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: pedestrian struck by car major surgical or invasive procedure: : s/p bilateral open reduction internal fixation, tibial plateaus history of present illness: 72 year old male hit by car on resulting in bilateral tibial plateau fractures requiring surgical management. past medical history: atrial fibrillation copd cad t2dm htn gout chronic sinus infections social history: denies tobacco and drug use. occ alcohol. family history: n/a physical exam: on admission: temp:97.2 hr:102 bp:100/57 resp:20 o(2)sat:98 constitutional: anxious, unable to follow commands heent: hematoma r occiput chest: course bs with crackles, scattered cardiovascular: tachycardic, irregular abdominal: soft, nondistended extr/back: lower extremity edema with ecchymosis around bilateral malleoli, pulses palpable on l le; non-dopplerable pt on r, dopplerable dp on r, compartments soft, demarcation distal r ankle; r posterior knee: ecchymosis with hematoma and blistering; swelling along calf and posterior thigh neuro: unable to assess neurologic exam heme//: no petechiae pertinent results: 12:09am blood freeca-1.10* 09:16am blood freeca-1.10* 10:49am blood freeca-1.08* 09:21pm blood freeca-1.14 05:16pm blood freeca-1.09* 12:09am blood hgb-13.1* calchct-39 09:16am blood hgb-6.9* calchct-21 o2 sat-83 10:49am blood hgb-8.1* calchct-24 o2 sat-85 09:21pm blood o2 sat-95 05:56am blood o2 sat-97 12:04am blood lactate-2.0 k-5.1 12:09am blood glucose-233* lactate-1.9 na-140 k-5.2 cl-97* 09:16am blood glucose-77 lactate-1.0 na-140 k-4.1 cl-99* 10:49am blood glucose-86 lactate-1.8 na-139 k-4.4 cl-100 calhco3-33* 09:21pm blood lactate-1.3 05:16pm blood lactate-1.6 12:09am blood type-art po2-73* pco2-93* ph-7.19* caltco2-37* base xs-4 intubat-not intuba 04:15am blood type-art rates-/16 tidal v-550 fio2-100 po2-362* pco2-69* ph-7.29* caltco2-35* base xs-4 aado2-318 req o2-56 -assist/con intubat-intubated 09:03pm blood type-art temp-36.4 rates-22/ tidal v-550 peep-5 fio2-40 po2-82* pco2-52* ph-7.43 caltco2-36* base xs-8 -assist/con intubat-intubated 09:16am blood type-central ve tidal v-464 fio2-54 po2-53* pco2-64* ph-7.36 caltco2-38* base xs-7 intubat-intubated 09:21pm blood type-art peep-5 fio2-50 po2-100 pco2-76* ph-7.29* caltco2-38* base xs-6 intubat-intubated 11:55pm blood type-art peep-5 fio2-45 po2-95 pco2-58* ph-7.37 caltco2-35* base xs-5 intubat-intubated vent-spontaneou 05:56am blood type-art peep-5 fio2-45 po2-98 pco2-58* ph-7.37 caltco2-35* base xs-5 09:27pm blood type-art po2-71* pco2-59* ph-7.39 caltco2-37* base xs-7 05:16pm blood type-art temp-37.8 rates-/38 fio2-50 o2 flow-4 po2-65* pco2-58* ph-7.42 caltco2-39* base xs-10 intubat-intubated comment-face tent 06:29pm blood type-art temp-37.8 rates-/24 fio2-40 o2 flow-4 po2-86 pco2-57* ph-7.42 caltco2-38* base xs-9 intubat-not intuba comment-face tent 11:00pm blood digoxin-2.5* 02:01am blood digoxin-0.8* 11:00pm blood albumin-3.3* 06:08am blood albumin-2.9* calcium-7.5* phos-3.2 mg-1.6 04:50pm blood calcium-7.8* phos-1.9* mg-1.5* 02:45am blood calcium-7.9* phos-1.8* mg-1.5* 01:12am blood calcium-8.0* phos-3.9# mg-2.4 04:27pm blood calcium-7.8* phos-4.4 mg-2.1 09:06pm blood calcium-7.9* phos-1.6*# mg-2.3 02:01am blood calcium-7.9* phos-1.7* mg-2.4 01:41pm blood phos-2.6* 02:11am blood albumin-2.6* calcium-8.1* phos-2.2* mg-2.0 03:05am blood calcium-8.1* phos-2.4* mg-1.9 11:00pm blood ctropnt-<0.01 probnp-1450* 06:08am blood lipase-705* 02:45am blood lipase-106* 11:00pm blood alt-19 ast-33 ld(ldh)-338* alkphos-78 amylase-585* totbili-1.5 06:08am blood alt-20 ast-35 ld(ldh)-309* alkphos-67 amylase-527* totbili-2.1* 02:45am blood alt-20 ast-40 alkphos-56 amylase-271* totbili-1.9* 02:11am blood alt-27 ast-54* alkphos-65 11:00pm blood glucose-218* urean-26* creat-1.9* na-139 k-5.4* cl-100 hco3-31 angap-13 04:50am blood glucose-2275* urean-17 creat-1.4* na-74* k-3.3 cl-58* hco3-16* angap-3* 06:08am blood glucose-344* urean-29* creat-2.0* na-135 k-5.6* cl-97 hco3-30 angap-14 04:50pm blood glucose-157* urean-32* creat-1.8* na-142 k-4.2 cl-102 hco3-31 angap-13 02:45am blood glucose-80 urean-34* creat-1.7* na-138 k-3.9 cl-99 hco3-30 angap-13 01:12am blood glucose-80 urean-34* creat-1.3* na-141 k-4.5 