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: codeine attending: chief complaint: recurrent chest pain major surgical or invasive procedure: - aspiration and 8 french pigtail catheter placement to right seminal vesicle fluid collection - replacement of descending thoracic aorta/primary repair of l cfa/pleural flap between lung and graft - open fenestration of aortic dissection/membranectomy/l renal stent. - picc line placement history of present illness: mr. is a 62 year old gentleman s/p an ascending aorta replacement for a type a dissection which was complicated by the necessity post-operatively for a trach and peg, renal failure, and rehab placement. he was transferred on from an outside hospital with recurrent chest pain and an enlarging type b dissection. past medical history: hypertension, hypercholesterolemia, history of asthma, s/p type a dissection with complicated post-operative course including trach, peg, and renal failure. social history: disabled no history of etoh abuse. no history of tobacco. family history: unknown physical exam: af,vss alert, oriented abd s/nt/nd no cva or suprapubic tenderness + circ, no lesions foley in place, clear urine bilateral descended, nt testes. discharge vitals 98.9, 142/80, 64 sr, 18, sat 99% on 3 l nc wt 67.8 kg neuro a/o x3 mae ue , le pulm cta bilat cardiac rrr no murmur/rub/gallop inc left thoracotomy and left flank intact healing no drainage no erythema staples intact - remove abd soft, nt nd + bs bm ext warm pulses palpable no edema pertinent results: 05:44am blood wbc-9.6 rbc-3.20* hgb-10.0* hct-29.3* mcv-92 mch-31.2 mchc-34.1 rdw-15.4 plt ct-336 03:13pm blood wbc-12.5* rbc-3.12* hgb-9.2* hct-27.3* mcv-87 mch-29.4 mchc-33.7 rdw-16.9* plt ct-436 10:49pm blood neuts-80.6* lymphs-11.5* monos-5.2 eos-2.5 baso-0.2 05:44am blood plt ct-336 03:01am blood pt-12.9 ptt-28.5 inr(pt)-1.1 03:13pm blood plt ct-436 03:13pm blood pt-13.1 ptt-29.0 inr(pt)-1.1 07:55pm blood fibrino-369# 05:44am blood glucose-85 urean-32* creat-2.1* na-144 k-3.4 cl-105 hco3-34* angap-8 03:13pm blood glucose-91 urean-14 creat-1.2 na-137 k-3.7 cl-99 hco3-31 angap-11 05:44am blood alt-15 ast-16 ld(ldh)-292* alkphos-62 amylase-39 totbili-0.5 03:13pm blood alt-10 ast-14 ld(ldh)-137 ck(cpk)-68 alkphos-81 amylase-30 totbili-0.4 05:44am blood lipase-21 03:13pm blood lipase-15 03:13pm blood ck-mb-notdone ctropnt-0.03* 05:44am blood calcium-8.5 phos-3.3 mg-1.8 03:13pm blood albumin-2.6* calcium-9.1 phos-3.9 mg-2.0 10:13am blood vanco-20.3* radiology final report chest (portable ap) 8:51 am chest (portable ap) reason: effusion medical condition: 63 year old man with s/p aortic stent reason for this examination: effusion ap portable chest, at 0849 hours. history: status post aortic stent. comparison: multiple priors, the most recent dated . findings: the study is mildly compromised secondary to positioning. the left internal jugular approach vascular sheath has been removed. left-sided pleural drains have also been removed in the interval. a right internal jugular approach central venous catheter remains stable in course and position with the distal tip just distal to the cavoatrial junction. there has developed left lower lobe collapse. there are bilateral pleural effusions more notable on the right with significant posteriorly layering component. the perihilar haze previously noted has mildly improved with no significant superimposed edema at this time. there is a rounded nodular opacity now projecting within the left lower lobe. no pneumothorax is evident. again noted are changes consistent with prior median sternotomy. the exaggerated descending thoracic aortic contour is stable and consistent with known preexisting aortic pathology. impression: relative clearing of edema with persisting bilateral pleural effusions, right worse than left. there has been interval development of left lower lobe collapse with a rounded opacity near the left lung base, which likely represents loculated fluid within fissure, "pseudotumor." dr. approved: tue 10:23 am patient/test information: indication: intraoperative tee for repair of abdominal aortic dissection status: inpatient date/time: at 11:46 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw3-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: *5.9 cm (nl <= 4.0 cm) left atrium - four chamber length: *6.0 cm (nl <= 5.2 cm) left ventricle - inferolateral thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 4.9 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 55% (nl >=55%) aorta - ascending: 2.4 cm (nl <= 3.4 cm) aortic valve - peak gradient: 12 mm hg interpretation: findings: left atrium: moderate la enlargement. elongated la. right atrium/interatrial septum: mild spontaneous echo contrast in the body of the ra. