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: heparin agents attending: chief complaint: tracheostomy bleeding supratherapeutic inr major surgical or invasive procedure: none history of present illness: 73 yo male hospitalized in for avr/mvr/cabg, subsequent trach/peg and acute renal failure. transferred to rehab on . readmitted to cvicu for bleeding from tracheostomy site and inr 9.1. had vitamin k and ffp at rehab prior to er transfer. past medical history: aortic stenosis mitral regurgitation coronary artery disease s/p coronary artery stent insulin dependent diabetes mellitus hypercholesterolemia h/o prostate cancer depression degenerative joint disease s/p bilateral knee replacements s/p transurethral resection of prostate s/p femeral rodding a fib prior heparin induced thrombocytopenia respiratory failure prior acute renal failure social history: patient lives with daughter, son and grandaughter. he is retired. he is a non smoker. currently at rehab. family history: non-contributory physical exam: 98.8 t hr 103 92/56 rr 32 99% sat cpap/psv 130.7 kg 70" sternal incision c/d/i , small area of eschar left side of incision rhonchorus upper lobes bil. dimin. bs bibasilar + bs soft, nt, nd, obese ble 1+ edema with peripheral pulses present neuro follows commands, mae pertinent results: medical condition: 73 year old man s/p avr/mvr/cabg with bleeding from trach reason for this examination: assess for effusions/aspirations final report single ap portable view of the chest reason for exam: s/p avr, mvr, and cabg with bleeding from tracheostomy. comparison is made with prior study, . tracheostomy tube is in standard position. right picc is in place with tip in the lower svc. cardiomegaly is unchanged. ill-defined opacity in the right mid lung is new. mild pulmonary edema has slightly worsened. small-to-moderate bilateral pleural effusions, larger on the right side, have increased. there are low lung volumes. impression: worsened pulmonary edema and increasing pleural effusions. ill-defined opacity in the right mid lung could represent fluid in the fissure, atelectasis, and/or area of aspiration. sternal wires are aligned. there is no pneumothorax. dr. approved: mon 5:30 pm imaging lab 03:41am blood wbc-8.9 rbc-3.20* hgb-9.2* hct-29.3* mcv-92 mch-28.8 mchc-31.5 rdw-15.6* plt ct-328 11:00pm blood neuts-74.6* lymphs-16.7* monos-4.4 eos-4.2* baso-0.2 03:41am blood plt ct-328 03:41am blood pt-24.3* ptt-29.9 inr(pt)-2.3* 03:41am blood glucose-116* urean-76* creat-1.7* na-146* k-4.3 cl-111* hco3-26 angap-13 03:15am blood alt-60* ast-56* alkphos-73 amylase-99 totbili-0.6 11:00pm blood ck(cpk)-16* 03:15am blood lipase-144* 11:00pm blood ck-mb-notdone ctropnt-0.15* 03:15am blood albumin-2.9* mg-3.1* brief hospital course: transferred early am from er and inr allowed to drift down. evaluated by dr. for trach site bleeding. bleeding stopped as inr decreased. bronchoscopy deferred until inr in therapeutic range, but ultimately determined to be unnecessary. cipro started for uti. coumadin restarted for a fib and hitt target range 2.0-2.5. cleared for discharge to rehab on . inr should be closely followed at rehab. medications on admission: chlorhexidine mouthwash colace 100 mg asa 325 mg daily tramadol 50 mg prn digoxin 0.125 mg every other day amiodarone 200 mg zantac 150 mg daily ativan prn lipitor 10 mg daily combivent ih q4h albuterol nebs bacitracin ointment lopressor 75 mg ipratropium coumadin daily paroxetine 60 mg daily humalog insulin ss lantus 15 units daily lasix 20 mg iv daily discharge medications: 1. acetaminophen 160 mg/5 ml solution sig: four (4) ml po q6h (every 6 hours) as needed for pain/fever. 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily-prn () as needed for constipation. 3. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 4. digoxin 125 mcg tablet sig: one (1) tablet po every other day (every other day). 5. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 6. ranitidine hcl 15 mg/ml syrup sig: ten (10) ml po daily (daily). 7. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 8. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety. 9. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours). 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days: last dose pm . 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 12. warfarin 1 mg tablet sig: two (2) tablet po provider to order daily dose for 1 doses: dose 7/8 is 2 mg, then daily per rehab provider- inr 2.0-2.5 please check inr mon/wed/fri until on steady dose for 2 weeks . 13. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing. 14. ipratropium bromide 0.02 % solution sig: one (1) neb ih inhalation q6h (every 6 hours) as needed for wheezing. 15. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 16. sodium chloride 0.9% flush 10 ml iv prn line flush picc, non-heparin dependent: flush with 10 ml normal saline daily and prn per lumen. 17. insulin glargine 100 unit/ml cartridge sig: fifteen (15) units subcutaneous once a day: daily at breakfast. 18. humalog 100 unit/ml solution sig: per sliding scale units subcutaneous four times a day: qid humalog per attached sliding scale. 19. paroxetine hcl 30 mg tablet sig: two (2) tablet po once a day: total dose 60 mg . 20. furosemide 10 mg/ml solution sig: twenty (20) mg injection twice a day. discharge disposition: extended care facility: tcu - discharge diagnosis: s/p avr/mvr/ cabg x3 s/p trach /peg tracheostomy bleed supratherapeutic inr a fib iddm depression osteoarthritis hypercholesterolemia obesity cad uti right scapular pressure ulcer prior heparin-induced thrombocytopenia degenerative joint disease discharge condition: fair discharge instructions: no lotions, creams or powders on any incision no driving at this time no lifting greater than 10 pounds for 4 weeks call for fever greater than 100, redness, drainage, or weight gain of 2 pounds in 2 days or 5 pounds in one week bathe daily and pat incisions dry followup instructions: see dr. in weeks see dr. in 4 weeks md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances diagnoses: abnormal coagulation profile pure hypercholesterolemia urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of malignant neoplasm of prostate aortocoronary bypass status heart valve replaced by other means long-term (current) use of insulin long-term (current) use of anticoagulants anticoagulants causing adverse effects in therapeutic use knee joint replacement gastrostomy status other tracheostomy complications 

Answer: The patient is high likely exposed to