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: large right subdural hematoma s/p fall major surgical or invasive procedure: right craniotomy for subdural hematoma evacuation history of present illness: hpi: 77 f with pmhx dm, htn, bipolar d/o and hypothyroidism presented after having a fall approx 10 days ago. pt could not recall any of the details related to the fall. pt also denied loc and she went to see her pcp right away. pt was evaluated and was cleared to go home. however, she continued to have ha at home, she denied any nausea or vomiting. her son was concerned and brought her to an osh ed where a head ct was performed showed large subdural hematoma. pt was transferred to ed and was admitted by the neurosurgical service for further management. past medical history: dm type ii htn hypothyroidism bipolar d/o (mult remote psych admissions for depression) social history: social hx: lives with son, independent on daily life prior to injury. pt denies smoking and drinking. family history: non contributory physical exam: physical exam: o: 98.7 104 211/83 18 97% o2sat gen: appears tired, tends to close eyes. heent: pupils: perrla eoms full neck: on hard collar. lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ extrem: warm and well-perfused. neuro: mental status: awake and slow response, cooperative with exam, but unable to completely follow instructions. orientation: oriented to person, place, and year/month. language: speech slow and simple. naming correct . cranial nerves: i: not tested ii: pupils equally round and reactive to light, 3mm to 2.5mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to voice. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk, increasing tone of le bilaterally. no abnormal movements, tremors. strength 4/5 lue/lle, rue/rle. mild left pronator drift sensation: intact to light touch bilaterally. reflexes: 1+/4 throughout. toes downgoing bilaterally coordination: normal on finger-nose-finger. pertinent results: . comparison: non-contrast head ct at 2:34 a.m. impression: no appreciable short-interval change in likely acute on chronic right-sided subdural hematoma with associated mass effect and subfalcine herniation to the left. ct c-spine from osh: ng for fx. . postop ct: ct head w/o contrast 12:07 am impression: 1. status post right frontal craniotomy and subdural hematoma evacuation with residual mixed-density subdural hematoma extending along the right temporoparietal region and also overlyuing the right occipital lobe. 2. interval improvement in leftward subfalcine herniation. 3. no evidence of new intracranial hemorrhage. . repeat head ct on . ct head without contrast: the patient is status post right frontal craniotomy with evolving right frontotemporal lobe extra-axial subdural hemorrhagic collection. there is no evidence of new intracranial hemorrhage. the ventricles are unremarkable. there is unchanged leftward subfalcine herniation. there is a stable hypodensity within the left occipital lobe consistent with old infarction. there is no evidence of acute infarction. there is interval resolution of intracranial pneumocephalus. . abdomen (supine & erect) 8:52 am 77 year old woman s/p sdh evacuation with abd distension and constipation s/p disimpaction. findings: supine and left lateral decubitus radiographs of the abdomen and pelvis were performed. note is made of fixation hardware in the right femur. a phlebolith is seen projected over the left side of the pelvis. gas is seen throughout the colon and small bowel with no evidence of distention. multiple opacities are seen in the right upper quadrant consistent with calcified gallstones. degenerative changes noted in the spine with a scoliosis concave to the right. impression: no evidence of any colonic or small-bowel obstruction. . wbc-8.9 rbc-2.72* hgb-8.8* hct-27.2* mcv-100* mch-32.5* mchc-32.5 rdw-14.7 plt ct-727* glucose-209* urean-17 creat-0.8 na-138 k-4.3 cl-102 hco3-24 angap-16 alt-27 ast-48* ld(ldh)-462* alkphos-143* totbili-0.2 06:00am blood calcium-8.6 phos-1.9* mg-1.9 10/26/07caltibc-194* vitb12-1025* folate-7.1 ferritn-214* trf-149* 06:45am blood tsh-2.0 05:15am blood phenyto-14.2 brief hospital course: ms was admitted to neurosurgery through ed on for large right-sided subdural hematoma. she underwent right craniotomy for sdh evacuation on and was successfully extubated after the surgery. post-op ct showed removal of sdh and improved midline shift. pt had repeat head ct on pod#4 that showed stable results. she was transferred to regular floor on . neurologically she remained stable postoperatively, oriented to self/hospital, never was oriented to time. post op course was complicated by constipation, reponded to fleets enema initially. on pt developped htn, tachycardia, abd pain and distention. a kub showed colonic ileus, then on a bedside rectal tube was inserted by surgical team. a ct abd showed no evidence of volvulus, bowel obstruction, free air or pneumatosis. constipation was thought possibly due to ogilvies syndrome. on abd pain/distention improved and rectal tube was removed. medicine was consulted for persistent htn and tachycardia. labetalol was increased and hypertension was better controlled. pt was transferred to medical team for further management of htn & tachycardia. 