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: ileostomy following j-pouch. major surgical or invasive procedure: dilatation of ileoanal anastomosis and closure of ileostomy. history of present illness: mr. is a 53 year old man with htn, hcv, ulcerative colitis refractory to medical managment s/p proctocolectomy, ileostomy in who in underwent creation of ileoanal pouch with lysis of adhesions, resection of area of fat necrosis in small bowel, and creation of new diverting ileostomy for surgical management of chronic ulcerative colitis and persistent leakage at the old ostomy site after intentional 100 pound weight loss. past medical history: ulcerative colitis diagnosed in s/p proctocolectomy/ileostomy , ileoanal pouch and new diverting ileostomy(), s/p ileostomy closure partial sbo htn hcv post interferon and ribaviron treatments social history: lives in with wife, . as a cabinet maker. no longer drinks (+ etoh use in past). quit smoking 10 years ago, had 30 pack-yr history. continues to smoke cigars, but says he does not inhale. has used iv drugs in past 1-2x. says he's "tried everything", but sober for many years. family history: adopted, unknown history of biological mother. father dies of stroke and may have had dm but other history unknown physical exam: vitals: 98.6,69, 128/90,16, 100% ra. general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: non-tender, non-distended, bowel sounds present, incision:rlq staples c/d/i, no erythema ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, a&ox3, maee, strength and reflexes deferred pertinent results: 07:11pm blood wbc-18.8*# rbc-3.73* hgb-11.0* hct-31.9* mcv-86 mch-29.6 mchc-34.5 rdw-13.8 plt ct-268 10:35pm blood hct-25.2* 02:25am blood hct-22.4* 06:44am blood wbc-10.0 rbc-2.87* hgb-8.5* hct-25.1* mcv-88 mch-29.5 mchc-33.7 rdw-14.1 plt ct-202 12:30pm blood hct-27.1* 03:49pm blood hct-23.4* 07:55pm blood hct-29.5*# 01:51am blood wbc-9.5 rbc-2.97* hgb-8.8* hct-25.4* mcv-86 mch-29.6 mchc-34.7 rdw-14.5 plt ct-120* 06:57am blood hct-25.2* 07:35am blood hct-26.0* 01:06pm blood hct-29.5* plt ct-81* 06:29pm blood hct-27.7* plt ct-100* 12:08am blood hct-29.9* 05:39am blood wbc-5.2 rbc-3.27* hgb-9.7* hct-28.4* mcv-87 mch-29.5 mchc-34.0 rdw-14.4 plt ct-106* 02:40pm blood wbc-4.4 rbc-3.41* hgb-10.2* hct-29.7* mcv-87 mch-29.8 mchc-34.3 rdw-15.3 plt ct-123* 05:00am blood wbc-4.1 rbc-3.49* hgb-10.6* hct-31.1* mcv-89 mch-30.4 mchc-34.0 rdw-15.3 plt ct-164 04:13pm blood wbc-3.9* rbc-3.35* hgb-10.1* hct-30.2* mcv-90 mch-30.3 mchc-33.6 rdw-14.3 plt ct-186 05:00am blood wbc-5.3 rbc-3.40* hgb-10.0* hct-30.8* mcv-91 mch-29.4 mchc-32.4 rdw-15.1 plt ct-205 05:00am blood wbc-5.2 rbc-3.31* hgb-9.8* hct-30.0* mcv-91 mch-29.5 mchc-32.6 rdw-15.1 plt ct-263 05:21am blood wbc-7.7 rbc-3.63* hgb-10.8* hct-32.1* mcv-88 mch-29.7 mchc-33.6 rdw-13.9 plt ct-337 05:18am blood wbc-9.0 rbc-3.67* hgb-10.8* hct-32.6* mcv-89 mch-29.4 mchc-33.1 rdw-13.6 plt ct-423 imaging cxr findings: ap single view of the chest has been obtained with patient in sitting semi-upright position. available for comparison is the next preceding chest examination of . the on previous examination identified right-sided picc line has been removed. appearance of chest is grossly unaltered with heart size within normal limits and no acute pulmonary abnormalities. although the cardiac area is somewhat underpenetrated, one can identify an ng tube in the upper portion of the esophagus and reappearance just below the diaphragm indicating that the tube has reached well into the stomach where it is curled up. this includes also the side port. no other significant findings on this single chest view examination. cxr portable shallow oblique chest radiograph: right upper extremity picc terminates in the mid to lower svc. again seen are bibasilar atelectasis, with mild worsening of the right basal atelectasis. the cardiomediastinal and hilar contours are stable, with a mildly tortuous thoracic aorta. no pleural effusion or pneumothorax is seen. impression: right picc terminates in the mid to lower svc brief hospital course: 53 yo male with ulcerative colitis s/p ileoanal pouch and diverting ileostomy in , presents with gi bleed and hypotension after ileostomy closure.on , patient underwent takedown of ileostomy and is admitted to from the pacu with gib and hypotension. the patient's ileostomy takedown procedure went well;refer to operative note for further details of surgery. while in the pacu though, pt had a bm with 100 cc of frank blood, then subsequently had another bm with 300 cc of frank blood. the pt became hypotensive to 60-70s, hr 70s and felt dizzy and nauseous. he was given 4l of fluid, given a 100mcg of phenylephrine and his bp improved. a foley was placed in the patients rectum, and irrigated with clot. the patient is currently receiving 2 units prbcs. on arrival to the , patient's vs. were bp 133/51 hr 89 rr 17 100% on ra. he reports feeling tired, with abdominal pain over ostomy removal site that he states is more superficial than deep and rates a with improvement with pain medication. he states mild lightheadedness that was worse in the afternoon, and nausea upon receipt of pain medications. denies chest pain, shortness of breath, cough, constitutional symptoms, dysuria, recent illness. # gi bleed: occurred s/p ileostomy takedown and completion of the anastomosis, this is likely bleeding from the staple line, which is usually self limited. patient's hct was initially 31.9 this trending downward to a nadir of 22. a rectal tube was placed and bleeding continued. the patient additional was noted to have one episode of hematemesis. a ngt was placed and lavage returned dark blood. hematemesis was attributed to backflow from his anastomotic site bleed. he was given transfusions with a goal hct of 28. he required transfusion of a total of 13 units of prbcs and 2 units of ffp. bleeding subsided and pressures stabilized and patient hct remained stable. -# bradycardia: patient was initially noted to have a hr into 30s-40s while hypotensive. inappropriate response to blood pressure. most likely to vagal event from bleeding, rectal