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: intracranial bleed found on ct, left sided numbness and weakness major surgical or invasive procedure: none history of present illness: mr. is an 80 yo rh man with a pmh remarkable for htn, dm, chf( failure), af (inr 5.3) and gout p/w sudden onset of left sided weakness and loss of sensation in his left hemibody. he started with these symptoms early in the morning on . he did not have a headache at the time. he did not have any visual problems or difficulty swallowing or a facial droop per his family. he reports not been able to move the left side of his body as usually, however, it felt weak. he did not check his bps. he has been compliant with his medications. he cannot determine when he developed numbness but it is completely numb now. he had trouble moving his left arm appropriately toward different targets. he did not bump into objects. he felt unsteady when changing positions (standing up). things were spinning around him. it lasted for 1 minute and then stopped. there was no tinnitus. no other symptoms associated. he did not have a slurred speech. he was able to understand and produce normal sentences. his family insisted that he went to the hospital 24h ago, but he refused. today, he finally went to osh given his relatives' insistence. he also started with a headache today. it is of throbbing quality, left sided (temple), non-radiated. he has never had this headache before. there has been no fall, or tbi. no loc. baseline: lives with his son. . on his own (no cane). last week left home to drive to the grocery store. he purchased the groceries and returned home without any navigation problems. also visited a relative who had had a stroke and was on rehab on his own without difficulties. on general review of systems, the pt denies recent fever or chills,sleep deprivation or any aggravating factor that may precipitate the episodes. no night sweats or recent weight loss or gain. denies cough, shortness of breath. denies chest pain or tightness, palpitations. denies nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denies arthralgias or myalgias. denies rash. went to osh. bps 190s and metoprol 5 mg iv *2. ct cns: right bg bleed. sent to . received in the ed at : labetalol 100 mg / 20 ml vial 1 mccallum, phytonadione 10mg/ml amp 1 mccallum, labetalol 600 mg in 5% dextrose 1 from pharmacy past medical history: htn (+), chf (, 40-45% and pulmonary htn), af (+), dm (+), ckd, gout (+) question of prostate ca with mets to the bone. ascitis in abdominal us in 01/ social history: lives with his son. . on his own (no cane). last week left home to drive to the grocery store. he purchased the groceries and returned home without any navigation problems. also visited a relative who had had a stroke and was on rehab on his own without difficulties. tobacco (-) etoh (-) drugs (-) he worked as mechanic for airplanes. family history: hx of early strokes (-) seizures (-) cns tumors (-) demyelinating conditions (-) autoimmune conditions (-) procoagulant conditions (-) cad (-) physical exam: pe: performed in vietnamese (although he speaks english) temp 98.6, 67 177/98 17rr 98 gsc: 15 general: alert, awake, normal affect orientation: oriented to person, place, date, situation. . dow backwards +: in less than 20 seconds. follows simple axial and appendicular commands: closes and opens his eyes, shows me the tongue. gives me a thumb or a provides and releases a grip at command. follows three step commands: "take this piece of paper with your right hand, fold it into two parts and return it to me with the left hand". recalls major events: 9/ 11 attack (but he remembers a terrorist attack with explosives in ny) and recent events such as the earthquake in . spatial memory: remembers where is the clock in the room. recalls who is the president . speech/language: in vietnamese: fluent w/o paraphasic (phonemic or semantic) errors; comprehension, repetition, naming (high and low frequency objects): normal. prosody: normal. understands the passive voice: "the kid killed the lion". . praxis/ agnosia: able to brush teeth. able to recognize i am brusing my teeth. able to mimic me brushing my teeth. . no field cuts: to red pin in different quadrants. there is no extinction to double visual stimuli. able to tell how many people there are in the room . no prosopagnosia, no anosognosia, no asomatognosia. no agraphestesia. able to read and write. calculus: intact to number of quaters in $1.75 abstract thinking:common features: banana and school bus: normal. cn: i: not tested ii,iii: vff to confrontation, perrl 3mm to 2mm, fundus w/o papilledema. no red desaturation. od and os 20/ 20. pin hole exam/ madox-rod exam: not required. iii,iv,vi: eomi, no ptosis. no pathological nystagmus. normal pursuit. optokinetoc nystagmus: intact v: sensation intact v1-v3 to lt. vii: facial strength intact/symmetrical viii: hears finger