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: altered mental status major surgical or invasive procedure: right mini-craniotomy for subdural hematoma history of present illness: his is a year old male with a history of memory loss who presented to the ed with altered mental status. his son reports that for the last week he has started acting more confused. his wife reports that the night prior to admission he had difficulty finding the bathroom. the patient and his family do not recall any recent falls. the patient reported discontinuation of aspirin 81 mg daily use a week ago. the family reports that he has not taken this for at least several weeks. the patient did not report any pain, headache, dizziness, nausea, vomiting, chest pain, or sob. the patient came to the er due to his altered mental status. his head ct revealed bilateral sdhs and neurosurgery was called to evaluate him. additionally, his cxr revealed possible pneumonia and he was given azithromycin and ceftriaxone in the er. past medical history: hypothyroidism, htn, memory loss social history: primary language is italian. lives with wife at a senior community. family history: non-contributory physical exam: on admission: t:97.6 bp:131/55 hr:48 rr:14 o2sats:98% ra gen: wd/wn, comfortable, nad. heent: pupils: perrl eoms-intact neck: supple. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person and hospital. does not know the date. language: speech fluent with some difficulty with comprehension. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 4 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift. sensation: intact to light touch bilaterally on discharge: oriented x . pupils 2mm bilaterally and minimally reactive. face symmetric, tongue midline. follows simple commands and moves all 4 extremities spontaneously. strength is full throughout. sensation intact throughout. pertinent results: ct head : bilateral right greater than left acute-on-chronic subdural hematomas with 1cm shift of midline structures to left. ct head : 1. status post right craniotomy with unchanged residual bilateral subdural hemorrhages, right greater than left, and stable 4-mm midline shift. layering components of acute hemorrhage are unchanged in size and appearance. 2. unchanged free ossific lesion in right subdural space. ct head : bilateral right greater than left subdural hematomas with varying densities, overall unchanged in size since . there is decrease in pneumocephalus as well as slight decrease in leftward shift of the normally midline structures. despite this, there remains mild leftward subfalcine herniation and moderate-to-severe sulcal effacement along the right cerebral hemisphere. brief hospital course: mr. was taken tot he or with dr. on for a right craniotomy for sdh. he was extubated and trasnfered to the sicu for close neurologic monitoring. post-op imaging showed pneumocephalus and post-operative changes. on he was lethargic and was not briskly following commands. repeat imaging was stable. oxygen via a nonrebreather was ordered for the pneumocephalus and his head of bed was kept at <30 degrees. the icu started zyprexa for agitation with good effect. serial chest x-rays suggested that there may be a chronic interstitial lung disease versus and acute pulmonary proocess. ct imaging fo the chest was defered at this time. the 5 day course of zithromycin was continued. on he was more verbal and appropriate. the nonrebreather was discontinued. his hob was liberalized. his neuro check were made q2hrs. on , his exam was stable and he was transfered to floor afetr a repeat head ct. on he was seen by the speech and swallow service and they recommended a continued pureed . during the early morning of he had an episode of desaturation to 83% with noted tongue edema. this imporved with placement of a nasal trumpet. at 0930 his saturation was 95-97% on humidified o2. his zyprexa was changed to seroquel in hopes of better effect for his agitation. a chest ct showed no evidence of acute pna, but interstitial changes that might be consistent with nonspecific interstitial pneumonia. bibasilar atelectasis. patient has no fever or increase in wbc. exam was improved on nasal trumpet. on the patient was much more alert and interactive. his nasal trumpet was removed and his respiratory status was stable. he was screened for rehab. the foley was removed in the am of . a repeat speech and swallow evaluation was done and his was advanced to soft solids. he was transferred to a rehab facility on . medications on admission: levothyroxine 100 mcg daily hctz 12.5 mg daily vitamin d 400 iu daily vitamin b12 1000 unit tablet daily discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for headache. 2. oxycodone 5 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 5. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 6. cyanocobalamin 500 mcg tablet sig: two (2) tablet po daily (daily). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 8. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for pruritis. 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 11. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po bid (2 times a day) as needed for constipation. 12. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 13. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 14. quetiapine 25 mg tablet sig: 0.5 tablet po daily (daily) as needed for agitation. 15. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: hospital - discharge diagnosis: bilateral subdural hematomas discharge condition: neurologically stable mental status:confused - always level of consciousness:alert and interactive activity status:ambulatory - requires assistance discharge instructions: general instructions wound care ?????? you or a family member should inspect your wound every day and report any of the following problems to your physician. ?????? keep your incision clean and dry. ?????? you may wash your hair with a mild shampoo 24 hours after your sutures are removed. ?????? do not apply any lotions, ointments or other products to your incision. ?????? do not lift objects over 10 pounds until approved by your physician. are on a modified due to swallowing difficulty. medications: ?????? take all of your medications as ordered. you do not have to take pain medication unless it is needed. it is important that you are able to cough, breathe deeply, and is comfortable enough to walk. ?????? do not use alcohol while taking pain medication. ?????? medications that may be prescribed include: -narcotic pain medication such as dilaudid (hydromorphone). -an over the counter stool softener for constipation (colace or docusate). if you become constipated, try products such as dulcolax, milk of magnesia, first, and then magnesium citrate or fleets enema if needed). often times, pain medication and anesthesia can cause constipation. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, and ibuprofen etc, as this can increase your chances of bleeding. activity: the first few weeks after you are discharged you may feel tired or fatigued. this is normal. you should become a little stronger every day. activity is the most important measure you can take to prevent complications and to begin to feel like yourself again. in general: ?????? follow the activity instructions given to you by your doctor and therapist. ?????? increase your activity slowly; do not do too much because you are feeling good. ?????? you may resume sexual activity as your tolerance allows. ?????? if you feel light headed or fatigued after increasing activity, rest, decrease the amount of activity that you do, and begin building your tolerance to activity more slowly. ?????? do not lift objects over 10 pounds until approved by your physician. ?????? avoid any activity that causes you to hold your breath and push, for example weight lifting, lifting or moving heavy objects, or straining at stool. ?????? do your breathing exercises every two hours. ?????? use your incentive spirometer 10 times every hour that you are awake. when to call your surgeon: with any surgery there are risks of complications. although your surgery is over, there is the possibility of some of these complications developing. these complications include: infection, blood clots, or neurological changes. call your physician immediately if you experience: ?????? confusion, fainting, blacking out, extreme fatigue, memory loss, or difficulty speaking. ?????? double, or blurred vision. loss of vision, either partial or total. ?????? hallucinations ?????? numbness, tingling, or weakness in your extremities or face. ?????? stiff neck, and/or a fever of 101.5f or more. ?????? severe sensitivity to light. (photophobia) ?????? severe headache or change in headache. ?????? seizure ?????? problems controlling your bowels or bladder. ?????? productive cough with yellow or green sputum. ?????? swelling, redness, or tenderness in your calf or thigh. call 911 or go to the nearest emergency room if you experience: ?????? sudden difficulty in breathing. ?????? new onset of seizure or change in seizure, or seizure from which you wake up confused. ?????? a seizure that lasts more than 5 minutes. important instructions regarding emergencies and after-hour calls ?????? if you have what you feel is a true emergency at any time, please present immediately to your local emergency room, where a doctor there will evaluate you and contact us if needed. due to the complexity of neurosurgical procedures and treatment of neurosurgical problems, effective advice regarding emergency situations cannot be given over the telephone. ?????? should you have a situation which is not life-threatening, but you feel needs addressing before normal office hours or on the weekend, please present to the local emergency room, where the physician there will evaluate you and contact us if needed. followup instructions: ??????please return to the office in days (from your date of surgery) for removal of your sutures and a wound check. please make this appointment by calling . ??????please call ( to schedule an appointment with dr. , to be seen in 4 weeks. ??????you will need a ct scan of the brain without contrast. procedure: incision of cerebral meninges other cystoscopy diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified pulmonary collapse compression of brain alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance subdural hemorrhage 

Answer: The patient is high likely exposed to