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: patient admitted for weight reduction surgery. major surgical or invasive procedure: status post laparoscopic gastric bypass history of present illness: has class iii morbid obesity with weight of 290.1 lbs as of (her initial screen weight on was 286.9 lbs), height of 64.5 inches and bmi of 49. her previous weight loss efforts have included 2 months of the diet in and losing 20 lbs, 4 months of prescription weight loss medication phentermine in - losing 47 lbs that she regained after stopping medication in one year and 3 months of pondimin (fenfluramine) in losing 20 lbs. past medical history: dyslipidemia, urinary stressincontinence, migraine headaches, gerd, gallbladder disease and b/l knee and low back pain social history: she denied tobacco and recreational drug usage, has one bottle of wine cooler twice a month and drinks 5-7 cups of coffee a day. she works as a manager for insurance company. she is married living with her husband age 43 and they have 3 children ages 12, 17 and 20 years old. family history: her family history is noted for both parents living father age 74 with obesity; mother in her 70s with cancer; aunt living in her 70s with diabetes and grandmother deceased with diabetes. physical exam: her blood pressure was 134/90, pulse 98 and o2 saturation 98% room air. on physical examination was casually dressed, slightly anxious but in no distress. skin was warm, moist, no rashes. sclerae were anicteric, conjunctiva clear, pupils were equal round and reactive to light, fundi were normal, mucous membranes were moist, tongue pink and the oropharynx was without exudates or hyperemia. trachea was in the midline and the neck was supple without adenopathy, thyromegaly or carotid bruits. chest was symmetric and the lungs were clear to auscultation bilaterally with good air movement. cardiac exam was regular rate and rhythm, normal s1 and s2, no murmurs, rubs or gallops. the abdomen was obese but soft and non-tender, non-distended with normal bowel sounds, no masses, healed trocar scars, no hernias. there was no spinal tenderness or flank pain. lower extremities were without edema, venous insufficiency or clubbing. there was no joint swelling or joint inflammation. there were no focal neurological deficits. pertinent results: 10:21pm blood ptt-38.4* 04:10am blood wbc-13.8*# rbc-3.83* hgb-11.8* hct-32.8* mcv-86 mch-30.7 mchc-35.8* rdw-13.9 plt ct-224 04:10am blood glucose-108* urean-7 creat-0.6 na-136 k-3.5 cl-101 hco3-25 angap-14 01:42am blood type-art po2-45* pco2-34* ph-7.47* caltco2-25 base xs-1 intubat-not intuba comment-collection 01:42am blood freeca-1.10* cta of chest massive pe, including a saddle embolus, occluding right main pulmonary artery and multiple lobar, segmental and subsegmental right sided emboli. evidence of right ventricular strain; right main pulmonary artery is progressively dilated on delayed scan. lower extremity ultrasound compressible but echogenic left greater saphenous and common femoral veins with possible slight decrease of variability in the common femoral veins (compared with the right) is compatible with a more proximal partially-occlusive thrombus. brief hospital course: patient admitted and underwent a laparoscopic gastric bypass on . postoperatively patient developed tachycardia and intermittent drops in oxygen saturation. on postoperative day one she underwent an upper gi study that confirmed no leak or obstruction. a chest x-ray showed lung volumes relatively low, a heart that is moderately enlarged, but no signs of overhydration was seen and moderate retrocardiac atelectasis, but no evidence of pneumonia, no pneumothorax. patient was then given ct scan of chest. this confirmed a massive pe, including a saddle embolus, occluding right main pulmonary artery and multiple lobar, segmental and subsegmental right sided emboli. patient was immediately started on a heparin gtt and transfered to the intensive care unit for close monitoring. on postoperative day 3 patient had an ultrasound of her lower extremities to rule out clot. this exam showed compressible but echogenic left greater saphenous and common femoral veins with possible slight decrease of variability in the common femoral veins (compared with the right) is compatible with a more proximal partially-occlusive thrombus. vascular service consulted. recommends that inr be maintained between 2.5 - 3. coumadin to be continued for 6 months. on postoperative day 7 her heparin gtt was discontinued as her inr was 3.5. on postoperative day 9 her inr was 3.6. we will discharge her home on coumadin 2.5mg daily with follow up management by her primary care provider. . at . i have spoken with dr. regarding hospital course and follow up needs. dr. has agreed to see on friday and manage her coumadin regimen. has been given information regarding coumadin and it's side effects. she will follow up with dr. in 2 weeks. medications on admission: midol prn cramps; tylenol es, aleve and advil for knee and back pain prn; daily mv with minerals and vitamin d 1000 u qd discharge medications: 1. docusate sodium 50 mg/5 ml liquid sig: ten (10) ml po bid (2 times a day). disp:*500 ml* refills:*0* 2. oxycodone-acetaminophen 5-325 mg/5 ml solution sig: 5-10 mls po q4h (every 4 hours) as needed for pain. disp:*500 ml* refills:*0* 3. zantac 15 mg/ml syrup sig: ten (10) ml po twice a day. disp:*600 ml* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: obesity discharge condition: stable discharge instructions: discharge instructions: please call your surgeon or return to the emergency department if you develop a fever greater than 101.5, chest pain, shortness of breath, severe abdominal pain, pain unrelieved by your pain medication, severe nausea or vomiting, severe abdominal bloating, inability to eat or drink, foul smelling or colorful drainage from your incisions, redness or swelling around your incisions, or any other symptoms which are concerning to you. diet: stay on stage iii diet until your follow up appointment. do not self advance diet, do not drink out of a straw or chew gum. medication instructions: resume your home medications, crush all pills. you will be starting some new medications: 1. you are being discharged on medications to treat the pain from your operation. these medications will make you drowsy and impair your ability to drive a motor vehicle or operate machinery safely. you must refrain from such activities while taking these medications. 2. you should begin taking a chewable complete multivitamin with minerals. no gummy vitamins. 3. you will be taking zantac liquid 150 mg twice daily for one month. this medicine prevents gastric reflux. 4. you should take a stool softener, colace, twice daily for constipation as needed, or until you resume a normal bowel pattern. 5. you must not use nsaids (non-steroidal anti-inflammatory drugs) examples are ibuprofen, motrin, aleve, nuprin and naproxen. these agents will cause bleeding and ulcers in your digestive system. activity: no heavy lifting of items pounds for 6 weeks. you may resume moderate exercise at your discretion, no abdominal exercises. wound care: you may shower, no tub baths or swimming. if there is clear drainage from your incisions, cover with clean, dry gauze. your steri-strips will fall off on their own. please remove any remaining strips 7-10 days after surgery. please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: provider: , rd phone: date/time: 3:30 provider: , md phone: date/time: 4:00 provider: , rd phone: date/time: 9:00 procedure: laparoscopic gastroenterostomy laparoscopic repair of diaphragmatic hernia, abdominal approach diagnoses: esophageal reflux cardiac complications, not elsewhere classified diaphragmatic hernia without mention of obstruction or gangrene 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 pain in joint, lower leg morbid obesity iatrogenic pulmonary embolism and infarction lumbago tachycardia, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to