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: abdominal pain. major surgical or invasive procedure: exploratory laparoscopy,lap assisted small bowel resection history of present illness: this is an 83 year old woman with a history of cad s/p cabg, r sided hf on home o2 presenting with llq abdominal pain. sharp and intermittent squeezing pain in llq, in severity on admission; no n/v/d, no f/c, no dysuria/hematuria, brbpr, or melena. bm yesterday was normal. never has experienced this type of pain before; denies postprandial pain. has had decreased appetite over past week because has been feeling down due to second husband's passing. recently moved back from fl per her request when they saw she was depressed. initial vs in the ed were t97 hr88 bp100/54 rr18 95% ra. labs showed evidence of a urinary tract infection (+wbc, lg leuk, mod bx). lactate was normal, cmp grossly normal, lfts and lipase normal. cbc showed a normal white count and a macrocytic anemia with hct of 33.1. ct abdomen showed a 12 cm segment of distal small bowel with circumferential wall thickening and surrounding mesenteric edema. received ciprofloxacn and metronidazole for uti and vague gi process. vs prior to transfer were t98.1 hr96 rr18 bp108/73 84 on r/a 91 2l. on the floor, metronidazole was discontinued. this morning, she is feeling fine. pain has resolved. denies cp, sob, abdominal pain, n/v, diarrhea, melena, brbpr. no bm yet today, passing flatus. has not eaten since admission. no dysuria, hematuria. note she is unable to give details about any aspects of her history, including prior diagnosis of uc. she denies any history of recent diarrhea or brbpr. per notes from , she was diagnosed with uc due to symptoms of rectal bleeding and diarrhea at that time, was on prednisone until , when it was discontinued. also does not know why she is on prednisone, but per pcp . , it is for pmr. past medical history: cad s/p angiogram on (50-60% mlad, 70-80% dlad, lcx and rca ok; medical therapy recommended), complex pci on (lmca/lad dissection during attempted taxus stenting of 80-90% plad stenosis-->3x20mm perfusion balloon passed into lad-->vt/vf and respiratory failure-->defibrillation, lidocaine, amiodarone, pressors-->3x18mm cypher des to lmca/plad-->flow re-established-->iabp inserted-->emergent cabg (presumably lima-lad) h/o paf, seen by dr here in ; on quinidine; not documented here prior to ekg on htn hld hfpef, on 80mg lasix at home l-sided ulcerative colitis in remission infrarenal abdominal aortic aneurysm measuring up to 4 cm in transverse diameter (noted previously, and again on ct here on ) h/o pe s/p ivc filter hypothyroidism tobacco history pmr, on prednisone at home ccy appendectomy age 18 inguinal hernia repair face lift age 50 social history: she is widowed. 60 pack-year history of smoking, stopped 30 years ago. no alcohol or coffee. family history: son has crohn's disease. physical exam: exam on admission: vitals: 98.3|106/86| hr 92| rr 18| 96% on 2l wt. 73.1 general: well appearing nad. pleasant. heent: anicteric sclera mmm. no cervical lad neck: no carotid bruits. lungs: good inspiratory effort, ctab with no wh/r/rh heart: sternotomy scar. rrr, crescendo decrescendo systolic murmur along the lusb. no heave or carotid radiations. abdomen: protuberant abdomen. soft, nbs. rlq mildly tender to deep palpation, no rebound or guarding. no organomegaly. no suprapubic tenderness. extremities: multiple scattered ecchymoses. thin skin. lle bandaged from skin tear. scant le edema. neurologic: a+ox3. no focal cn deficits. pertinent results: cbc: admission: 07:30pm blood wbc-5.6 rbc-3.12* hgb-10.9* hct-33.1* mcv-106*# mch-35.1* mchc-33.0 rdw-13.4 plt ct-248 diff: 07:30pm blood neuts-83.2* lymphs-9.1* monos-6.3 eos-1.0 baso-0.5 coags: admission: 06:54am blood pt-10.7 ptt-25.3 inr(pt)-1.0 electrolytes: admission: 07:30pm blood glucose-107* urean-27* creat-1.0 na-138 k-3.4 cl-101 hco3-28 angap-12 06:54am blood calcium-9.0 phos-3.1 mg-1.9 iron-16* lfts: admission: 07:30pm blood alt-18 ast-18 alkphos-56 totbili-0.3 07:30pm blood lipase-43 07:30pm blood albumin-3.9 lactate: 07:38pm blood lactate-0.9 crp: 06:54am blood crp-37.0* tsh: 06:54am blood tsh-2.0 anemia work up: 06:54am blood caltibc-296 vitb12-190* folate-greater th ferritn-73 trf-228 06:54am blood ret aut-2.1 micro: urine urine culture-pending mrsa screen mrsa screen-pending blood culture blood culture, routine-pending blood culture blood culture, routine-final blood culture blood culture, routine-final imaging: ct abd/pelvis: 1. approximately 12 cm segment of distal small bowel with circumferential wall thickening and mild associated mesenteric edema. findings are concerning for ischemic, infectious or inflammatory causes of small bowel enteritis. given the dense vascular calcifications, ischemic etiologies are favored. however, the aortic branch vessels appear patent without focal thrombus. 2. infrarenal abdominal aortic aneurysm measuring up to 4 cm in transverse diameter. 3. duodenal diverticulum. 