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: intracranial hemorrhage major surgical or invasive procedure: peg placement history of present illness: patient is a 86m who resides at a nursing home facility who presented to osh after experiencing confusion, nausea and vomiting that was observed by residential staff. he was then sent in to the emergency department for evaluation. per son and daughter; he is normally a highly functioning gentleman, and was actually driving himself to the bank this morning prior to the event. past medical history: pmhx: 1. s/p cabg, mvr 2. nephrolithiasis 3. colon cancer s/p colectomy 4. bph 5. s/p bilateral tkr 6. s/p appy 7. s/p aaa repair 8. s/p colectomy for colon ca 9. htn 10. atrial fibrillation (not on coumadin) social history: social hx: resides in supervised housing. no home services, non-smoker. family history: non contributory physical exam: on admission: o: t:97.3 bp:130/80 hr:71 rr:20 o2sats: 99%ra gen: wd/wn, with episodes of vomiting. heent: normocephalic, atraumatic pupils: perrl neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place(hospital), not date(). language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3mm to 2mm bilaterally. right visual field is intact; no grossly appreciated vision from the left eye. iii, iv, vi: extraocular movements grossly intact 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. left pronator drift. on discharge: pt with lethargy / however recieved haldol overnight. opens eyes to voice and touch. oriented to self/location. able to discern left and right. mae. all extremities are antigravity x lle. pt without facial asymmetry, tongue is ml. slight left drift. pertinent results: ekg: atrial fibrillation, average ventricular rate 76. non-diagnostic repolarization abnormalities. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 76 0 92 390/418 0 6 30 cardiac echo: the left atrium is mildly dilated. no left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). the right atrium is moderately dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the right ventricular cavity is moderately dilated with mild global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. a mitral valve annuloplasty ring is present. no mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal global and regional left ventricular systolic function. dilated right ventricle with mild systolic dysfunction. mild aortic regurgitation. normally-functioning mitral annuloplasty. moderate tricuspid regurgitation. mild pulmonary hypertension. cta brain: impression: 1. large right temporal intraparenchymal hematoma along with foci of subarachnoid hemorrhage in the right temporal lobe and in the right frontal cortex with some surrounding edema and mass effect on the right lateral ventricle and effacement of the cerebral sulci. 2. no obvious aneurysm noted in the major intracranial arteries imaged. while the hematoma can related to etiology like amyloid angiopathy with predominantly lobar hemorrhage, any vascular or mass lesion obscured by the hematoma itself cannot be adequately assessed on the present study. neurosurgery/inr consultation and if necessary, further imaging with mr/conventional angiogram can be considered. close followup evaluation, is necessary, to assess for interval change. head ct: impression: no significant change in size of a large right temporal intraparenchymal hemorrhage with surrounding edema and mass effect. smaller foci of right-sided subarachnoid hemorrhage are also unchanged. video swallow: patient is noted with decreased alertness compared to his evaluation on . patient was noted with decreased alertness during today's evaluation. patient was noted with throat clearing and wet vocal quality after all po trials and a weak, delayed cough after thin liquid. recommend video swallow evaluation tomorrow to further assess patient's oral and pharyngeal swallowing function and determine the safest diet. pending results from video swallow, recommend npo status at this time. continue tube feeds as primary means of nutrition, hydration, and medication. please continue strict q4 oral care. this swallowing pattern correlates to a dysphagia outcome severity scale (doss) rating of level 1, npo , m 86 radiology report ct head w/o contrast study date of 10:26 pm , j. nsurg sicu-a 10:26 pm ct head w/o contrast clip # reason: please evlaute for interval change medical condition: 86 year old man with large temporal hemorrhage. please do at 10pm reason for this examination: please evlaute for interval change contraindications for iv contrast: none. wet read: 11:38 pm no significant change in appearance of large right temporal intraparenchymal hemorrhage and associated mass effect. unchanged small right sided foci of subarrachnoid hemorrhage. final report indication: 86-year-old male with large right intraparenchymal temporal hemorrhage. comparison: cta head, . technique: non-contrast axial images of the head are obtained at 5-mm section thickness. findings: evaluation is somewhat limited secondary to motion even after multiple attempts at acquisition, specifically at the skull base. a large right temporal lobe intraparenchymal hematoma is not significantly changed in the short interval, currently measuring 7.2 x 3.3 cm compared to 6.9 x 3.3 cm earlier today. surrounding mass effect and vasogenic edema persist with early uncal herniation and partial effacement of the right perimesencephalic cistern again observed. 3-mm of leftward septum pellucidum shift is unchanged. foci of subarachnoid hemorrhage in several right temporal lobe sulci as well as the right central sulcus is unchanged. the surrounding osseous structures are unremarkable, and the imaged portions of the paranasal sinuses and mastoid air cells are well aerated. impression: no significant change in size of a large right temporal intraparenchymal hemorrhage with surrounding edema and mass effect. smaller foci of right-sided subarachnoid hemorrhage are also unchanged. the study and the report were reviewed by the staff radiologist. dr. dr. approved: fri 11:20 am imaging lab , m 86 radiology report ct head w/o contrast study date of 9:58 am , j. nsurg fa11 9:58 am ct head w/o contrast clip # reason: eval for resolution of bleed - exam improving and progressin medical condition: 86 year old man with iph reason for this examination: eval for resolution of bleed - exam improving and progressing slowly contraindications for iv contrast: none. provisional findings impression: jxkc wed 11:29 am 1. interval decrease in size of large right temporal intraparenchymal hemorrhage with edema and mass effect. 2. scattered foci of subarachnoid hemorrhage bilaterally. 