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: urinary retention major surgical or invasive procedure: foley catheter placement with continuous bladder irrigation history of present illness: 89 y/o w/ chronic systolic chf (ef 35%, s/p 4v cabg in ), dm2 with neuropathy, h/o stroke s/p l ica stenting, ckd, peripheral and carotid artery disease, and bph, presents from rehab for inability to void. he was recently discharged from an admission to the ccu for an acute on chronic chf exacerbation thought to be due to dietary incompliance and underdosing of his home diuretic. he was aggressively diuresed, metoprolol was increased, and he was continued on his home doses of ramipril and digoxin. during the admission, foley placement was traumatic and resulted in persistent hematuria. the foley was removed, but hematuria continued prompting replacement of foley with bladder irrigation. his terazosin was discontinued and tamsulosin and finasteride were started. he was discharged with the foley to rehab. two days ago, the foley was removed, but he failed the voiding trial. the catheter was replaced, but was not draining, thought to be due to presence of blood clots and thus the catheter was removed. he presented to the ed today with a markedly distended bladder with inability to void. initial ed vitals were: 98.0 62 100/50 20 98%. a 3 way foley was placed by the ed team with poor urine output. urology was then consulted who placed a larger bore catheter and irrigated approximately 1l of clotted blood and achieved improved urine output. he was placed on continuous bladder irrigation. labs were notable for hct 23 (baseline high 20's to 30's), acute renal failure (cr 2.1 baseline cr 1.5-1.8), hyperkalemia (k 6.5) with a newly widened qrs on ecg. he was given 10 units of insulin, 1 amp of d50, and 30gm of kayexalate with repeat ecg showing narrow qrs. most recent set of vitals: afebrile 80 112/68 100% ra. on arrival to the micu, he reported feeling much better. his abdominal distention is improved. feels thirsty. feels tired and slightly lightheaded after receiving morphine in the ed. review of systems: (+) per hpi (-) denies fever, chills, headache, cough, shortness of breath, chest pain, palpitations. denies nausea, vomiting, diarrhea, constipation (last bm yesterday), or changes in bowel habits. past medical history: 4v cabg (lima-lad, svg-d1, svg-om, svg-am in ) chronic systolic chf, ef 35% with chronic stable angina aortic insufficiency dm2 with neuropathy chronic renal insufficiency hypercholesterolemia peripheral and carotid artery disease with chronic claudication bph h/o cva s/p left ica stenting sciatica anemia social history: lives with wife who is suffering from . denies alcohol or smoking history. family members present and active in life. retired worked as a book keeper and accountant. family history: mother died of breast ca 's father expired from gastric ca 's brother mi 's physical exam: general: alert, oriented, no acute distress, pleasant heent: sclera anicteric, mmdry, oropharynx clear neck: supple, jvp flat, no lad cv: rrr, normal s1 + s2, holosystolic murmur at apex, no r/g lungs: ctab, no wheezes, rales, ronchi abdomen: soft, non-tender, mildly distended, nabs, no organomegaly ext: warm, well perfused, 2+ pulses, no edema pertinent results: admission labs wbc-13.2* rbc-2.69* hgb-8.1* hct-23.9* mcv-89 mch-30.1 mchc-33.8 rdw-16.3* plt ct-288 pt-13.2 ptt-25.7 inr(pt)-1.1 glucose-298* urean-41* creat-2.1* na-126* k-6.5* cl-91* hco3-25 angap-17 brief hospital course: urinary retention/bladder stones/hematuria: likely secondary to heavy clotting in the setting of multiple traumatic catheter placements and bph. urology placed a 3-way foley catheter with irrigation of approximately 1l of clots. he was placed on continuous bladder irrigation and continued on tamsulosin and finasteride. unfortunately, after catheter removal he was still retaining urine, so it was replaced pending outpatient urology follow-up. clopidogrel was stopped on due to persistent hematuria; aspirin was continued. acute renal failure: obstructive, resolved hyperkalemia: related to arf, resolved. acute blood loss anemia: secondary to hematuria, treated with 3 units of prbc coronary artery disease: stable, asprin continued, plavix held due to bleeding