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 / versed / colchicine / lipitor attending: chief complaint: right thigh pain s/p fall major surgical or invasive procedure: : s/p orif right hip history of present illness: the patient is a year old female with history of hypertension, afib, cva to l insula , diastolic chf with last ef 55% in , mild-moderate mr, minimal as, pulm hypertension, and amiodarone-induced hypothyroidism who was admitted after a fall and found to have r intertrochanteric femoral fracture. . pt lives alone and was at home putting away dishes when she suffered an unwitnessed fall. did not hit her head and denies loc. she remembers all the events. her r leg was seen to be shortened and externally rotated and xray showed r intertrochanteric fracture. ortho was consulted in the ed. . in the ed her vitals were: 98.6 70 138/97 98% on ra. labs showing slight worsening of her hct to 25.6 from baseline 27-29. hyponatremic to 128 with concurrent hypochloremia to 94, hco3 low at 20, and bun/cr at baseline 36/2.4. ua with mild sign of infxn but also with 3-5 epi's. ucx pending. cxr without acute process. of note, pt with h/o prolapsed uterus and foley was placed. no head or neck scans were done in the ed. . ekg showing: afib, no rvr, normal axis, normal qrs's, normal t waves. slightly late r wave progression with clockwise transition. except for rhythm, normal ekg. in the ed she got 2mg iv morphine. foley placed. 18g placed in r hand, 1l ns given. . her cardiac ros is negative for all symptoms. she endorses being able to do laundry in the basement and go up 2-3 flights of stairs without chest pain or shortness of breath on exertion. she is able to do all her adl's without symptoms. no fatigue, lethargy, no chest pain, shortness of breath, paroxysmal nocturnal dyspnea, orthopnea, palpitations. she denies any history of cardiac surgical interventions including ami's, caths, or cabg. past medical history: hypertension atrial fibrillation, diagnosed c/b r arm thrombus s/p cva to l insula w/ very mild right facial asymmetry and some attentional/memory problems colonic gi bleed x 4 (, , , ) on coumadin diastolic heart failure (ef 70-75% in ) moderate mitral regurgitation moderate aortic regurgitation diverticulosis gout amiodarone-induced hypothyroidism, h/o e.coli & vre uti, right cataract surgery, dyspepsia s/p r breast excision () atypical ductal hyperplasia s/p open appendectomy 40 years ago social history: patient lives alone in since the death of her husband 9 year ago. she has no children, but has a very supportive nephew and who visit her frequently and help her with her medications and appointments. she is retired, but previously worked as a "stitcher" for many years. tobacco: never etoh: drank wine with dinner, quit after her stroke in illicits: never contact : hcp/nephew: , md family history: no hx of colon cancer of gi bleeds. females have a history of mitral valve prolapse. mother died of chf/diabetes. father died of mi. physical exam: on : vital stats: 97.6 153/67 66 17 97% ra general: pleasant female in no distress, appears younger than yo. conversant, appropriate, some discomfort from r leg pain eyes: perrla, no scleral icterus, eomi ent: mouth dry appearing, with dentures in, but no apparent lesions or trauma carotid pulses easily palpable bilaterally. prominent external jugular veins noted, but no hj reflux respiratory: ctab anteriorly, deferred posterior exam, good air movement no accessory muscle use cardiac: grossly regular s1/s2 with as type crescendo-decrescendo murmur through precordium but best at busb's, s2 is present. bilateral radials are strong, bilateral dp's palpable gastrointestinal: abd soft, nt nd, benign, bs+ extremities: trace pitting edema around ankles but doesn't appear grossly volume overloaded. r leg is shorter and externally rotated neurological: cn 2-12 intact, no grossy facial droop, bue strength normal, deferred ble exam, but sensation and pulses intact. discharge: rle: silt sural/saph/tibial/sup fibular nerves motor intact compartments soft dp/pt pulses 2+ pertinent results: on : 08:20pm blood wbc-7.1 rbc-3.04* hgb-8.7* hct-25.6* mcv-84 mch-28.6 mchc-34.0 rdw-15.4 plt ct-221 08:20pm blood neuts-83.8* lymphs-7.7* monos-6.6 eos-1.6 baso-0.3 08:20pm blood pt-12.5 ptt-24.5 plt ct-221 inr(pt)-1.1 08:20pm blood glucose-115* urean-36* creat-2.4* na-128* k-4.4 cl-94* hco3-20* angap-18 08:20pm blood calcium-8.9 phos-4.2 mg-1.8 pertinent labs during hospital course: 05:25am blood tsh-5.3* free t4-1.6 on discharge: pertinent imaging: ap view of the pelvis, two views of the right hip: comminuted right intertrochanteric proximal femoral fracture is demonstrated with varus angulation and mild lateral displacement of the distal fracture fragment. the hips demonstrate mild degenerative changes with joint space narrowing. the sacroiliac joints and pubic symphysis are not diastatic. there is diffuse demineralization of the