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: ischemic ulcer of the right great toe. major surgical or invasive procedure: right below-knee popliteal artery to dorsalis pedis artery bypass with non-reverse right greater saphenous vein and angioscopy. history of present illness: this 74-year-old gentleman has a nonhealing ischemic ulcer of his right great toe. he underwent an arteriogram recently which showed extensive tibial occlusive disease with reconstitution of the dorsalis pedis artery at the level of the ankle. the ulcer has shown no signs of healing and he is advised to have bypass to heal his foot. he has had longstanding type 2 diabetes and takes insulin. past medical history: pmh: pad, dm, cad, s/p mi, htn, hyperlipidemia, obesity psh: cabg x 5; cholecystectomy social history: he is widowed, lives alone. he has never smoked or drank. family history: there is a history of heart disease and vascular disease in his family. physical exam: on physical examination, he is an elderly obese gentleman in no acute distress. he is 5'7" and 250 lbs. blood pressure is 179/89. pulse is 60. respirations are 16. he has no cervical bruits. chest is clear. heart is in regular rhythm. abdomen is very obese. his femoral and popliteal pulses are palpable. his left dorsalis pedis pulse is faintly palpable. he has nonpalpable foot pulses on the right. he has some suggestion of diabetic neuropathy with some bony deformities of his feet, although not charcot foot or rocker bottom deformities, but more prominent metatarsal heads and some interosseous muscle wasting. on the lateral aspect of the right metatarsophalangeal joint, there is a black eschar. it is approximately 4 mm in diameter and slightly tender to the touch and does not look infected. pertinent results: 05:00am blood wbc-7.0 rbc-3.38* hgb-10.4* hct-29.5* mcv-87 mch-30.7 mchc-35.1* rdw-13.6 plt ct-198 05:00am blood plt ct-198 04:42am blood glucose-141* urean-27* creat-0.9 na-143 k-3.7 cl-108 hco3-27 angap-12 09:22am urine color-yellow appear-clear sp -1.020 urine blood-lg nitrite-neg protein-30 glucose-1000 ketone-10 bilirub-neg urobiln-neg ph-5.5 leuks-neg urine rbc->182* wbc-8* bacteri-few yeast-none epi-0 urine casthy-3* cxr: cardiomegaly, widened mediastinum and elongated aorta are stable. mild-to-moderate pulmonary edema is new. right ij catheter remains in place. bilateral pleural effusions are small. sternal wires are aligned. the patient is status post cabg. echo: suboptimal image quality. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve is not well seen. the mitral valve leaflets are not well seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. brief hospital course: mr. , was admitted on with ischemic ulcer of the right great toe. he agreed to have an elective surgery. pre-operatively, he was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preparations were made. it was decided that she would undergo a: right below-knee popliteal artery to dorsalis pedis artery bypass with non-reverse right greater saphenous vein and angioscopy. he was prepped, and brought down to the operating room for surgery. before the procedure, there was difficulty placing the foley catheter. urology was consulted. they found a urethral stricture. they placed a foley catheter. this was kept in place for 5 days. intra-operatively, he was closely monitored and remained hemodynamically stable. he tolerated the procedure well without any difficulty or complication. post-operatively, he was extubated and transferred to the pacu for further stabilization and monitoring. pt was experiencing chest pressure in the pacu. a cardiology consult was obtained. pt was given nitro drip, started on labetalol drip, and a asa. with these medications the chest pressure improved. pt transferred to the cvicu for monitoring. we cycled his troponins. the were elevated. pt diuresed in the civu. he was then transferred to the vicu for further recovery. while in the vicu he received monitored care. his labetalol drip was dc'd, changes to lopressor, the iv nitro was dc'd changed to imdur. his troponins continued to rise. it was decided to an echo: suboptimal image quality. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve is not well seen. the mitral valve leaflets are not well seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. with the continued rise in troponins it was decided to do a cardiac cath. cath: patent vein grafts/lima, lad occluded, elevated pa pressures. with the elevated pa pressures it was decided to add lasix to his regime when stable he was delined. his diet was advanced. a pt consult was obtained, he was transferred to floor status on the floor, he remained hemodynamically stable with his pain controlled. he progressed with physical therapy to improve her strength and mobility. he continues to make steady progress without any incidents. he was discharged home with vna in stable condition. pod #5, the foley was dc'd, the pt had problem urinating. he is to follow up with his pcp regarding his bp. medications on admission: carvedilol 12.5 mg ; lantus 100 unit/ml solution 75 units every morning; isosorbide mononitrate xr 60 mg qd; lisinopril 40 mg qd; nitroglycerin prn; rosuvastatin 40 mg qd; tamsulosin 0.4 mg qd; valsartan-hydrochlorothiazide 320 mg-12.5 mg qd; aspirin 325 mg qd; humulin r 100 unit/ml solution 20 units with meals (adjusts per ss) discharge medications: 1. oxycodone 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain: prn for pain. disp:*30 tablet(s)* refills:*0* 2. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). 3. diovan hct 320-12.5 mg tablet sig: one (1) tablet po once a day. 4. isosorbide mononitrate 60 mg tablet extended release 24 hr sig: 1.5 tabs tablet extended release 24 hrs po daily (daily): 90 mg total. disp:*60 tablet extended release 24 hr(s)* refills:*6* 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*6* 6. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 7. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po once a day. 8. insulin sliding scale & fixed dose fingerstick q4hours insulin sc fixed dose orders breakfast glargine 37 units insulin sc sliding scale q6hrs regular glucose insulin dose 0-70 mg/dl proceed with hypoglycemia protocol 71-150 mg/dl 0 units 151-200 mg/dl 2 units 201-250 mg/dl 4 units 251-300 mg/dl 6 units 301-350 mg/dl 8 units > 350 mg/dl notify m.d. 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. metoprolol tartrate 50 mg tablet sig: 1.5 tabs tablets po bid (2 times a day). disp:*60 tablet(s)* refills:*6* 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 12. lasix 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. potassium chloride 10 meq capsule, extended release sig: one (1) capsule, extended release po once a day. disp:*30 capsule, extended release(s)* refills:*2* discharge disposition: home with service facility: care for life, health care discharge diagnosis: ischemic ulcer of the right great toe. htn increase in troponins, demand ischemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery lower extremity bypass surgery discharge instructions what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over 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 over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 9:15 name: , address: , , phone: fax: procedure: combined right and left heart cardiac catheterization other (peripheral) vascular shunt or bypass combined right and left heart angiocardiography dilation of urethra percutaneous angioscopy diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortocoronary bypass status ulcer of other part of foot long-term (current) use of insulin examination of participant in clinical trial atherosclerosis of native arteries of the extremities with ulceration urethral stricture, unspecified 

Answer: The patient is high likely exposed to