer major surgical or invasive procedure: 1. laparoscopy converted to laparotomy. 2. transverse colectomy. 3. small bowel resection history of present illness: mrs. is an 87-year-old female jehovah's witness with a significant cardiovascular history who was diagnosed with a poorly differentiated carcinoma in the left colon after presenting with a hematocrit of 10. preoperative staging with a ct scan revealed a large mass in the transverse colon and possible pulmonary nodules. because of the profound nature of the anemia induced by the tumor,surgical resection was indicated even in the face of metastasis. she was referred to dr. , evaluated, and scheduled for surgical resection of the mass. past medical history: pmh: cad, htn, dm2, hyperlipidemia, , h/o cva, h/o mi, h/o tia psh; cabgx 4, hysterectomy social history: jehovah's witness. lives with daughter.does not smoke. denies using etoh or illegal drugs. family history: noncontributory physical exam: post-stroke neuro exam per dr. vs: tc 98.3 bp 126/68 p 98 r 20 02 99% on 3 liters gen: wd/wn heent: supple neck, no lymphadenopathy chest: lungs clear to auscultation bilaterally, no wheezes, rales, or rhonchi heart: regular rate and rhythm, no murmurs, abd: soft ext: no cyanosis, clubbing, or edema skin: no erythema neuro: ms: alert, non-verbal, able to show right thumb upon command but not able to show two fingers, able to name "glasses", eyes open spontaneously cn: pupils equal, round, and reactive, extraocular movements intact, mild right lower facial droop, intact t/u/p, scm and trapezius motor: normal tone and bulk of all four extremities, no tremor mild drift of the left arm both deltoids were 4 - 4+ bilaterally both iliopsoas were 5/5 strength sensory: intact light touch of both arms reflex: br b k a toes left 1 2 2 2 mute right 1 1 2 2 down coord: deferred pertinent results: radiology final report radiology final report chest (portable ap) 4:06 am reason: evaluate for infiltrate/edema indication: shortness of breath. right subclavian catheter is unchanged in position. congestive heart failure has slightly improved with decreasing perihilar edema but residual diffuse interstitial edema remaining. small-to-moderate left pleural effusion is also slightly improved. small right pleural effusion is unchanged. . chest (portable ap) 5:36 am reason: change in resp status? medical condition: 87 year old woman with colectomy and post op mi. impression: stable parenchymal opacities, likely reflecting moderate pulmonary edema. bibasilar effusions and associated atelectasis, left greater than right. cardiomegaly. . radiology final report ct head w/o contrast 8:13 am medical condition: 87 year old woman with lap assist left colon resection for mass. h/o tia's. no with aphasia. reason for this examination: evaluate for acute intracranial process. impression: no acute intracranial process. . radiology final report chest port. line placement 10:57 pm reason: tlc placement impression: 1. standard position of right subclavian line. 2. new bilateral parenchymal opacities as described, which in the presence of known cardiac disease most likely represent pulmonary edema. 3. interval minimal increased in heart size. 4. bilateral pleural effusion most likely related to same process. 5. nodules demonstrated on the torso ct cannot be assessed on the current study in the presence of pulmonary edema. . portable tte (complete) done at 10:00:00 am final left atrium: elongated la. right atrium/interatrial septum: normal ra size. no asd or pfo by 2d, color doppler or saline contrast with maneuvers. left ventricle: normal lv wall thickness and cavity size. moderate regional lv systolic dysfunction. no lv mass/thrombus. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. moderate mitral annular calcification. no ms. moderate (2+) mr. tricuspid valve: normal tricuspid valve leaflets. moderate to severe tr. severe pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. general comments: contrast study was performed with 1 iv injection of 8 ccs of agitated normal saline at rest. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions the left atrium is elongated. no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast at rest. left ventricular wall thicknesses and cavity size are normal. there is moderate regional left ventricular systolic dysfunction with severe hypokinesis/akinesis of the inferior wall, as well as distal septum and apex (c/w multivessel coronary artery disease). quantitative lvef = 39%. no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. there is severe pulmonary artery systolic hypertension. there is no pericardial effusion. impression: no pfo seen. moderate regional left ventricular systolic dysfunction, c/w multivessel cad. moderate mitral regurgitation. moderate-to-severe tricuspid regurgitation. severe pulmonary hypertension. . 05:45am blood wbc-12.4* rbc-4.24 hgb-10.2* hct-31.8* mcv-75* mch-24.2* mchc-32.2 rdw-23.2* plt ct-275 03:04am blood wbc-9.6 rbc-3.64* hgb-7.8* hct-25.4* mcv-70* mch-21.4* mchc-30.6* rdw-20.8* plt ct-307 08:50am blood wbc-20.7* rbc-4.25 hgb-9.5* hct-30.1* mcv-71* mch-22.4* mchc-31.6 rdw-22.2* plt ct-414 03:52am blood wbc-17.4* rbc-4.89 hgb-10.6* hct-34.7* mcv-71* mch-21.8* mchc-30.6* rdw-20.8* plt ct-445* 05:45am blood plt ct-275 05:45am blood pt-13.5* ptt-31.5 inr(pt)-1.2* 03:10am blood pt-34.9* ptt-42.1* inr(pt)-3.7* 03:23am blood pt-22.9* ptt-78.6* inr(pt)-2.2* 03:52am blood plt ct-445* 05:45am blood glucose-84 urean-21* creat-0.7 na-145 k-3.5 cl-111* hco3-28 angap-10 03:29pm blood glucose-177* urean-11 creat-0.8 na-142 k-4.0 cl-108 hco3-26 angap-12 05:45am blood ck(cpk)-84 03:10am blood alt-25 ast-53* ld(ldh)-386* ck(cpk)-115 alkphos-60 totbili-2.5* 08:50am blood alt-34 ast-134* ck(cpk)-667* alkphos-64 totbili-0.6 05:45am blood ck-mb-notdone ctropnt-5.22* 09:25pm blood ck-mb-6 ctropnt-3.81* 02:30am blood ck-mb-12* mb indx-9.4* ctropnt-2.42* 12:10pm blood ck-mb-45* ctropnt-1.64* probnp-* 