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: vicodin attending: chief complaint: cc: major surgical or invasive procedure: none invasive epley maneuver history of present illness: hpi: 48m fell while walking down stairs. does not recall slipping but does recall trying to reach for railing but "my arm would not move." struck the back of his head. had severe dizziness after fall and was unable to stand up. denies nausea, vomiting, chest pain, sob, neck pain, back pain, or any other injuries. patient had a history of an lp for bad headaches 12 years ago that showed xanthochromia. workup by neurosurgery including angiogram never showed source or aneurysm. grandfather died of aneurysm at age 82. past medical history: hiv ?????? well controlled, no history of ois hepc - prior history of treatment trial, not tolerant of medications iddm ?????? x 33 years, on insulin pump. a1c 5.6% diabetic nephropathy ?????? has proteinuria, on ace social history: lives with wife and children. wife very supportive. family history: nc physical exam: physical exam: o: t: 97.1 bp: 134/68 hr:84 r 20 99% ra o2sats gen: comfortable, nad. heent: pupils: 5 to 2 bilaterally eomi neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch, propioception, pinprick and vibration bilaterally. reflexes: b pa right 2+ 2+ left 2+ 2+ toes downgoing bilaterally coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin on discharge - pt with non focal neuro exam / pain well controlled. pertinent results: radiology final report ct head w/o contrast 5:41 pm ct head w/o contrast; ct orbits, sella & iac w/ & w/ reason: please do bilateral temporal bone head ct to rule out fractu medical condition: 48 year old man with sah/sdh, vertigo. reason for this examination: please do bilateral temporal bone head ct to rule out fracture as well as ? sah/sdh size, thanks. contraindications for iv contrast: none. history: 48-year-old male with subarachnoid hemorrhage/subdural hemorrhage, now with vertigo. concern for change in size of hemorrhage or fracture. comparison: cta head, and ; cerebral angiogram, ; mra brain, ; and non-contrast head, ct . technique: non-contrast ct of the head and temporal bones. findings: again demonstrated is the small subdural hematoma along the superior sagittal sinus near the vertex which is not appreciably changed. suspected subdural hematoma of the inferior left frontal lobe is not well visualized on today's examination. no new sites of intracranial hemorrhage are identified. there is no shift of normally midline structures. the ventricular system is stable in size and configuration. there is no evidence of acute major vascular territorial infarction. there is mild mucosal thickening of the ethmoid sinus and moderate right maxillary sinus mucosal thickening. opacification of several bilateral mastoid air cells is noted with small fluid levels in a few of the air cells. the middle ear cavities are clear. there is no evidence of temporal bone fracture. no gross abnormality of the bilateral ossicles or middle ear structures are identified. minimal calcifications of the carotid siphons are noted. impression: 1. no significant change in small subdural hematoma near the vertex along the superior sagittal sinus. 2. suspected small subdural hematoma of the inferior frontal lobe, not well appreciated on today's examination. 3. opacification of a small number of mastoid air cells, left greater than right. 4. no evidence of fracture. 5. paranasal sinus mucosal thickening as described. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 8:34 am radiology final report ct orbits, sella & iac w/ & w/o contrast 5:41 pm ct head w/o contrast; ct orbits, sella & iac w/ & w/ reason: please do bilateral temporal bone head ct to rule out fractu medical condition: 48 year old man with sah/sdh, vertigo. reason for this examination: please do bilateral temporal bone head ct to rule out fracture as well as ? sah/sdh size, thanks. contraindications for iv contrast: none. history: 48-year-old male with subarachnoid hemorrhage/subdural hemorrhage, now with vertigo. concern for change in size of hemorrhage or fracture. comparison: cta head, and ; cerebral angiogram, ; mra brain, ; and non-contrast head, ct . technique: non-contrast ct of the head and temporal bones. findings: again demonstrated is the small subdural hematoma along the superior sagittal sinus near the vertex which is not appreciably changed. suspected subdural hematoma of the inferior left frontal lobe is not well visualized on today's examination. no new sites of intracranial hemorrhage are identified. there is no shift of normally midline structures. the ventricular system is stable in size and configuration. there is no evidence of acute major vascular territorial infarction. there is mild mucosal thickening of the ethmoid sinus and moderate right maxillary sinus mucosal thickening. opacification of several bilateral mastoid air cells is noted with small fluid levels in a few of the air cells. the middle ear cavities are clear. there is no evidence of temporal bone fracture. no gross abnormality of the bilateral ossicles or middle ear structures are identified. minimal calcifications of the carotid siphons are noted. impression: 1. no significant change in small subdural hematoma near the vertex along the superior sagittal sinus. 