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: no known allergies / adverse drug reactions attending: chief complaint: hcv/etoh cirrhosis major surgical or invasive procedure: liver history of present illness: mr. is a 61m who presents to the hospital today to receive a liver . in his interim history he does not report any new medical issues. more recently he has had some nausea, and decrease of appetite over the last few days, but denies any emesis/fever/chills/rigors. he denies having any pain, and reports that he has had no change in his bowel function. he does report some episodes of dysphagia, and trouble with solids more than liquids that has been occuring over the last month. ros: denies headaches/chest pain/sob/cough past medical history: - hcv/etoh cirrhosis (diagnosed ) - ct on showed 2.2cm mass in segment vii of the liver c/w hcc. afp 49. - history of alcoholism. - hypertension. - thrombocytopenia - history of two surgeries on the right knee. social history: the patient lives with his wife and has two children who are in good health. he has a history of alcoholism, but quit in . prior to that, he was drinking two to three pints of vodka daily for over 20 years. the patient has been smoking for 40 years and currently smokes one pack of cigarettes daily. the patient has no history of iv drug use. he has multiple tattoos, which he got in the and has a history of blood transfusions in the late after a right arm laceration. family history: the patient's father and uncle died of liver cirrhosis secondary to alcoholism. the patient's mother had heart disease. physical exam: vitals: t 97.6 p82 bp 124/78 r 20 97%ra gen: a&o, nad, appears stated age, pleasant affect heent: eomi, mucous membranes moist cv: rrr, no m/g/r pulm: clear to auscultation b/l, no w/r/r abd: soft, distended, nttp, large ventral hernia that is reducible ext: le edema +2 bilaterally, venous stasis ulcers present bilaterally laboratory: complete blood count wbc rbc hgb hct mcv mch mchc rdw plt ct 12:40 4.4 4.60 14.4 42.0 91 31.2 34.2 16.0* 43* (other labs pending) imaging/studies: ct c/a/p with contrast 1. two small foci of arterial hyper-enhancement and early washout in hepatic segments vii and iii concerning for new areas of focal hepatocellular carcinoma. 2. increase in volume of ascites since the prior study. 3. unchanged stigmata of chronic liver disease including splenomegaly,gynaecomastia, recanalized paraumbilical vein, and gastrohepatic ligament varices. ekg sinus rhythm. non-specific st-t wave changs. borderline prolonged qtc interval. echo the left atrium is moderately dilated. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. pertinent results: 12:40pm blood wbc-4.4 rbc-4.60 hgb-14.4 hct-42.0 mcv-91 mch-31.2 mchc-34.2 rdw-16.0* plt ct-43* 04:30am blood wbc-5.5 rbc-3.29* hgb-10.6* hct-28.8* mcv-88 mch-32.4* mchc-36.9* rdw-16.5* plt ct-61* 04:25am blood pt-13.3 ptt-24.9 inr(pt)-1.1 04:30am blood glucose-65* urean-39* creat-1.0 na-139 k-4.2 cl-107 hco3-28 angap-8 12:40pm blood alt-50* ast-87* alkphos-87 totbili-2.3* 04:30am blood alt-63* ast-26 alkphos-60 totbili-0.6 04:25am blood albumin-2.5* calcium-7.6* phos-3.4 mg-2.0 04:30am blood tacrofk-10.4 brief hospital course: on , he underwent orthotopic deceased donor liver , portal vein to portal vein anastomosis, branch patch (recipient) to celiac patch (donor) common bile duct(no t tube), piggyback for end-stage liver disease secondary to hepatitis c virus (hcv), hepatocellular carcinoma. two jp drains were placed. surgeon was dr. . please refer to operative note for further details. patient was transferred to the sicu postop intubated. he required blood products, but remained hemodynamically stable and was extubated on postop day 1. lfts initially trended up as expected and liver duplex demonstrated patent vasculature. there was increased flow velocity in the main portal vein with slightly increased flow in the intrahepatic portal vein branches. jp outputs were non-bilious. lfts trended down. immunosuppression consisted of steroid taper, cellcept and prograf was initiated. prograf dosing was adjusted per trough levels. he was transferred out of the sicu and continued to do well. an insulin drip was initially started in the sicu for hyperglycemia from steroids. was consulted and converted drip to nph and humalog sliding scale. diet was advanced and tolerated. he was passing flatus and had bms. jp drainage decreased. both jps were removed and sites sutured. the medial drain site required re-suturing for ascites