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: penicillins / amoxicillin attending: chief complaint: headache major surgical or invasive procedure: : angiogram with coiling of right posterior communicating artery history of present illness: this is a 39 year old woman who reports the worse headache of her life on . she has recurring menstrual headaches and constant frontal headaches for the past 2-3 months. she was taking fioricet prescribed by her pcp. day of admission when she sat up after waking up she had a very intense pain and pressure in the frontal areas and behind her eyes. after a minute or two the pressure subsided but the pain persisted and traveled to her neck. she had photophobia, nausea and phonophobia. she reported associated symptoms with her recurring headaches but has never been diagnosed with migraines. a ct head was performed at was without hemorrhage and mri was without abnormality. lp was done showing which was positive for red blood cell's. she was transferred to for further evaluation and treatment. past medical history: migraines, depression, hypercholesterolemia social history: she is right handed. she smoked cigarettes per day. she drinks almost a bottle of wine daily. she is a dental assistant. she denies use of illegal substances. family history: noncontributory physical exam: on admission: physical exam: o: 99.0 61 120/76 15 97% gen: wd/wn, comfortable, nad. eyes closed. heent: pupils: 2-1.5 eoms intact neck: +nuchal rigidity extrem: warm and well-perfused. neuro: mental status: awake but sleepy following dilaudid, cooperative with exam, normal affect. orientation: oriented to person, place, and date. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2-1.5mm bilaterally. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch. toes downgoing bilaterally handedness right on dishcarge the patient was alert and oriented to person, place, and time she was ambulating with a steady gait independetly. strength was full in all 4 extremities. sensation was intact. toes were downgoing. there was no pronator drift. pupils were reactive. face was symetrical. toungue midline. eoms were intact. right groin site was c/eam/dry/intact- there was no hematoma or eccymosis. pedal pulses were palpable and strong pertinent results: cta head ct angiography of the head demonstrates an approximately 7-mm aneurysm in the right posterior communicating artery with 3-mm neck and somewhat bilobed appearance of the aneurysm. cerebral angiogram : study date of 10:31 am impression: underwent cerebral angiography and coil embolization of a right posterior communicating artery aneurysm mesuring 6.34 x 4.62 mm. though there was no ct scan evidence of rupture, the spinal fluid was suggestive of a ruptured aneurysm. cardiology report ecg study date of 8:31:12 am sinus rhythm with sinus arrhythmia. otherwise, tracing is within normal limits. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 53 152 88 454/441 75 46 45 complete transcranial doppler ultrasound study no evidence of vasospasm seen. complete transcranial doppler ultrasound study no evidence of vasospasm seen. complete transcranial doppler ultrasound study impression: normal tcd evaluation. there was no evidence of vasospasm. 07:50pm plt count-233 07:50pm neuts-71.2* lymphs-23.2 monos-4.9 eos-0.4 basos-0.2 07:50pm wbc-10.5 rbc-4.07* hgb-12.8 hct-37.0 mcv-91 mch-31.5 mchc-34.7 rdw-13.2 07:50pm estgfr-using this 07:50pm glucose-95 urea n-10 creat-0.7 sodium-143 potassium-3.8 chloride-114* total co2-17* anion gap-16 09:45pm pt-12.6 ptt-20.7* inr(pt)-1.1 09:45pm plt count-237 09:45pm neuts-73.8* lymphs-21.4 monos-4.2 eos-0.4 basos-0.2 09:45pm wbc-10.6 rbc-3.91* hgb-12.4 hct-36.1 mcv-93 mch-31.7 mchc-34.3 rdw-12.7 09:45pm hcg-<5 09:45pm glucose-91 urea n-11 creat-0.7 sodium-143 potassium-3.7 chloride-113* total co2-17* anion gap-17 02:40am pt-13.2 ptt-21.6* inr(pt)-1.1 02:40am plt count-238 02:40am wbc-9.8 rbc-3.75* hgb-11.9* hct-34.7* mcv-93 mch-31.6 mchc-34.2 rdw-12.9 02:40am albumin-3.8 calcium-8.7 phosphate-3.4 magnesium-2.2 02:40am ck-mb-1 ctropnt-<0.01 02:40am alt(sgpt)-9 ast(sgot)-16 ck(cpk)-52 alk phos-45 tot bili-0.2 02:40am glucose-89 urea n-11 creat-0.7 sodium-142 potassium-3.8 chloride-113* total co2-17* anion gap-16 02:04pm ptt-129.3* 03:15pm ptt-73.2* 03:30pm ptt-71.1* 05:15am blood wbc-8.4 rbc-3.35* hgb-10.6* hct-30.6* mcv-91 mch-31.7 mchc-34.8 rdw-13.1 plt ct-235 05:15am blood plt ct-235 05:15am blood pt-12.2 ptt-23.0 inr(pt)-1.0 05:15am blood glucose-89 urean-6 creat-0.6 na-141 k-3.6 cl-104 hco3-27 angap-14 05:15am blood calcium-9.0 phos-3.5 mg-1.8 brief hospital course: this 39 year old woman who reports the worse headache of her life upon presentation. on the day of admission when she sat up after waking up she had a very intense pain and pressure in the frontal areas and behind her eyes. after a minute or two the pressure subsided but the pain persisted and traveled to her neck. she had photophobia, nausea and phonophobia. she presented to where a ct of the head was performed with no evidence of subarachnoid hemorhage, a subsequent lumbar puncture was performed which was positive for red blood cells. the patient was transferred to for further evaluation. a cta was performed which was consistent with approximately 7-mm aneurysm in the right posterior communicating artery with 3-mm neck and somewhat bilobed appearance of the aneurysm. on , the patient underwent a cerebral angiogram under anesthesia and right sided posterior communicating artery aneurysm was coiled.the patient was placed on a heparin intravenous drip post cerebral angiogram. the patient was transferred to the icu post procedure for monitoring. we do not believe that the patient had a