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: patient recorded as having no known allergies to drugs attending: chief complaint: my head hurts major surgical or invasive procedure: none history of present illness: hpi: 83m s/p fall from standing. +loc otherwise questionable hx. ems notified daughter that her father had fallen and was en route to for further evaluation, but she was unable to provide additional information. pt denies use of coumadin, asa, or plavix over past week. past medical history: pmhx: dm2, htn, bph social history: social hx: married, lives in family history: family hx: noncontributory physical exam: on arrival physical exam: afeb, 72 250/94 11 96%nrb gen: comfortable, nad. heent: perrla, 3->2mm bilaterally, eomi scant blood from r external auditory canal neck: supple. lungs: ctab. cardiac: rrr. nl s1/s2. abd: +bs, soft, nt/nd. extrem: warm and well-perfused. no pelvic instability. rectal: nl sphincter tone. neuro: mental status: aa+ox2 (not to time), cooperative with exam, normal affect. naming intact. no dysarthria or paraphasic errors. cnii - xii grossly intact. motor: normal bulk and tone bilaterally. no abnormal movements, tremors, or clonus. strength full power throughout. no pronator drift. toes downgoing bilaterally. on discharge awake alert oriented x 3 speech clear, no facial asymetry, follows all commands, perrla, eomi, facial sensation intact, slight left pronation, small amount of dried blood to right ear with cerumen imapaction, unable to visualize membrane, motor exam seems to be 4+ throughout without focal deficit. pertinent results: cardiology report echo study date of patient/test information: indication: left ventricular function. syncope. height: (in) 64 weight (lb): 130 bsa (m2): 1.63 m2 bp (mm hg): 168/80 hr (bpm): 80 status: inpatient date/time: at 14:57 test: portable tte (complete) doppler: full doppler and color doppler contrast: none tape number: 2007w040-0:39 test location: west sicu/ctic/vicu technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: 3.4 cm (nl <= 4.0 cm) left atrium - four chamber length: 3.9 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.1 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: 0.9 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 0.9 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 4.6 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.2 cm left ventricle - fractional shortening: 0.30 (nl >= 0.29) left ventricle - ejection fraction: >= 55% (nl >=55%) aorta - valve level: *3.8 cm (nl <= 3.6 cm) aorta - ascending: *3.6 cm (nl <= 3.4 cm) aortic valve - peak velocity: 1.8 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 1.2 m/sec mitral valve - e/a ratio: 0.67 mitral valve - e wave deceleration time: 160 msec interpretation: findings: patient unable to cooperate with valsalva manuever; therefore unable evaluate for inducible outflow tract gradient. left atrium: normal la size. right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv wall thickness, cavity size, and systolic function (lvef>55%). suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. transmitral doppler and tvi c/w grade i (mild) lv diastolic dysfunction. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. mildly dilated ascending aorta. aortic valve: ?# aortic valve leaflets. mildly thickened aortic valve leaflets. no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. mild mitral annular calcification. trivial mr. tricuspid valve: tricuspid valve not well visualized. indeterminate pa systolic pressure. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor subcostal views. conclusions: the left atrium is normal in size. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. mild (grade i) diastolic dysfunction. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: preserved global biventricular systolic function. mild diastolic dysfunction. mild aortic regurgitation. mild aortic dilation. inability to assess for inducible left ventricular outflow tract gradient given inability of patient to perform valsalva manuever. no cardiac etiology of syncope identified. electronically signed by , md on 15:21. physician: , . () radiology final report ct head w/o contrast 9:02 am ct head w/o contrast reason: interval change on ct. please schedule for at 0600 medical condition: 83 m s/p fall, r frontal sah, l parietal/frontal sdh, r temporal fx reason for this examination: interval change on ct. please schedule for at 0600 contraindications for iv contrast: none. indication: trauma. comparison: . findings: contusions in the paramedian inferior frontal lobes have minimally increased in size. subdural hematoma layering over the left frontal, parietal and temporal convexities as well as the left tentorium is relatively unchanged. mild increase in extra-axial space overlying right frontal and parietal convexities. bilateral subarachnoid hemorrhage is also stable. the ventricles are unchanged in size and there is mild layering interventricular hemorrhage. a non-displaced fracture of the right temporal bone is unchanged and the right mastoid air cells are moderately opacified. impression: 1. mild interval increase in paramedian bifrontal lower lobe contusion. 