tube, pain, and may be exacerbated by reflex bradycardia from phenylephrine. hr subsequently stabilized. # pain control: pain was controlled with a morphine pca. stable issues # ulcerative colitis: s/p proctocolectomy. no evidence of psc clinically. # hypertension: the patient's home amlodipine was held in the setting of gib. # hypotension: most likely to bleeding and vagal response given hr, presence of tube in rectum, as well as pain which per nurse, often correlates with descent in hr. he was given fluid boluses with lr and transfused as above. he initially required phenylephrine however he was quickly weaned from pressor support. the patient was without signs or symptoms of infection. patient blood pressure stabilized. pod 3,patient was transferred to the floor. patient remained npo with intravenous fluids and ngt in place. patient ngt output was monitored closely and was having large bilious output. a picc line was placed for intravenous fluids. pod 4,patient continued to be diuresed with acetazolamide. the foley catheter was discontinued and patient voided without difficulty. pod 5 the nasogastric tube was discontinued and the diet was advanced from clears to regular which was tolerated well. patient was noted to have copious amounts of stool output greater than 2 liters per day and was started on psyllium wafers. patient intake and output were monitored closely. pod 6 patient continued to have high stool output and was started on loperamide. however continued to report having multiple explosive non bloody stool output. patient's loperamide and psyllium wafers were titrated up as needed. patient was started on a regular diet and encouraged to increase fiber intake to bulk up the stool. pod 7 patient reported no significant change in bowel frequency and urgency. in addition to his current bowel regimen he was started on librium.(librax upon discharge). patient mobility was limited due to increase frequency and urgency of bowel movements. thus patient was started on heparin subcutaneously for dvt prophylaxis. patient was encouraged to ambulate several times a day. patient hematocrit was monitored closely and was stable. by pod 8 patient had satisfactory stool output on current bowel regimen and was deemed ready for discharge to home. patient was instructed to monitor his stool output closely and to titrate his bowel regimen (loperamide, psyllium wafers and librax) as instructed by dr. . patient was also instructed to monitor for dehydration and to keep with oral fluids. patient picc line was discontinued prior to discharge. he will have his staples removed at his pcp . patient was discharged home in good condition and will follow-up with dr. in clinic in months. medications on admission: 1. acetaminophen 500 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*2* 2. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 3. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: ileostomy following j-pouch. discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. ,you have recovered well from your surgery and may return home. you are tolerating a regular diet, passing gas and your stool output has slowed down. please continue to monitor your stool and urine output to avoid becoming dehydrated. if you notice your stool output increasing, take in more electrolyte drink such as gatorade.please monitor yourself for signs and symptoms of dehydration including: dizziness(especially upon standing),weakness, dry mouth, headache, or fatigue. if you notice these symptoms please call the office or return to the emergency room for evaluation if these symptoms are severe. please titrate your bowel medications loperamide,psyllium wafers and librax as instructed by dr. . you may also bulk up your stool to achieve desired stool output with fiber such as bran muffins.if you have any questions or concerns call the office for further advice. you have an incision to your lower right abdomen that is closed with staples. this incision can be left open to air or covered with a dry sterile gauze dressing if the staples become irritated from clothing. please have your staples removed in 7- 10 days. this can be done at your primary care provider office visit. please monitor the incision for signs and symptoms of infection including: increasing redness at the incision, opening of the incision, increased pain at the incision line, draining of white/green/yellow foul smelling drainage, or if you develop a fever. please call the office if you develop these symptoms or go to the emergency room if the symptoms are severe. you may shower, let the warm water run over the incision line and pat the area dry with a towel, do not rub. no heavy lifting for at least 6 weeks after surgery unless instructed otherwise by your surgeon. you may gradually increase your activity as tolerated but clear heavy excercise with your surgeon.please continue to walk several times a day to prevent developing a blood clot in your legs. you will be prescribed a small amount of the pain medication;please take this medication exactly as prescribed. you may take tylenol as recommended for pain. please do not take more than 4000 mg of tylenol daily. do not drink alcohol while taking narcotic pain medication or tylenol. please do not drive a car while taking narcotic pain medication. thank you for allowing us to participate in your care! our hope is that you will have a quick return to your life and usual activities. good luck! followup instructions: follow-up with your pcp/gastroenterologist in weeks call and schedule follow-up appointment with dr. in months . procedure: closure of stoma of small intestine dilation of intestine central venous catheter placement with guidance diagnoses: other iatrogenic hypotension unspecified essential hypertension chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia personal history of tobacco use hemorrhage complicating a procedure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation paralytic ileus attention to ileostomy acquired absence of intestine (large) (small) other digestive system complications 

Answer: The patient is high likely exposed to