3. interval increase in caliber of the lateral and third ventricles, suggestive of early hydrocephalus. final report history: 86-year-old male with intraparenchymal hemorrhage, evaluate for resolution of bleed. clinically noted to be improving and progressing slowly. comparison: . technique: contiguous axial images of the head were obtained without iv contrast. findings: there is a large right temporal lobe intraparenchymal hematoma, which is smaller in size, measuring 65 mm x 30 mm (previously 72 mm x 33 mm), with associated surrounding edema. there are scattered foci of subarachnoid hemorrhage, with hemorrhage filling the cortical sulci bilaterally. there is minimal persistent right uncal herniation. no new foci of hemorrhage is identified. no intraventricular hemorrhage is identified. there is, however, interval dilatation of the lateral and third ventricles, suggestive of early hydrocephalus. the visualized paranasal sinuses and mastoid air cells are normally aerated. the osseous structures are unremarkable. impression: 1. interval decrease in size of a large right temporal lobe intraparenchymal hemorrhage with surrounding edema and mass effect. 2. scattered foci of subarachnoid hemorrhage bilaterally. 3. interval increase in caliber of the third and lateral ventricles, suggestive of early hydrocephalus. the study and the report were reviewed by the staff radiologist. dr. dr. approved: wed 10:22 pm imaging lab , m 86 radiology report portable abdomen study date of 4:28 pm , j. nsurg fa11 4:28 pm portable abdomen clip # reason: eval for dobhoff placement medical condition: 86 year old man with iph reason for this examination: eval for dobhoff placement provisional findings impression: 11:01 am pfi: dobbhoff tube remains pre-pyloric. high-density material _____ over the expected location in the stomach may represent contrast. correlate clinically. final report indication: 86-year-old male with intraparenchymal hemorrhage. evaluate for dobbhoff placement. comparison: . findings: single supine view of the abdomen. dobbhoff tube is seen terminating at the expected location of the stomach, and is not post-pyloric in location. there is a high-density material seen in the expected region of the stomach as well, which may represent contrast material instilled via the dobbhoff tube. bowel gas pattern is non-specific. there is no evidence for obstruction. vascular stents are seen in the iliac vessels. osseous structures are unremarkable. impression: pre-pyloric positioning of dobbhoff tube. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 6:59 pm imaging lab , m 86 cardiology report ecg study date of 1:33:52 pm marked baseline artifact. leftward axis. slight non-specific st-t wave changes. compared to the previous tracing of no diagnostic interval change. read by: , m. intervals axes rate pr qrs qt/qtc p qrs t 106 0 92 356/436 0 12 42 () brief hospital course: this patient was admitted to the icu for observation with concern that he would deteriorate and possibly need either surgical evacuation or a ventirculostomy. he gradually improved and actually passed a swallow evaluation by speech therapy before leaving the icu. he was transferred to the step down unit. a neurology consult was obtained for prognosis and assesment. neurology felt that this bleed was likely due to amyloid angiopathy and recommended weaning of the keppra and restarting asprin as soon as possible. these recommendations were implemented. patient's exam continues to wax and wane, and his swallowing ability has worsened. repeat evlauation by speech therapy revealed that the patient is at high risk for aspiration. he has had several dobhoff tubes placed that he pulled out as his mental status is not yet cleared. ultimately a peg tube was placed. a discussion was undertaken with the family about how to proceed and goals of care. we asked neurology to speak to the family about prognosis and risks for subsequent strokes with the diagnosis of amyloid angiopathy. on he became tachycardic and was transferred to sicu for diltiazem drip. his rate stabilized and he was transferred to floor with tele. he has required haldol during this hospital stay. it seems that he is awake and agitated at night and then requires haldol administration. this seem to make him very lethargic in the am. the dosing was decreased to hs dosing only. he is due for discharge to rehab with tele monitoring x 3 days. medications on admission: medications prior to admission: 1. metoprolol 25mg daily 2. finasteride 5mg daily 3. uroxatral 10mg at bedtime 4. asa 81mg daily discharge medications: 1. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed. 2. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 3. senna 8.6 mg tablet : one (1) tablet po bid (2 times a day). 4. uroxatral 10 mg tablet sustained release 24 hr : one (1) tablet sustained release 24 hr po qday (). 5. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. insulin regular human 100 unit/ml solution : one (1) injection asdir (as directed). 8. finasteride 5 mg tablet : one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet : 1.5 tablets po qid (4 times a day). 10. haloperidol 0.5 mg tablet : tablet po hs (at bedtime). 11. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily). discharge disposition: extended care facility: - discharge diagnosis: amyloid angiopathy intracranial hemorrhage protien/calorie malnutrition hypokalemia altered mental status dysphagia discharge condition: stable discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. . you have been placed on asprin under the recommendation of a neurologist, please continue until advised otherwise. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy 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. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: follow-up appointment instructions ??????please call ( to schedule an appointment with dr. as needed. - you should follow up with the neurology team for your intracerebral hemorrhage. you can call ( to follow up with dr to be seen in 2 months time. procedure: enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrostomy [peg] diagnoses: unspecified protein-calorie malnutrition atrial fibrillation subarachnoid hemorrhage hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) intracerebral hemorrhage hypopotassemia constipation, unspecified cerebral edema personal history of malignant neoplasm of large intestine knee joint replacement delirium due to conditions classified elsewhere stricture and stenosis of esophagus hemiplegia, unspecified, affecting unspecified side benign essential hypertension other amyloidosis homonymous bilateral field defects other dysphagia 

Answer: The patient is high likely exposed to