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: fall in bathroom at with r humerus fx and c7-t1 anterolisthesis major surgical or invasive procedure: none history of present illness: 86m s/p an unwitnessed fall at . he was found in his bathroom yesterday complaining of right arm pain and neck pain. he was taken to to be evaluated. there he was found to have a right humerus mid-shaft fracture along with c7-t1 anterolithesis. he was transferred to for further treatment. he does not remember the fall and states that he has no pain. he is oriented to person only. he denies headache, neck pain, nausea, emesis, chest pain, shortness of breath, and abdominal pain. social history: lives in an , married tobacco none etoh none family history: non contributory physical exam: pe: 98.4, 88, 135,85, 18, 100% on 2l gen: no distress, oriented to person only heent: perla, eomi, anicteric, mucus membranes moist neck: c-collar in place, no cervical spine tenderness chest: rrr, lungs clear abdomen: soft, nontender, nondistended rectal: normal tone, no gross blood back: no spinal tenderness or step offs . pertinent results: 05:45am wbc-15.8* rbc-4.21 hgb-12.3 hct-36.5 mcv-87 mch-29.3 mchc-33.8 rdw-14.1 05:45am neuts-91.7* lymphs-4.4* monos-3.3 eos-0.2 basos-0.4 05:45am plt count-255 05:45am pt-12.7 ptt-28.2 inr(pt)-1.1 05:45am digoxin-0.3* 05:45am glucose-136* urea n-22* creat-1.1 sodium-141 potassium-3.3 chloride-106 total co2-24 anion gap-14 cardiac echo : the left atrium is elongated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with basal inferior and inferolateral hypokinesis. the remaining segments contract normally (lvef = 45%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is an anterior space which most likely represents a fat pad. impression: mild regional left ventricular systolic dysfunction, c/w cad. dilated aortic root. right these radiographs are significantly limited by positioning and overlying cast. there is an oblique comminuted fracture of the humerus, however the full extent is not clearly assessed on these images. chest cta : 1. small segmental pulmonary embolism at the right middle lobe branch. no evidence of pulmonary infarcts. 2. increased left lower lobe patchy opacity, nonspecific, could represent, atelectasis, aspiration or consolidation. non invasive venous studies both lower extremities : deep vein thrombosis seen in the left popliteal vein. carotid studies : < 40% stenoses b/l ica's mri c spine : 1. no evidence of ligamentous disruption or marrow edema in the vertebral bodies. 2. multilevel degenerative changes with mild spinal stenosis at c2-3 and c3-4 with minimal extrinsic indentation on the spinal cord and mild-to-moderate spinal stenosis at c5-6 level. foraminal changes as above. brief hospital course: mr. was evaluated by the trauma service in the emergency room and admitted to the hospital for further evaluation including a syncopal work up. the orthopedic service placed a brace on his right shoulder for closed treatment of his humeral fracture and the spine service wanted his c7-t1 anterolisthesis further imaged with mri. f/u mri without contrast showed no evidence of ligamentous disruption or marrow edema in the vertebral bodies but a possible collection anterior to the t-spine. f/u mri w/wo contrast showed no collection. his carotid studies showed < 40% ica stenosis bilaterally and his cardiac echo revealed an ef of 45% with basal inferior and inferolateral hypokinesis. he denied any dizziness, chest pain or shortness of breath but on became hypoxic and developed rapid atrial fibrillation and was subsequently transferred to the icu for further management. a chest cta revealed a pulmonary embolism in the rml branch and venous studies documented a left popliteal dvt. he was placed on iv heparin and coumadin was started. his oxygenation improved with pulmonary toilet. he never required reintubation. his chest xray showed some lll consolidation and he was briefly placed on antibiotics however when the diagnosis of pe was made the antibiotics were discontinued. the geriatric service followed the patient closely during his admission and assisted with management of his paf which was eventually controlled with maximizing his beta blockers. his coumadin was adjusted to maintain an inr of 2.5 - 3.0. the ortho spine service followed mr. during his course and based on his mri recommended that he wear a j collar for 2 weeks and follow up then for another exam and possibly more xrays. physical therapy saw the patient and recommended short term rehabilitation. on the day of discharge, the patient was tolerating regular diet, having bowel movements and flatus, and his pain was well-controlled with po pain medications. he will need to have further voiding trials at rehabilitation and is going with a foley in place. medications on admission: 1. lisinopril 10 mg po daily 2. hctz 25 mg po daily 3. digoxin 0,125 mg po daily 4. aricept 10 mg po daily 5. aspirin 325 mg po daily 6. simvastatin 40 mg po daily 7. namenda 10 mg po bid discharge medications: 1. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 2. lisinopril 10 mg tablet : one (1) tablet po daily (daily). 3. hydrochlorothiazide 12.5 mg capsule : one (1) capsule po daily (daily). 4. oxycodone 5 mg tablet : 0.5 tablet po q6h (every 6 hours) as needed for pain. 5. acetaminophen 325 mg tablet : two (2) tablet po q6h (every 6 hours). 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day). 8. metoprolol tartrate 25 mg tablet : two (2) tablet po tid (3 times a day). 9. digoxin 125 mcg tablet : one (1) tablet po daily (daily). 10. tamsulosin 0.4 mg capsule, sust. release 24 hr : one (1) capsule, sust. release 24 hr po hs (at bedtime). 11. quetiapine 25 mg tablet : 0.5 tablet po bid (2 times a day). 12. aspirin 325 mg tablet : one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. aricept 10 mg tablet : one (1) tablet po once a day. disp:*0 tablet(s)* refills:*2* 14. bisacodyl 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*0 tablet, delayed release (e.c.)(s)* refills:*0* 15. metoprolol tartrate 50 mg tablet : one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 16. lidocaine 5 %(700 mg/patch) adhesive patch, medicated : one (1) adhesive patch, medicated topical daily (daily). disp:*5 adhesive patch, medicated(s)* refills:*2* 17. warfarin 1 mg tablet : three (3) tablet po once a day: adjust per inr. disp:*90 tablet(s)* refills:*2* 18. namenda 10 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: extended care facility: discharge diagnosis: primary diagnosis s/p fall 1. right humerus fracture 2. c7-t1 anterolisthesis 3. left popliteal dvt 4. pe 5. acute blood loss anemia secondary diagnosis 1. cad 2. hypertension 3. hypercholesterolemia 4. chf 5. paf 6. dementia 7. prostate cancer psh 1. s/p cabg,mvrepair and maze procedure discharge condition: good discharge instructions: * keep your cervical collar on at all times until you next exam with dr. . he will advise further treatment at that time. * keep the right shoulder brace on at all times except bathing. ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or bending. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? to the rehab facility: please attempt foley catheter removal with void at rehabilitation. ?????? you will need frequent blood tests initially while your coumadin is being regulated. dr. will adjust the dose as needed. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: call the clinic at for a follow up appointment in 1 week with , np. you will need xrays of your right shoulder at that time. call dr. or at for a follow up appointment in 2 weeks. call dr. at for a follow up appointment in 2 weeks. call dr. office at for a follow up appointment in weeks. he will also adjust your coumadin dose. call the clinic at for a follow up appointment for a voiding trial in 1 week. procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified diagnoses: hypocalcemia pure hypercholesterolemia congestive heart failure, unspecified acute posthemorrhagic anemia atrial fibrillation personal history of malignant neoplasm of prostate unspecified fall systolic heart failure, unspecified pulmonary collapse paroxysmal ventricular tachycardia occlusion and stenosis of carotid artery without mention of cerebral infarction acute respiratory failure pneumonitis due to inhalation of food or vomitus hypoxemia alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance accidents occurring in residential institution occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction other pulmonary embolism and infarction cervical spondylosis without myelopathy closed fracture of shaft of humerus thoracic spondylosis without myelopathy chronic venous embolism and thrombosis of deep vessels of proximal lower extremity 

Answer: The patient is high likely exposed to