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: clotted av graft hyperkalemia major surgical or invasive procedure: : right femoral temporary dialysis line placement : ir lue avf thrombectomy c/b radial art occlusion s/p extraction of thrombus. history of present illness: 74m well known to the transplant surgery service presents with clotted avg of the left upper extremity and hyperkalemia to 6.8. according to patient he is unaware when graft lost it's pulse and thrill, but today at hd it was noted to be nonfunctioning. he was unable to be dialyzed and referred to for thrombectomy. however, in the preop holding area patient preoperative labs were notable for k of 6.8. he was given insulin 10 units iv and d50. attempts at placing an hd line were unsuccessful he is currently awaiting ir placement of temporary hd line. past medical history: 1. cardiac risk factors: dyslipidemia, hypertension . 2. cardiac history: -percutaneous coronary interventions (1) cad s/p nstemi and stenting of the distal rca, om2 in complicated by gib and paroxysmal atrial fibrillation (2) s/p nstemi and unstable angina in , cath showed compelte occlusion of all three stents placed in , stent placed in lcx (3) s/p unstable angina, to lcx since lcx placed in had instent stenosis . 3. other past medical history: -three vessel cad: see above for details -perioperative (bowel resection) vasospasm requiring cardiac cath with ntg -mild-moderate mr ef: 45% with focal inferior-posterior wall motion abnormalities -esrd on hd, cr at baseline -ischemic colitis: s/p sma thrombectomy, with pouch and end ileostomy. also complicated by recent diversion colitis in 2/. -peripheral disease s/p aortobifemoral bypass -raynauds -dementia -atrial fibrillation -h/o perioperative cva: no deficits -hyperlipidemia -htn -h/o achalasia s/p esophageal dilation -h/o vre infection -anemia - ir lue avf thrombectomy c/b radial art occlusion with thrombus extraction . social history: patient lives with his wife. outside help needed. active at baseline. -tobacco history: 40 pack years, quit 11 years ago -etoh: none -illicit drugs: none family history: comes from a family of 20 kids. only 2 are still alive. significant history of cardiac disease in the family. physical exam: vs: 56 139/58 18 o2 sat=98% ra nad, answers all questions, easily arousable but sleepy bradycardic crackles l> r soft abdomen with ileostomy with gas and + output, nontender ext: wwp, no edema. lue with radial avf scar well healed with lue avg without pulse or thrill. 1+ radial bilaterally pertinent results: 04:19am blood wbc-6.2 rbc-3.33* hgb-10.3* hct-30.4* mcv-91 mch-30.9 mchc-33.9 rdw-16.8* plt ct-140* 05:15am blood pt-17.2* ptt-74.6* inr(pt)-1.5* 04:19am blood pt-14.8* ptt-57.3* inr(pt)-1.3* 04:16am blood pt-13.8* ptt-49.0* inr(pt)-1.2* 04:19am blood glucose-95 urean-24* creat-5.5*# na-139 k-3.6 cl-96 hco3-33* angap-14 04:19am blood calcium-9.0 phos-4.7* mg-2.0 brief hospital course: 74 y/o male admitted with non-functioning av graft, found at hd. on admission labs the potassium was 6.8. at this time an attempt was made to place a temporary ij line for emergent hd. right ij was very small in caliber and left ij was unable to be wired. procedure was stopped and the patient sent to ir to have femoral line placed given past history of bilateral aorto- fems. hemodialysis was performed via that line with post hd potassium of 4.3. on , he underwent ir lue avf thrombectomy c/b radial art occlusion that requried consulting dr. who performed extraction of thrombus with export device. he was treated w/ heparin, integrelin and tpa. completion angiogram demonstrated patent radial and ulnar arteries. however, the left radial pulse was not palpable, but the ulnar was palpable. on , hemodialysis was successfully performed via the left arm avg. on , the temporary right groin dialysis line was removed. he did experience bleeding at this site requiring a pressure dressing that was removed on . no futher bleeding occurred at groin site. he was dialyzed again on without incident via the left avg. he remained on a heparin drip until . coumadin (5mg) was given on and . inr increased to 2.2 on . after furhter review, long term coumadin was stopped given h/o of gi bleed 6months prior. he was to continue on aspirin and plavix given h/o cardiac stents. the left arm avg had a thrill and was working well for dialysis on . vital signs were notable for sbp in 160-190 range. amlodipine 5mg qd was started. he was tolerating food and ostomy was functioning well. pt assessed him and declared him safe for discharge to home. he will resume dialysis in . of note, pt recommended a rolling walker and home pt. this was arranged prior to discharge. . medications on admission: aspirin 325 mg tablet, plavix 75 mg, amiodarone 200 mg', carvedilol 12.5 mg", lisinopril 7.5 mg', loperamide 2 mg ", pantoprazole 40 mg', lovastatin 10 mg', sevelamer hcl 800 mg"', 1337 mg "', isosorbide mononitrate 30 mg', nephrocaps 1 mg'. discharge medications: 1. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 2. loperamide 2 mg capsule sig: one (1) capsule po q 12h (every 12 hours). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. sevelamer hcl 400 mg tablet sig: two (2) tablet po tid w/meals (3 times a day with meals). 5. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 6. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 7. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po bid (2 times a day). 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain or fever: no more than 4000mg per day. 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 10. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 11. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 13. lovastatin 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: for the aged - macu discharge diagnosis: esrd thrombosed avg left radial artery occlusion discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: please call dr. office if you have any of the following: fever, chills, left arm swelling, discoloration, numbness, increased pain or bleeding or you experience any bleeding from right groin old catheter site you can resume dialysis at . dr. will manage your coumadin dosing followup instructions: , md ( care center) phone: date/time: 1:00 procedure: other revision of vascular procedure hemodialysis injection or infusion of thrombolytic agent venous catheterization for renal dialysis diagnoses: hyperpotassemia end stage renal disease renal dialysis status atrial fibrillation personal history of tobacco use hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia embolism and thrombosis of other specified artery atherosclerosis of native arteries of the extremities, unspecified raynaud's syndrome other complications due to renal dialysis device, implant, and graft 

Answer: The patient is high likely exposed to