rub bilaterally ix,x: palate elevates symmetrically, uvula midline : scm/trapezeii bilaterally xii: tongue protrudes midline, no dysarthria . rinne: r ear: ac>bc, left ear ac> bc : central. motor: normal bulk. tone: normal. no tremor, no asterixis or myoclonus. no pronator drift: . there is mild weakness on the left, plus a component of mild neglect that improves when looking at the limb: delt;c5 bic:c6 tri:c7 wr ext:c6 fing ext:c7 left 3+ 5 3 3+ 3+ right 5 5 5 5 5 . ip: quad: hamst: dorsiflex: : pl.flex left 4 5 4 4 4 5 right 5 5 5 5 5 5 . deep tendon reflexes: . bicip: tric: brachial: patellar: achilles toes: right 2 2 2 1 0 downgoing left 2 2 2 1 0 upgoing . sensation: no perception of pp, light touch, vibration, and temperature in his left hemibody. no propioception in his left hemibody. . coordination: impaired on the left as a function of decreased position sense and weakness in: *finger-nose-finger *rapid arm movements *fine finger tapping. labs: osh cbc: normal. chem: creat 3.7, bun 77. ck and trop : pending ekg: af 80 bpm, with hemodynamic st depression in lateral leads. ct cns: osh: loading. : my read: 22*17 mm maximum diameter right bg bleed with minimial edema and mass effect. no evidence of hydrocephalus. pertinent results: 02:19am blood wbc-11.3* rbc-2.66* hgb-8.7* hct-25.5* mcv-96 mch-32.8* mchc-34.2 rdw-16.3* plt ct-209 02:37am blood wbc-11.8* rbc-2.78* hgb-9.0* hct-26.0* mcv-94 mch-32.2* mchc-34.4 rdw-15.6* plt ct-215 02:21pm blood neuts-67.2 lymphs-19.4 monos-7.3 eos-5.6* baso-0.4 02:19am blood plt ct-209 02:37am blood plt ct-215 02:19am blood glucose-115* urean-49* creat-3.6* na-140 k-4.2 cl-109* hco3-19* angap-16 02:37am blood glucose-98 urean-54* creat-3.4* na-143 k-4.0 cl-109* hco3-22 angap-16 02:00am blood alt-13 ast-39 ld(ldh)-238 ck(cpk)-317 alkphos-79 totbili-0.7 02:00am blood ck-mb-4 ctropnt-0.11* 02:21pm blood ctropnt-0.12* 02:19am blood calcium-9.0 phos-4.3 mg-2.1 02:00am blood triglyc-258* hdl-24 chol/hd-7.4 ldlcalc-102 02:00am blood tsh-1.5 imaging: initial head ct: interval increase of right thalamic hemorrhage from 12 x 15 mm to 20 x 25 mm over the last three hours from outside hospital study. thin rim of surrounding edema without significant mass effect. no intraventricular or subarachnoid extension. no hydrocephalus. repeat head ct: unchanged likely hypertensive right thalamic hemorrhage without intraventricular or subarachnoid extension. brief hospital course: mr. is an 80 yo rh man with a pmh remarkable for htn, dm, chf( failure), af (inr 5.3) and gout p/w sudden onset of left sided weakness in his left hemibody and loss of sensation in his left hemibody. hospital course: the patient intially went to the . there a head ct was performed and he was found to have a right thalamic hemorrage. he was also noted to have a supra therapuetic inr of 5.3. he was given nitro paste for an elvated blood pressure of 204/88. there is no record of him recieving any ffp or vit k at the outside but after the transfer to his inr was noted to be 2.6. in the emergency room he had a repeat head ct which showed an increase in the size of the bleed. in the emergency room he was given ffp, vitamin k and profiline. he was than admitted to the icu for neuro-monitoring. neuro: the patient's repeat head ct on did not show any significant change from the admission ct. on the patient had a decrease in responsiveness, given the recent normal head ct it was thought to be secondary to a dose of diluadid that the patient recieved and as the day progressed he returned to his baseline responsiveness. the patient continued to do well in the icu. his blood pressure was intially controlled on a labetalol drip, which he was eventually weaned off of and placed back on oral medications. his coumadin and anti-platelet agents were held. heparin for dvt prophylaxis was started. the patient showed some strength in the left arm and leg, although with significant neglect. the patient will move his left side but only with a large amount of concomitant visual stimulation. the patient was kept on frequent neuro checks. the patient remained stable in the icu and was transferred to the neurology floor. he demonstrated ongoing improvement in his exam with good volitional strength in the left upper extremity but poor coordination. in his left lower extremity he continued to have minimal volitional movement. after he had remained stable with an improving neurological exam and no evidence of expansion of his hemorrhage, he was started on baby aspirin 81 mg in place of coumadin for stroke prophylaxis on . he should be off of coumadin indefinitely, and whether he may ultimately resume this will be discussed in his follow-up appointment. he should certainly continue on the aspirin 81 mg daily. cv the patient has a previous diagnosis of atrial fibrillation and diastolic heart failure (ef=40-45%). the patient's coumadin was held secondary to the bleed. he was