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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain/back pain/symptomatic abdominal aortic aneurysm major surgical or invasive procedure: : open abdominal aortic aneurysm repair with 18 mm dacron graft. history of present illness: mr. is a 58 yr old m transferred to via med flight from with a symptomatic abdominal aortic aneurysm of approx. 8cm as seen on ct scan. pt reports to have been experiencing abdominal and back pain for the past three days and presented to the ed at today with similar symtoms. a ct was performed showing the aortic aneurysm and due to its size and his symptomatology the pt was transferred to for potential operative treatment. he denies chest pain, tearing pain, shortness of breath or dizziness/lightheadedness. past medical history: pmh: mi s/p ptci ', s/p cva ', htn, b/l rotator cuff psh: bl rotator cuff repair, bl knee arthroscopy : norvasc 10', metoprolol 50". asa 81', lipitor 20', benazepril 40' social history: past alcohol and smoking history. married lives at home with wife. in manual labor with routine heavy lifting. family history: non-contributory physical exam: physical exam at discharge: vs: gen: nad heent: sclerae anicteric cv: rrr pulm: no respiratory distress abd: s/appropriately tender to palpation in peri-incisional distribution/non-distended; midline laparotomy incision with peri-incisional ecchymosis and staples in place; no rebound/guarding back: +tenderness to palpation in lower back ext: no edema; all extremities warm, well perfused neuro: a&ox3; no focal neurologic deficits pertinent results: laboratories: 12:24am blood wbc-5.9 rbc-2.98* hgb-9.7* hct-28.2* mcv-95 mch-32.7* mchc-34.5 rdw-13.5 plt ct-177 07:04am blood wbc-4.9 rbc-3.32* hgb-10.9* hct-31.1* mcv-94 mch-33.0* mchc-35.2* rdw-14.1 plt ct-196 12:24am blood pt-18.3* ptt-150* inr(pt)-1.7* 07:04am blood glucose-88 urean-8 creat-0.9 na-131* k-4.6 cl-98 hco3-28 angap-10 03:12am blood glucose-98 urean-16 creat-0.8 na-136 k-3.7 cl-108 hco3-22 angap-10 07:04am blood calcium-8.2* phos-2.6* mg-1.7 03:12am blood albumin-2.5* calcium-7.8* phos-4.1 mg-1.1* imaging: ct a/p (osh) - large 8.5cm aaa, no evidence of rupture or leak cxr : right lung volume is still diminished, but other than basal atelectasis, there are no focal findings. pleural effusion is minimal on the right if any. no pulmonary edema, pneumonia or pneumothorax. heart size normal. poor definition of the margins of the lower trachea could be due to retained secretions. it should be reevaluated if symptoms persist. right jugular introducer ends at the thoracic inlet. heart size normal. microbiology: sputum cx (): mod growth respiratory flora brief hospital course: the patient was admitted to the vascular surgery service on via transfer from an osh and had an open abdominal aortic aneurysm repair. the patient tolerated the procedure well. following the procedure, the patient was admitted to the cvicu. on pod1, patient was stable for transfer to the vicu. neuro: post-operatively, the patient received dilaudid iv/pca with good effect and adequate pain control. when tolerating oral intake on pod4, the patient was transitioned to oral pain medications. cv: postoperatively, the patient was maintained with an sbp 100-140 with a nitroglycerin gtt and iv metoprolol. these were weaned on pod1-2. patient was transitioned to his oral po anti-hypertensive regimen when tolerating po intake. the patient was stable from a cardiovascular standpoint; vital signs were routinely monitored. pulmonary: the patient was extubated on pod1 in the cvicu. on pod2 a cxr and sputum culture were obtained due to bilateral rhonchi and increased oxygen requirement. patient was treated with albuterol nebulizers and supplemental oxygen was weaned with aggressive pulmonary toilet. patient was stable from a pulmonary standpoint; vital signs were routinely monitored. gi/gu: post-operatively, the patient was given iv fluids until tolerating oral intake. ngt placed on pod0 in the cvicu was d/c'd on pod1. his diet was advanced to clears on pod4 after passage of flatus, which was tolerated well. he was also started on a bowel regimen to encourage bowel movement and had a bm on pod4. diet was advanced to regular on pod5. patient's urine output was closely monitored. patient was given lasix on pod2 and diuresed appropriately. foley was removed at midnight on pod#3 and patient voided appropriately. intake and output were closely monitored. id: patient was given preoperative antibiotics. the patient's temperature was closely watched for signs of infection. prophylaxis: the patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. at the time of discharge on pod#5, the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. medications on admission: norvasc 10', metoprolol 50". asa 81', lipitor 20', benazepril 40' discharge medications: 1. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 2. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours) as needed for pain. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 6. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 7. benazepril 10 mg tablet sig: four (4) tablet po daily (). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 9. senna 8.6 mg tablet sig: one (1) tablet po daily (daily) as needed for constipation. disp:*30 tablet(s)* refills:*0* 10. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: symptomatic abdominal aortic aneurysm discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk, gradually increasing your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (let the soapy water run over incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: please follow up with dr. in 2 to 3 weeks. call for an appointment. procedure: resection of vessel with replacement, aorta, abdominal diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of tobacco use percutaneous transluminal coronary angioplasty status old myocardial infarction personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to