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: l chest pain major surgical or invasive procedure: endovascular repair of thoracic ulcer with thoracic endograft as well as thoracic aneurysm.thoracic aortography. history of present illness: yom w/ cad, type b aortic dissection with rupture into l chest ' s/p endovascular repair who presented to c/o l chest pain "all night long" approx 24 hrs ago. per daughter as recorded in osh report, cp x 1.5hr, radiated to neck & back. no cp by the time evaluated at (4:50pm). pt is demented and could not give further history, except that his chest pain is now completely resolved. he was evaluated at and ruled out for mi (normal ekg and normal ck/tro). cta performed and transferred to . past medical history: ruptured type b aortic dissection (prolonged admission - vap cad w/ reversible ant apical defect ' mild mr, moderate ai svt (dx by holter ') htxn hyperlipidemia severe copd, fev1 1.4 dm bell's palsy ' h pylori psh: s/p endovascular repair of ruptured type b aortic dissection ( + + ) s/p peg ' social history: lives with family family history: n/c physical exam: vs 98.0 53 125/55 20 98%ra genral: aaox2 nad hent: no carotid bruit heart: rr s1 s2 no murmur lungs: cta b/l abdomen: soft, mildly distended, nt extremities: warm, b/l pulses: r l rad 2+ 2+ fem 1+ 1+ 1+ np dp mono mono pt mono mono pertinent results: 06:55am blood wbc-10.1 rbc-3.57* hgb-10.6* hct-31.9* mcv-89 mch-29.7 mchc-33.1 rdw-14.9 plt ct-356 05:14am blood wbc-8.9 rbc-3.31* hgb-10.1* hct-29.6* mcv-90 mch-30.5 mchc-34.0 rdw-14.8 plt ct-283 02:31am blood wbc-10.7 rbc-3.44* hgb-10.4* hct-30.4* mcv-89 mch-30.2 mchc-34.1 rdw-14.5 plt ct-284 03:54am blood wbc-11.7* rbc-3.71* hgb-11.1* hct-32.6* mcv-88 mch-29.9 mchc-33.9 rdw-13.7 plt ct-236# 03:23am blood wbc-10.3 rbc-3.24* hgb-9.7* hct-28.6* mcv-88 mch-30.1 mchc-34.1 rdw-13.7 plt ct-154 03:10am blood wbc-12.5* rbc-3.25* hgb-9.7* hct-29.1* mcv-90 mch-30.0 mchc-33.4 rdw-14.3 plt ct-164 03:13am blood wbc-9.7# rbc-3.36* hgb-10.1* hct-30.1* mcv-90 mch-30.1 mchc-33.6 rdw-14.1 plt ct-179 06:21pm blood wbc-6.1 rbc-3.52* hgb-10.4* hct-30.4* mcv-86 mch-29.5 mchc-34.1 rdw-14.2 plt ct-176 10:09am blood hct-31.4* 06:21pm blood neuts-75.8* lymphs-16.9* monos-4.7 eos-2.5 baso-0.1 01:20am blood neuts-75.7* lymphs-15.9* monos-6.2 eos-1.8 baso-0.3 06:55am blood plt ct-356 05:14am blood plt ct-283 05:14am blood pt-11.7 ptt-25.3 inr(pt)-1.0 02:31am blood plt ct-284 02:31am blood pt-11.0 ptt-28.2 inr(pt)-0.9 03:54am blood plt ct-236# 06:55am blood glucose-163* urean-16 creat-1.0 na-144 k-3.9 cl-109* hco3-24 angap-15 05:14am blood glucose-48* urean-20 creat-1.0 na-145 k-3.6 cl-109* hco3-26 angap-14 02:31am blood glucose-80 urean-22* creat-1.0 na-141 k-3.7 cl-106 hco3-24 angap-15 03:54am blood glucose-97 urean-17 creat-0.9 na-139 k-3.3 cl-100 hco3-26 angap-16 03:23am blood glucose-124* urean-14 creat-1.0 na-137 k-3.7 cl-103 hco3-29 angap-9 03:10am blood glucose-119* urean-13 creat-1.0 na-138 k-4.2 cl-102 hco3-28 angap-12 03:13am blood glucose-112* urean-14 creat-1.1 na-141 k-4.4 cl-108 hco3-28 angap-9 06:21pm blood glucose-137* urean-17 creat-1.1 na-141 k-3.8 cl-108 hco3-24 angap-13 01:20am blood glucose-101 urean-23* creat-1.4* na-138 k-4.5 cl-103 hco3-26 angap-14 01:21am blood ck-mb-3 ctropnt-0.07* 04:42pm blood ck-mb-4 ctropnt-0.07* 12:18pm blood ck-mb-11* ctropnt-0.02* 10:09am blood ck-mb-3 ctropnt-<0.01 01:20am blood ctropnt-<0.01 01:20am blood ck-mb-notdone 06:55am blood calcium-8.8 phos-2.0* mg-2.3 05:14am blood calcium-8.6 phos-3.2 mg-2.5 02:31am blood calcium-8.6 phos-2.8 mg-2.6 02:31am blood calcium-8.6 phos-2.8 mg-2.6 chest (portable ap) 6:53 pm comparison: newly inserted nasogastric tube, newly inserted endotracheal tube, tube tip is 3.3 cm above the carina. status post aortic repair, unchanged as compared to previous examination. cta pelvis w&w/o c & recons impression: 1. thoracic aortic graft fragment dislocated 2.5 cm distal from the proximal graft. type 1 endoleak also noted. 2. dissection of the left external iliac artery, as discussed with at the time of dictation. 3. diffuse bilateral atelectasis, worse on right than left with loculated right pleural effusion. ground glass attenuation in left lung may represent aspiration, recommend close attention on follow up studies. 4. mildly dilated sigmoid colon, however, no distal obstruction. 5. diffuse atherosclerotic disease. 6. slightly enlarged pulmonary artery suggestive of pulmonary hypertension with mild cardiomegaly. ct head w/o contrast comparison is made to . impression: 1. no acute intracranial hemorrhage. 2. central atrophy and periventricular white matter hypodensities consistent with small vessel angiopathy. 