4. stable hepatic cysts. kub: there is a non-specific bowel gas pattern with air seen in some loops of non-dilated small bowel as well as within the colon. contrast is seen in the colon and in the rectum. an ivc filter is in place. there are splenic artery calcifications. there is no evidence of free air or degenerative changes in the lumbar spine. impression: non-specific bowel gas pattern with no definite obstruction. mre: 1. again noted is a 15-cm segment of mid-distal ileum with wall thickening with edema and mild mucosal hyperenhancement. these findings are most likely representative of an ischemic/infectious etiology affecting the ileumand unlikely to be crohn's disease. celiac artery, sma, and splanchnic veins do not show concerning findings. 2. 3.8 x 3.7 cm infrarenal abdominal aortic aneurysm. 3. hepatic cysts as described above. 4. duodenal diverticulum. kub (prelim report): there are mildly dilated gas-filled small bowel loops as well as decompressed colon with residual oral contrast. there is no definite evidence of obstruction or free air. an ivc filter is in place. there is contrast seen within the large bowel and splenic artery calcifications. degenerative changes are noted in the spine. median sternotomy wires are present. impression: mildly dilated gas-filled small bowel loops. no definite obstruction or free air. cxr: the course of the nasogastric tube is unremarkable, with the exception of a slight deviation of the tube at the level of the lower esophageal third, suggesting the potential presence of a hiatal hernia. the site of the tube is located at the gastroesophageal junction, the tip of the tube projects over the proximal parts of the stomach. the tube should be advanced by approximately 5 cm. there is no evidence of complication, notably no pneumothorax. mild retrocardiac areas of atelectasis. leni's: impression: no evidence of deep venous thrombosis in bilateral lower extremities. tte: the left atrium is mildly dilated. the right atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). there is no ventricular septal defect. the right ventricular cavity is dilated with depressed free wall contractility. there is abnormal systolic septal motion/position consistent with right ventricular pressure overload (? acute pulmonary embolism vs. acute on chronic pulmonary hypertension). the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is moderate to severe aortic valve stenosis (valve area 0.9 cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. there are no echocardiographic signs of tamponade. : kub impression: resolving sbo with normal gas pattern. no evidence of obstruction or free air. : kub impression: findings worrisome for worsening ileus vs partial or early full obstruction. : kub impression: improving bowel obstruction. brief hospital course: 83 year old woman with history of cad s/p cabg, previous diagnosis of uc, pmr on low dose prednisone, and atrial tachycardia who was initially admitted to the medicine service with abdominal pain, found to have sbo with concern for crohn's, hospital course complicated by afib with rvr with hypotension. her hospital course as follows by problems: partial sbo: presented with obstructive symptoms and evidence of narrowing of a 12-15 cm segment of the ileum on ct and mre. initial concerns for infectious vs. inflammatory vs. ischemic etiology; did not improve despite completely a course of cipro/flagyl. given history of uc, she was started on empiric iv solu-medrol as the patient was not amenable to endoscopic evaluation with sampling of this area. her symptoms did not improve the final read of mre came back inconsistent with crohn's so her iv steroids were tapered down. she was kept npo except meds with decompression with an ngt until her ngt output ceased; she continued to experience episodes of significant pain despite remaining npo. she was started on tpn. single balloon retrospective enteroscopy was planned for tissue biopsy for diagnosis; however, the patient was unable to tolerate po for prep and was sent for surgical management. she was taken to the operating room on for exploratory laparoscopy with lap assisted small bowel resection. there were no complications. tissue for pathology was obtained; final path report revealed neuroendocrine tumor. postoperatively she remained on the tpn that was started while on the medicine service and also while awaiting return of bowel function. over the course of the next several days post op she did have flatus and her ng was removed. sips were started slowly advancing to clears. once able to tolerate this she was advanced to solids but her appetite was poor. marinol was started with improvement in her overall appetite. the tpn was then stopped and she is tolerating a regular diet. her staples will remain in place at time of discharge and will need to be removed on . . afib with rvr: she has a h/o atrial tachycardia but no known af and was noted with unstable episode on the medical floor with sbp 70 without any anginal symptoms to suggest acute coronary syndrome. her tsh was normal and leni's were negative. further dropped to sbp 60 with beta blockade and was transferred to the micu. dilt iv was effective at rate control. she remained stable on metoprolol 5 mg iv q 6 hours after returning from the micu. anticoagulation with warfarin was recommended by cardiology; this is to be discussed after surgery. she was again was noted with intermittent episodes of hypotension as low as 68 systolic and was orthostatic while working with pt. her valsartan was being withheld for several doses based on hold parameters and subsequently this was stopped. once her blood pressures stabilize this should be