hypertensive on arrival and intially needed to be started on a labetalol gtt which was weaned off on and he was transitioned to oral medications. on aspirin was resumed in place of coumadin at a dose of 81 mg for some cardiac and stroke protection with a relatively lower risk of hemorrhagic expansion than coumadin. potential for ever resuming coumadin will be discussed with his neurologist at his follow-up appointment with dr. . his blood pressure was be observed rigorously to ensure that it is no higher than 160 systolic with a goal of normotension. renal the patient was noted on arrival to be in renal failure. based on prior notes the patient has had stage ii-iii renal failure for at least the last year (with some elevatation as far back as ). prior work-up had only revealed small kidneys without specific pathology. his creatinine was followed serially with improvement to 2.8-3 prior to discharge which is the higher range of his previously noted baseline. additionally, the patient's colchicine was discontinued given the potential to worsen renal function. pulmonary: the patient was noted to have frequent wheezing, particularly during sleep, throughout his hospitalization. he at times seemed to respond to lasix, but at other times seemed to have a good fluid balance and respond to albuterol. while he had no known underlying pulmonary disease, concern was that there may be both a cardiac and pulmonary component to his wheeze, thus we recommended obtaining both echocardiogram and pulmonary function tests as an outpatient to ascertain his baseline function in these areas. medications on admission: coumadin 2 mg qd carvelidol 25 , hydralazine 50 , bumetanide 2 mg qd, imdur 30 mg qd, digoxine 0.125 mg qd colchicine 0.6 mg qd at 2:00 pm. discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for fever or pain . 2. insulin regular human 100 unit/ml solution sig: one (1) injection injection asdir (as directed): sliding scale . 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 4. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) as needed for thrush. 7. hydralazine 25 mg tablet sig: three (3) tablet po qid (4 times a day). 8. amlodipine 5 mg tablet sig: 1.5 tablets po daily (daily). 9. carvedilol 12.5 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 10. bumetanide 2 mg tablet sig: one (1) tablet po daily (daily). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) treatment inhalation every 4-6 hours as needed for wheezing. 12. ipratropium bromide 0.02 % solution sig: one (1) treatment inhalation q6h (every 6 hours). 13. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection injection tid (3 times a day): while minimally ambulatory to reduce risk of dvt. 14. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). discharge disposition: extended care facility: - discharge diagnosis: basal ganglia hemorrhage. discharge condition: activity status: out of bed with assistance to chair or wheelchair. level of consciousness: alert and interactive. mental status: clear and coherent. neurological exam: -mental status: alert, oriented to month, year, hospital -cn: question intermittent right facial droop when tired, left eyelid with mild ptosis, dyarthria -motor: right side full; left side with mild weakness in the range but significant ataxia out of proportion to his weakness -senation: intact -coordination: markedly diminished in the left upper and lower extremities discharge instructions: mr. was admitted with left sided weakness, sensory changes, and discoordination. he was found to have a basal ganglia hemorrhage. in addition, he has a history of chronic renal insufficiency and had a slight worsening in his renal function upon presentation which seems to have improved just at the high end of his baseline around 3.0 (baseline 1.5-3). mr. was noted to have frequent wheezing during hospitalization, at times responding to lasix and at other times responding to albuterol. it seems both an echocardiogram and pulmonary function tests following hospitalization would be reasonable to ensure that both the pulmonary and cardiac components to his wheezing may be addressed. given that mr. had a bleed in his brain, he should be off of coumadin indefinitely. instead, he should continue on the baby aspirin (81 mg) at least until he is seen by dr. in follow-up to minimize his risk of stroke. followup instructions: provider: , md phone: date/time: 8:30 md procedure: enteral infusion of concentrated nutritional substances diagnoses: abnormal coagulation profile anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation other chronic pulmonary heart diseases intracerebral hemorrhage chronic kidney disease, stage iii (moderate) dysarthria anticoagulants causing adverse effects in therapeutic use chronic diastolic heart failure hemiplegia, unspecified, affecting unspecified side other facial nerve disorders 

Answer: The patient is high likely exposed to