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: shellfish / latex attending: chief complaint: mechanical fall/r hip fracture major surgical or invasive procedure: fixation with short trochanteric fixation nail (tfn) and cephalomedullary nail, 11 x 170 x 130. history of present illness: 82 year old with copd, non-small cell lung cancer s/p rul lobectomy, mi s/p stent placement, likely diastolic chf and prostate cancer admitted on for right femoral neck fracture after a mechanical fall. patient originally presented to osh and was subsequently transferred here for further evaluation and treatment of hip fracture. of note patient has severe copd at baseline that has worsened during this time, also. he generally walks without assistance, hunched over and is unable to climb more than one flight of stairs without significant sob, able to walk across a room but slowly. patient and family states his limitation with exertion is all pulmonary (dyspnea, weakness) and he has not had any chest pain, sore throat, presyncope, syncope with any exertion. in the ed initial vst 97.8, hr78, bp 152/77, rr12, o2sat96% on ra. pelvis and femur imaging confirmed right femur fracture. orthopedics surgery evaluated the patient in the ed and recommended admission to medicine for comorbidity management, pre-operative risk stratification. past medical history: * severe copd (fev1 26% predicted in ) * right upper lobe adenocarcinoma s/p lobectomy, * coronary artery disease s/p mi with ptca coronary stent in the '90s * diastolic chf (ef 65% in ) * hypertension * hyperlipidemia * prostate cancer * gout * osteoarthritis * bowel perferation from colonoscopy and pooly healing percutaneous fistula/ventral hernia - course also complicated by difficult extubation, (dr. , /) * aaa repair (dr. , ) * bilateral inguinal hernia repair x2 * tonsillectomy * hypothyroidism social history: *retired and married - lives with wife denies tobacco/alcohol/illicit drugs but previous 50 pack year *history for smoking, quit in . *daughter and son-in-law involved in his care. family history: , father also had lung cancer physical exam: admission exam: vs - temp 97.9f, bp 190/86, hr 88, r 88, o2-sat 92% ra general - elderly man in nad, comfortable, appropriate, falls asleep easily during conversation heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear neck - supple, no thyromegaly, no jvd, no carotid bruits lungs - cta bilat, no r/rh/wh, decreased breath sounds, increased ap diameter, slow expiratory phase, resp unlabored, no accessory muscle use heart - pmi non-displaced, irregularly irregular, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps); significant tenderness to palpation of latero-posterior right leg and with manipulation of it; shortened and externally rotated skin - no rashes or lesions neuro - awake, a&ox3, cns ii-xii grossly intact, strength and sensation grossly intact pertinent results: 08:55am blood hct-24.2* 02:37am blood wbc-8.7 rbc-1.74* hgb-6.2* hct-19.5* mcv-112* mch-35.7* mchc-31.7 rdw-18.5* plt ct-113* 11:13pm blood hct-21.7* 02:27pm blood wbc-17.1* rbc-2.11* hgb-7.4* hct-23.5* mcv-112* mch-35.0* mchc-31.4 rdw-18.2* plt ct-146* 10:48am blood hct-23.6* 08:45am blood hct-unable to 07:35am blood wbc-19.4* rbc-2.00* hgb-7.1* hct-22.7* mcv-113* mch-35.2* mchc-31.1 rdw-18.3* plt ct-126* 07:05pm blood wbc-19.7* rbc-2.25* hgb-7.8* hct-25.2* mcv-112* mch-34.9* mchc-31.2 rdw-18.3* plt ct-118* 06:00am blood wbc-15.4* rbc-2.24* hgb-7.8* hct-25.0* mcv-112* mch-34.6* mchc-31.1 rdw-18.1* plt ct-120* 07:30am blood wbc-12.9* rbc-2.29* hgb-8.1* hct-25.5* mcv-112* mch-35.4* mchc-31.8 rdw-18.0* plt ct-146* 07:45pm blood wbc-14.1* rbc-2.47*# hgb-8.7* hct-27.1* mcv-110*# mch-35.3* mchc-32.1 rdw-17.7* plt ct-161 02:27pm blood neuts-76.5* lymphs-7.3* monos-15.4* eos-0.4 baso-0.4 07:45pm blood neuts-81.8* lymphs-7.2* monos-10.7 eos-0.2 baso-0.2 02:37am blood pt-11.1 ptt-26.4 inr(pt)-1.0 02:27pm blood pt-10.6 ptt-25.8 inr(pt)-1.0 06:00am blood pt-10.9 ptt-29.1 inr(pt)-1.0 07:45pm blood pt-11.0 ptt-27.1 inr(pt)-1.0 02:37am blood glucose-146* urean-26* creat-1.6* na-137 k-3.8 cl-101 hco3-28 angap-12 02:27pm blood glucose-145* urean-24* creat-1.8* na-140 k-4.0 cl-102 hco3-29 angap-13 07:35am blood glucose-168* urean-23* creat-1.7* na-139 k-3.9 cl-102 hco3-29 angap-12 06:00am blood glucose-117* urean-22* creat-1.6* na-140 k-3.3 cl-102 hco3-31 angap-10 07:30am blood glucose-132* urean-25* creat-1.7* na-140 k-4.7 cl-103 hco3-30 angap-12 07:45pm blood glucose-173* urean-24* creat-1.6* na-137 k-3.2* cl-101 hco3-31 angap-8 02:27pm blood alt-17 ast-42* ld(ldh)-272* alkphos-99 totbili-0.4 06:00am blood alt-41* ast-48* alkphos-104 totbili-0.5 06:00am blood