fluid. abdominal incision was intact and was without redness or drainage. generalized edema was treated with lasix. he was given a script for lasix with instructions to call should he experience resolution of edema, wt loss, thirst or dizziness. pt cleared him for home. he was ambulating independently. medication/insulin teaching went well. vna services were arranged to assist him at home. he was ready for discharge to home on postop day 6. vitals were stable. medications on admission: medications - prescription furosemide - 20 mg tablet - 2 tablet(s) by mouth once a day lactulose - 10 gram/15 ml solution - 15 ml(s) by mouth b.i.d. to t.i.d. titrate for 3 bowel movements a day methylphenidate - 10 mg tablet - 1 tablet(s) by mouth three times a day oxycodone-acetaminophen - 5 mg-325 mg tablet - tablet(s) by mouth every 4-6 hours as needed for post-procedure pain rifaximin - 550 mg tablet - 1 tablet(s) by mouth twice a day spironolactone - 50 mg tablet - 1 tablet(s) by mouth once a day medications - otc acetaminophen - (otc) - 325 mg tablet - 2 tablet(s) by mouth every six (6) hours as needed for fever, pain multivitamin multivitamin] - (prescribed by other provider) - tablet - 1 tablet(s) by mouth once a day --------------- --------------- --------------- --------------- allergies: nkda discharge medications: 1. fluconazole 200 mg tablet sig: two (2) tablet po q24h (every 24 hours). 2. prednisone 5 mg tablet sig: four (4) tablet po daily (daily): follow taper schedule. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. sulfamethoxazole-trimethoprim 400-80 mg tablet sig: one (1) tablet po daily (daily). 5. mycophenolate mofetil 500 mg tablet sig: two (2) tablet po bid (2 times a day). 6. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 7. valganciclovir 450 mg tablet sig: two (2) tablet po q24h (every 24 hours). 8. glucagon (human recombinant) 1 mg recon soln sig: one (1) recon soln injection q15min () as needed for hypoglycemia protocol: if blood sugar low and you are unresponsive or unable to drink/eat. disp:*5 doses* refills:*2* 9. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 10. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 11. insulin lispro 100 unit/ml solution sig: follow printed sliding scale units subcutaneous four times a day. disp:*1 bottle* refills:*2* 12. nph insulin human recomb 100 unit/ml suspension sig: twenty five (25) units subcutaneous once a day. disp:*1 bottle* refills:*2* 13. nph insulin human recomb 100 unit/ml suspension sig: five (5) units subcutaneous at bedtime. 14. one touch ultra 2 kit sig: one (1) miscellaneous once a day. disp:*1 kit* refills:*1* 15. one touch ultrasoft lancets misc sig: one (1) miscellaneous four times a day: prior to meals and bedtime. record all glucoses. disp:*1 box* refills:*2* 16. one touch ultra test strip sig: one (1) miscellaneous four times a day: follow sliding scale. disp:*1 box* refills:*2* 17. insulin syringes low dose u 100 needle 25-26 inch suppy 1 box refills: 4 18. tacrolimus 1 mg capsule sig: seven (7) capsule po twice a day. discharge disposition: home with service facility: , discharge diagnosis: hbv hcc hyperglycemia from steroids discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please call the office if you have any of the following: temperature of 101 or greater, jaundice, increased incisional pain, incision or old drain sites appear red or have bleeding/drainage, constipation/diarrhea or any concerns. you may shower. do not apply powder/lotion/ointment to incisions. no tub baths or swimming. do not get direct sunlight on incision. you will need to have blood drawn for labs every monday and thursday at quest in stratham n.h. no driving while taking pain medication. followup instructions: provider: , md, phd: date/time: 2:20 provider: social worker phone: date/time: 11:00 provider: , md, phd: date/time: 11:40 md, procedure: other operations on lacrimal gland transplant from cadaver auxiliary liver transplant diagnoses: thrombocytopenia, unspecified tobacco use disorder unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use chronic hepatitis c without mention of hepatic coma alcoholic cirrhosis of liver other and unspecified alcohol dependence, in remission portal hypertension other sequelae of chronic liver disease other ascites malignant neoplasm of liver, primary precipitous drop in hematocrit other abnormal glucose ulcer of other part of lower limb venous (peripheral) insufficiency, unspecified 

Answer: The patient is high likely exposed to