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: percocet / codeine / hydrochlorothiazide / percodan / cardizem attending: chief complaint: midsternal chest pain major surgical or invasive procedure: : extended right hemicolectomy history of present illness: ms. is a 77 y/o f with pmh of cad s/p cabg in (lima to lad, svg to pda, svg to om, svg to diag), esrd s/p renal transplant (), and iddm who presents in transfer from . the patient has felt quite tired for the past several days while visiting her daughter; on routine labs (due for inr), the patient was found to have a hct of 18 with inr of 6. she was admitted to for further evaluation; there, she received 3 u prbcs (by report). hematocrit after her 2nd unit of prbcs was 21.9. her inr was reversed with ffp and vitamin k with repeat inr 2.6 from 6. overnight, the patient had the acute onset of midsternal chest pain with radiation to the back at the osh. this was not associated with diaphoresis, shortness of breath, or palpitations. the patient was nauseous and vomited once. the pain is a "steady, sharp" pain per her report; at its worst, the pain was . now, the pain is and actually resolved completely. she noted some improvement with administration of labetalol gtt; she also received morphine and nitroglycerin without much relief. she states that the pain is improved with sitting up. it is not pleuritic. she has no cough. she denies orthopnea and pnd. she has left > right lower extremity edema which is chronic. . she tells me that she had a low blood count one month ago that required a transfusion of 1 u prbcs; she subsequently was placed on aranesp. at that time, she also experienced substernal chest pain, much like her current pain, for which an answer was not found (per her report). at the current time, she is on a nitroglycerin gtt and without pain. her stool is trace guaiac positive. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: pmh: renal artery stent on ; surveillance u/s (+)in-stent stenosis/hydronephrosis; esrd s/p crt', rue avf, cad s/p cabgx4(lgsv)', caf, htn, iddm2, gout, ccy, zoster social history: widowed and lives with her son. she is a nonsmoker. she denies alcohol use. family history: no hx of premature coronary artery disease physical exam: vs: t 96.9, bp 144/42, hr 66, rr 12, o2 100% on 4l nc gen: wdwn elderly woman in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant and able to speak in full sentences. heent: ncat. left conjunctiva injected. perrl, eomi. mm somewhat dry. neck: supple with jvp of 8 cm. cv: irregularly irregular rhythm, normal s1, s2. no s4, no s3. 2/6 systolic murmur at the apex. chest: prior cabg sternotomy scar. no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. occasional crackles at the bases; no wheezes or rhonchi. abd: soft, hypoactive bowel sounds, ntnd, no hsm or tenderness. no abdominial bruits. rectal: firm stool in the vault, trace guaiac positive ext: 1+ left lower extremity edema with overlying erythema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+; dp dopplerable left: carotid 2+ without bruit; femoral 2+; dp dopplerable pertinent results: on admission, hg 7.7, hct 23.5. . axr. moderate-to-severe amount of stool within the descending colon and rectal vault consistent with constipation/impaction. . . conclusions: the left atrium is elongated. the right atrium is markedly dilated. the estimated right atrial pressure is 0-5mmhg. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). cannot exclude mild focal distal septal hypokinesis. tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). transmitral doppler and tissue velocity imaging are consistent with grade ii (moderate) lv diastolic dysfunction. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is a trivial/very small pericardial effusion. . compared with the prior study (images reviewed) of , previously noted regional wall motion is now improved. . . cxr. no evidence of acute change. 10:23pm hct-29.1* 07:50am glucose-434* urea n-95* creat-1.7* sodium-139 potassium-3.5 chloride-108 total co2-22 anion gap-13 07:50am alt(sgpt)-22 ast(sgot)-20 ld(ldh)-238 ck(cpk)-47 alk phos-96 tot bili-0.4 07:50am ck-mb-notdone ctropnt-0.06* 07:50am albumin-2.9* calcium-7.2* phosphate-3.5 magnesium-2.4 cholest-135 07:50am haptoglob-155 07:50am %hba1c-6.1* 07:50am triglycer-179* hdl chol-48 chol/hdl-2.8 ldl(calc)-51 07:50am fk506-4.9* 07:50am wbc-11.1*# rbc-2.57* hgb-7.7* hct-23.5* mcv-91 mch-30.0 mchc-32.8 rdw-17.0* 07:50am pt-27.1* ptt-39.9* inr(pt)-2.8* brief hospital course: in summary, ms. is a 77 y/o f with esrd s/p renal transplant, cad s/p cabg, and iddm admitted with demand ischemia and profound anemia from likely gi bleed. . chest pain. initially concerning for aortic dissection because report from outside hospital stated that there was unequal blood pressures in l and r arms, though patient has an av fistula on the right which ws clotted. the chest pain was thought to be due to demand ischemia from profound anemia. cardiac enzymes were negative. she reports three prior episodes of chest pain over the past two years that resolved with blood transfusions. she was treated with a nitroglycerin drip and had resolution of chest pain. also given aspirin, statin, metoprolol. an echo showed an ef of 55%. uremic pericarditis may also have contributed to chest pain, as patient was found to have elevated bun and pericardial friction rub. . anemia. her hematocrit was 18 with inr of 6 at an outside hospital. she was transfused at the outside hospital. upon arrival, her hct was 23.5, but rose to 29.1 with transfusion of two units of prbcs on . there is concern gi blood loss given trace guaiac positive stools with supratherapeutic inr. gi team was consulted on and an egd was done - mucosal biopsies of antrum and duodenum revealed no diaagnostic abnormalities in fundic mucosa and chronic inactive duodenitis in duodenum. next, she underwent 2 tagged red blood cell