1. s/p sub dural hematoma evacuation. neuro exam remained stable, pt did c/o right sided ha on and repeat head ct showed no interval rebleed and hematoma was resolving. pt was continued on dilantin per neurosurgery recommendations for post operative seizure prophylaxis. the goal serum level for phenytoin is and it should be checked weekly to ensure therapeutic levels. pt will be seeing the neurosurgeon on and should discuss with him whether this medication needs to continued indefinitely. . # her hypertension was much better controlled on labetalol 300mg tid. given the history of diabetes, she may also benefit from an ace inhibitor, this is something that she could discuss with her pcp. was held due to initial difficulty managing her bp, this may be restarted by her outpatient psychiatrist is necessary. . # pt was mildly tachycardic without evidence of hypovolemia, this seemed to resolve with increased labetalol and after psych was consulted. it is possible that her anxiety was contributing to the tachycardia because it was not present when her anxiety was better controlled. . # for her diabetes, patient was restarted metformin 500mg and required an additional sliding scale of regular insulin after she began taking better po. these should be continued at rehab. . # for the post operative pseudoobstruction/ syndrome, she was treated with an aggressive bowel regimen including enemas and rectal tube. she is now having regular soft stools. there has been no evidence of obstruction/constipation for more that 3 days now and pt has been taking good po without nausea. . # pt had a uti with a urine culture positive for e. coli sensitve to cipro. she has completed a seven day course of cipro, has been afebrile and asymptomatic. . # pt has evidence of anemia of chronic disease that has been stable, she also has a history of hypercholesterolemia and was continued on her home dose of simvastatin. . # pt with h/o hypothyroidism was continued on home dose of levothyroxine. . # pt had a psych consult to determine whether she should be restarted on her home psych medication regimen. they felt her mental illness was stable with no current evidence of depression. they did not feel there was any urgency to restart her clomipramine and wanted her to follow up with her outpatient psychiatrist after discharge to discuss restarting these medications. they did not want to change the dilantin as neurosurgery felt it was important for seizure prophylaxis. . # pt was noted to have a mildly elevated alk phos and ldh. there was evidence of cholelithiasis on ct but there has never been any ruq pain on exam and no elevation in t bili. this also could have been a result of the resolving subdural vs postoperative cholestasis. her lfts will need to be followed up as a out patient and she should be followed for any symptoms of cholecystitis. pt has been scheduled for a follow up appt with dr. . . discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 3. maalox 1,000 mg tablet, chewable sig: one (1) ml po tid (3 times a day) as needed for stomach ache. ml(s) 4. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed): insulin sliding scale. 5. phenytoin sodium extended 100 mg capsule sig: one (1) capsule po tid (3 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 9. labetalol 100 mg tablet sig: three (3) tablet po tid (3 times a day). 10. acetaminophen 325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 11. prochlorperazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea. 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily). 13. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 14. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed for nausea. discharge disposition: extended care facility: healthcare discharge diagnosis: subdural hematoma s/p surgical evacuation discharge condition: neurologically stable discharge instructions: you were admitted for headache and we found that you had developped a bleed inside your head called a subdural hematoma. the neurological surgeons performed a craniotomy and drained the blood from inside your head. we repeated your head scan on and it showed interval improvement with no evidence of rebleeding. you had some complications after the surgery including difficulty with constipation and blood pressure control. your blood pressure is now much better controlled on labetalol and the constipation has resolved with your new bowel regimen. you should return to the hospital if you develop any concerning symptoms including new severe headache, change in your mental status, chest pain, shortness of breath or new weakness. per neuro surgery: ??????the incision site needs to be checked daily for signs of infection ??????exercise should be limited to walking; no lifting, straining, excessive bending ??????you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered call your surgeon immediately if you experience any of the following: ?????? new onset of tremors or seizures ?????? any confusion 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 ?????? any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? fever greater than or equal to 101?????? f followup instructions: you have a follow up appointment with (dr. np) on monday at 1:30pm () behind the liberty tree mall you will need to come to clinical center for a head ct on at 1:15pm. after this study, you should stay at the hospital for you follow up appointment with dr. on at 2:15pm. procedure: incision of cerebral meninges enteral infusion of concentrated nutritional substances excision of lesion or tissue of cerebral meninges diagnoses: urinary tract infection, site not specified unspecified acquired hypothyroidism other specified intestinal obstruction unspecified fall malignant essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled bipolar disorder, unspecified subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness 

Answer: The patient is high likely exposed to