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: struck by car. major surgical or invasive procedure: : s/p open reduction internal fixation of right humerus. history of present illness: mr. is a 33 year-old male with pmh of dm, cri, and anemia who was admitted on after being struck by a car. he was found to have a proximal humerus fracture which was repaired in the or on . past medical history: 1. diabetes type i complicated by neuropathy, diabetic foot ulcers, gastroparesis 2. chronic renal insufficiency (he states his baseline renal function is 40%). he is followed by a nephrologist as an outpatient. 3. hypertension 4. hypercholesterolemia 6. anemia 7. recurrent stabbing abdominal pain - the patient states he has had fatigue and this abdominal pain for a year and underwent a workup for lymphoma as an outpatient. had pet and bone marrow biospy which were negative for lymphoma. 8. legally blind in his left eye 9. splenomegaly social history: he lives with his parents and siblings. he is on disability. he had worked previously as an accouantant. he denies tobacco, drug, or alcohol use. family history: he has multiple family members with type ii diabetes. his mother has a history of cad. physical exam: vs 98.2, 162/88, 84, 12, 96ra, fsbg 120-39 gen: young male lying in bed in nad. alert and appropriate. heent: ncat. sclera anicteric. perrl. op clear, no exudates or ulceration. neck: supple, no cervical or supraclavicular lad. cv: rrr, normal s1, s2. no mrg. chest: the patient is breathing comfortably. ctab. abd: +bs, soft. tenderness to palpation in the upper abdomen > lower abdomen. no rebound or guarding. spleen is palpable. ext: no c/c/edema. pneumatic boots in place. +well healed foot ulcers skin: scattered abrasions on his extremities. no jaundice or petechiae present. pertinent results: 06:19pm glucose-193* lactate-1.6 na+-140 k+-5.3 cl--106 tco2-25 06:10pm urea n-38* creat-2.3* 06:10pm lipase-39 06:10pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:10pm wbc-5.0 rbc-4.51* hgb-12.3* hct-35.6* mcv-79* mch-27.4 mchc-34.6 rdw-13.4 06:10pm plt count-197 06:10pm pt-11.9 ptt-28.2 inr(pt)-1.0 06:10pm fibrinoge-529* ct chest w/o contrast study date of 6:16 pm 1. fracture of humeral neck on the right and otherwise no evidence of traumatic sequelae in the torso. 2. small pulmonary nodules as above. no specific followup is indicated given size of nodules and patient demographics. 3. cholelithiasis brief hospital course: the patient was admitted to the orthopaedic service on and went to the or for orif of his right proximal humerus with dr. on the following day. the patient tolerated the surgery well, and he was transferred to the pacu and then to the floor in stable condition. his hospital course was complicated by a respiratory code on the floor attributed to respiratory suppression from narcotics. he was transferred to the ticu after the code and remained hemodynamically stable afterwards. post-operatively, he was persistently anemic despite transfusion of 5 units of prbcs (, x 2, , ). on admission his hematocrit was 35.6, but after resuscitation/surgery it dropped to the mid to low 20s. his mcv on admission was low at 80. hemolysis labs were checked and were normal. iron studies were suggestive of possible iron deficiency (iron was 17 with tibc of 160 and ferritin of 449). he underwent extensive imaging on which did not reveal any intrabdominal or thoracic bleeding. a repeat ct torso on again showed no evidence of bleeding. he also had a repeat abdominal ultrasound on without evidence of intrabdominal bleeding. the iron deficiency and nausea may be indicative of underlying celiac disease, which could be considered as outpatient work-up if these symptoms persist. as above, he received five transfusions in total. his hematocrit remained stable at 30-31 for two days without transfusion. he was seen by the hematology team who felt that the anemia was due to chronic inflammation and chronic kidney disease exacerbated by traumatic and peri-operative blood loss. they recommended for close follow-up as outpatient with a hematologist. with regards to his other medical problems, his hypertension was treated with home metoprolol; amlodipine was added for better blood pressure control. pain was controlled with morphine ir and darvocet. zofran was used to control nausea. for his type i diabetes, insulin regimen was adjusted per recommendations from the diabetes team to 12u glargine in the morning with lispro for prandial blood sugar control (a sliding scale was provided). for hypercholesterolemia, simvastatin was continued. medications on admission: insulin darvacet metoprolol 50 mg po daily simvastatin 20 mg po qhs gabapentin 100 mg tid discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*2* 2. