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: bilateral heel ulcers, with absent pulses major surgical or invasive procedure: history of present illness: 86 y.o male patient who was seen today by his pcp . who referred the patient to . he was initially seen at the urgent care in on with this complaints, the blisters were debrided then seen daily for dressing changes. more debriding was done on . he was also seen by a podiatrist who did not think it was infected. his medical history is significant for dm. no history of injury, or pressure, unclear of blister etiology. past medical history: diabetes type ii coronary artery disease htn hyperlipidemia pvd gerd sensorineural hearing loss social history: retired machinist for reytheon, lives with son, independent for but slow. family history: n/c physical exam: gen: aaox3, nad hent: hard of hearing - better on the l, neck is supple cards: rrr lungs: cta, b/l abd: soft, nt, nd ext: warm and well perfused bilaterally. right - lateral maleolus has a small dark area, intact skin and lateral foot has 3 ulcerated areas one smaller than the other, they are dry, no exudate, no erythema. left- had a larger ulcer on the lateral heel, no drainage, no exudate, no erythema. pulses: fem dp pt palp dop tri tri - left palp dop tri tri tri pertinent results: 05:53pm blood wbc-6.8 rbc-3.41* hgb-10.5* hct-31.5* mcv-92 mch-30.8 mchc-33.3 rdw-12.9 plt ct-284 05:53pm blood plt ct-284 05:40am blood glucose-72 urean-35* creat-2.4* na-136 k-4.5 cl-101 hco3-26 angap-14 03:54am blood hct-32.0* 03:10am blood wbc-7.9 rbc-2.87* hgb-8.8* hct-25.7* mcv-90 mch-30.6 mchc-34.2 rdw-14.1 plt ct-177 03:00am blood wbc-10.0 rbc-3.11* hgb-9.7* hct-27.6* mcv-89 mch-31.1 mchc-35.0 rdw-14.3 plt ct-171 01:38pm blood hct-32.0* 03:50am blood wbc-8.6 rbc-3.54* hgb-10.8* hct-31.4* mcv-89 mch-30.4 mchc-34.3 rdw-14.4 plt ct-183 08:56pm blood hct-28.1* plt ct-197 04:20pm blood hct-26.7* plt ct-253 05:50am blood wbc-7.0 rbc-3.03* hgb-9.5* hct-27.8* mcv-92 mch-31.5 mchc-34.3 rdw-12.9 plt ct-277 05:45am blood hct-30.4* 05:53pm blood wbc-6.8 rbc-3.41* hgb-10.5* hct-31.5* mcv-92 mch-30.8 mchc-33.3 rdw-12.9 plt ct-284 03:10am blood plt ct-177 03:00am blood plt ct-171 03:50am blood plt ct-183 08:56pm blood plt ct-197 08:56pm blood pt-14.0* ptt-33.3 inr(pt)-1.2* 04:20pm blood plt ct-253 04:20pm blood pt-14.0* ptt-150* inr(pt)-1.2* 05:50am blood plt ct-277 05:53pm blood plt ct-284 05:53pm blood pt-12.5 ptt-27.2 inr(pt)-1.1 08:56pm blood fibrino-277 03:54am blood creat-2.5* k-4.5 03:10am blood glucose-88 urean-53* creat-2.5* na-135 k-4.5 cl-107 hco3-21* angap-12 03:00am blood glucose-117* urean-48* creat-2.5* na-131* k-4.7 cl-104 hco3-21* angap-11 01:38pm blood creat-2.5* k-5.1 03:50am blood glucose-110* urean-39* creat-2.5* na-134 k-5.0 cl-106 hco3-21* angap-12 08:56pm blood glucose-140* urean-37* creat-2.4* na-131* k-4.8 cl-105 hco3-20* angap-11 08:56pm blood glucose-140* urean-37* creat-2.4* na-131* k-4.8 cl-105 hco3-20* angap-11 04:20pm blood glucose-131* urean-38* creat-2.7* na-133 k-4.8 cl-105 hco3-22 angap-11 05:50am blood glucose-84 urean-43* creat-3.0* na-133 k-4.5 cl-99 hco3-25 angap-14 05:45am blood urean-33* creat-2.2* k-4.7 06:31pm blood urean-31* creat-2.4* 05:40am blood glucose-72 urean-35* creat-2.4* na-136 k-4.5 cl-101 hco3-26 angap-14 05:55am blood urean-31* creat-2.5* 05:53pm blood glucose-52* urean-33* creat-2.6* na-139 k-4.8 cl-104 hco3-25 angap-15 03:00am blood estgfr-using this 05:53pm blood estgfr-using this 03:50am blood alt-24 ast-29 ck(cpk)-160 alkphos-73 amylase-105* totbili-0.9 08:56pm blood alt-25 ast-27 alkphos-64 04:20pm blood alt-31 ast-30 alkphos-82 03:50am blood lipase-46 