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: shortness of breath major surgical or invasive procedure: ivc filter placement history of present illness: ms. is a 68 yo f with recent history of l humerus fracture (nonoperative) who developed sob & lh the day of admission. c/o near syncopal event while walking to the bathroom. father and son called ambulance. presented to osh with these complaints, hypotensive (60/p --> 76/51 --> 102/63) s/p fluid resuscitation. guaiac negative, ct with saddle emboli. given 4000u heparin bolus and transferred to for further management. in our ed intial vs 132, 113/60, 22, 97/3l. did bedside cariac ultrasound, which was poor quality but did not reveal rv strain. lowest sbp 104/69 in ed. able to answer all questions. on heparin gtt from osh to here. she is currently getting ivf and has recieved approximately 200cc while in the ed. . on arrival to the icu, patient is conversant and mild tremulous 'nerves'. relays history as above & denies any sense of palpitations, chest pain or difficulty breathing. states her left arm, which is significantly swollen, has actually improved since the fracture. she also has some swelling / bruising of her left breast s/p fall. she is right-handed. c/o of being dehydrated and very thirsty. denies any current pain. . review of sytems: (+) per hpi; lost 9lbs approximately 3 months prior with increased walking (-) denies fever, chills, night sweats, recent or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough. denied chest pain or tightness, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied myalgias. past medical history: left humerus fracture - nonoperative care using brace htn bipolar disorder anxiety social history: patient lives with her husband, 2 sons, and a daughter-in-law. reports remote use of tobacco (but denies inhaling). she denies alcohol or other recreational drug use. family history: patient denies fh of coagulopathy. mother had cancer and died at age 76. father died at 79 during terrible accident when her mother ran over him with their car while backing out of the garage. physical exam: vitals: t: 97.1 bp: 116/66 p: 142 r: 22 o2: 100/2l nc general: alert, oriented, no acute distress heent: sclera anicteric, mm dry, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally anteriorly, no wheezes, rales, ronchi; l breast ecchymoses cv: regular rhythm, tachycardia, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: lue with swelling, mild yellow appearance of skin, fingers are warm and well perfused, brace on upper arm only, 2+ pitting edema; rue, lle and rle without erythema, edema or clubbing . pertinent results: admission labs: 04:00am wbc-14.6* rbc-3.47* hgb-9.8* hct-31.0* mcv-90 mch-28.3 mchc-31.6 rdw-13.3 04:00am neuts-90.7* lymphs-6.4* monos-1.4* eos-1.4 basos-0.1 04:00am plt count-335 04:00am pt-14.8* ptt-150* inr(pt)-1.3* 04:00am ck-mb-notdone ctropnt-0.06* 04:00am ck(cpk)-48 04:00am glucose-191* urea n-18 creat-1.0 sodium-141 potassium-4.3 chloride-112* total co2-20* anion gap-13 04:20am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 08:36am ck-mb-notdone ctropnt-0.04* . echo - - the left atrium is normal in size. the estimated right atrial pressure is 10-20mmhg. left ventricular wall thickness, cavity size and regional/global systolic function are normal(lvef 70%). the right ventricular cavity is moderately dilated with focal basal free wall hypokinesis. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: dilated right ventricle with severe hypokinesis and relative preservation of apical function c/w large pulmonary embolism ( sign). mild to moderate tricuspid regurgitation. there is mild to moderate pulmonary hypertension (underestimated based on tr jet velocity as ra pressures are likely greater than 15-20 mm hg). normal regional and global left ventricular systolic function. . leni bilateral les - 1. deep vein thrombosis: occlusive thrombus demonstrated in the left popliteal vein extending to the left calf veins. 