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness, cavity size, and systolic function (lvef>55%). lv wall motion: basal anterior - normal; mid anterior - normal; basal anteroseptal - normal; mid anteroseptal - normal; basal inferoseptal - normal; mid inferoseptal - normal; basal inferior - normal; mid inferior - normal; basal inferolateral - normal; mid inferolateral - normal; basal anterolateral - normal; mid anterolateral - normal; anterior apex - normal; septal apex - normal; inferior apex - normal; lateral apex - normal; apex - normal; right ventricle: borderline normal rv systolic function. aorta: focal calcifications in ascending aorta. descending aorta intimal flap/aortic dissection. flow in false lumen. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild to moderate (+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. trivial mr. tricuspid valve: normal tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally conclusions: the left atrium is moderately dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular systolic function is borderline normal. a dissection flap is seen in the lower portion of the thoracic descending aorta. there is flow in the false lumen. the patient is s/p graft replacement of the ascending aorta. stent material is seen in the proximal descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. with aortic cross-clamping, the aortic regurgitation worsened slightly. there were no other significant changes. at the end of the procedure, the dissection flap was still noted in the descending thoracic aorta with flow in the false lumen. electronically signed by , md on 13:46. physician: radiology final report cta chest w&w/o c&recons, non-coronary 5:32 am cta chest w&w/o c&recons, non-; cta abd w&w/o c & recons reason: s/p dissection repair, diminished pulses leg medical condition: 63 year old man s/p type b dissection repair w/ diminished pulses r leg reason for this examination: please perform cta from neck through femoral arteries to assess for occlusion, etc contraindications for iv contrast: none. examination: cta of the chest with and without contrast dated . comparison: . indication: 63-year-old male status post type b dissection repair with diminished right leg pulses. evaluate for occlusion. technique: axial imaging was obtained through the chest, abdomen, and pelvis before and after administration of iv contrast. cta of the chest: there is stable appearance of the graft repair of the ascending aorta seen on prior examination. multiple surgical clips are demonstrated within the mediastinum. since the prior examination, there has been placement of graft material in the proximal descending thoracic aorta, the aortic lumen opacifies normally. there is exclusion of the previously seen pseudoaneurysm. periaortic high density material is demonstrated consistent with hematoma. high density is demonstrated on the non-contrast images within the left pleural space consistent with moderate to large hemothorax. there is total collapse of the left lower lobe and partial collapse of the left upper lobe. there is partial collapse of the right lower lobe. there is a small right pleural effusion which is low in density. patchy airspace opacities are demonstrated within the left upper lobe and right upper lobe along the fissure, which may represent atelectasis,infection or aspiration. three pleural drainage catheters are demonstrated within the left hemithorax, the two most inferior are properly positioned, the most superior chest tube, the tip is located in the anterior mediastinum. there are coronary artery calcifications. there is no pericardial effusion. approximately 5 mm below the graft, there is redemonstration of an aortic dissection. at this level, the overall size of the true lumen is unchanged, there is equal opacification of the true and false lumen, which is different since prior examination, where there was less opacification of the false lumen. cta of the abdomen: the dissection continues through the abdominal aorta down to the level of the left external iliac artery. the celiac axis, sma, right renal artery, and accessory right renal artery are all off of the true lumen. since the prior examination, the true lumen is smaller in size within the infrarenal aorta and appears as a thin crescent which is nearly obliterated as it extends down to the aortic bifurcation. the right common iliac artery is off of the true lumen. the dissection continues down the left common iliac artery, terminates in the left external iliac, unchanged. there is equal opacification of the true and false lumen throughout. again, the left kidney is atrophic. the left renal artery is compressed by the circumferential false lumen with delayed opacification of the left kidney. the bowel is normal in caliber. there is no evidence of bowel wall thickening. multiple low- density lesions are demonstrated within the liver, unchanged. there is no intra- or extra-hepatic biliary ductal dilatation. the gallbladder is normal in appearance. the right kidney is lobulated in contour and is unchanged. cta of the pelvis: the dissection terminates in the left external iliac artery, unchanged. there is a foley balloon catheter inflated within the bladder and the bladder is decompressed. multiple foci of gas are demonstrated within the bladder likely from catheterization. there is large amount of stool within the rectal