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: s/p trip down stairs major surgical or invasive procedure: : orif right ankle fracture history of present illness: ms. is a 67 year old female who had a mechanical trip and fall while going down stairs. she was taken to the for further evaluation. past medical history: untreated hypercholesterolemia gerd depression, anxiety obesity chronic etoh use- pt reports 2 glasses daily psh: rhinoplasty at 33 yo. social history: lives with her daughter-in-law, son and a male friend . daughter is also local. denies ever using drugs. quit smoking 17 yrs ago after 35 pack yr history. drinks 2 glasses of wine daily. family history: n/a physical exam: upon admission: rle: skin intact, mild ankle swelling/ecchymosis, /fhl firing, ta/gs limited by pain, 2+ dp pulse, toes warm pertinent results: 10:37pm glucose-119* urea n-19 creat-1.1 sodium-139 potassium-4.9 chloride-102 total co2-25 anion gap-17 10:37pm estgfr-using this 10:37pm wbc-12.0*# rbc-4.32 hgb-14.8 hct-44.0 mcv-102* mch-34.2* mchc-33.6 rdw-13.4 10:37pm neuts-84.8* lymphs-10.9* monos-3.1 eos-0.8 basos-0.5 10:37pm plt count-308 10:37pm pt-12.3 ptt-21.4* inr(pt)-1.0 brief hospital course: ms. presented to the on after a fall. she was evauated by the orthopaedic surgery service and found to have a right ankle fracture. she was admitted, consented, and prepped for surgery. patient triggered on pre-operatively for tachycardia and low urine output and was given lopressor overnight and 250cc/500cc/500cc bolus with improvement in sx and was cleared by medicine to proceed to the or. on she was taken to the operating room and underwent an orif of her right ankle fracture. she tolerated the procedure well, was transferred to the recovery room still intubated. she was extubated in the recovery room but had difficulty becoming aggitated, tremulous, and tachycardic. she required re-intubated. her vital signs normalized with intubation and propofol. she was then transferred to the t/sicu for further care. patient was intubated until and returned to the floor. patient reported shortness of breath on , cxr showed mild pulmonary edema and medicine consult was called with recommendation for lasix 20mg iv x1. patient was discharged to rehabilitation facility in stable condition. medications on admission: omeprazole celexa discharge medications: 1. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: 15-30 mls po q6h (every 6 hours) as needed for dyspepsia. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po bid (2 times a day) as needed for constipation. 6. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q12h (every 12 hours). 9. albuterol sulfate inhalation 10. insulin regular human 100 unit/ml solution sig: per sliding scale injection asdir (as directed). 11. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 12. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 13. lorazepam 1 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for etoh withdrawal. 14. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 15. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 16. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 10 days. discharge disposition: extended care facility: healthcare discharge diagnosis: right ankle fracture discharge condition: stable discharge instructions: continue to be non-weight bearing on your right leg continue your lovenox injections as instructed for a total of 4 weeks after surgery please take all medications as prescribed take off your cast daily to inspect your skin, monitor for signs/symptoms of infection if you have any increased redness, drainage, or swelling, or if you have a temperature greater than 101.5, please call the office or come to the emergency department. you have been prescribed a narcotic pain medication. please take only as directed and do not drive or operate any machinery while taking this medication. there is a 72 hour (monday through friday, 9am to 4pm) response time for prescription refil requests. there will be no prescription refils on saturdays, sundays, or holidays. please plan accordingly. physical therapy: activity: as tolerated right lower extremity: non-weight bearing in bivalve cast treatments frequency: staples/sutures out 14 days after surgery take off cast daily look for signs/symptoms of wound breakdown or pressure areas dry dressing daily followup instructions: please follow up with , np in orthopaedic clinic on , please call to schedule that appointment. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization open reduction of fracture with internal fixation, tibia and fibula diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux pure hypercholesterolemia congestive heart failure, unspecified dysthymic disorder acute respiratory failure accidental fall on or from other stairs or steps obesity, unspecified acute diastolic heart failure enlargement of lymph nodes alcohol withdrawal trimalleolar fracture, closed 

Answer: The patient is high likely exposed to