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 3. gabapentin 100 mg capsule sig: one (1) capsule po tid (3 times a day). 4. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. morphine 15 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 8. senna 8.6 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 10. insulin glargine 100 unit/ml solution sig: twelve (12) u subcutaneous qam. 11. insulin lispro 100 unit/ml solution sig: pls take per sliding scale subcutaneous qachs. 12. ondansetron 4 mg tablet, rapid dissolve sig: one (1) tablet, rapid dissolve po every eight (8) hours as needed for nausea. disp:*30 tablet, rapid dissolve(s)* refills:*1* discharge disposition: home discharge diagnosis: primary: right humerus fracture anemia of chronic disease secondary: t1 diabetes htn ckd discharge condition: afebrile, stable vitals, tolerating pos, mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were admitted due to a humerus bone fracture caused by a traumatic accident where a car struck you. you were treated operatively by the orthopedics team. you were then transferred to the medicine service for an anemia workup. you were not found to be bleeding despite multiple scans and blood work analysis, and upon consulting hematology. the cause of your chronic anemia is still unclear but is likely due to many causes such as your kidney disease and enlarged spleen for which you have undergone a negative workup in the past. please follow up with your pcp as you may have suggestions of celiac disease based on your old endoscopy and your current symptoms of anemia and nausea. your pain was controlled with morphine ir and darvocet which you can continue to take as an outpatient. you may also take oral zofran for your chronic nausea. we also started 5mg daily of amlodipine for blood pressure control. there were some changes made to your sliding scale and you are to take 12u insulin glargine in the morning. there were no other changes to your medications. -keep incision dry. do not soak in tub or pool. -keep splint and sling dry. keep splint on at all times. -continue to be non weight bearing on your right arm. -elevate right arm to reduce swelling and pain. -resume your regular diet. -take all medications as directed. -avoid nicotine products to promote healing. nicotine directly inhibits bone healing. -avoid non-steroidal anti-inflammatory medications such as ibuprofen. -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. -percocet contains acetaminophen. taking more acetaminophen than recommended may cause serious liver problems. not take acetaminophen containing products with this prescription. if you have any questions or concerns please call your doctor at if you experience any of the below listed danger signs then go to your local emergency room or call your doctor at . followup instructions: please followup with the following appointments: please call to schedule an appointment with your endocrinologist please call to schedule an appointment with your nephrologist. appointment #1 md: dr. specialty: pcp / time: thursday, @11am location: , please schedule an appointment with a gi doctor as you may have celiac disease and should be further worked up. appointment #2 md: , np specialty: orthopedics date/ time: tuesday, @10am location: , clinical center, phone number: special instructions for patient: works closely with dr. . the hematology center at will followup with you to have an appointment in , they will call you otherwise you can get in touch at ( md, procedure: open reduction of fracture with internal fixation, humerus diagnoses: hyperpotassemia other iatrogenic hypotension thrombocytopenia, unspecified anemia in chronic kidney disease acute posthemorrhagic anemia acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified polyneuropathy in diabetes other opiates and related narcotics causing adverse effects in therapeutic use motor vehicle traffic accident involving collision with pedestrian injuring pedestrian chronic kidney disease, unspecified long-term (current) use of insulin abrasion or friction burn of elbow, forearm, and wrist, without mention of infection abrasion or friction burn of face, neck, and scalp except eye, without mention of infection diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled splenomegaly diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis closed fracture of surgical neck of humerus other conditions of brain abrasion or friction burn of hip, thigh, leg, and ankle, without mention of infection abrasion or friction burn of other, multiple, and unspecified sites, without mention of infection 

Answer: The patient is high likely exposed to