primary sub arachnoid hemmorhage on the day of admission therefore nimodipine was discontinued. on , the heparin intravenous drip was discontinued per protocol. aspirin 325 mg po was initiated status post angiogram and coiling. the patient continued to experience servere headaches and a prednisone taper was initiated for this.the patients diet was advanced and the foley catheter was discontinued. on , the patient had a transcranial doppler that did not reveal vasospasm.the patient was mobilized and tolerating a po diet. the patient was voiding independently. on ,the patient had a transcranial doppler that did not reveal vasospasm. started toradol for headaches, tcds requested by icu team on , the patient had a transcranial doppler that did not reveal vasospasm. the patient was transferred to the step down unit and a pain management consult was initiated for persistent headache. on , the patient was evaluated by neurology for headache management. the patient was transferred from the step down unit to floor. a pain consult was obtained and it was recommended that dilaudid be tapered and no long acting pain medications. on , the day of discharge, the patient's headache had decreased. the patient was tolerating a regular diet and voiding without difficulty independently and had a bowel movement. the patient was able to ambulate independently with a steady gait. upon exam, the patient was neurologically intact. the patient's strength was full in all extremities. there was no pronator drift. the face of the patient was symetric. the right groin angio site was clean, dry, and intact. pedal pulses were palpated bilaterally. neurology was called and a follow up apointment was made in the clinic to follow up with dr and dr for the patient's ongoing headaches. per neurology's recommendations the patient was discharged on tramadol with po dilaudid for breakthrough pain. neurology recommended that fioricet be discontinued. the patient was also discharged on topramate which is a home medication that she takes for her migraines. the patient was given instructions to follow up in the clinic in 6 weeks with a mri/mra. medications on admission: zoloft 100 qd simvastatin 20mg po qd topiramate nifedipine advair discharge medications: 1. sertraline 50 mg tablet sig: two (2) tablet po daily (daily): home medication. 2. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily): home medication. 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily) for 6 months. disp:*200 tablet(s)* refills:*2* 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 6. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. nifedipine 30 mg tablet extended release sig: one (1) tablet extended release po daily (daily): home medication. disp:*14 tablet extended release(s)* refills:*0* 8. topiramate 25 mg tablet sig: one (1) tablet po bid (2 times a day): home medication. disp:*30 tablet(s)* refills:*0* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain: hold for lethargy, do not drive while taking this medication. disp:*20 tablet(s)* refills:*0* 10. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day): home medication. disp:*30 tablet(s)* refills:*0* 11. tramadol 50 mg tablet sig: one (1) tablet po twice a day as needed for headache: try this first,then dilaudid. disp:*60 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: right posterior communicating artery aneurysm headache discharge condition: alert and oriented to person, place and time. the patient is ambulating independently with a steady gait and tolerating a regular diet. the patient had a bowel movement today and is voiding without difficulty. strength is full. sensation is full. right groin site is clean/dry/intact/ pedal pulses are present. discharge instructions: you were admitted to the hospital after severe headache. you had a right posterior communicating artery aneurysm coiled. you were started on aspirin for this. you did well with this and there were no complications. given your history of headaches and the severity of this one, you were seen the neurology and pain service. their recommendations were followed and you will follow up with neurology from here on for your headaches. angiogram with embolization and/or stent placement medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort. what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs. ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal). ?????? after 1 week, you may resume sexual activity. ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate. ?????? no driving until you are no longer taking pain medications what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site *sudden, severe bleeding or swelling (groin puncture site) lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call our office. if bleeding does not stop, call 911 for transfer to closest emergency room followup instructions: ??????please call ( to schedule an appointment with dr. , to be seen in 6 weeks. ??????you will need a mri/mra brain prior to your appointment. this can be scheduled when you call to make your office visit appointment. for your headaches you will follow up with dr / dr in the clinic, 8 on at 4:30 pm. the office number to the neurology clinic if you need to make changes to this appointment is . procedure: arteriography of cerebral arteries arterial catheterization endovascular embolization or occlusion of vessel(s) of head or neck using bare coils diagnoses: tobacco use disorder depressive disorder, not elsewhere classified other and unspecified hyperlipidemia cerebral aneurysm, nonruptured migraine, unspecified, without mention of intractable migraine without mention of status migrainosus 

Answer: The patient is high likely exposed to