scans which both showed active bleeding localized to the hepatic flexure of the colon. both of the scans were followed by an angiogram which was negative on 2 occasions. she underwent colonoscopy which again showed bright red blood in the right colon and diverticula throughout the entire colon. the colonoscopy failed to localize the site of bleeding and the patient was taken to the operating room where an extended right hemicolectomy was done. hemicolectomy pathology revealed a single tiny area of dilated venules in the mucosa, consistent with vascular ectasia (angiodysplasia), and no erosion and multiple diverticula of the colon. post-operatively, staples were removed from a 2x2 cm area of inferior wound due to fluctuance and erythema. wet to dry dressing changes were started, and erythema since decreased. she received 1u prbcs on and for hct<30%, asymptomatic. . constipation. kub showed stool in colon and rectum. was started on milk of magnesia in addition to senna, colace and prn dulcolax and lactulose. . l le edema: problem appears chronic (mentioned in last renal note from ) and likely due to prior vein harvesting for cabg. l femoral us on revealed l inguinal hematoma. no pseudoaneurysm or fistula involving the left common femoral and iliac arteries. . l ue erythema: patient was noted to have l arm swelling / erythema at picc site which prompted lue u/s on - found 6x4 fluid collection, no dvt. double lumen picc line via left basilic venous approach by placed by ir on due to poor peripheral access. . cri s/p renal transplant: the patient's creatinine appears to be at baseline. tacrolimus level was 4.9 on admission. discharge dose 1mg po q12h. lasix was administered during hospital stay to regulate fluid balance. patient will be discharged on lasix 40mg po daily. . hypertension: holding home antihypertensives while in ccu. while in the ccu, patient was on a nitroglycerin drip initially, but weaned off after a couple of hours with plans to restart antihypertensives slowly. her blood pressure was monitored and remained stable. upon transfer to the floor she was placed on metoprolol 12mg po bid. . iddm: outside regimen unclear. verify with patient this morning. ssi for now. hga1c found to be 6.1 on admission. she was followed by during her stay, was continued on ssi. . uti: urine culture on revealed >100,000 ecoli. cefepime was started and then changed to ceftriaxone for total of 7day of antiobiotic therapy. id was consulted for recommendations regarding therapy. . hypothyroidism. continue levothyroxine 100 mcg daily . gout. renally-dosed allopurinol. . dispo vna services arranged for wound cares. pt cleared patient for stair climbing. patient was determined stable to be discharged home vs rehabilitation center. . proph: inr therapeutic was therapeutic on admission, so heparin sq was initally not started, but began post-operatively on . she was given a ppi due to concern for upper gi bleed. medications on admission: home medications (per recent nephrology note, patient unsure of medications) coumadin norvasc 10 mg daily diovan 80 mg prednisone 5 mg daily clonidine 0.1 mg labetalol 50 mg colace 100 mg daily amiodarone 100 mg every other day lasix 60 mg lipitor 20 mg daily calcitriol 0.25 mcg daily allopurinol 100 mg every other day aspirin 81 mg daily prograf 2 mg levothyroxine 100 mcg daily discharge medications: 1. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 3. amiodarone 200 mg tablet sig: 0.5 tablet po q48h (every 48 hours). 4. epoetin alfa 4,000 unit/ml solution sig: two (2) injection qmowefr (monday -wednesday-friday). 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. tacrolimus 1 mg capsule sig: two (2) capsule po q12h (every 12 hours) for 2 doses. 7. insulin nph human recomb 100 unit/ml suspension sig: eighteen (18) units subcutaneous once a day. 8. insulin nph human recomb 100 unit/ml suspension sig: twenty (20) units subcutaneous at bedtime. 9. insulin regular human 100 unit/ml solution sig: follow sliding scale injection four times a day. 10. furosemide 40 mg tablet sig: one (1) tablet po once a day. 11. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 13. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 14. potassium chloride 10 meq capsule, sustained release sig: four (4) capsule, sustained release po bid (2 times a day). discharge disposition: home with service facility: community vna discharge diagnosis: esrd h/o renal transplant, s/p extended right hemicolectomy for diverticular bleed discharge condition: stable discharge instructions: please call dr office at if you experience fever > 101.5, chills, nausea, vomiting diarrhea, constipation, blood in stool, inability to take or keep down medications. monitor wound for redness, swelling, tenderness, or drainage no heavy lifting stay on lasix 40mg po daily until told otherwise wet to dry dressings twice daily on open wound site with home nursing. continue colace and do not drive as long as you are taking narcotics followup instructions: , md phone: date/time: 10:20 , md phone: date/time: 10:50 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances colonoscopy esophagogastroduodenoscopy [egd] with closed biopsy arteriography of other intra-abdominal arteries open and other right hemicolectomy other small-to-large intestinal anastomosis transfusion of packed cells diagnoses: intermediate coronary syndrome urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism gout, unspecified atrial fibrillation aortocoronary bypass status hematoma complicating a procedure constipation, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled diverticulosis of colon with hemorrhage complications of transplanted kidney conjunctival hemorrhage other drugs and medicinal substances causing adverse effects in therapeutic use edema angiodysplasia of intestine (without mention of hemorrhage) hypertensive retinopathy 

Answer: The patient is high likely exposed to