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: carotid aretery stenosis major surgical or invasive procedure: : right carotid endarterectomy with take back for irrigation and washout of right cervical hematoma. history of present illness: the patient is a 73-year-old female without complaint of significant neurosensory deficit with an incidental finding of approximate 80%-99% stenosis by ultrasound of the internal right carotid artery. she was therefore consented for right carotid endarterectomy. past medical history: oa s/p b/l knee replacements breast cancer cad s/p mi hld htn gerd social history: patient lives in an . she has 5 children. smokes 1 cigarette per day and does not drink alcohol. family history: not significant to this hospitalization physical exam: on physical examination, ms. is a pleasant female accompanied by her daughter. speech is fluent and she is alert and oriented. blood pressure is 135/58. heart rate is 72. respiratory rate is 17. neurological exam is significant for fluent speech. her upper and lower extremity strength is symmetric and normal. there is no pronator drift. sensation and movement is symmetrical. lungs are clear to auscultation. heart has regular rhythm. abdomen is soft and nontender with some obesity that precludes deep palpation. femoral, popliteal, and posterotibial pulses are palpable in both lower extremities. the feet are well perfused without any signs of impending tissue loss. there is no pain or radicular symptoms with straight leg raising. pertinent results: 04:15am blood wbc-10.4 rbc-4.18*# hgb-10.4*# hct-32.0*# mcv-77* mch-24.8* mchc-32.5 rdw-18.8* plt ct-159 03:57am blood pt-10.7 ptt-27.5 inr(pt)-1.0 04:15am blood glucose-112* urean-17 creat-1.2* na-143 k-4.1 cl-108 hco3-28 angap-11 brief hospital course: mrs. , was admitted on with carotid artery stenosis. she agreed to have an elective surgery. pre-operatively, she/he was consented. a cxr, ekg, ua, cbc, electrolytes, t/s - were obtained, all other preparations were made. it was decided that she would undergo a r cea she was prepped, and brought down to the operating room for surgery. intra-operatively, she was closely monitored and remained hemodynamically stable. she tolerated the procedure well without any difficulty or complication. post-operatively, she was extubated and transferred to the pacu for further stabilization and monitoring. she was then transferred to the vicu for further recovery. while in the vicu she received monitored care. pt was complaining of ha, she did receive iv lopressor fot tachycardia and hypertension. 20 minutes later she dropped her pressure and hr. 8/40 and 30 respectively. she received atropine. both bp and hr normalized. her pressures again became high. she was put on a nitro drip. her ha became worse. at the same time she started developing a hematoma. her dextran was stopped. the hematoma became worse, it was decided to take her back to the or for evacuation. to note she did have a drain. it was draining adequately. to note she was r/o for mi secondary to low bp and bradycardia. se was then consented and brought back to the or. she was prepped, and brought down to the operating room for surgery. intra-operatively, she was closely monitored and remained hemodynamically stable. she tolerated the procedure well without any difficulty or complication. post-operatively, she was extubated and transferred to the cvicu for further care and monitoring. post operatively her hct drifted to 25. she received 2 units of prbc. her hct bumped appropriately. her aline and foley were removed. she was clipped and stripped. her diet was advanced. a pt consult was obtained. when she was stabilized from the acute setting of post operative care, she was transferred to floor status. on the floor, she remained hemodynamically stable with his pain controlled. she progressed with physical therapy to improve her strength and mobility. she continues to make steady progress without any incidents. she was discharged to a rehabilitation facility in stable condition. medications on admission: atorvastatin 40', clopidogrel 75', lisinopril 20', loperamide 2"", metoprolol succ 25', omeprazole 40', aspirin 81' discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. rifaximin 550 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 5. fluoxetine 10 mg capsule sig: one (1) capsule po daily (daily). 6. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 8. loperamide 2 mg capsule sig: one (1) capsule po four times a day. 9. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours for 7 days: prn for pain. disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: right internal carotid artery stenosis complicated by right cervical hematoma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of and endovascular surgery carotid endarterectomy surgery discharge instructions what to expect when you go home: 1. surgical incision: ?????? it is normal to have some swelling and feel a firm ridge along the incision ?????? your incision may be slightly red and raised, it may feel irritated from the staples 2. you may have a sore throat and/or mild hoarseness ?????? try warm tea, throat lozenges or cool/cold beverages 3. you may have a mild headache, especially on the side of your surgery ?????? try ibuprofen, acetaminophen, or your discharge pain medication ?????? if headache worsens, is associated with visual changes or lasts longer than 2 hours- call surgeon??????s office 4. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 5. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? no excessive head turning, lifting, pushing or pulling (greater than 5 lbs) until your post op visit ?????? you may shower (no direct spray on incision, let the soapy water run over incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? changes in vision (loss of vision, blurring, double vision, half vision) ?????? slurring of speech or difficulty finding correct words to use ?????? severe headache or worsening headache not controlled by pain medication ?????? a sudden change in the ability to move or use your arm or leg or the ability to feel your arm or leg ?????? trouble swallowing, breathing, or talking ?????? temperature greater than 101.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: (nhb) phone: date/time: 11:30 provider: , md phone: date/time: 12:00 procedure: other incision with drainage of skin and subcutaneous tissue endarterectomy, other vessels of head and neck procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension hematoma complicating a procedure mitral valve insufficiency and aortic valve insufficiency percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to