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: adhesive tape / ibuprofen attending: chief complaint: left flank pain major surgical or invasive procedure: none history of present illness: 53m morbidly obese male s/p fall on monday presents for evaluation of increasing left hip and flank pain. as per patient he feel after his right knee gave out while going to the bathroom. he did not hit his head or neck, but sustained the impact to his left flank and hip. he denies loc, remembers all events and states that he has no pain anywhere else in his body except his left side. he has had repeated falls in the past due to weakness/ giving out of right knee that is chronically affected by lymphedema. in ed patient was initially normotensive but then bp dropped to mid 80s without tachycardia. a left ij was placed. he was receiving his first liter of fluid at the time of this evaluation. past medical history: pmh 1. hypertension 2. obesity 3. depression 4. mva - remote, with fracture right upper extremity, s/p orif 5. cellulitis 6. chronic right lower extremity cellulitis and lymphedema atrial fibrillation, on coumadin psh 1. gastric bypass surgery in followed by dr. currently. 2. right elbow surgery social history: non-smoker. denies etoh or drug use. patient is on disability. lives by himself in an apartment in . family history: lung ca in mother and father, both were smokers, and both died of this, his mother at age 39. his sister has ovarian ca. his father also had gout. physical exam: temp 97 hr 73 bp 114/64 rr 18 o2 sat 100% ra gen: morbidly obese male in nad. neuro: cnii-iv intact. gcs 15 heent: atraumatic/ nc, pupils 3>2 bilaterally, eomi. c spine nontender and atraumatic. cvs: rrr but decreased limited evaluation because of body habitus stable sternum, no pain along ribs. pulm: ctab but decreased body habitus abdomen obese, midline incision mildly tender without evidence of hernia ( unable to stand so examined in supine position only). left inferior abdomen and flank with ecchymosis and tenderness throughout, no skin breakdown. pelvis stable. gu: externally wnl. ext: wwp with significant lymphedema of the right leg, no lymphedema of the left leg. no evidence of trauma to extremities. pertinent results: 11:50am wbc-7.8 rbc-2.79*# hgb-7.9*# hct-23.9*# mcv-86 mch-28.3 mchc-33.1 rdw-17.8* 11:50am neuts-69.4 bands-0 lymphs-20.2 monos-6.4 eos-3.4 basos-0.5 11:50am plt smr-unable to plt count-unable to 11:50am pt-37.8* ptt-35.2* inr(pt)-3.8* 11:50am glucose-72 urea n-20 creat-1.0 sodium-137 potassium-3.4 chloride-110* total co2-20* anion gap-10 ct abd/pelvis : 1. 37-cm obliquely oriented fluid collection in the left lateral body wall, likely a hematoma. 2. no thigh hematoma. 3. no acute intra-abdominal process. 4. seroma along anterior abdominal wall adjacent to mesh, slightly decreased in size from ct. brief hospital course: the patient was admitted to the icu on from the ed. initially in the emergency room the patient was normotensive, however he quickly dropped his pressures to sbp 80s without tachycardia. a lij was placed and patient was given 10 units vitk, 2u ffp, 2u prbc. the patient received 4 additional units of blood in the icu, and his hct improved to 32.1. the patient's inr improved to 1.4 from 3.8 on admission. ct scan on showed a 37cm hematoma in the left lateral body wall. on , the patient was hemodynamically stable. he was off pressors, and did not require further transfusions. he was transferred to the floor in stable condition. following transfer to the trauma floor he had problems with pain control and mobility. he has a history of leg pains and prior to admission was on gabapentin with some effect. currently he is taking a combination of tizanidine, tylenol, morphine ir and ultram and generally is getting more pain control daily. he worked with the physical therapy service to help him mobilize and a short term rehab was recommended prior to his return home. his hematocrit has been stable for > 72 hours and remains in the 32-35 range. he was 23 on admission and stabilized after transfusions. he also has remained off coumadin. he had some brief rapid atrial fibrillation 4 days ago which resolved after resuming his beta blocker. he has had long standing hypertension treated with lisinopril 20 daily and toprol 200 daily. due to his hypotension on admission his medication was held. now that he is euvolemic his blood pressure is 126/85 and his heart rate is 77 which reflects lopressor 25 mg . , np is aware that we are keeping him off of coumadin and he will be re evaluated at his appointment with dr. in early . he had some complaints of left calf pain on and had venous studies which were negative for dvt.. he remains on dvt prophylaxis with heparin 5000 units sc tid. currently he is tolerating a regular diet in modest amounts and is able to stay well hydrated. he was discharged on to rehab and will follow up in the clinic in weeks. medications on admission: calcium citrate + 315 mg-200u 2 tabs ", vitamin b-12 1,000 mcg tab,cholecalciferol (vitamin d3) 1,000 unit, triamcinolone acetonide 0.1 % topical", lasix 20 mg tab, lisinopril 20 mg, omeprazole 20 mg, tramadol 50 mg, docusate sodium 100 mg", trazodone 50 mg tab, ferrous sulfate 325 mg", warfarin 5 mg (need to verify dose, gabapentin 800 mg tab"', mvi, metoprolol succinate er 200 mg,miralax 17 gram' discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 2. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 3. tramadol 50 mg tablet sig: one (1) tablet po qid (4 times a day). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day): hold for sbp < 100, hr < 60. 5. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 6. tizanidine 2 mg tablet sig: three (3) tablet po tid (3 times a day). 7. morphine 15 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 8. gabapentin 300 mg capsule sig: two (2) capsule po q8h (every 8 hours). 9. calcium citrate + d 315-200 mg-unit tablet sig: two (2) tablet po twice a day. 10. vitamin b-12 1,000 mcg tablet sig: one (1) tablet po once a day. 11. vitamin d-3 1,000 unit tablet, chewable sig: one (1) tablet, chewable po once a day. 12. lasix 20 mg tablet sig: one (1) tablet po once a day. 13. multivitamin tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: - discharge diagnosis: s/p fall 1. hematoma left flank and hip 2. acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: * you were admitted to the hospital after falling with a large hematoma on your left flank and hip area. your inr was elevated and was reversed with blood products. your bleeding stopped and your blood count has been stable. you have had problems with pain control and mobility. * you did not sustain any broken bones but sometimes the generalized pain from falling can be debilitating. for that reason we are sendiong you to a rehab to try to gradually increase your mobility so that you may return home. * due to your frequent episodes of falling at home we are keeping you off coumadin for now. you will be able to discuss this more when you see dr. or . followup instructions: call the acute care clinic at for a follow up appointment in weeks. provider: , md phone: date/time: 1:45 provider: , md phone: date/time: 1:00 provider: , m.d. phone: date/time: 8:30 md procedure: central venous catheter placement with guidance diagnoses: other chronic pain abnormal coagulation profile unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation hypotension, unspecified morbid obesity long-term (current) use of anticoagulants fall from other slipping, tripping, or stumbling home accidents bariatric surgery status other lymphedema difficulty in walking contusion of abdominal wall contusion of hip body mass index 45.0-49.9, adult 

Answer: The patient is high likely exposed to