ischemic chronic systolic heart failure: stable history of embolic cva s/ stent: stable diabetes mellitus type ii: treated with insulin until renal failure resolved. medications on admission: 1. ramipril 2.5 mg daily 2. glyburide 5 mg qhs 3. nitroglycerin prn chest pain 4. metoprolol succinate 75mg daily 5. ranitidine hcl 150 mg 6. simvastatin 10 mg daily 7. acarbose 25 mg tid 8. albuterol sulfate 90 mcg/actuation hfa prn 9. clopidogrel 75 mg daily 10. aranesp (polysorbate) 100 mcg/0.5 ml q3weeks 11. digoxin 250 mcg every third day 12. torsemide 20 mg daily 13. gabapentin 300 mg qhs 14. tiotropium bromide 18 mcg daily 15. aspirin 81 mg daily 16. cyanocobalamin 1,000 mcg daily 17. polyethylene glycol 17 gram daily prn 18. milk of magnesia prn 19. finasteride 5 mg daily 20. tamsulosin 0.4 mg qhs discharge medications: 1. metoprolol succinate 25 mg tablet extended release 24 hr sig: three (3) tablet extended release 24 hr po once a day. 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. acarbose 25 mg tablet sig: one (1) tablet po three times a day. 4. glyburide 5 mg tablet sig: one (1) tablet po once a day. 5. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual every 15 minutes as needed for chest pain. 6. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: puff inhalation every 4-6 hours as needed for shortness of breath or wheezing. 7. aranesp (polysorbate) 100 mcg/0.5 ml syringe sig: one (1) injection every 3 weeks. 8. digoxin 250 mcg tablet sig: one (1) tablet po every third day (). 9. torsemide 20 mg tablet sig: one (1) tablet po daily (daily). 10. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 11. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 12. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 13. cyanocobalamin (vitamin b-12) 1,000 mcg tablet sig: one (1) tablet po once a day. 14. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily) as needed for constipation. 15. milk of magnesia oral 16. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 17. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). 18. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. 19. ramipril 2.5 mg capsule sig: one (1) capsule po once a day. 20. clopidogrel 75 mg tablet sig: one (1) tablet po once a day: restart medication on . 21. oxycodone-acetaminophen 2.5-325 mg tablet sig: 1-2 tablets po three times a day as needed for pain. 22. instructions check fsbs tid, covering md if > 250 discharge disposition: extended care facility: - discharge diagnosis: primary: - urinary retention - hematuria - bladder stones - acute blood loss anemia - acute renal failure secondary: - anemia of chronic disease - chronic ischemic systolic heart failure - cad s/p cabg - cva s/p ica stent - diabetes mellitus type ii discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted with urinary retention and hematuria (bloody urine). urology placed a large catheter and helped to relieve the obstruction. you will need to follow-up with urology for definitive therapy. given the bleeding you experienced, please stop clopidogrel (plavix). this was discussed with your cardiology and neurologist. followup instructions: department: cardiac services when: wednesday at 2:00 pm with: , md building: sc clinical ctr campus: east best parking: garage department: surgical specialties when: wednesday at 3:30 pm with: , md building: campus: east best parking: garage department: neurology when: tuesday at 1 pm with: , m.d. building: campus: east best parking: garage procedure: irrigation of other indwelling urinary catheter diagnoses: hyperpotassemia anemia in chronic kidney disease pure hypercholesterolemia congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified hyposmolality and/or hyponatremia chronic airway obstruction, not elsewhere classified aortocoronary bypass status aortic valve disorders other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes constipation, unspecified hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) chronic kidney disease, stage iii (moderate) other and unspecified angina pectoris long-term (current) use of insulin chronic systolic heart failure retention of urine, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits gross hematuria other calculus in bladder 

Answer: The patient is high likely exposed to