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: gluten attending: chief complaint: pedestrian struck by car major surgical or invasive procedure: 1. removal of external fixator and knee spanning construct. 2. open reduction internal fixation proximal tibia fracture with 9-hole plate. 3. closed treatment of fibular fracture. 4. closed treastment of l clavicle fracture history of present illness: 64 yo f pedestrian struck by a car at 30 mph causing her to crack the windshield of the car. pt denied loc but was unable to stand secondary to dizziness. on arrival to the ed she was found to be hemodynamically stable, alert, oriented, and complaining of significant lue and lle pain. imaging revealed sah, sdh, l distal displaced clavicle fx, l displaced prox tib/fib fx. neurosurgery and orthopaedic surgery were consulted. past medical history: fibromyalgia, hypothyroid social history: lives with husband. no , no etoh family history: noncontributory physical exam: physical exam; vss, afeb, nad, aox3 anxious small amount of swelling/resolving brusing over the occiput. minimal tenderness. l shoulder in soft sling. brusing over distal clavicle. slightly elevated skin over the distal clavicle (stable/improving). tender over clavicular protrusion. no skin breakdown or concern for skin tenting/devitalization. pt unable to actively rom l shoulder pain but prom intact. silt distally (r/u/m distributions). +epl/apb/adq, wwp w/ brisk cap refill, palp radial pulse lle: hinged long knee brace in place. wounds are cdi without significant oozing. moderate brusing throughout the lower leg extending into the foot. the l foot is swollen but wwp. palp dp/pt. no signs of skin breakdown. silt distally. +gs/ta//fhl. pt resistent to active rom at knee pain but prom to at least 90 degrees of flexion and 0-5 degrees of extension (brace locked 0-90). otherwise physical exam is unremarkable and wnl pertinent results: 05:50pm blood wbc-5.7 rbc-4.06* hgb-12.8 hct-37.5 mcv-92 mch-31.6 mchc-34.3 rdw-12.6 plt ct-190 12:49am blood wbc-8.2 rbc-2.48*# hgb-8.2*# hct-23.0*# mcv-93 mch-33.0* mchc-35.4* rdw-12.6 plt ct-152 03:59am blood hct-29.4*# 01:51am blood wbc-5.3 rbc-3.19*# hgb-10.3*# hct-28.7* mcv-90 mch-32.5* mchc-36.1* rdw-14.0 plt ct-97* 09:20am blood wbc-5.6 rbc-3.09* hgb-9.9* hct-27.9* mcv-90 mch-31.9 mchc-35.4* rdw-13.8 plt ct-154# 05:15am blood wbc-7.2 rbc-2.96* hgb-9.7* hct-28.4* mcv-96 mch-32.7* mchc-34.1 rdw-14.1 plt ct-236 05:50pm blood pt-12.9 ptt-21.7* inr(pt)-1.1 12:49am blood pt-14.2* ptt-25.3 inr(pt)-1.2* 09:20am blood pt-13.2 ptt-23.4 inr(pt)-1.1 05:15am blood pt-13.1 ptt-22.4 inr(pt)-1.1 12:49am blood glucose-173* urean-7 creat-0.5 na-140 k-3.7 cl-111* hco3-24 angap-9 01:51am blood glucose-111* urean-9 creat-0.4 na-136 k-3.6 cl-106 hco3-23 angap-11 09:20am blood glucose-65* urean-11 creat-0.3* na-141 k-3.3 cl-106 hco3-22 angap-16 05:15am blood glucose-80 urean-9 creat-0.5 na-141 k-3.8 cl-108 hco3-18* angap-19 brief hospital course: ms. presented to the on after being struck by a car traveling at 30mph while the pt was crossing the street. she was brought to the ed where she was evaluated by the neurosurgery and orthopaedic surgery service and found to have a sdh and sah, a l clavicular fx, and a l tib/fib fx. her c-spine and spine was cleared and the rest of her trauma exam was negative. pt was initially admitted to the trauma sicu overnight for close monitoring. on pt recieved 3 u prbc for acute blood loss with an appropriate increase in her hct. on pt was stable and cleared for surgery by the trauma surgery service as well as the neurosurgery service. she was subsequently taken to the or for external fixation/stabilization of her l tib/fib fracture. external fixation was utilized to stabilize the leg while swelling decreased and the quality of the overlying skin could be assessed. pt tolerated the procedure well and was admitted to the orthopaedic surgery service. after daily evaluations of her swelling, skin quality, and medical condition, on , pt taken to the operating room and underwent an orif of her left tib/fib. she tolerated the procedure well, was extubated, transferred to the recovery room, and then to the floor. post operatively pt recovering well albeit with some difficulty with pain controll due to "lightheadedness" following po narcotic pain medications. on the floor she was seen by physical therapy to improve her strength and mobility. the rest of her hospital stay was uneventful with her lab data and vital signs within normal limits and her pain controlled. she is being discharged today in stable condition. medications on admission: boniva, synthroid, vitamin d, tylenol prn discharge medications: 1. calcium carbonate 200 mg (500 mg) tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for heartburn. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) cap po daily (daily). 5. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. oxycodone 5 mg tablet sig: 0.5-1 tablet po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 7. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 8. diazepam 5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for ms spasm. 9. enoxaparin 40 mg/0.4 ml syringe sig: one (1) subcutaneous daily (daily) for 4 weeks. 10. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: rehab unit at - discharge diagnosis: 1. left tibia and fibula fracture 2. left distal clavicle fracture discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker, cane, or crutches). discharge instructions: wound care: -keep incision dry. -do not soak the incision in a bath or pool. activity: -continue to be non weight bearing on your left upper arm and touchdown weight bearing on your left leg. 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. physical therapy: activity: activity as tolerated right lower extremity: full weight bearing left lower extremity: touchdown weight bearing full rom of left knee at least qid continue to work with pt on l foot dorsiflexion exercises to prevent contracture. continue to ambulate pt at least qid treatments frequency: please remove staple on postoperative day 14. followup instructions: please follow up with the clinic in 2 weeks after discharge. you will see , np. you will need to call the office at to schedule an appointement. md, procedure: application of external fixator device, tibia and fibula open reduction of fracture with internal fixation, tibia and fibula closed reduction of fracture without internal fixation, tibia and fibula removal of implanted devices from bone, tibia and fibula diagnoses: acute posthemorrhagic anemia unspecified acquired hypothyroidism motor vehicle traffic accident involving collision with pedestrian injuring pedestrian open wound of scalp, without mention of complication osteoporosis, unspecified cerebral edema celiac disease myalgia and myositis, unspecified traumatic subcutaneous emphysema closed fracture of upper end of fibula with tibia cervical spondylosis without myelopathy closed fracture of clavicle, unspecified part open wound of hand except finger(s) alone, without mention of complication closed fracture of vault of skull with subarachnoid, subdural, and extradural hemorrhage, with brief [less than one hour] loss of consciousness 

Answer: The patient is high likely exposed to