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: synvisc attending: chief complaint: hematuria, obstructed foley major surgical or invasive procedure: s/p cystectomy, urostomy history of present illness: 62m s/p turbt for recurrent hematuria, foley obstruction with blood clots, now s/p cystectomy and urostomy. past medical history: diabetes, type 2 hypertension stroke , no residual sx bladder cancer former smoker 20py physical exam: afebrile, vital signs normal nad, ncat, eom full chest clear heart regular, no murmurs/rubs/gallops abdomen obese, soft, nt, nd, nabs; urostomy pink, slightly retracted, yellow urine penis with foley in place le with trace pitting edema pertinent results: 09:11pm blood wbc-28.8*# rbc-4.25* hgb-12.4* hct-36.9* mcv-87 mch-29.2 mchc-33.6 rdw-14.2 plt ct-397 03:17pm blood hct-31.6* 12:23am blood hct-28.5* 03:52am blood wbc-12.4* rbc-3.37* hgb-10.3* hct-29.8* mcv-88 mch-30.5 mchc-34.5 rdw-14.5 plt ct-240 01:07pm blood wbc-16.7* rbc-3.96* hgb-11.9* hct-35.5* mcv-90 mch-30.0 mchc-33.5 rdw-14.4 plt ct-249 ---------------- chest (portable ap) 5:17 am chest (portable ap) reason: evaluate et tube placement and evaluate for volume overload medical condition: 62 year old man intubated s/p cystoprostatectomy reason for this examination: evaluate et tube placement and evaluate for volume overload portable chest, at 05:59 hours. comparison study: clinical information: et tube placement, question volume overload findings: there are low lung volumes. there is mild bibasilar atelectasis and mild prominence of central pulmonary vasculature which may indicate a small degree of volume overload. the endotracheal tube terminates at the thoracic inlet. the nasogastric tube courses below the diaphragm but the tip is not seen. impression: low lung volumes, and mild volume overload. ---------------- 09:00am blood wbc-10.6 rbc-3.87* hgb-11.4* hct-33.8* mcv-87 mch-29.5 mchc-33.8 rdw-13.8 plt ct-453* ----------------- portable abdomen 1:38 am portable abdomen reason: portable kub requesting for possible post-op ileus medical condition: 62 year old man with upper epigastric pains reason for this examination: portable kub requesting for possible post-op ileus indication: _____ ? postop ileus. comparison: no abdominal films for comparison. there are dilated loops of small bowel which are consistent with ileus. no evidence of free air on this supine view. there are surgical clips in the pelvis. there are staples in the overlying skin. the limited views of the bones show osteophytes in the lumber spine. impression: _____ consistent with postoperative ileus. followup radiographs recommended. dr. dr. portable abdomen 7:53 am portable abdomen reason: ileus vs obstruction medical condition: 62m s/p cystectomy, ileal conduit, now emesis reason for this examination: ileus vs obstruction examination: portable supine abdomen, one view. indication: status post cystectomy with ileal conduit presenting with emesis. comparison: comparison is made with the previous portable abdomen from . findings: there are diffuse and dilated loops of both small and large bowel which are relatively unchanged when compared to the previous radiograph and are consistent with ileus. this is a supine radiograph and an assessment of free air cannot be made. surgical clips are seen in the pelvis with some staples overlying the skin. impression: dilated loops of both small and large bowel which are unchanged and appearances are consistent with ileus. the study and the report were reviewed by the staff radiologist. dr. dr. dr. approved: sun 11:03 am -------------- 06:10am blood wbc-7.3 rbc-3.61* hgb-10.4* hct-31.3* mcv-87 mch-28.7 mchc-33.1 rdw-13.9 plt ct-532* 06:10am blood glucose-87 urean-17 creat-1.0 na-140 k-3.4 cl-104 hco3-26 angap-13 brief hospital course: gu: admitted postoperatively after cystectomy and urostomy creation. ureteral stents into ileal conduit and visible through stoma. immediately postop, good urine output with some mucous. ivf were discontinued on pod5 and he was allowed to auto-diurese, producing good urine output even while off ivf and taking only sips on pod7-8. cv: immediately postop, the pt went to the icu and was hypotensive, requiring pressors through pod1. by pod2, pressors were weaned and the pt was hemodynamically stable, returning to baseline hypertension; he was transferred to the floor and started on iv lopressor. on pod4, he was started on his home diuretics and metoprolol 12.5 , remaining normotensive. on pod6, after an episode of luq pain and emesis an ekg was done, which demonstrated stable findings when compared to his pre-operative ekg from . the pt was continued on perioperative beta-blockade through pod8 after which the metoprolol was discontinued. pulm: pt was weaned off o2 by pod1 and did not require supplemental o2 after this time. saturations remained >94% on ra. he did require occasional nebulizer treatments for intermittent wheezing during this hospitalization. gi: the patient passed flatus on pod3 and on pod4 he was started on sips and advanced to clears. by pod 5, after a small bowel movement, he was advanced to a regular diet without any problems. continued to pass flatus. on pod6, the pt developed luq abdominal pain that did not resolve with simethicone or morphine. he had two episodes of non-bloody emesis, after which the pain resolved. kub demostrated no obstructions, but dilated loops throughout, consistent with ileus. on pod7, his diet was limited to sips of clears. on pod9, after being emesis free for 40 hours, his diet was advanced to clears then regular diabetic diet, which he tolerated well. prior to admission, the pt had one loose and one formed bowel movement. heme: intraoperatively, difficult procedure with ebl of 3l; pt was transfused 8 units of red cells in the or, and required an additional 2 units of red cells on pod1 for a hematocrit that was trending down to 28.5 at its lowest point. it remained stable at 32-33 for the remainder of the hospitalization. id: pt was on ancef perioperatively and did not require additonal antibiotics. his wound became minimally erythematous by pod5, but this slowly resolved without antibiotics. tld: pt was discharged with urostomy and bag in place; teaching was done in-house and follow up with a visiting nurse was arranged upon discharge. discharge medications: 1. nystatin 100,000 unit/g ointment sig: one (1) appl topical qid (4 times a day) as needed. 2. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. triamterene-hydrochlorothiazid 37.5-25 mg capsule sig: two (2) cap po daily (daily). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 7. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna inc discharge diagnosis: bladder tumor s/p cystectomy, urostomy, postop ileus discharge condition: good discharge instructions: you may shower but do not bathe, swim or otherwise immerse your incision. do not lift anything heavier than a phone book. do not drive or drink alcohol while taking narcotic pain medications. resume all of your home medications, but please avoid aspirin and motrin/advil for 1 week. call your urologist's office () to schedule a follow-up appointment in weeks, or if you have any questions. if you have fevers> 101.5 f, vomiting, or increased redness, swelling, or discharge from your incision, call your doctor or go to the nearest emergency room. followup instructions: call your urologist's office () to schedule a follow-up appointment in weeks, or if you have any questions. follow up with your primary care provider 1 week. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube radical cystectomy formation of cutaneous uretero-ileostomy division or crushing of other cranial and peripheral nerves regional lymph node excision transfusion of packed cells infusion of vasopressor agent diagnoses: other iatrogenic hypotension unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified personal history of tobacco use hemorrhage complicating a procedure personal history of malignant neoplasm of bladder paralytic ileus personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits removal of other organ (partial) (total) causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation knee joint replacement malignant neoplasm of other specified sites of bladder acute cystitis 

Answer: The patient is high likely exposed to