3. chronic left occipital infarct. brief hospital course: this is a yo m w/ cad, type b aortic dissection with rupture into l chest ' s/p endovascular repair who presented to c/o l chest pain "all night long" approx 24 hrs ago. per daughter as recorded in osh report, cp x 1.5hr, radiated to neck & back. no cp by the time evaluated at (4:50pm). pt is demented and unable to give further history, except that his chest pain is now completely resolved. he was evaluated at and ruled out for mi (normal ekg and normal ck/tro). cta performed and transferred to . admitted for further management. hd1 admitted to vascular surgery/dr. service. pre-oped, nitro drip for bp mangement, taken to angio suite for successful endovascular repair of thoracic ulcer and aneurysm with -tex endograft 34 x 10, 34 x 15 and 34 x 20 mm grafts and thoracic aortography. post-opertively recovered in sicu, stayed intubated and sedated. hd2/pod1 developed l sided weakness, lumbar drain placed. head ct-no acute intracranial hemorrhage. remains in sicu intubated-weaning. still hypertensive on nipride drip for bp control hd3/pod2 in sicu, intubated, now sedated, remains on nipide drip for bp control. lumbar drain in place, still l sided weakness. weaned from vent-extubated. hd4/pod3 still hypertensive, on nipride drip, lumbar drain. started diet. remains on br. resumed home meds. percocet prn for pain. remains in icu. hd5/pod4 nipride weaned off. lle still slightly weaker. agitated overnight, given haldol. lumbar drain clamped. remains in sicu. hd6/pod5 lumbar drain clamped for 24 hours, pulled out. foley d/c'd, retaining urine, re-inserted. transferred to 5 vicu. routine nursing care, telemetry, endovascular aneurysm repair pathway. hd7/pod6 no acute events, vitals stable. pt consult for dispo. hd8/pod7 had a repeat abdominal/torso cta today, read by dr. /wet read by radiology- stable. dispo to home with foley-leg bag, will fu with urology next week for foley wean. will start on flomax. discharged in good condition, will fu with dr. in weeks with a cta prior to office visit. medications on admission: asa 81 gm qd clonidine 0.1 mg qd glipizide 10 mg qd, prilosec 20", hydralazine 10"', atenolol 25', norvasc 10', diovan 160', sucralfate 1"', januvia 50', lipitor 20', fexofenadine 60 prn, travatan 0/004% od hs, nitropatch 0.6 qam (remove qpm), atrovent mdi "', fluticasone 50, colace 100" discharge medications: 1. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 2. nitroglycerin 0.6 mg/hr patch 24 hr sig: one (1) patch 24 hr transdermal q24h (every 24 hours). 3. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). 4. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 6. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day). 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. disp:*40 tablet(s)* refills:*0* 8. hydralazine 10 mg tablet sig: one (1) tablet po q8h (every 8 hours). 9. clonidine 0.1 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qsun (every sunday). 10. glipizide 5 mg tablet sig: two (2) tablet po bid (2 times a day). 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 13. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 14. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. 15. atenolol 25 mg tablet sig: one (1) tablet po once a day. 16. januvia 50 mg tablet sig: one (1) tablet po once a day. 17. fexofenadine 60 mg tablet sig: one (1) tablet po once a day as needed for allergy symptoms. 18. travatan z 0.004 % drops sig: one (1) ophthalmic at bedtime: od. 19. atrovent hfa 17 mcg/actuation aerosol sig: one (1) puff inhalation twice a day. 20. fluticasone 50 mcg/actuation disk with device sig: 1-2 puffs inhalation once a day. discharge disposition: home with service facility: discharge diagnosis: aortic disection ruptured type b aortic dissection (prolonged admission - vap cad w/ reversible ant apical defect ' mild mr moderate ai svt (dx by holter '), htxn. hyperlipidemia severe copd, fev1 1.4 dm bell's palsy ' h/o h pylori discharge condition: good discharge instructions: division of vascular and endovascular surgery endovascular abdominal aortic aneurysm (aaa) discharge instructions medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? do not stop aspirin unless your vascular surgeon instructs you to do so. ?????? continue all other medications you were taking before surgery, unless otherwise directed ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and 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: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin 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 or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in weeks for post procedure check and cta what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site or incision) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office. if bleeding does not stop, call 911 for transfer to closest emergency room. followup instructions: provider: phone: date/time: 10:40 provider: . (vascular surgery) phone: please call his office to make an appointment for fu in 4 weeks. you will need a cta before the appointment. provider: . (urology) phone: ( date/time: 9:00 procedure: arterial catheterization insertion of other (naso-)gastric tube other exploration and decompression of spinal canal aortography endovascular implantation of graft in thoracic aorta diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled thoracic aneurysm without mention of rupture chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases pulmonary collapse bell's palsy dissection of aorta, thoracoabdominal dissection of iliac artery 

Answer: The patient is high likely exposed to