cl-104 hco3-33* angap-9 04:27pm blood glucose-106* urean-32* creat-1.2 na-144 k-4.5 cl-106 hco3-32 angap-11 02:06am blood glucose-66* urean-32* creat-1.3* na-143 k-4.3 cl-105 hco3-34* angap-8 09:06pm blood glucose-146* urean-30* creat-1.3* na-145 k-3.8 cl-106 hco3-34* angap-9 02:01am blood glucose-44* urean-30* creat-1.2 na-142 k-3.5 cl-105 hco3-34* angap-7 11:49am blood glucose-144* na-144 k-4.9 cl-105 01:41pm blood glucose-132* na-142 k-4.9 cl-103 02:11am blood glucose-116* urean-28* creat-1.1 na-140 k-4.4 cl-103 hco3-34* angap-7* 03:05am blood glucose-92 urean-29* creat-1.0 na-145 k-4.3 cl-105 hco3-34* angap-10 04:40am blood glucose-103* urean-34* creat-1.3* na-144 k-4.2 cl-101 hco3-36* angap-11 04:46am blood glucose-101* urean-37* creat-1.3* na-141 k-3.8 cl-98 hco3-37* angap-10 11:00pm blood pt-22.7* ptt-28.9 inr(pt)-2.1* 11:00pm blood plt smr-normal plt ct-178 04:50am blood pt-39.6* ptt-60.7* inr(pt)-4.1* 04:50am blood plt smr-low plt ct-126* 06:08am blood pt-22.6* ptt-30.5 inr(pt)-2.1* 06:08am blood plt ct-128* 04:50pm blood pt-18.9* ptt-29.3 inr(pt)-1.7* 04:50pm blood plt ct-120* 02:45am blood pt-16.3* ptt-29.0 inr(pt)-1.4* 02:45am blood plt ct-127* 01:12am blood plt ct-109* 04:45am blood pt-13.2 ptt-27.4 inr(pt)-1.1 04:27pm blood pt-12.4 ptt-26.0 inr(pt)-1.0 04:27pm blood plt ct-142* 04:27pm blood pt-12.4 ptt-26.0 inr(pt)-1.0 04:27pm blood plt ct-142* 02:06am blood plt ct-127* 02:01am blood plt ct-106* 05:05pm blood plt ct-120* 02:11am blood pt-14.5* ptt-31.6 inr(pt)-1.3* 02:11am blood plt ct-119* 03:05am blood plt ct-146* 04:40am blood plt ct-222# 04:46am blood plt ct-199 11:00pm blood hypochr-1+ anisocy-1+ poiklo-normal macrocy-1+ microcy-normal polychr-normal 11:00pm blood neuts-93* bands-0 lymphs-3* monos-4 eos-0 baso-0 atyps-0 metas-0 myelos-0 11:00pm blood wbc-21.5* rbc-4.07* hgb-12.9* hct-39.2* mcv-96 mch-31.6 mchc-32.9 rdw-16.1* plt ct-178 01:17am blood hgb-12.2* hct-38.0* 04:50am blood wbc-13.1* rbc-2.96*# hgb-9.0*# hct-32.5* mcv-110*# mch-30.5 mchc-27.8*# rdw-16.2* plt ct-126* 06:08am blood wbc-16.7* rbc-3.72*# hgb-12.0*# hct-35.4* mcv-95# mch-32.1* mchc-33.7# rdw-16.4* plt ct-128* 04:50pm blood wbc-16.4* rbc-3.03* hgb-9.5* hct-28.6* mcv-94 mch-31.4 mchc-33.4 rdw-16.3* plt ct-120* 02:45am blood wbc-17.2* rbc-2.87* hgb-9.1* hct-27.4* mcv-95 mch-31.6 mchc-33.2 rdw-16.5* plt ct-127* 01:12am blood wbc-17.3* rbc-2.54* hgb-8.1* hct-24.3* mcv-96 mch-32.0 mchc-33.4 rdw-16.7* plt ct-109* 04:27pm blood wbc-17.9* rbc-3.48*# hgb-10.3*# hct-32.1*# mcv-92 mch-29.5 mchc-32.0 rdw-17.9* plt ct-142* 02:06am blood wbc-14.4* rbc-3.17* hgb-10.0* hct-28.6* mcv-90 mch-31.4 mchc-34.8 rdw-18.3* plt ct-127* 02:01am blood wbc-8.8 rbc-2.55* hgb-7.9* hct-23.2* mcv-91 mch-31.2 mchc-34.2 rdw-17.7* plt ct-106* 05:05pm blood wbc-13.1* rbc-3.33*# hgb-10.4*# hct-30.2*# mcv-91 mch-31.4 mchc-34.6 rdw-17.2* plt ct-120* 02:11am blood wbc-10.7 rbc-3.01* hgb-9.7* hct-27.5* mcv-91 mch-32.3* mchc-35.3* rdw-17.1* plt ct-119* 03:05am blood wbc-10.8 rbc-3.05* hgb-9.6* hct-28.3* mcv-93 mch-31.6 mchc-34.1 rdw-16.9* plt ct-146* 04:40am blood wbc-10.0 rbc-3.30* hgb-10.3* hct-31.5* mcv-96 mch-31.1 mchc-32.6 rdw-16.4* plt ct-222# 04:46am blood wbc-8.9 rbc-3.23* hgb-10.2* hct-30.5* mcv-94 mch-31.5 mchc-33.4 rdw-16.9* plt ct-199 brief hospital course: mr. was admitted to the general trauma surgery service on after being hit by a car. in the ed he was hypotensive and intubated for hypoxia then transferred to icu. the icu team monitored him and replete his blood, fluid, electrolytes and placed on pressors for hypotension. on he underwent open reduction internal fixation of bilateral tibial plateaus without complication. post operatively he was transferred back to the icu. he was transfused for post operative blood loss anemia and placed on sliding scales for his electrolytes. on post operatively he went into afib w/ rvr treated with lopressor and digoxin. then dilt drip started for afib w/ rvr due to refractory to lopressor and digoxin. on he was extubated, c-spine cleared, diet advanced to regular, weaned off dilt drip, started metoprolol 12.5mg. on that evening he started sundowning. on he was transfused 2u prbc with lasix in between for post operative blood loss anemia. he became confused thus haldol given. on he aspirated and became agitated and delirious. the chest xray did not show any interval change. on speech and swallow test performed. on he was transferred out of the icu to the orthopedic service. he remained confused therefore the service was consulted for post op delirium. they recccomended for agigition use medications on admission: home medications: coumadin,digoxin 250mcg daily, diovan 160mg daily, lasix 20mg daily, lipitor 20mg daily, toprol xl 200mg discharge medications: 1. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 2. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) neb inhalation q6h (every 6 hours) as needed for sob, wheeze. 3. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 4. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). 5. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 6. oxycodone 5 mg tablet sig: 0.5-1 tablet po q4h (every 4 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* 7. enoxaparin 40 mg/0.4 ml syringe sig: one (1) syringe subcutaneous daily (daily) for 4 weeks. disp:*28 * refills:*0* 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 9. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 10. quetiapine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for agitation. 11. quetiapine 25 mg tablet sig: one (1) tablet po daily (daily). 12. lasix 20 mg tablet sig: one (1) tablet po twice a day. 13. quetiapine 25 mg tablet sig: one (1) tablet po daily (daily). 14. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). discharge disposition: extended care facility: senior living discharge diagnosis: 1. bilateral tibial plateau fractures. 2. hypercarbia. 3. post operative delirium. 4. post operative blood loss anemia. 5. fluid volume deficit 6. hypotension 7. hypoxia 8. atrail fib with rapid ventricular rate. 9. aspiration 10. hypoglycemia 11. leukocytosis 12. hypocalcemia. 13. hypomagnesemia. 14. hypophosphatemia. discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: wound care: -keep incisions dry. -do not soak the incisions in a bath or pool. activity: -continue to be non weight bearing on both legs. -keep the braces dry, they may come off while in bed, but need to be on when up and transferring other instructions - resume your regular diet. - avoid nicotine products to optimize healing. - resume your home medications. take all medications as instructed. - continue taking the lovenox to prevent blood clots. -you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in narcotic (oxycontin, oxycodone, percocet) prescriptions to the pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - narcotic pain medication may cause drowsiness. do not drink alcohol while taking narcotic medications. do not operate any motor vehicle or machinery while taking narcotic pain medications. taking more than recommended may cause serious breathing problems. if you have questions, concerns or experience any of the below danger signs then please call your doctor at or go to your local emergency room. if urethral bleeding worsens or it becomes difficult/painful to urinate please come to the ed physical therapy: activity: out of bed right lower extremity: non weight bearing left lower extremity: non weight bearing braces bilaterally unlocked, rom knees as tolerated treatments frequency: remove staples 14 days from date of surgery followup instructions: 2 weeks in the clinic with , np. please call to make this appointment. ... follow up with urology in 2 weeks. please call ( to set up an appointment. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours open reduction of fracture with internal fixation, tibia and fibula open reduction of fracture with internal fixation, femur diagnoses: acidosis coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified gout, unspecified atrial fibrillation motor vehicle traffic accident involving collision with pedestrian injuring pedestrian hypotension, unspecified retention of urine, unspecified delirium due to conditions classified elsewhere closed fracture of condyle, femoral closed fracture of upper end of tibia alone unspecified sinusitis (chronic) physical restraints status contusion of buttock 

Answer: The patient is high likely exposed to