vault, measuring 7 cm x 7.8 cm. there is no lymphadenopathy, bowel wall thickening, or free intraperitoneal gas. calcified phleboliths are demonstrated within the pelvis. bone windows: there are degenerative changes of the cervical, thoracic, and lumbar spine. there is evidence of median sternotomy. there are no suspicious lytic or blastic lesions. cta: status post descending thoracic aortic dissection repair. beyond the surgically placed graft, there is evidence of dissection continuing into the abdominal aorta with equal opacification of the true and false lumens. as described above, the celiac axis, sma, right renal artery, and are off of the true lumen which is significantly smaller in size since the prior examination and the infrarenal portion of the abdominal aorta with atrophy of the left kidney and delayed opacification of the left kidney. impression: 1. postsurgical changes within the thorax status post descending thoracic aortic dissection repair. left hemothorax consistent with postsurgical changes. complete left lower lobe collapse, partial left upper lobe collapse, and partial right lower lobe collapse. small right pleural effusion. 2. the right common iliac and external iliac arteries are off of the true lumen, which is significantly compressed. markedly narrowed left renal artery as described above.findings were discussed with dr. covering for vascular surgery at 8 a.m. on by dr. . the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 3:34 pm ct guidance drainage 8:23 pm ct peritineal drain excluding ; ct guidance drainage reason: drainage of r seminal vesicle field of view: 36 medical condition: 63 year old man with contained aortic rupture with mrsa of urine and blood reason for this examination: drainage of r seminal vesicle contraindications for iv contrast: none. history: 63-year-old man with right seminal vesicle abscess for drainage. procedure: the risks and benefits of the procedure were explained to the patient, and written informed consent was obtained. a preprocedure timeout and two patient identifiers was performed. the patient was placed prone on the ct fluoroscopic table, and a preprocedure ct was obtained. this was compared to patient's prior study of . under ct fluoroscopic guidance, after the instillation of approximately 5 cc of 1% lidocaine as local anesthetic, an 18-gauge needle was advanced into the collection. location was confirmed with fluoroscopy. a 0.035 wire was then advanced, and the needle removed. successive dilatation with 6, 7, 8 and 10 french dilators was performed. an 8 french pigtail catheter was then advanced into the collection. approximately 2 cc of blood tinged purulent material was aspirated. this collection was then flushed with approximately 5 cc of sterile saline, and aspirates. samples were sent for culture. pigtail was formed, and a three-way stopcock was applied with a jp suction bulb. the catheter was secured to the skin with a statlock. patient tolerated the procedure well, and there were no immediate post-procedure complications. moderate sedation consisting of divided doses of versed and fentanyl was provided by the patient's nursing staff. dr. , the attending radiologist, was present and supervised the procedure. impression: technically successful aspiration and 8 french pigtail catheter placement to right seminal vesicle fluid collection. samples were sent for culture. the study and the report were reviewed by the staff radiologist. dr. . dr. approved: wed 2:24 pm date: signed by , ccc-slp on affiliation: oropharyngeal videofluoroscopic swallowing evaluation evaluation: an oral and pharyngeal swallowing videofluoroscopy was performed today in collaboration with radiology. thin liquid, nectar-thick liquid, pureed consistency barium, one cookie coated with barium and one barium pill were administered. results follow: oral phase: the oral phase was noted for mild deficits with regards to prolonged oral transit time with solids, prolonged mastication and mild oral residue on the tongue with solids due to dry mouth. bolus formation and control were generally adequate otherwise however. pharyngeal phase: the pharyngeal phase was judged to be wfl for a timely swallow initiation with adequate velar elevation, epiglottic deflection, bolus propulsion and pharyngoesophageal sphincter opening. the 13 mm barium tablet was given whole with a teaspoon of puree and passed freely though the pharynx, esophagus and to the stomach. there was mildly reduced hyolaryngeal excursion as well as decreased laryngeal valve/airway closure. additionally, there was mild residue in the valleculae of solids and nectar thick liquids, but this cleared sips of thin liquids and repeat swallows. aspiration/penetration: trace penetration occurred during the swallow with thin liquids, while using a chin tuck maneuver, due to reduced laryngeal valve/airway closure. however, penetration spontaneously cleared from the laryngeal vestibule during the course of the swallow. mild aspiration occurred during the swallow with the initial teaspoon of nectar liquid and with a cup sip