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: ampicillin attending: chief complaint: myxoma major surgical or invasive procedure: myxoma resection, septal myonectomy history of present illness: pt. has history of hypertrophic obstructive cardiomyopathy past medical history: pmh hocm, lv diasystolic dys, hyperlipidemia social history: pt. and wife are originally from ma. pt. is a civil engineer they moved to with children 3 years ago so that pt. could take a new job. pt. was laid off from fl job and moved back to ma to take a job in . wife and child (2 older children in college) stayed in fl to minimize disruptions and to take care of sale of their home. plan was for wife and daughter to move back to ma after sale was complete. however, pt. was recently laid off from job so it is unclear what the family's long-term plan will now be. wife works full time but family is now in severe financial difficulties. family history: n/c physical exam: a/o nad cta rrr pos bs sternal inc c/d/i palp pulses pertinent results: 09:30am blood wbc-6.7 rbc-3.34* hgb-9.8* hct-28.9* mcv-86 mch-29.5 mchc-34.1 rdw-12.8 plt ct-283 1:18 pm chest, portable ap: an introducer sheath remains in the right internal central jugular vein, with a swan-ganz catheter having been removed in the interval since two days earlier. a right- sided chest tube appears unchanged. the patient has been extubated and a nasogastric tube removed. there is associated decrease in the lung volumes with increased bibasilar atelectases. however, no edmea, pneumothorax or effusion. impression: 1. status post extubation with associated increased bibasilar atelectasis. 2. no pneumothorax. brief hospital course: pt pre-op'd had myxoma resection, septal myonectomy. transfered to th cvicu weaned from pressure support / extubate av conduction postop (w/ av conduction delay) with a pacing via epicardial wire (no underlying sinus; juntional escape at 30-40bmp). ep consult. recommend of hearts with follow-up with dr as outpt bb stopped diuresed with lasix echo post operative foly dc - passed voiding trial ct dc / post cxr no pneumo noted / was on waterseal pw dc'd with out incidence coumadin started / inr 1.1 / pcp to follow as outpt. arranged with dr medications on admission: verapamil 240', atenolol 50', zocor 80' discharge medications: 1. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*30 tablet(s)* refills:*0* 2. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. warfarin 2 mg tablet sig: two (2) tablet po once (once) for 1 months: inr goal is / you will be taking this for 3 months. disp:*90 tablet(s)* refills:*3* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 7. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: vna & hospice services discharge diagnosis: myxoma hocm, lv diasystolic dys, hyperlipidemia discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns what is warfarin? warfarin is the generic name for coumadin?????? (brand or trade name). warfarin belongs to a class of medications called anticoagulants, which help prevent clots from forming in your blood and or keep grafts open. why am i taking warfarin? you are taking warfarin because you have a medical condition that puts you at risk for forming dangerous blood clots, or to keep open vessels that have stents and or vessels that allow blood to flow for ischemic leg symptoms. how do i take warfarin? warfarin is taken once daily at the same time every day, preferably in the evening, with or without food. if you miss a dose of warfarin, take the missed dose as soon as possible on the same day. if you forget, do not double up the next day! write the day of your missed dose on your calendar and let your health care provider know at your next visit. why is warfarin use monitored so carefully? warfarin is a medication that requires careful and frequent monitoring to make sure that you are being adequately treated, but not over- or under-treated. if you have too much warfarin in your body, you may be at risk for bleeding. if you have too little warfarin in your body, you may be at risk for forming dangerous blood clots. medications, food and alcohol can also interfere with warfarin, making close monitoring even more important. what is inr? inr, which stands for international normalized ratio, is a blood test that helps determine the right warfarin dose for you. the inr tells us how much warfarin is in your bloodstream and is a measure of how fast your blood clots. a high inr means you are more likely to bleed (your blood does not clot very fast). a low inr means you are more likely to form a clot (your blood clots very fast). all patients will have an inr goal depending on their medical condition(s), yours is . what are the possible side effects of warfarin? the major side effect of warfarin is bleeding (especially when your inr is too high). here are some symptoms of bleeding to look for and to report to your health care provider: unusual bruising or bruises that won't heal bleeding from your nose or gums unusual color of urine or stool (including dark brown urine, or red or black/tarry stools) what do i need to know about drug interactions with warfarin? many drugs can potentially interfere with warfarin and may cause your inr to change, putting you at risk for bleeding or a clot. these drugs include prescription medications, over-the-counter medications (like aspirin, ibuprofen, naproxen), and dietary and herbal supplements. they should be avoided unless otherwise directed by health provider. should take your aspirin as directed. what role does my diet play? the amount of vitamin k in your diet may affect your response to warfarin. certain foods (like green, leafy vegetables) have high amounts of vitamin k and can decrease your inr. you do not have to avoid foods high in vitamin k, but it is very important to try to maintain a consistent diet every week. what about alcohol? alcohol use also may affect your response to warfarin. excessive use can lead to a sharp rise in your inr. it is best to avoid alcohol while you are taking warfarin. safety tips carry a wallet id card and/or wear an emergency alert bracelet tell all health care providers (physicians, nurses, pharmacists, dentists, etc.) that you are taking warfarin, especially if you have any planned surgeries or procedures. alert your health care provider if you are pregnant or become pregnant while taking warfarin. plan ahead when traveling by having enough warfarin and arrange for follow-up blood tests. it is also important to keep your diet consistent. avoid any sport or activity that may result in a serious fall or injury. use a soft-bristled toothbrush to protect your gums. use an electric razor if you are prone to cut yourself when shaving. followup instructions: provider: , m.d. phone: date/time: 3:40 you are on coumadin. dr has agreed to follow your inr. your goal inr is . you have a prescription for inr check. bring tthis to his office southbourrough mediacal assciates. you will then have your inr drawn. he will adjust your coumadin dosage you also have of hearts moniter. you should wear this as directed. f/u with dr as direted. d call dr office, schedule an appointment for 4 weeks for a post operative check procedure: insertion of intercostal catheter for drainage excision or destruction of other lesion or tissue of heart, open approach diagnoses: anemia, unspecified cardiac complications, not elsewhere classified other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure iatrogenic pneumothorax anomalous atrioventricular excitation benign neoplasm of heart 

Answer: The patient is high likely exposed to