2. suspected small subdural hematoma of the inferior frontal lobe, not well appreciated on today's examination. 3. opacification of a small number of mastoid air cells, left greater than right. 4. no evidence of fracture. 5. paranasal sinus mucosal thickening as described. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 8:34 am radiology final report mra brain w/o contrast 9:50 am mra brain w/o contrast; mra neck w&w/o contrast reason: please evaluate for aneurysm or other vascular malformation. contrast: magnevist medical condition: 48 year old man with sah - likely nontraumatic. reason for this examination: please evaluate for aneurysm or other vascular malformation. contraindications for iv contrast: none. indication: 48-year-old with subarachnoid hemorrhage. please evaluate for aneurysm or vascular malformation. there are no prior mras available for comparison. comparison is made with the ct head from . technique: three-dimensional time-of-flight mr arteriography was performed with rotational reconstructions. findings: there is a large pca on the right, likely a normal variant. there is a small, triangular 1.5-mm protrusion at the probable origin of the left ophthalmic artery, close to the area of recent hemorrhage. however the ophthalmic artery itself is not seen and thus this cannot definitively be called an infundibulum. there is a large pca which is likely a normal anatomic variant. the remaining intracranial, vertebral and internal carotid arteries and their major branches appear normal. there is no evidence of stenosis, occlusion or aneurysm formation. impression: there is a small protrusion at the expected origin of the left ophthalmic artery, which does not meet all the criteria for an infundibulum, as the origin of the ophthalmic artery is not seen. as a result recommend cta or cerebral angiography for further evaluation of the opthalmic artery. there is a large pca which is likely a normal variant. the study and the report were reviewed by the staff radiologist. dr. dr. . approved: sat 9:36 pm radiology final report mra neck w&w/o contrast 9:50 am mra brain w/o contrast; mra neck w&w/o contrast reason: please evaluate for aneurysm or other vascular malformation. contrast: magnevist medical condition: 48 year old man with sah - likely nontraumatic. reason for this examination: please evaluate for aneurysm or other vascular malformation. contraindications for iv contrast: none. indication: 48-year-old with subarachnoid hemorrhage. please evaluate for aneurysm or vascular malformation. there are no prior mras available for comparison. comparison is made with the ct head from . technique: three-dimensional time-of-flight mr arteriography was performed with rotational reconstructions. findings: there is a large pca on the right, likely a normal variant. there is a small, triangular 1.5-mm protrusion at the probable origin of the left ophthalmic artery, close to the area of recent hemorrhage. however the ophthalmic artery itself is not seen and thus this cannot definitively be called an infundibulum. there is a large pca which is likely a normal anatomic variant. the remaining intracranial, vertebral and internal carotid arteries and their major branches appear normal. there is no evidence of stenosis, occlusion or aneurysm formation. impression: there is a small protrusion at the expected origin of the left ophthalmic artery, which does not meet all the criteria for an infundibulum, as the origin of the ophthalmic artery is not seen. as a result recommend cta or cerebral angiography for further evaluation of the opthalmic artery. there is a large pca which is likely a normal variant. the study and the report were reviewed by the staff radiologist. dr. dr. . approved: sat 9:36 pm cardiology report ecg study date of 5:50:54 pm normal sinus rhythm. normal tracing. mild baseline artifact. no significant change compared with tracing . read by: , s. intervals axes rate pr qrs qt/qtc p qrs t 65 162 90 400/408 56 27 51 () radiology preliminary report carot/cereb 3:44 pm carot/cereb reason: r/o aneurysm contrast: optiray medical condition: 48 year old man with sah reason for this examination: r/o aneurysm history: 48-year-old male patient with subarachnoid hemorrhage to rule out aneurysm. technique: informed consent was obtained from the patient after explaining the risks, indication and alternative management. risks explained included stroke, loss of vision and speech, temporary or permanent with possible treatment with stent and coils if needed. the patient was brought to the interventional neuroradiology theater and placed on the biplane table in the supine position. both groins were prepped and draped in the usual sterile fashion. a patient timeout was performed by two patient identifiers. access to the right common femoral artery was obtained using a 19-gauge single wall needle, under local anesthesia using 1% lidocaine mixed with