osseous structures. degenerative changes are also seen involving the lower lumbosacral spine. there are diffuse vascular calcifications. cxr: there is moderate enlargement of the cardiac silhouette. the mediastinal and hilar contours demonstrate unchanged tortuosity of the thoracic aorta with vascular calcifications. the pulmonary vascularity is not engorged. there are linear opacities within the left lung base and right mid lung field compatible with subsegmental atelectasis. there is no pneumothorax or pleural effusion. no focal consolidation is seen. compression deformity of a low thoracic vertebral body is present but similar compared to the prior study. hip radiograph: brief hospital course: ms was admitted on for a right hip fracture. on she was found to be hyponatremic with concurrent hypochloremia and renal failure. she was seen and evaluated by the medical service who cleared her for surgery. on she underwent open reduction internal fixation of the right hip without complication. she was extubated and transferred to the recovery room in stable condition. in the recovery room she was transfused one unit of blood cells for post operative anemia. she was transferred to the floor and there were no overnight events on the night of surgery. she is being discharged in stable condition to rehabilitation facility. medications on : amiodarone - (prescribed by other provider) - 200 mg tablet - 1 (one) tablet(s) by mouth once a day amlodipine - (prescribed by other provider) - 2.5 mg tablet - 1 (one) tablet(s) by mouth once a day donepezil - 5 mg tablet - 2 (two) tablet(s) by mouth once a day start with 1 tablet once a day for 1 week and then increase to 2 tablets per day --> pt doesn't know if she's taking or not furosemide - (prescribed by other provider) - 20 mg tablet - 1 (one) tablet(s) by mouth once a day lisinopril - (prescribed by other provider) - 20 mg tablet - one tablet(s) by mouth daily omeprazole - (prescribed by other provider) - 40 mg capsule, delayed release(e.c.) - one capsule(s) by mouth daily levothyroxine 75 mcg daily multivitamin - (otc) - tablet - one tablet(s) by mouth daily discharge medications: 1. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 5. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 9. doxazosin 1 mg tablet sig: one (1) tablet po hs (at bedtime). 10. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 11. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 12. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 13. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po daily (daily). 14. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 15. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 16. enoxaparin 30 mg/0.3 ml syringe sig: one (1) syringe subcutaneous q24h (every 24 hours) for 4 weeks. discharge disposition: extended care facility: newbridge on the - discharge diagnosis: right intertrochanteric fracture discharge condition: aao x 3 ambulatng with discharge instructions: wound care: -keep incision dry. -do not soak the incision in a bath or pool. -keep pin sites clean and dry. -sutures/staples will be removed at your first post-operative visit. activity: -continue to be wbat your right leg. -you should not lift anything greater than 5 pounds. -elevate rightleg to reduce swelling and pain. -do not remove splint/brace. keep splint/brace dry. other instructions - resume your regular diet. - avoid nicotine products to optimize healing. - resume your home medications. take all medications as instructed. - continue taking the lovenox to prevent blood clots. -you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in narcotic (oxycontin, oxycodone, percocet) prescriptions to the pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - narcotic pain medication may cause drowsiness. do not drink alcohol while taking narcotic medications. do not operate any motor vehicle or machinery while taking narcotic pain medications. taking more than recommended may cause serious breathing problems. if you have questions, concerns or experience any of the below danger signs then please call your doctor at or go to your local emergency room. followup instructions: staples should be taken out in 2 weeks. follow up with in 2 months.. call to schedule appointment. procedure: open reduction of fracture with internal fixation, femur transfusion of packed cells diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care congestive heart failure, unspecified acute posthemorrhagic anemia acute kidney failure, unspecified hyposmolality and/or hyponatremia unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation other chronic pulmonary heart diseases mitral valve insufficiency and aortic valve insufficiency chronic kidney disease, unspecified acute on chronic systolic heart failure fall from other slipping, tripping, or stumbling closed fracture of intertrochanteric section of neck of femur 

Answer: The patient is high likely exposed to