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: penicillins attending: chief complaint: r hip fracture major surgical or invasive procedure: open reduction, internal fixation of r hip fracture history of present illness: yo male hx , htn, cad, osteoporosis, depression admitted from rehab with r femur fx which he reportedly sustained while attempting to xfer from bed to wc. pt has had r hemiplegia since "childhood accident." denied cp, sob prior to fall. no loc, head trauma. past medical history: polycythemia pernicious anemia gout htn r hemiplegia 2/ childhood accident cad s/p mi macular degeneration depression w/delusional psychosis hard of hearing osteoporosis hx occult gi bleed; colonoscopy found no source r hip fx , unclear if had thr at that time social history: resident of rehab since legal guardian is () family history: nc physical exam: vs 150/68 68 16 100%ra gen thin, appropriate for age heent ncat, eomi, mmm neck no tenderness, from chest cta b/l heart rrr abd soft, nt/nd, nabs, erythema and flaking skin in rlq extending to groin perineum +scrotal hematoma unchanged from earlier today rn extr rle shortened, externally rotated with obvious deformity; 2+dp b/l; cap refill 2 sec; no open skin wounds; contractures of rue pertinent results: 07:10pm urine color-yellow appear-clear sp -1.020 07:10pm urine blood-lg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:10pm urine rbc->50 wbc-0-2 bacteria-few yeast-none epi-0 05:19pm k+-4.8 05:18pm glucose-106* urea n-34* creat-1.2 sodium-141 potassium-5.0 chloride-104 total co2-26 anion gap-16 05:18pm wbc-17.4* rbc-7.62* hgb-17.2 hct-56.5* mcv-74* mch-22.5* mchc-30.4* rdw-14.7 05:18pm neuts-86.8* lymphs-7.2* monos-4.0 eos-2.0 basos-0.1 05:18pm hypochrom-3+ microcyt-2+ 05:18pm plt count-639* 05:18pm pt-14.4* ptt-35.6* inr(pt)-1.3 06:00pm blood wbc-21.2* rbc-4.49*# hgb-11.1*# hct-35.7*# mcv-80* mch-24.8*# mchc-31.1 rdw-15.5 plt ct-646* 08:57pm blood wbc-21.1* rbc-4.91 hgb-13.2* hct-38.9* mcv-79* mch-27.0 mchc-34.0 rdw-17.7* plt ct-492* 12:06am blood hct-38.7* plt ct-521* 08:00am blood wbc-23.6* rbc-4.98 hgb-13.3* hct-39.5* mcv-79* mch-26.6* mchc-33.6 rdw-17.2* plt ct-597* 10:56pm blood wbc-23.5* rbc-4.63 hgb-12.4* hct-36.8* mcv-80* mch-26.8* mchc-33.7 rdw-18.3* plt ct-713* 04:04am blood wbc-15.6* rbc-4.03* hgb-10.6* hct-32.5* mcv-81* mch-26.4* mchc-32.7 rdw-17.8* plt ct-492* 03:36am blood wbc-13.0* rbc-3.70* hgb-9.9* hct-30.5* mcv-82 mch-26.8* mchc-32.6 rdw-18.4* plt ct-498* 05:42am blood wbc-13.7* rbc-4.29* hgb-11.4* hct-35.8* mcv-83 mch-26.5* mchc-31.8 rdw-18.7* plt ct-467* 05:11am blood wbc-13.0* rbc-4.14* hgb-10.9* hct-33.6* mcv-81* mch-26.3* mchc-32.4 rdw-18.5* plt ct-515* 05:27am blood wbc-10.8 rbc-3.68* hgb-9.8* hct-30.0* mcv-82 mch-26.7* mchc-32.7 rdw-18.6* plt ct-516* 04:22am blood hct-32.4* 10:56pm blood neuts-86.1* lymphs-6.4* monos-7.2 eos-0.2 baso-0.1 10:56pm blood hypochr-1+ anisocy-2+ poiklo-1+ microcy-2+ 05:25pm blood pt-16.5* ptt-46.2* inr(pt)-1.7 06:00pm blood pt-15.4* ptt-43.4* inr(pt)-1.5 06:00pm blood plt ct-646* 08:57pm blood pt-15.7* ptt-52.0* inr(pt)-1.6 08:57pm blood plt ct-492* 12:06am blood pt-14.7* ptt-37.1* inr(pt)-1.4 12:06am blood plt ct-521* 08:00am blood pt-16.5* ptt-56.7* inr(pt)-1.7 08:00am blood plt ct-597* 10:56pm blood plt