restarted. her beta blocker does was decreased initially until an episode on hd#20 she was noted with afib with rvr and was transferred to the icu for a short period of time. her lopressor was increased to 50mg tid and her heart rates have ranged in the 90's. anticoagulation was recommended by cardiology once able to take po's but the decision was made to have her follow up with her pcp after discharge from rehab for further evaluation of initiating this. . hypoxia: known right sided heart failure on nocturnal o2 that was exacerbated by volume resuscitation .during her hospital stay she required continuous oxygen therapy to maintain her saturations >93% anemia: she was followed by hematology during her stay who recommended b12 and iron supplementation once taking po's. given her low hematocrit she was transfused with 1 unit packed red cells. post transfusion hematocrit was 27.6 and on day of discharge it was 26.3. neuroendocrine tumor: hematology/oncology were consulted and it is being recommended that she have serial follow up every three months up until 1 yr. in the meantime an appointment has been scheduled for her to follow up in their clinic after hospital discharge. right sided heart failure: diuretics and antihypertensives were held initially given hypotension. her home dose lasix was restarted and her electrolytes followed closely and repleted as needed. cad: known history, asymptomatic now, but troponin continues to rise with change in morphology in v5 and v6. serial ekg's were followed and she was continued on an aspirin, beta blocker and statin. complicated uti: while on the medicine service she was treated for a positive ua with ciprofloxacin 400 mg iv q12 hours. dispo: she was evaluated by physical therapy and was recommended for rehab after his acute hospital stay. medications on admission: klor con 20 meq 1 packet tramadol-acetaminophen 37.5/325mg 1 tablet q4hrs prn diovan 80 mg po bid zolpidem 5 mg 1-2 tablets po qhs prn prednisone 4 mg po qday prednisone 3 mg po qhs aspirin 81 mg po qday furosemide 80 mg po bid pravastatin 20 mg po qhs slow release iron 140 mg po qday metoprolol tartrate 75 mg po qday symbicort 160 mcg 4.5 mcg/actuation hfa inhlaer synthroid 75 mcg 1 tab po qday oxygen 2l qhs and prn sob glucosamine chondroitin perser vision discharge medications: 1. acetaminophen 650 mg po tid 2. aspirin 81 mg po daily 3. furosemide 80 mg po bid 4. levothyroxine sodium 75 mcg po daily 5. metoprolol tartrate 50 mg po tid 6. pravastatin 20 mg po hs 7. prednisone 4 mg po daily 8. prednisone 3 mg po qhs 9. tramadol (ultram) 50 mg po q6h:prn pain 10. dronabinol 2.5 mg po bid 11. fluticasone-salmeterol diskus (100/50) 1 inh ih 12. heparin 5000 unit sc tid 13. symbicort *nf* (budesonide-formoterol) 160-4.5 mcg/actuation inhalation 14. folic acid 400 mcg po daily 15. ferrous sulfate 45 mg po daily 16. vitamin d 800 unit po daily 17. klor-con m20 *nf* (potassium chloride) 20 meq oral 18. trazodone 100 mg po hs:prn insomnia 19. senna 2 tab po hs 20. oxycodone (immediate release) 5-10 mg po q3h:prn pain 21. docusate sodium 100 mg po bid 22. calcium carbonate 500 mg po qid:prn indigestion 23. pantoprazole 40 mg po q24h 24. insulin sc sliding scale fingerstick q6hrs insulin sc sliding scale using hum insulin 25. simethicone 80 mg po qid:prn indigestion discharge disposition: extended care facility: senior healthcare of discharge diagnosis: small bowel obstruction ileal neuroendocrine tumor malnutrition acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hospital with an obstruction in your intestines requring an operation to remove the blockage. biopsies of the intestinal tissue were taken at the time and you were found to have a tumor that will need further evalution by the hematology/oncology doctors. you required a blood transfusion for anemia during your hospital stay. you were also evaluated by the physical therapy team and being recommended for rehab after your hospital stay. followup instructions: department: general surgery/ when: tuesday at 2:00 pm with: dr. in the acute care clinic phone: building: lm bldg () campus: west best parking: garage department: hematology/oncology when: wednesday at 8:00 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: parenteral infusion of concentrated nutritional substances other partial resection of small intestine laparoscopy arterial catheterization central venous catheter placement with guidance diagnoses: polymyalgia rheumatica urinary tract infection, site not specified unspecified essential hypertension long-term (current) use of steroids acute posthemorrhagic anemia unspecified protein-calorie malnutrition unspecified acquired hypothyroidism atrial fibrillation other specified intestinal obstruction coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other chronic pulmonary heart diseases hypopotassemia other and unspecified hyperlipidemia paralytic ileus abdominal aneurysm without mention of rupture ulcerative colitis, unspecified dehydration accidents occurring in residential institution removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation orthostatic hypotension other dependence on machines, supplemental oxygen personal history of pulmonary embolism other digestive system complications body mass index 27.0-27.9, adult benign carcinoid tumor of the ileum 

Answer: The patient is high likely exposed to