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: clinoril / percocet / oxycontin / prednisone attending: chief complaint: micu c/o for bleeding < major surgical or invasive procedure: sp hickman catheter history of present illness: this is a 77 yo female, sicu callout for bleeding s/p tunnel line placement for acute changes in mental status. . briefly, 77 yo with esrd on pd now hd, had tunnelled cath placed saturday then hd, then had hematoma around neck and chest and oozing from entry site - was given usual heparin at dialysis but had ptt 150 and inr 3, given protamine and ffp, uf'd on saturday, next hd scheduled tuesday . called out to medicine for acute ms changes. . hpi. 77 yo female with mmp including esrd, pvd, htn, developed neck and upper chest bleed/hematoma s/p dialysis catheter placement in left subclavian area on by transplant surgery. patient has bled after recieving anti-coagulation with heparin for dialysis. at sicu, ptt elevated, reversed with protamine and ffp. called out to medicine for acute mental status changes. . past medical history: 1. esrd: on pd since , pd at home. esrd longstanding htn, high grade ras. 2. h/o chf: echo--hyperdynamic lv,small lv, ef 70-80%, mild lvh. 1+ aortic regurg, 1+ mitral regurg, 3+ tricuspid regurg 3. htn 4. pvd: chronic r heel ulcer 5. copd: fev1 0.91, decr dlco, fev/fvc 90%, 2l home o2 6. depression 7. osteoarthritis 8. h/o etoh abuse 9. s/p tah and lysis of adhesions. 10. h/o hematochezia, grade 2 hemorrhoids, colonoscopy --diverticulosis, angioectasia 11. s/p small sdh and right orbital fracture in social history: pt is divorced with two children and 4 grandchildren. 50 pack yr history, quit 5 years ago. she ambulates with walker. history of etoh abuse. retired and used to work in endoscopy unit doing secretarial work. lives alone. family history: htn in the family. mother and father with chf physical exam: phys ex: &#1649; temp: afebrile &#1649; hr: 77 &#1649; bp: 173/79 &#1649; rr: 18 &#1649; wt.: ht: bmi: general: elderly female, acutely agitated. heent: perrl, eomi mmm, no oral lesions. there is extensive brusing all over neck and upper chest, wrapping around to the posterior surface of neck and down the upper back. catheter at l sc site, tender to palpation. chest: lungs: diffuse wheezing ausculated. no rales or rhonchi cv: non-displaced pmi. normal s1 and s2. no murmurs, rubs, gallops. no carotid bruits. difficult to assess jvd due to neck hematoma abd:. +bs. soft, nt, nd, no guarding, no rebound tenderness, no hsm. ext: cold below the knee. there is ulceration of r anterior shin with wet-dry dressing applied. wound is the site of old surgical scar. do purulent drainage noted. multiple missing distal portion of toes on r foot. tender to palpation of l toes and l heel. no ulcers visible. weakly palpable pt and dp both lower extremities. neuro: agitated. alert and oriented x 2 (person, and time/date) unable to complete neuro exam due to agitated status of the patient pertinent results: 11:15am k+-3.4* 08:00pm pt-21.3* ptt-150* inr(pt)-3.0 08:00pm plt count-200 08:00pm hypochrom-2+ anisocyt-2+ macrocyt-1+ 08:00pm neuts-77.0* lymphs-17.9* monos-4.1 eos-0.9 basos-0.2 08:00pm wbc-13.2* rbc-3.97* hgb-11.9* hct-37.4 mcv-94 mch-29.9 mchc-31.7 rdw-18.2* 08:00pm glucose-105 urea n-20 creat-4.0*# sodium-143 potassium-3.7 chloride-104 total co2-28 anion gap-15 09:15pm pt-15.9* ptt-150* inr(pt)-1.7 --------------- cxr ap chest compared to hours: dual channel left jugular line projects over the svc. no pneumothorax, mediastinal widening or appreciable pleural effusion. minimal right basal atelectasis is present. lungs are otherwise clear. heart size is top normal. . brief hospital course: 77 yo female, sicu callout for bleeding and hematoma into the neck and upper chest s/p tunnel line placement called out to medicine for acute changes in mental status. . #change ms: differential includes ich, embolic stroke, infection, e-lyte disturbances, cardiac