03:50am blood ck-mb-5 ctropnt-0.02* 08:56pm blood ck-mb-5 ctropnt-0.02* 04:20pm blood ck-mb-4 ctropnt-0.02* 03:10am blood calcium-8.3* phos-3.8 mg-2.6 03:00am blood calcium-8.1* phos-3.7 mg-2.5 03:50am blood calcium-8.4 phos-3.5 mg-2.6 08:56pm blood calcium-7.3* phos-3.5 mg-1.9 04:20pm blood calcium-8.2* phos-3.5 mg-2.4 05:50am blood calcium-8.8 phos-3.2 mg-2.5 05:40am blood calcium-9.4 phos-3.1 mg-2.6 05:53pm blood calcium-9.8 phos-3.3 mg-2.6 03:17am blood type-art po2-122* pco2-35 ph-7.37 caltco2-21 base xs--3 01:53am blood type-art po2-156* pco2-37 ph-7.35 caltco2-21 base xs--4 10:44pm blood type-art po2-210* pco2-33* ph-7.40 caltco2-21 base xs--2 06:46pm blood type-art o2 flow-100 po2-321* pco2-36 ph-7.35 caltco2-21 base xs--4 intubat-intubated 03:49pm blood type-art po2-319* pco2-40 ph-7.36 caltco2-24 base xs--2 -assist/con intubat-intubated 02:06pm blood type-art po2-232* pco2-37 ph-7.40 caltco2-24 base xs-0 -assist/con intubat-intubated 03:17am blood glucose-103 lactate-0.8 k-4.5 10:44pm blood glucose-129* lactate-1.0 03:49pm blood glucose-121* lactate-0.6 na-131* k-4.6 cl-102 02:06pm blood glucose-151* lactate-0.6 na-130* k-4.7 cl-100 06:46pm blood hgb-7.9* calchct-24 03:49pm blood hgb-10.0* calchct-30 02:06pm blood hgb-9.9* calchct-30 03:17am blood freeca-1.17 10:44pm blood freeca-1.07* 06:46pm blood freeca-1.08* 03:49pm blood freeca-1.12 02:06pm blood freeca-1.15 brief hospital course: patient was admitted to vascular surgery/dr. service for bilateral heel ulcers. routine nursing care, wound care, home meds and multipodus boots to both feet. started on bactrim emperically. social work consult was placed for support evaluation. hd2-3: no acute events. continued on bactrim, and wound care. patient had some episodes fo hypoglycemia. nph doses adjusted. hd4: no acute events. nias of lower extremities demostrated bilateral sfa disease. patient booked for angiogram of lower extremities tomorrow. pre-oped and consented for angiogram, made npo after midnight. given mucomyst orally and iv hydrated with sodium bicarb as preparation for iv dye use during angiograms. hd5: no acute events. taken to the angio suite and underwent bilateral lower extremity angiograms. patient tolerated procedure well, established to need bilateral fem-dp bypass in the future, booked for bilateral fem to pt bypass on . patient was perclosed, recovered in the pacu then transferred back to 5, was on bedrest for the amount of time prescribed. resumed diet and po meds. hd6/pad1: no acute events, groin access site benign. patient had vein mapping. pre-op and consented for b/l fem-pt bypass, made npo post mn, iv hydrated. hd7/pad2: taken to the or and underwent left femoral artery to posterior tibial artery bypass with vein . in pacu, began bleeding from proximal anastomosis - taken back for repair. overnight in vicu with no issues : patient had no events overnight and uneventful recovery after surgery. no furher bleeding at the groin/proximal anastomosis. patient followed the post-bypass protocol and was up out of bed with chair with physical therapy. foley was discontinued on . patient voided without problems. incision healing well - remained clean/dry/intact. medications on admission: accupril 10 mg 1 po bid avodart 0.5 mg 1 po qd aspirin ec 325 mg po qd foltx (folic acid/pyridoxine/cyanocobalamin 1 tab po bid humulin n 40 units q am, and 10-30 units qpm hydrochlorothiazide 25 mg po qd isosorbide dinitrate 20 mg 1 po bid nasonex 50 mcg 2 sprays nasally qd pletal 100 mg po qd toprol xl 25 mg po qd vicodin 5/500 1 tab po q6h vytorin/ezetimibe 10/40 1 tab po qd discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day). 