03:08pm blood ck-mb-145* mb indx-20.9* ctropnt-1.36* 08:50am blood ck-mb-142* mb indx-21.3* ctropnt-0.93* 05:45am blood calcium-7.4* phos-3.5 mg-1.9 03:29pm blood calcium-8.4 phos-4.6*# mg-2.3 05:40am blood %hba1c-6.2* 05:40am blood triglyc-102 hdl-29 chol/hd-2.8 ldlcalc-33 brief hospital course: mrs. operative course was uncomplicated. she was routinely evaluated in the pacu, and transferred to for post-op care. . pod1: she became aphasic in the morning of pod1. she was able to respond to "yes/no" questions appropriately. she appeared slightly lethargic, but easily aroused. her upper and lower extremity strength remained equal. she was able to follow commands. she made attempts to speak, but with difficulty formulating comprehendable words. her writing was not legible. she underwent a head ct, mri/mra, and bilateral carotid ultrasounds. by 7pm her speech had improved. see below for further workup . pod2: her aphasia was somewhat worse on pod#2 and her cardiac enzymes were positive. she was transferred to the icu for closer monitoring and care. . neuro: she was seen by the neurology stroke team who recommeneded romi, tele, carotid ultrasound, mra/mri, asa, and tte with buble study. the mri/mra revealed an acute left frontal lobe embolic stroke. the carotid u/s showed 80-99% right ica stenosis. 40-59% left ica stenosis. per pt she was offered carotid endarterectomy in the past but did not want to persue this any further. her speech improved throughout her hospital stay and on discharge was close to baseline. she will follow up in weeks with dr. and drink as much fluids as possible. . cardiac: she was seen by cardiology in icu due to elevated troponin levels indicating a myocardial infarction who recommended following cardiac enzymes. if cardiac cath and/or nuclear mri study were considered according to enzymes. her troponins continued to rise which indicated a cardiac cath. she declined cath. she was managed with heparin gtt, asa, metoprolol, & lipitor was increased to 80 mg daily.she was diuresed in the icu with monitoring of lytes and renal function. upon discharge, cardiology felt rehab appropriate. risks and benefits of participating given recent nstemi discussed with patient. she will follow-up with cardiology outpatient. . resp: she has continued on oxygen via nasal cannula throughout admission. her oxygen demand increased slightly in icu, intubation was not required. her ls were decreased with crackles early during admission. they are presently diminshed, and clear. she should continue to wean from oxygen as long as cardiac function remains stable during rest & activity. refer to results section for chest xray results. . gi: her abdomen is, soft, nt/nd. her abdominal incision is ota. she has active bowel sounds with loose stools. she has been incontinent of stool leading to erythema of skin. provide continued assessment of skin to prevent further breakdown. she was npo for some time. she was evaluated per speech & swallow. she regained almost complete ability to swallow, and has been tolerating a regular diet with nectar thick liquids. . renal: a foley was inserted intra-op, and removed on . she has been urinating adequate amounts of urine. she maintained adequate urine output throughout her hospital course with an increase in bun requiring diuresis with iv lasix. the bun level returned to baseline. . id: a rectal and nasal swab was collected in icu on . results are pending presently. . heme: she is a jehovah's witness, but agreed to tranfusion with prbc due to a drop in hematocrit. her hct's have remained stable. no further transfusion required. . extrem: she appears to have baseline use of upper extremeties with mild left sided weakness. she was evaluated per pt & ot. she required a person assist from bed to chair. she is a fall risk, and will benefit from rehabilitation. she was able to ambulate independently prior to hospitalization. medications on admission: lipitor 80', protonix 40', atenolol 25', ferrous sulfate 650''', asa 81', temazepam 30 qhs prn discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal (2 times a day) as needed for constipation. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain for 2 weeks. discharge disposition: extended care facility: - discharge diagnosis: primary: colon mass left frontal lobe embolic stroke myocardial infarction . secondary: cad, htn, dm2, hyperlipidemia, , h/o cva, h/o mi, h/o tia, cabgx 4, hysterectomy discharge condition: stable tolerating a regular diet with nectar thick liquids pain control managed with oral medication discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in 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. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to amubulate several times per day. . incision care: -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: 1. please make a follow-up with dr. ( in 2 weeks. 2. please follow-up with a primary care provider, . , in 1 week or as needed. 3. neurology: please follow-up in weeks with dr. 4. cardiology: please follow-up with dr. ,( in weeks. procedure: venous catheterization, not elsewhere classified other partial resection of small intestine arterial catheterization transfusion of packed cells small-to-small intestinal anastomosis open and other resection of transverse colon diagnoses: subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other and unspecified hyperlipidemia 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 acute systolic heart failure hyperosmolality and/or hypernatremia accidents occurring in residential institution cerebral artery occlusion, unspecified with cerebral infarction aphasia secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes iatrogenic cerebrovascular infarction or hemorrhage anemia in neoplastic disease laparoscopic surgical procedure converted to open procedure malignant neoplasm of transverse colon 

Answer: The patient is high likely exposed to