2. no new foci of hemorrhage are identified. the study and the report were reviewed by the staff radiologist. dr. dr. approved: sat 3:03 pm cardiology report ecg study date of 4:50:34 pm sinus rhythm. right bundle-branch block. left anterior hemiblock. the p-r interval is within normal limits. no previous tracing available for comparison. read by: , f. intervals axes rate pr qrs qt/qtc p qrs t 75 178 148 446/472 68 -58 51 () radiology final report carotid series complete 1:43 pm carotid series complete reason: syncopal episode medical condition: 83 year old man with ? syncopal episode reason for this examination: assess arterial blood flow, ? stenosis carotid series complete reason: syncope. findings: duplex evaluation was performed of both carotid arteries. minimal plaque was identified. on the right peak systolic velocities are 93, 120, 102 in the ica, cca, eca respectively. the ica to cca ratio is 0.8. this is consistent with less than 40% stenosis. on the left peak systolic velocities are 106, 94, 139 in the ica, cca, eca respectively. the ica to cca ratio is 1.1. this is consistent with less than 40% stenosis. there is antegrade flow in the right vertebral artery. the left vertebral artery is not visualized. impression: minimal plaque with bilateral less than 40% carotid stenosis. the left vertebral artery appears occluded. dr. approved: sun 4:29 am brief hospital course: pt was admitted through the emergency department. a syncope w/u was performed to include echo and ekg as well as carotid duplex. the findings are in the pertinent results section of this summary. he was taken off telemetry monitoring and placed to floor status. he was seen by pt/ot and advanced in his diet and activity. he has serial head ct's which have been stable. he was screened for rehab placement. he had a swallow eval during his stay and their recommendations for a regular diet with thin liquids/ whole pills in puree, were followed. his family was updated throughout the hospitalization. his atenolol was increased to 50 mg po bid for better bp control. he is also on hydralazine prn if his sbp goes over 160. the patient is neurologically intact on the day of discharge. medications on admission: atenolol 50' flomax 0.4' detrol 2' hctz 12.5' finasteride 5' metformin 500' discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 4. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 5. tolterodine 1 mg tablet sig: one (1) tablet po bid (2 times a day). 6. hydrochlorothiazide 25 mg tablet sig: 0.5 tablet po daily (daily). 7. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 8. atenolol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 9. metformin 500 mg tablet sig: one (1) tablet po daily (daily). 10. outpatient lab work please have your dilantin level checked within 2 weeks and have the results sent to your pcp. 11. hydralazine 10 mg tablet sig: one (1) tablet po every four (4) hours as needed for sbp > 160: hold for sbp < 100 or hr < 60. discharge disposition: extended care facility: - discharge diagnosis: right temporal fracture left parietal and left frontal sub dural hematoma discharge condition: neurologically stable discharge instructions: head injury ?????? take your pain medicine as prescribed ?????? exercise should be limited to walking; no lifting, straining, excessive bending ?????? you may shower before this time with assistance and use of a shower cap ?????? increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ?????? if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion or change in mental status ?????? any numbness, tingling, weakness in your extremities ?????? pain or headache that is continually increasing or not relieved by pain medication ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: please return to the office in 4 weeks with a cat scan of the brain to be seen by dr. . you should follow up with your primary care physician 2 weeks of discharge - you had a 'syncope work up' while here and your pcp should review this results. also we increased your atenolol to 50mg twice a day for better blood pressure control. please have your pcp check your dilantin level as well. procedure: enteral infusion of concentrated nutritional substances diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) accidents occurring in unspecified place syncope and collapse other fall closed fracture of base 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