ischemia, psych causes, i.e. progresson of dementia, sundowning. currenlty infection and acute intra-cerebral process is the highest on the list. ct neg for subdural, mental status improved on discharge. no sign of infection. routine labs and head ct were within order. famotidine was stopped as possibleculprit. patient apparently at baseline by discharge. . # coagulopathy: elavated ptt, inr of 3 after receiving heparin. drawn off heparinized line. it remains unclear why the patient was so sensitive to this relativley low dose of heparin. . # issues: currently has a leg ulcer. following for s/p r ak- and s/p l angio and angioplasty of at . wound care needs addressed. #esrd: hd on tue, , sat. we continued her dialysis as renally dosed meds -epo during dialysis -cont calcium acetate -cont vitamin d . anemia: due to blood loss into hematoma and due to chronic inflammation. renal disease. . medications on admission: on admission: allopurinol 150 qod ambien 10 qhs ativan 0.5 qd atrovent/albuterol inh lipitor 40 qd paxil 30 qd calcium acetate protonix 40 qd asa 325 qd epogen at dialysis lopressor 25 qd lantanoprost 0.005% doxercalciferol 2.5 qd discharge medications: 1. allopurinol 300 mg tablet sig: 0.5 tablet po daily (daily). 2. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs prn. disp:*30 tablet(s)* refills:*2* 3. epoetin alfa 10,000 unit/ml solution sig: one (1) injection injection 2x/week (2 times a week) as needed for end-stage renal disease: please give 2x/week at dialysis. disp:*8 injection* refills:*0* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. paroxetine hcl 30 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 7. hectorol 0.5 mcg capsule sig: one (1) capsule po three times a day: please take with meals. disp:*90 capsule(s)* refills:*2* 8. plavix 75 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. aspirin 81 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. lipitor 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. albuterol 90 mcg/actuation aerosol sig: one (1) inh inhalation every 4-6 hours: prn. disp:*1 container* refills:*2* 12. atrovent 18 mcg/actuation aerosol sig: one (1) inh inhalation every 4-6 hours: prn. disp:*1 container* refills:*2* 13. xalatan 0.005 % drops sig: 1-2 drops ophthalmic once a day: per eye. disp:*1 container* refills:*2* 14. dialysis tuesday, thursday, friday 15. cefazolin please give 1gm iv at each dialysis treatment 16. outpatient physical therapy please do home pt with patient 17. vna patient is to have vna services upon discharge discharge disposition: home with service facility: vna discharge diagnosis: neck hematoma renal failure, esrd on hemodyalsis mild dementia discharge condition: stable, afebrile, ambulatory discharge instructions: -weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet -fluid restriction: per nephrology -call if increasing redness/bruising, shortness of breath, chest pain or any questions/concerns. -please follow call pcp if you have any fevers, chills, pain at catheter site -please follow up at / for dialysis: tuesday, thursday, saturday. you are also to get 1 g cefazolin iv at each dialysis treatment. please follow appointment with . followup instructions: scheduled appointments : provider study where: cc clinical center radiology phone: date/time: 2:30 provider , surgery (nhb) where: surgery (nhb) date/time: 3:30--please address the need for plavix treatment provider , md where: lm center phone: date/time: 9:20 procedure: venous catheterization, not elsewhere classified hemodialysis arteriography of cerebral arteries transfusion of packed cells transfusion of other serum diagnoses: other iatrogenic hypotension abnormal coagulation profile congestive heart failure, unspecified acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other complications due to renal dialysis device, implant, and graft other alteration of consciousness ulcer of heel and midfoot 

Answer: The patient is high likely exposed to