alt-41* ast-48* alkphos-104 totbili-0.5 02:37am blood calcium-8.2* phos-3.3 mg-2.1 02:27pm blood calcium-8.4 phos-3.6 mg-2.2 07:35am blood calcium-8.2* phos-3.2 mg-2.0 06:00am blood calcium-8.2* phos-3.6 mg-1.6 07:30am blood calcium-8.0* phos-3.6 mg-1.7 07:45pm blood albumin-3.4* 07:45pm blood vitb12-941* 02:27pm blood tsh-3.5 07:45pm blood tsh-6.3* 05:49pm blood type-art po2-120* pco2-57* ph-7.37 caltco2-34* base xs-6 intubat-not intuba 11:41am blood type-art po2-105 pco2-67* ph-7.27* caltco2-32* base xs-1 intubat-not intuba 11:41am blood glucose-156* lactate-1.2 na-136 k-3.9 cl-100 11:41am blood freeca-1.16 brief hospital course: 82 y.o. man with a history of copd, lung cancer s/p lobectomy, mi s/p stenting, diastolic chf who presented with r hip fracture now pod7 s/p repair who was transferred several times to the micu for sob/hypercarbic respiratory failure and eventually developed a high-grade small bowel obstruction for which he was eventually made comfort measures only and extubated. . # hypercarbic respiratory failure / copd: he was known to have an fev1 of 26% of expected in . on pod1, he developed tachypnea, o2 desaturations into the 80s which responded to mask ventilation, and an abg showing ph 7.27 and pco2 67 (baseline is in the 50s, reportedly). the original differential for his respiratory failure was broad, including pe, pna, flash pulmonary edema from diastolic heart failure, and a-fib. pe and pneumonia were ruled-out with a ct-a chest. cardiac etiology was possible given that he was intermittently going into a-fib and has a history of chf. he also did not appear volume overloaded on exam. atelectasis and lobectomy may have contributed to sob but does not explain symptoms alone. pt improved significantly on iv steroids, bipap, and nebs in the micu. he was weaned off of his bipap down to 3l nc for o2 requirement by pod2. solumedrol was transitioned to prednisone 40 mg po the day following his hypercarbic respiratory failure and he was transferred to the medical floor. he was transferred again to the micu on the night of for desaturations following working with the physical therapy team. he was stabilized in the micu without intervention and worked with pt here. he was transferred back to the floor again. he was then transferred back to the micu given worsening respiratory distress likely small bowel obstruction (see below) for which he was intubated. on , given the persistent high-grade bowel obstruction for which the patient and family did not want to pursue further treatment, he was made comfort measures only and extubated terminally on . #small bowel obstruction on the floor , he was noted to have a markedly distended bowel in the setting of not having a bowel movement for several days. an abdominal x-ray and follow-up ct scan of the abdomen noted marked dilation of the small bowel with a transition point at the rlq, c/w small bowel obstruction likely due to adhesion. a follow-up ct abdomen on found persistent diffuse small bowel dilation w/ transition point in the rlq. surgery recommended operative intervention however his family elected to make him comfort measures only after family meeting regarding goals of care, given his poor overall prognosis and high risk for surgery. he was extubated on and expired that evening. # mechanical fall/r intertrochanteric hip fracture: he was transferred from an osh overnight to for further management of his r hip fracture. ct head was performed given the concern for an intracranial process, as he hit his head during his fall, but this was unremarkable. x-rays of the pelvis and femur confirmed that his r hip was broken. he was admitted to the medicine service for management of his comorbidities while awaiting surgery. he received fixation of his r intertrochanteric hip fracture on (dr. . on pod1, his hct trended down to 19.5, likely in the setting of post-op blood loss/equilibration, which resulted in him receiving 1u of packed rbcs. orthopedics was following, and they recommended weight bearing of r lower extremity as tolerated, pt, hct tid, and lovenox for 2 weeks. pt was also following, and they recommended out of bed as appropriated for his respiratory status, moving all extremities as tolerated, and that he will need rehab. his pain was well controlled with standing tylenol, lidoderm patch, oxycodone prn, and morphine prn severe pain. . # a-fib with rvr: chad2 = 3. likely paroxysmal, occured in perioperative setting and he has no history of being diagnosed with a-fib. the decision was to hold off on anticoagulation in the post-op period to determine whether this would resolve. he was continued on his home diltiazem. due to persistent elevation in