of thin liquid due to reduced laryngeal valve/airway closure. while a spontaneous throat clear was present, cued coughs were beneficial at eliminating aspirate material. treatment techniques: a chin tuck maneuver was effective at preventing aspiration with thin liquids. additionally, alternating bites/sips was beneficial at clearing pharyngeal residue. summary: mr. presents with a mild oropharyngeal dysphagia currently with mild oral residue, prolonged oral transit and also decreased airway closure which contributed to trace aspiration of thin liquid. however, this aspiration was cleared with a chin tuck maneuver. as such, a po diet of thin liquids and regular solids is recommended, with aspiration precautions/strategies as noted below. pills may be given whole with purees. this swallowing pattern correlates to a dysphagia outcome severity scale (doss) rating of 4. recommendations: 1. advance to a regular texture po diet with thin liquids. 2. pills whole with puree. 3. aspiration precautions, as follows: a. for each sip- take a sip in your mouth, tuck your chin to your chest and swallow. b. alternate sips/bites. c. clear your throat and swallow again after every bites or sips. these recommendations were shared with the patient, the nurse and the medical team. ___________________________________ , m.s., ccc-slp pager # face time:11:15-12:00 total time: 75 minutes date: signed by , rn,bsn,cwocn on affiliation: reason for consult: impairment in skin integrity-gluteal pressure ulcers reason for admission: pseudoaneurysm pmh: hypertension, hypercholesterolemia, history of asthma allergies: codeine meds:pantoprazole 40 mg po q24h aspirin 325 mg po daily docusate sodium 100 mg po bid amlodipine 10 mg po daily baclofen 10 mg po tid lactulose 30 ml po q8h:prn bisacodyl 10 mg pr daily:prn metoprolol 25 mg po bid hold hr < 55 and sbp < 85 and notify md methyldopa 500 mg po q8h metoclopramide 5 mg iv q6h:prn hydrochlorothiazide 50 mg po daily clonidine tts 1 patch 1 ptch td qmon oxycodone-acetaminophen tab po q4-6h:prn lorazepam 0.25 mg po hs:prn hydralazine 10 mg iv q8h:prn sbp > 130 vancomycin 750 mg iv q 24h hydralazine 10 mg iv once duration: 1 doses nutrition: regular; cardiac/heart healthy consistency: regular supplement: ensure plus breakfast, lunch, dinner chocolate or vanilla ensure labs: wbc 9.8 hgb 8.8 hct 26.2 alb 2.6 glucose 152 score: 15 history and previous treatment of the : patient has a stage ii pressure ulcer on his right gluteal: 1 x 0.5 cm, red bed with minimal serosang yellow drainage with no odor. the edges are irregular. the periwound tissue is intact with no induration, erythema, edema, fluctuance or crepitus. the left gluteal has a partial thickness ulcer that is approx. 2 x 2 cm. the tissue is pink and fragile. the edges are irregular and there is minimal serosang drainage. the periwound tissue is intact with not s/s of cellulitis. goals of care: closure of gluteal wounds recommendations: pressure relief per pressure ulcer guidelines support surface: d/c air bed and change to first step select mrs and reposition every 1-2 hours and prn heels off bed surface at all times if oob, limit sit time to one hour at a time and sit on a pressure relief cushion. moisturize b/l le's and feet . commercial cleanser or normal saline to irrigate/cleanse gluteal wounds. pat the tissue dry with dry gauze. apply protective barrier wipe to periwound tissue and air dry. apply a thin layer of duoderm gel ( gel) to the open gluteal ulcers, cover each site with allevyn foam adhesive 5 x 5", change every 3 days. support nutrition and hydration. notify md care nurse or skin deteriorates. brief hospital course: mr. is a 62 year old gentleman s/p an ascending aorta replacement at medical center in of for a type a dissection which was complicated by the necessity post-operatively for a trach and peg, renal failure, and rehab placement. he was transferred on from an outside hospital with recurrent chest pain and an enlarging type b dissection. at the outside hospital he was found to have mrsa in his blood and urine. he was admitted to cardiac surgical intensive care unit. in the csru he was seen in consultation by the infectious disease service for his mrsa diagnosis, who placed him on vancomycin and fluconazole. the vascular surgery service saw him due to the extension of his dissection below the diaphragm. urology was consulted for a seminal vessicle abscess and they placed an ir drain in his seminal vessicle. the infectious disease service was allso consulted for management of his abscess. vancomycin was given as the tissue grew vancomcin suscetible enteroccus. after draining the abscess for about a week, the drain was removed. he was transferred to the surgical step down floor to allow continued antibiotics before surgical repair of his type b dissection and to fine tune his blood pressure regimen. another ct scan was performed which revealed that his descending aortic dissection had increased. he was returned to the unit for tighter blood pressure control. in the unit he was started on nicardipine and nitroglycerin