ct-713* 04:04am blood pt-17.8* ptt-49.8* inr(pt)-2.0 04:04am blood plt ct-492* 03:36am blood pt-17.3* ptt-54.8* inr(pt)-1.9 03:36am blood plt ct-498* 05:42am blood pt-16.8* ptt-38.7* inr(pt)-1.8 05:42am blood plt ct-467* 05:11am blood plt ct-515* 05:27am blood plt ct-516* 05:25pm blood fibrino-268 04:04am blood fibrino-600*# 06:00pm blood glucose-94 urean-11 creat-1.1 na-143 k-4.1 cl-107 hco3-27 angap-13 08:57pm blood glucose-111* urean-27* creat-0.9 na-138 k-4.5 cl-112* hco3-17* angap-14 12:06am blood urean-27* creat-1.0 08:00am blood glucose-115* urean-27* creat-0.9 na-136 k-4.6 cl-108 hco3-20* angap-13 10:56pm blood glucose-108* urean-22* creat-0.8 na-135 k-4.6 cl-108 hco3-19* angap-13 04:04am blood glucose-112* urean-21* creat-0.8 na-137 k-4.2 cl-111* hco3-19* angap-11 03:36am blood glucose-133* urean-22* creat-0.8 na-140 k-3.6 cl-112* hco3-19* angap-13 05:42am blood glucose-108* urean-32* creat-0.9 na-140 k-4.0 cl-110* hco3-20* angap-14 05:11am blood glucose-115* urean-32* creat-0.8 na-143 k-3.4 cl-110* hco3-22 angap-14 05:27am blood glucose-101 urean-35* creat-0.8 na-146* k-3.1* cl-113* hco3-25 angap-11 01:03pm blood ck(cpk)-1571* 10:56pm blood ck(cpk)-1200* 04:04am blood alt-14 ast-54* ld(ldh)-227 alkphos-46 totbili-2.2* 12:06am blood ck-mb-12* ctropnt-0.01 01:03pm blood ck-mb-18* mb indx-1.1 ctropnt-0.02* 10:56pm blood ck-mb-17* mb indx-1.4 ctropnt-0.02* 06:00pm blood calcium-8.9 phos-2.9 mg-2.0 12:06am blood mg-1.3* 08:00am blood calcium-7.4* phos-2.5* mg-1.9 10:56pm blood calcium-7.6* phos-2.8 mg-1.8 04:04am blood calcium-6.7* phos-2.6* mg-1.7 03:36am blood albumin-2.1* calcium-7.4* phos-2.7 mg-2.2 05:42am blood calcium-8.0* phos-2.5* mg-2.4 05:11am blood calcium-8.2* phos-2.2* mg-2.2 05:27am blood calcium-7.8* phos-2.7 mg-2.1 01:03pm blood cortsol-19.0 01:03pm blood cortsol-24.6* 01:03pm blood cortsol-27.0* 04:46pm blood type-art po2-97 pco2-37 ph-7.38 calhco3-23 base xs--2 06:54pm blood type-art temp-36.6 tidal v-550 peep-5 fio2-100 po2-240* pco2-60* ph-7.17* calhco3-23 base xs--7 aado2-428 req o2-73 intubat-intubated 07:35pm blood type-art tidal v-800 fio2-100 po2-298* pco2-55* ph-7.18* calhco3-22 base xs--8 aado2-375 req o2-65 intubat-intubated vent-controlled 09:09pm blood type-art po2-87 pco2-48* ph-7.20* calhco3-20* base xs--9 12:30am blood type-art po2-82* pco2-32* ph-7.39 calhco3-20* base xs--4 04:51am blood po2-54* pco2-29* ph-7.38 calhco3-18* base xs--6 06:02am blood type-art po2-260* pco2-31* ph-7.38 calhco3-19* base xs--5 08:17am blood type-art rates-15/ tidal v-550 po2-217* pco2-28* ph-7.42 calhco3-19* base xs--4 intubat-intubated vent-imv 11:47am blood type-art o2 flow-6 po2-150* pco2-36 ph-7.32* calhco3-19* base xs--6 intubat-not intuba comment-fm 01:21pm blood type-mix po2-45* pco2-45 ph-7.30* calhco3-23 base xs--3 01:24pm blood type-art temp-37.4 po2-146* pco2-39 ph-7.33* calhco3-21 base xs--4 11:01pm blood type-art po2-118* pco2-36 ph-7.34* calhco3-20* base xs--5 intubat-not intuba 04:16am blood type-art po2-141* pco2-38 ph-7.36 calhco3-22 base xs--3 intubat-not intuba 04:46pm blood glucose-120* lactate-3.3* na-129* k-4.8 cl-105 09:09pm blood glucose-161* k-4.9 12:30am blood glucose-125* lactate-2.9* na-133* k-4.3 cl-107 04:51am blood lactate-2.4* 01:24pm blood lactate-1.4 11:01pm blood