sodium bicarbonate and with aseptic precautions. through the needle, a 0.35 wire was introduced and the needle taken out. over the wire, a 5 french vascular sheath was placed and connected to saline infusion (mixed with heparin 500 units in 500 cc of saline) with a continuous drip. through the sheath, a 4 french berenstein catheter was introduced and connected to continuous saline infusion (with heparin mixture: 1000 units of heparin in 1000 cc of saline). the following vessels were selectively catheterized and arteriograms were performed from these locations. after review of films the catheter and the sheath were withdrawn and pressure was applied on the groin until hemostasis was obtained. the procedure was uneventful and the patient tolerated the procedure well without complications. the patient was sent to the floor with orders. the following blood vessels were selectively catheterized and arteriograms were obtained in the ap and lateral projections. 1. right internal carotid artery. 2. left internal carotid artery. 3. right common carotid artery. 4. left common carotid artery. 5. right vertebral artery. 6. left vertebral artery. the left posterior communicating artery appears prominent. the left vertebral artery is seen supplying the anterior spinal artery. there is no evidence of any aneurysms, av fistulas, av formations, stenosis or occlusions. impression: cerebral angiogram of the above-mentioned vessels demonstrated no evidence of any aneurysm, vascular malformation, stenosis or occlusion. the attending, dr. was scrubbed and present for the entire procedure. dr. dr. preliminaryapproved: tue 2:29 pm brief hospital course: pt was admitted to the hospital to the icu for observation and close monitoring after slip and fall resulted in subarachnoid hemorrhage and subdural hematoma. pt underwent angiogram which was negative for aneurysm. he was started on nimodipine. stroke consult was obtained for intial syncope workup. he was placed on meclizine for continued complaints of vertigo. he was transferred to a regular floor and evaluated by the ent team for the c/o vertigo. they performed epley maneuver from which the pt has relief of symptoms. they diagnosed him with benign positional vertigo. he was seen by pt and deemed safe for discharge with a home safety eval. his dilantin and nimodipine were stopped as he has never had a sz during this stay nor is his sah thought to be aneurysmal. he was d/c'd to home without pain medication per his request. follow up and instructions were discussed. medications on admission: medications prior to admission: atripla crestor lipitor lisinopril insulin asa - last dose was one week ago - stopped it because he has a planned surgery for hernia repair soon. discharge medications: 1. atripla oral 2. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 3. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). 4. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (daily). 5. meclizine 12.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: benign positional vertigo subarachnoid hemorrhage discharge condition: stable discharge instructions: discharge instructions for craniotomy/head injury ?????? have a family member check your incision daily for signs of infection ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may wash your hair only after sutures and/or staples have been removed ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ?????? clearance to drive and return to work will be addressed at your post-operative office visit - your dilantin was stopped, you did not have a seizure. call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f avoid sudden movements of your head - this will possibly reverse the positive outcome that you've had with the epley maneuver. if you have questions regarding when this activity restriction is complete = please call the otolarygology department for dr. . followup instructions: dr. / otoloaryngology as needed follow up with your primary care physician within the next 2 weeks you do need to follow up in the neurosurgery department with dr. . please call the office for an appointment to be seen in 4 weeks with a cat scan of the brain to evaluate for your subdural collections. take your hospital medication as previously precribed as per your request you are not being sent home with a prescription for narcotic/ pain control. you have the following appointments already in the system they are listed below for your reminder provider: , md phone: date/time: 9:00 provider: , md phone: date/time: 4:00 procedure: arteriography of cerebral arteries arterial catheterization diagnoses: unspecified essential hypertension unspecified viral hepatitis c without hepatic coma subarachnoid hemorrhage other and unspecified hyperlipidemia accidental fall on or from other stairs or steps diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled asymptomatic human immunodeficiency virus [hiv] infection status benign paroxysmal positional vertigo other and unspecified cerebral laceration and contusion, without mention of open intracranial wound, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to