drips. on the he was brought to the operating room and underwent a descending thoracic aortic replacement, primary repair of his left common femoral artery, and pleural flap between his lung and graft. this procedure was performed by drs. , , and . he tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. an attempt was made to extubate him on however he failed to successfully wean from the ventilator. his lumbar drain was removed without issue. on , mr. was extubated. a swallow consult was obatained and a video swallow was performed which showed a mild oropharyngeal dysphagia currently with mild oral residue, prolonged oral transit and also decreased airway closure which contributed to trace aspiration of thin liquid. however, this aspiration was cleared with a chin tuck maneuver. as such, a po diet of thin liquids and regular solids is recommended, with aspiration precautions/strategies as noted below. pills may be given whole with purees. a proton pump inhibitor was prescribed for prevention of acid refulx and aspiratin. mr. hypertension was difficult to manage and a renal scan was performed which showed a reduced renal function bilaterally, worse on the left with very poor perfusion. given these findings, mr. was taken back to the or on where he underwent an open fenestration of the aortic dissection (membranectomy) and placement of a left renall stent. he tolerated the procedure well and was returned to the csru for further monitoring. he was extubated on without complication. his blood pressure became much more manageable. the renal service continued to follow him for his elevated creatinine which stabilized at 2.1. on he was transferred to the step down unit for further recovery. the physical and occupational therapy service worked with him daily. the infectious disease service recommended for him to continue vancomyciin until and then minocycline for life to follow up in clinic . he was ready for discharge to rehab medications on admission: cardene drip baclofen 10 mg po tid proscar 5 mg po daily asa 325 mg po daily vancomycin 1 mg iv q 12 hours atenolol 100 mg po bid norvasc 5 mg po daily colace 100 mg po bid xenaderm to coccyx protonix 40 mg po daily hctz 50 mg po daily kcl 20 meq po bid catapres patch 0.2 mg tts q week rocephin 1 gm iv qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 4. hydralazine 25 mg tablet sig: two (2) tablet po every six (6) hours as needed. 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 7. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 8. clopidogrel 75 mg tablet sig: one (1) tablet po once a day: for renal stent . 9. vancomycin 500 mg recon soln sig: seven y (750) mg intravenous q 24h (every 24 hours): 4 week course from or trough goal 15-20 f/u with clinic prior to completion . 10. hydralazine 25 mg tablet sig: two (2) tablet po q6h (every 6 hours). 11. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 12. proscar 5 mg tablet sig: one (1) tablet po once a day. 13. baclofen 10 mg tablet sig: one (1) tablet po three times a day. discharge disposition: extended care facility: discharge diagnosis: aortic dissection right seminal vessicle fluid collection +mrsa hypertension hypercholesterolemia asthma discharge condition: good. discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal , please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) call with any questions or concerns. pressure ulcer - clean with commercial cleanser, apply duoderm to bed, and cover with allevyn foam dressing changing q3day pressure relief overlay followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 2-3 weeks. make an appointment with dr. for 4 weeks. make an appointment with dr. for 4 weeks. provider: , md phone: date/time: 11:15 labs cbc with diff, bun, cr and vanco trough qfriday with results to clinic procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances angioplasty of other non-coronary vessel(s) resection of vessel with replacement, thoracic vessels graft of muscle or fascia other repair of aneurysm insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells transfusion of other serum insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt transfusion of platelets transfusion of coagulation factors cranial or peripheral nerve graft insertion of one vascular stent re-entry operation (aorta) procedure on single vessel percutaneous aspiration of seminal vesicle diagnoses: pure hypercholesterolemia urinary tract infection, site not specified candidiasis of other urogenital sites hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified infection with microorganisms resistant to penicillins asthma, unspecified type, unspecified pulmonary collapse bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site other complications due to other vascular device, implant, and graft pressure ulcer, buttock pressure ulcer, lower back late effects of cerebrovascular disease, hemiplegia affecting unspecified side aneurysm of artery of lower extremity thoracoabdominal aneurysm, ruptured seminal vesiculitis 

Answer: The patient is high likely exposed to