lactate-1.4 04:16am blood lactate-1.0 04:46pm blood hgb-8.8* calchct-26 06:54pm blood hgb-11.6* calchct-35 09:09pm blood o2 sat-95 12:30am blood hgb-12.4* calchct-37 o2 sat-90 01:21pm blood o2 sat-81 01:24pm blood o2 sat-98 04:46pm blood freeca-1.12 09:09pm blood freeca-1.10* 04:51am blood freeca-1.19 04:16am blood freeca-1.08* hip xr : fracture of the right femur below the inferior edge of the right hip prosthesis cxr : limited study with low lung volumes ct head : study limited due to patient positioning. no large areas of hemorrhage are present, and there is no demonstrable mass effect. please note that subtle foci of hemorrhage may be missed. right mastoid opacification. cxr : 1) moderate left ventricular prominence. mild left ventricular failure cannot be excluded due to supine technique. 2) large hiatal hernia. cxr : endotracheal tube in satisfactory position, allowing for positioning of the patient. cxr : 1. central venous catheter terminates at junction of svc and right atrium, with no pneumothorax. 2. overdistension of endotracheal tube cuff. 3. layering left pleural effusion and left retrocardiac opacity. cxr : no pneumothorax. persistent atelectasis in left lower lobe and probable small left pleural effusion. lue u/s : no dvt identified. pelvis xr : no fracture. scrotal u/s : 1. normal testicles with normal flow. 2. severe scrotal wall thickening with no air or discrete collection. ucx x2, blcx x3: ngtd brief hospital course: a/p: yo male with multiple medical problems, admitted for open reduction & internal fixation of r femoral fx sustained after mechanical fall. 1. s/p r hip fracture: surgery complicated by 1l blood loss; pt received 2u prbcs intraoperatively. surgical site has been hemostatic, incision c/d/i. pain controlled with iv morphine, with standing dose of tylenol. 2. hypotension: pt became hypotensive to 80s systolic with labile bps in pacu, started on neosynephrine for pressure support. pt could not be weaned from pressors on #1, so was transferred to micu for closer monitoring. etiology was uncertain, with ddx including cardiogenic, hypovolemic, and septic shock, as well as adrenal insufficiency. he was given iv fluids; placed on stress-dose steroids; started on antibiotics until ruled out for sepsis (negative urine and blood cultures, no sign of consolidation on cxr); ruled out for mi (three sets of cardiac enzymes negative). pressors weaned on #3, pt transferred to floor. over #, pt became gradually hypertensive to the 180s systolic, and stress-dose steroids were d/c'd with return to normotensive. 3. ms/dementia: pt is demented and disoriented at baseline, often aggressive. rn from rehab, pt often refuses food and po meds, yells at his caretakers, shouts for help. pt returned to his baseline ms #1 and has remained stable. he was kept on his standing zyprexa and prozac, with prn zydis zyprexa for agitation. 