3. insulin nph human recomb 100 unit/ml suspension sig: 40 units nph qam, 10 units nph qpm subcutaneous twice a day: continue home management of blood glucose monitoring including nph and regular insulin sliding scale with humalog. 4. humalog sliding scale insulin sc fixed dose orders breakfast bedtime nph 40 units nph 10 units insulin sc sliding scale breakfast lunch dinner bedtime humalog humalog humalog humalog glucose insulin dose insulin dose insulin dose insulin dose 0-50 mg/dl 4 oz. juice 4 oz. juice 4 oz. juice 4 oz. juice 51-150 mg/dl 0 units 0 units 0 units 0 units 151-200 mg/dl 2 units 2 units 2 units 1 units 201-250 mg/dl 4 units 4 units 4 units 3 units 251-300 mg/dl 6 units 6 units 6 units 5 units 301-350 mg/dl 8 units 8 units 8 units 7 units instructons for npo patients: half scale when npo 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. pyridoxine 50 mg tablet sig: one (1) tablet po daily (daily). 7. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). 8. isosorbide dinitrate 10 mg tablet sig: one (1) tablet po tid (3 times a day). 9. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 10. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 11. cilostazol 100 mg tablet sig: one (1) tablet po qd (). 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 14. metoprolol succinate 25 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po daily (daily). 15. acetaminophen 500 mg tablet sig: two (2) tablet po q8h (every 8 hours) as needed for pain. 16. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed for pain. 17. ondansetron 4 mg iv q8h:prn nausea discharge disposition: extended care facility: nursing home - discharge diagnosis: known history of pvd w/ bilateral heel ulcers renal insufficiency-admission creatinine 2.6 history of: dm2 cad htn hyperlipidemia pvd gerd periph neuropathy discharge condition: good discharge instructions: division of vascular and endovascular surgery lower extremity bypass discharge instructions activities: - ambulate only essential distances until fu with dr. - ace wrap leg from foot-knee when ambulating, to prevent swelling - your operated leg is expected to have some swelling and will resolve over time - elevate leg when sitting - do not let leg hang - no driving till fu - may shower, pat dry your incisions, no tub baths wound: - keep wound dry and clean, call if noted to have redness, draining, swelling, or if temp is greater than 101.5 - your staples will be removed on your fu with dr. diet: - diet as tolerated eat a well balanced meal - your appetite will take time to normalize - prevent constipation by drinking adequate fluid and eat foods in fiber, take stool softener while on pain medications medications: - continue all medications as directed - take your pain medications conservatively - your pain will get better over time fu appointments: - keep all fu appointments - call dr. office for fu appointment. phone followup instructions: please follow-up in 2 weeks with dr. . call to schedule an appointment. also, call to schedule surgery on the right side at this time as well. thank you. procedure: arteriography of femoral and other lower extremity arteries other (peripheral) vascular shunt or bypass aortography other incision with drainage of skin and subcutaneous tissue control of hemorrhage following vascular surgery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia hematoma complicating a procedure diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes ulcer of other part of foot hemorrhage complicating a procedure atherosclerosis of native arteries of the extremities with gangrene 

Answer: The patient is high likely exposed to