his bp, his metoprolol xl was increased to 37.5mg qd. . #history of non-small cell lung cancer: he is being followed by an oncologist for his history of lung cancer. recent pet negative for progression of disease. no action was taken during this hospitalizaton. . #r exophytic renal mass: partially visualized on chest ct. no action was taken during this admission. # diastolic heart failure: ef 65% in on echo. cxr and ct-a on did not show evidence of pulmonary edema in the setting of respiratory failure. he was continued on metroprolol succinate xl 25mg po daily. his furosemide was held during the admission due to him not appearing volume overloaded on exam and intermittent cr elevations. # ckd: baseline from pcp show bun 27 and cr 1.47. his cr was 1.53 on presentation to osh on , and it remained stable through , when it was 1.6. his medications were renally dosed. however, his cr began to increase, up to 2.1 on , in the setting of increased burden of illness in developing an sbo along with being intubated. # coronary artery disease: s/p mi with coronary artery stenting in the . his furosemide was held given that his volume exam did not reveal that he was overloaded. he was continued on his home simvastatin and metoprolol. . # leukocytosis: he had a leukocytosis since admission (ranging from 12.9-19.7), but this resolved (wbc 8.7) even in setting of new solumedrol administration by the morning of . ucx showed no growth. no other foci of infection were appreciated. this was likely due to a stress response from breaking his hip from his mechanical fall. his wbc then elevated into the 20s, most likely due to the development of his sbo. # macrocytic anemia: his baseline hematocrit was known to be in the high 20s as of . on admission, hct 27.1. his hct trended down to 19.5 on pod1, resulting in him receiving 1u packed rbcs since he reached his transfusion threshold of 21 in the post-op setting. his hct remained stable throughout the rest of his hospitalization. # prostate cancer and bph: stable. these issues were stable throughout his hospitalization. he was continued on tamsulosin, doxazosin, finasteride. # gout: he did not have any acute flares. his colchicine was held due to his renal issues, but his allopurinol was renally dosed. . # hypothyroidism: he was continued on his home levothyroxine. . #hyperlipidemia: he was continued on simvastatin 20mg daily. . # osteoarthritis: his home celebrex was held in the peri-operative setting for his hip fracture repair. medications on admission: * cefuroxime 500mg daily * simvastatin 20mg daily * tamsulosin er 0.4mg daily * cardizem 180mg twice daily * proscar 5mg daily * celebrex 200mg daily * furosemide 20mg daily * cardura 4mg daily * allopurinol 300mg daily * serevent 50mcg two puffs twice daily * atrovent hfa 17mcg 2 puffs four times daily * azmacort 2 puffs twice daily * colchicine 0.6mg daily * toprol xl 25mg daily * levothyroxine 25mcg daily * spiriva 18mcg daily discharge medications: expired discharge disposition: expired discharge diagnosis: right hip fracture discharge condition: expired discharge instructions: expired followup instructions: expired md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube non-invasive mechanical ventilation arterial catheterization insertion of other (naso-)gastric tube closed reduction of fracture with internal fixation, femur computerized axial tomography of thorax diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation personal history of malignant neoplasm of bronchus and lung obstructive chronic bronchitis with (acute) exacerbation personal history of tobacco use percutaneous transluminal coronary angioplasty status constipation, unspecified other and unspecified hyperlipidemia hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) chronic kidney disease, stage iii (moderate) osteoporosis, unspecified malignant neoplasm of prostate old myocardial infarction unspecified disorder of kidney and ureter osteoarthrosis, unspecified whether generalized or localized, site unspecified retention of urine, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits enlargement of lymph nodes fall from other slipping, tripping, or stumbling barrett's esophagus leukocytosis, unspecified chronic diastolic heart failure disorder of bone and cartilage, unspecified adult failure to thrive intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) other esophagitis nutritional marasmus closed fracture of intertrochanteric section of neck of femur other diuretics causing adverse effects in therapeutic use other pulmonary insufficiency, not elsewhere classified, following trauma and surgery 

Answer: The patient is high likely exposed to