4. anticoagulation: given general immobiliity of pt, recent surgery, and recent fracture of long bone, pt is at very high risk for dvt. he was placed on lovenox by orthopedics, to be continued as outpt until transition to coumadin can be made. pt has been guaiac positive in the past; in-house, has been negative. inr to be followed at hr. 5. gu: on #3, pt was noted to have swollen scrotum. pelvis xr revealed no fracture; u/s of scrotum showed no fluid collection, but marked tissue edema of scrotal wall. pt was unable to void spontaneously, and a foley catheter was placed. per gu consult, scrotal enlargement likely represents tissue edema after surgery, and will likely resolve spontaneously. until then, pt may require foley catheter for bladder drainage. trial of void performed without success, so foley replaced p.m. . if no resolution, may follow up as outpt with urology. 6. cad: stable. pt denied cp and sob throughout his hospital stay. will continue outpt doses of asa, atorvastatin. will consider restarting beta blocker based on bp. 7. gout: pt was continued on his outpt allopurinol. 8. hyperlipidemia: pt was continued on his outpt statin. 9. access: pt had r ij catheter placed . 10. fen: regular diet as tolerated. corrected serum ca normal (given low albumin). 11. code: full after discussion with health care proxy. 12. dispo: to when stable. medications on admission: allopurinol atenolol calcitonin erythromycin ophthalmic ointment prozac zyprexa discharge medications: 1. calcitonin (salmon) 200 unit/actuation aerosol, spray sig: two hundred (200) iu nasal daily (daily). disp:*1 unit* refills:*2* 2. erythromycin 5 mg/g ointment sig: 0.5 inch ophthalmic hs (at bedtime). disp:*1 tube* refills:*2* 3. fluoxetine hcl 10 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 4. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. morphine sulfate 0.5-4 mg iv q4h:prn 7. acetaminophen 650 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 8. olanzapine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. enoxaparin sodium 40 mg/0.4ml syringe sig: forty (40) mg subcutaneous daily (daily). disp:*30 syringes* refills:*2* 10. coumadin 3 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: primary diagnosis: r hip fracture secondary diagnoses: polycythemia pernicious anemia gout hypertension r hemiplegia 2/ childhood accident cad s/p mi macular degeneration depression w/delusional psychosis hard of hearing osteoporosis hx occult gi bleed prior r hip fracture discharge condition: good, stable discharge instructions: 1. please take all medications as prescribed. 2. please keep all follow-up appointments. 3. please return to the hospital if you experience f/c, n/v, cp, sob, drainage from or pain at your incision site, or any other symptoms that worry you. followup instructions: with your physician as needed. outpatient follow-up with urology as needed if scrotal/penile swelling and/or urinary retention do not improve. md procedure: venous catheterization, not elsewhere classified enteral infusion of concentrated nutritional substances open reduction of fracture with internal fixation, femur transfusion of packed cells diagnoses: other iatrogenic hypotension unspecified essential hypertension gout, unspecified coronary atherosclerosis of unspecified type of vessel, native or graft unspecified fall other persistent mental disorders due to conditions classified elsewhere old myocardial infarction retention of urine, unspecified hip joint replacement pernicious anemia polycythemia vera closed fracture of unspecified part of femur edema of male genital organs 

Answer: The patient is high likely exposed to