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: benzocaine / bactrim / novocain attending: chief complaint: 1. carcinoma of the right colon. 2. multiple polyps, colon. 3. recurrent incisional hernia. major surgical or invasive procedure: 1. abdominal colectomy. 2. j-pouch to rectal anastomosis, and 3. repair of recurrent incisional hernia using component separation technique and vicryl mesh. history of present illness: a 78-year-old female newly diagnosed with right colon cancer and other polyps deemed unsuitable for endoscopic removal, as well as recurrent incisional hernia. she was status post a left colectomy for diverticulitis 4 years ago. past medical history: atrial fibrillation s/p converstion: on coumadin htn chf (recently diagnosed in , unknown ef) social history: lives in in an adjoining apartment with her daughter. as a book-keeper at courthouse. denies current tobacco use, quit 24 yrs ago. social etoh use. denies ivdu or illicit drugs. last hospitalization at one year ago for cough + in (low hct requiring blood transfusions.) no nursing facility exposures. no pets at home. . family history: mother died of old age in her 90s. father died of mi at 69. brother died of heart problems at 58. children in good health. pertinent results: 01:39pm hct-30.6* 01:39pm magnesium-1.6 01:39pm glucose-123* urea n-10 creat-0.8 sodium-137 potassium-3.9 chloride-103 total co2-24 anion gap-14 brief hospital course: mrs. is a 78 year who was admitted to the surgical service on for elective total colectomy and hernia repair. she was seen by , her cardiologist, prior to surgery who recommended restriction of iv fluids given history of diastolic failure with aggressive fluid resuscitation in the past. the surgery was tolerated well. she received 1700 cc crystalloid intraoperatively and made 350 cc urine. estimated blood loss was 100 cc. blood pressures during the procedure ranged from the 90s to 130s systolic. she was noted to be hypotensive in the pacu to 87/30s with urine output less than 15 cc/hr. she was given only 250 cc fluid out of concern for her tenuous cardiac status given her history of diastolic heart failure with improvement in her blood pressure to the 110s systolic with urine output of 15 cc/hr. she triggered on the floor at 2215 for decreased urine output and hypotension. she received another 250 cc fluid bolus and albumin 500 cc x 1. oxygen saturations were stable in the mid 90s on 2l nasal cannula without dyspnea. hematocrit was noted to be decreased to 23.8 from 30.6 preoperatively and she was transfused two units prbcs. her urine output continued to be poor. she is transferred to the for central line placement to monitor cvp to guide fluid management. on arrival the she is alert, oriented and conversant. she has no complaints but does note that she has pain when taking a deep breath in. no lightheadedness, dizziness, chest pain, shortness of breath, nausea, vomiting, leg pain. she has mild lower extremity edema which is unchanged over the past year. she does have mild pain over incision. all other review of systems negative in detail. plan per surgery to place central line for cvp monitoring. initial right subclavian line noted to be misplaced in the neck. line removed and replaced with left subclavian line which is now in good position. cxr with minimal volume overload compared to prior films in . the patient was transferred to general surgery floor from the pacu. she was maintained npo with ivf/pca/epidual/foley/meds. the pt c/o of right arm pain & decreased range of motion/strength. an x-ray was done showing no acute fractures or alignment abnormalities, mild djd is noted at the ac joint. with the return of bowel function and flatus her diet was slowly advanced from sips to regular, tolerated well. medications were changed to oral and home meds were restarted. her epidural was d/c'd and foley removed. she had a few loose bm on pod 6 so whe was started on metamucil wafers . on , her stools were more formed and she was discharged home in stable condition. medications on admission: amio 200, amlodpine 5, asa 81, folic acid 1, lasix 40, lisinopril 5, protonix 40, toprol xl 100, previously on coumadin (held for anemia) discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 2. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day) as needed for pain for 2 weeks. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain for 2 weeks. disp:*30 tablet(s)* refills:*0* 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 8. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 10. psyllium 1.7 g wafer sig: wafers po bid (2 times a day). disp:*120 wafer(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: 1. carcinoma of the right colon. 2. multiple polyps, colon. 3. recurrent incisional hernia. discharge condition: stable. tolerating regular diet. pain well controlled with oral medications. discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your staples will be removed at your follow up appointment -steri-strips will be applied and will fall off on their own. please remove any remaining strips 7-10 days after surgery. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: 1. please call dr. office, , to make a follow up appointment in weeks. procedure: venous catheterization, not elsewhere classified other open incisional hernia repair with graft or prosthesis anastomosis to anus open total intra-abdominal colectomy diagnoses: other iatrogenic hypotension congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation incisional hernia without mention of obstruction or gangrene other emphysema long-term (current) use of anticoagulants hypovolemia benign neoplasm of colon chronic diastolic heart failure malignant neoplasm of ascending colon 

Answer: The patient is high likely exposed to