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: heparin agents attending: chief complaint: abdomenal pain, hematuria, anemia major surgical or invasive procedure: --cystoscopy, evacuation of bladder blood clot and bilateral ureteral catheter placement. --exploratory laparotomy, evacuation of prevesicular blood clot. history of present illness: 51 y/o female w/ pmh of a-fib/flutter (dx , unsuccessful cardioversions + ) for which ultimately an ablation was performed . she was placed on lovenox and coumadin. she was admitted after 3 day c/o abdominal pain and difficulty urinating. she described the pain as sharp, continuous, diffuse, but markedly worse in lower quadrants (l>r) and right groin. no headache, lightheadedness, cp, sob, palpitations, nausea, vomiting, diarrhea, dysuria, frequency, urgency. past medical history: --a-fib/flutter (dx , attempted cardioversions + , ablation ) --htn --hypothyroid --anxiety social history: pt lives with husband. occasional etoh, no current tobacco, and never drug use. family history: no family history of bleeding disorders; mother had in later years; sister w/ h/o paf physical exam: bp:118/54, t:99.6, hr:106, rr:22, o2sat100% gen: lying in bed, nad cv: tachycardic, regular rhythm, nl s1+s2, crescendo decrescendo sem best appreciated at aortic area, no radiation into carotids pulmo: ctab abd: bs+, tender rlq/groin, distended, no guarding, no rebound ext: warm, + pitting edema b/l, dp/pt 1+ pulses, no rashes. neuro: axox3 pertinent results: 03:16am pt-17.6* ptt-28.9 inr(pt)-2.1 03:16am plt count-250 03:16am wbc-28.7* rbc-2.64* hgb-7.1* hct-22.8* mcv-87 mch-26.8* mchc-31.0 03:16am glucose-146* urea n-21* creat-1.8* sodium-139 potassium-3.4 chloride-102 total co2-20* anion gap-20 03:40am urine rbc->50 wbc- bacteria-rare yeast-none epi-0 03:40am urine blood-lg nitrite-pos protein->300 glucose-250 ketone-15 bilirubin-sm urobilngn-1 ph-8.0 leuk-mod 03:40am urine color-red appear-cloudy sp -1.025 09:00am ret aut-2.7 09:00am alt(sgpt)-49* ast(sgot)-48* ld(ldh)-382* alk phos-89 amylase-49 tot bili-3.3* dir bili-1.0* indir bil-2.3 abg: 7.39/41/144 cxr: the heart size is top normal. there is no pulmonary vascular congestion, pleural effusion, or pneumothorax. there is partial silhouetting of the left hemidiaphragm, suggesting retrocardiac atelectasis or consolidation. cystoscopy: cystoscopy showed evidence that there was a large amount of blood clot within the bladder. using a resectoscope with irrigator the clot was evacuated free of the bladder. surveillance of the bladder revealed diffusely inflamed mucosa likely secondary to mass impression from her recent pelvic hematoma. there was no evidence of mucosal bladder mass or lesion. ureteral orifices were identified and appeared normal; there was seen efflux of clear urine from each. ureteral catheters were inserted into the right and left ureteral orifices. clear urine was see draining from the distal catheter. exploratory laporoscopy: clot in preperitoneal space, but less than expected (~500 cc). much of distention was fat edema. compression of ureters resulted in r hydro and ureteral stent was placed. also, urology called in and large clot found in bladder on cysto. this was evacuated. etiology likely due to compression of bladder resulting in mucosal irritation and bleeding in setting of anticoag. no bleeding seen within peritoneum. no ivc tear seen. worry is that there may be ivc thrombosis. will need to ct to eval as soon as kidneys can handle iv contrast. le u/s: impression: large hematoma, possibly within the inferior rectus sheath or prevesicular space, with associated sluggish flow in the superficial femoral veins bilaterally. the veins are patent. these findings raise the possibility of central venous compression by hematoma, though this is not directly visualized. echo: the left atrium is mildly dilated. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a very small inferolateralpericardial effusion. impression: very small inferolateral pericardial effusion. preserved global and regional biventricular systolic function. mild mitral regurgitation. le u/s: patency of bilateral femoral veins with probable improved flow relative to abd x-ray: findings consistent with post op ileus. ct abd: 1. no evidence of ivc or common femoral vein thrombus, 2. bibasilar atelectasis, 3. tiny left-sided pleural effusion and trace abdominal free fluid, 4. small amount of residual hematoma within the left pelvis. ct abd: the liver parenchyma is normal without biliary ductal dilatation or focal masses. the gallbladder is normal in appearance without stones, wall edema, or pericholecystic fluid. no abnormal distention of the gallbladder is seen. the common bile duct is normal and measures 3 mm. the pancreas is unremarkable. brief hospital course: patient was found to have blood loss anemia (hct 40s --> 22) for which she was recuscitated in ed, received 4units prbc, 4 ffp, 2 mg vit k, 14 mg morphine, 1 mg ativan, 1600 cc ns. a foley was placed which revealed frank blood. she also had arf (bun/cr 21/1.8). abdomenal u/s, ct and cystoscopy revealed prevesicular and intrabladder hematomas in the context of anticoagulation along with blood loss into right lower extremity. the hematomas were evacuated (urology and vascular ), and an intra-op right ureteral stent was placed for her obstructive uropathy w/ right hydronephrosis. pt developed post-surgical ileus that resolved in two days. rle u/s was negative for ivc thrombus or le venous compression. intial arf was likely pre-renal secondary to major volume loss and resolved with fluid resusitation. the ureter stent was removed once her cr normalized. in transitioning her back to coumadin via heparin, she developed hit (plt 200s -----> 23 over 2 days). given her high risk for thrombosis (paf, obese, immobile) she was initially treated with argatroban (per heme recs, dr. . however, she became jaundice w/ elevated bilirubin. it was reasoned that this could possibly be secondary to argatroban liver toxicity in addition to low grade hemolysis (resorbing residual hematoma). a ruq u/s failed to show any changes in her liver, biliary tree, or gallbladder. she was ultimately switched to lepirudin for anticoagulation, bridged to coumadin when platellet levels reached 100,000, and obtained a theurapeutic inr before discharge. medications on admission: levothyroxine sodium 100 mcg qd lisinopril 5 mg qd amiodarone hcl 400 mg qd coumadin 2 mg qd asa 325 mg qd metoprolol 25 mg prednisone 20 mg qd discharge medications: 1. levothyroxine sodium 100 mcg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*20 tablet(s)* refills:*0* 3. atenolol 50 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*0* 4. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*0* 5. amiodarone hcl 200 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*0* 6. coumadin 2 mg tablet sig: 1-2 tablets po at bedtime: take 2 tabs (4mg) on and and then contact your pcp for further instructions. disp:*60 tablet(s)* refills:*2* 7. 60 mg tablet sig: one (1) tablet po twice a day as needed. 8. outpatient lab work please check inr on and call results into dr. discharge disposition: home with service facility: vna discharge diagnosis: --postcath prevesicular/intrabladder/retroperitoneal hematoma --heparin-induced thrombocytopenia --atrial fibrillation --anemia discharge condition: stable hematocrit, no hematuria, able to ambulate, platelet number above 100,000. discharge instructions: 1. if you develop chest pain, shortness of breath, palpitations, lightheadedness, abdominal pain develop seek immediate medical attention. 2. take all medications as listed below. a number of medications have been changed so please review the list carefully. check with dr. concerning when to restart your aspirin. 3. follow up as directed below. 4. you will need an inr checked in 2 days with instructions on adjusting your coumadin dose by dr. 5. you have been provided with a note excusing you from work for the next month. please contact your pcp for instructions on when to return after that. followup instructions: 1. please call to schedule a follow up appointment with your cardiologist -- dr. in 4 weeks and with his nurse practitioner in 2 weeks. 2. please call to schedule an appointment with your primary care doctor, dr. in 1 month. 3. your abdominal wound staples need to be removed by dr. in 7 days. call to schedule an appointment. procedure: reopening of recent laparotomy site ureteral catheterization transfusion of packed cells transurethral clearance of bladder diagnoses: acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) hematoma complicating a procedure paralytic ileus anticoagulants causing adverse effects in therapeutic use hydronephrosis 

Answer: The patient is high likely exposed to