2. occlusive thrombus in the left greater saphenous vein extending to its' junction with the common femoral vein. 3. left cyst. no dvt of the left upper extremity. . leni lue - no dvt of the left upper extremity. brief hospital course: 68 yo woman wtih bipolar disorder, hypertension, and recent humeral fracture who presented with shortness of breath to outside hospital, found to have saddle pulmonary embolus on cta, now s/p ivc filter placement and discharged on coumadin. . hospital course by problem: . # pulmonary embolism: the etiology of the patient's pe is unclear though it is expected to be partially due to recent fracture and possible decreased mobility. source was a large left lower extremity dvt. hemodynamic instability at the outside hospital that resolved with fluids was presumably due to preload dependency due to right heart strain. this was further reenforced by formal echocardiogam here that showed severe right ventricle hypokinesis. nevertheless, the patient remained hemodynamically stable after transfer to . she had an ivc filter placed given concern for further embolic events. she was maintained on heparin and transitioned to coumadin on the night of . she became therapeutic on coumadin and was discharged with vna follow up of inr. . # left humerus fracture: this was sustained on . she was maintained in her previously placed brace and followed by orthopedics. she was discharged with follow up appointments with orthopedic surgery. . # leukocytosis: this was noted upon admission to ed and the patient had a left shift. nevertheless, she was afebrile with a negative ua and this was considered possibly just due to stress in context of large pe. she ws monitored and her leukocytosis resolved. she then developed a new leukocytosis and was noted to have a uti on ua and was discharged on antibiotics for the uti. . # anemia: patient had normocytic anemia, newly developed since last admission. hct 32 at osh ed. could possibly be marrow suppression due to inflammatory state s/p fracture, but also on heparin gtt. no h/o gib. guaiac negative at osh prior to heparin gtt start. the pt was discharged with plans for outpatient follow up of her anemia. . # nongap metabolic acidosis: present on presentation probably due to compensatory tachypnea and respiratory acidosis. no history of diarrhea or other increased bicarbonate losses. this resolved over the course of her hospitalization. . # bipolar disorder / anxiety: the patient was stable on her home psychiatric meds (lithium and trifluoperazine. ) . # hypertension: the patient was initially hypotensive on her presentation to the outside hospital. nevertheless she became hypertensive here and was eventually started back on her home anti-hypertensive regimen. . medications on admission: acetaminophen 325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. lithium carbonate 150 mg capsule sig: one (1) capsule po tid (3 times a day). trifluoperazine 2 mg tablet sig: one (1) tablet po bid (2 times a day). diovan 160 mg tablet sig: one (1) tablet po once a day - states stopped 2-3 days prior for low blood pressure discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain or fever > 101. 2. lithium carbonate 150 mg capsule sig: one (1) capsule po tid (3 times a day). 3. trifluoperazine 2 mg tablet sig: one (1) tablet po bid (2 times a day). 4. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 days. disp:*3 tablet(s)* refills:*0* 6. warfarin 2 mg tablet sig: two (2) tablet po once daily at 4 pm. disp:*60 tablet(s)* refills:*2* 7. outpatient lab work please draw inr on and fax to , l. discharge disposition: home with service facility: homecare discharge diagnosis: primary diagnosis; pulmonary embolism deep vein thrombosis secondary diagnoses: hypertension bipolar affective disorder discharge condition: good, breathing comfortably on room air, able to ambulate with some assistance. discharge instructions: ms : you were admitted due to a large blood clot in your lung. we monitored you and gave you blood thinners to keep this clot from getting bigger. we eventually transitioned you to an oral blood thinner. you are being discharged to complete your therapy. . your home medications remain the same. you have been started on short course of cipro for a urinary tract infection. you have also been started on warfarin for your pulmonary embolus. you will need close follow up of your inr (a blood test) to follow the levels of your warfarin. . please return to the hospital or call your doctor if you have fevers or chills, worsening chest pain or shortness of breath, or any other concerning changes to your health. followup instructions: provider: , md phone: date/time: 2:15 . md: , np specialty: primary care date and time: at 10:30am location: , phone number: special instructions if applicable: patient is followed by above np procedure: interruption of the vena cava angiocardiography of venae cavae diagnoses: acidosis anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension other chronic pulmonary heart diseases unspecified fall anxiety state, unspecified bipolar disorder, unspecified other pulmonary embolism and infarction arterial embolism and thrombosis of lower extremity tricuspid valve disorders, specified as nonrheumatic closed fracture of shaft of humerus synovial cyst of popliteal space 

Answer: The patient is high likely exposed to