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 major surgical or invasive procedure: : s/p open reduction internal fixation, left hip. history of present illness: year old female nursing home resident who fell at the nursing home on resulting in a left hip fracture requiring surgical fixation. past medical history: alzheimer's dementia diabetes mellitus type 2 hypertension depression dyslipedemia osteoporosis multiple falls anemia spinal stenosis degenerative joint disease gastritis hiatal hernia colonic diverticulosis s/p tah for uterine prolapse status post hip fracture social history: lives alone in independent living. no smoking, no alcohol, bookeeper, degree in . hcp: family history: both sisters with ad. brother died of heart disease in his 50s. + spinal stenosis physical exam: physical examination on admission: vital signs: t = 98.4 bp= 143/58 hr= 92 sats= 96%. general: elderly female, lying on bed. very lethargic. heent: normal cephalic atraumatic, pupils equal round reactive to light accomodation, extra occular motions intact bilaterally. oral mucosa moist. neck: no lymphadenopathy, no jugular venous distention, no bruit. cardiac: regular rate and rhythm, no mumurs, no gallops, no rubs. resp: clear, no wheezes, no crackles, no rhonchi. abdomen: + bowel sounds, soft, non-distended, non-tender, no masses, no guarding or rebound tenderness. extremities: no edema, no cyanosis, no clubbing throughout. -left lower extremity: skin intact, internally rotated and shortened, pain with internal and external rotation. compartments soft and compressable, 2+ dorsal pedialis & tibialis posterior pulses. motor and sensory grossly intact. -right lower extremity: skin intact. no deformity. compartments soft and compressable. 2+ dorsal pedialis & tibialis posterior pulses. motor and sensory grosssly intact. -left upper extremity: skin intact. no deformity. compartments soft and compressable. 2+ radial & ulna pulses. motor and sensory grossly intact. -right upper extremity: skin intact. no deformity. compartments soft and compressable. 2+ radial & ulna pulses. motor and sensory grossly intact. skin : no rash, no ulceration, no erythema in decubiti. spine: no mid-line tenderness. no focal neurological deficits. pertinent results: 07:00am blood hct-32.6* 07:00am blood hct-30.2* 07:20am blood wbc-7.2 rbc-3.04* hgb-8.9* hct-26.7* mcv-88 mch-29.2 mchc-33.2 rdw-15.7* plt ct-124* 01:25pm blood wbc-8.9 rbc-3.22* hgb-9.2* hct-26.8* mcv-83 mch-28.7 mchc-34.5 rdw-15.5 plt ct-112* 12:52pm blood hct-30.2* 06:02am blood hct-25.2* 03:30am blood wbc-10.2 rbc-3.07* hgb-8.8* hct-25.7* mcv-84 mch-28.7 mchc-34.3 rdw-15.3 plt ct-111* 09:28pm blood wbc-11.9* rbc-3.36* hgb-9.7* hct-28.4* mcv-85 mch-28.8 mchc-34.1 rdw-15.3 plt ct-101* 11:59am blood wbc-11.3*# rbc-4.08*# hgb-11.3*# hct-34.6*# mcv-85 mch-27.8 mchc-32.8 rdw-14.9 plt ct-139* 07:25am blood wbc-7.2 rbc-2.73*# hgb-7.8*# hct-23.8*# mcv-87 mch-28.5 mchc-32.7 rdw-14.7 plt ct-149* 04:50pm blood wbc-5.9 rbc-3.83* hgb-10.8* hct-33.5* mcv-87 mch-28.2 mchc-32.3 rdw-14.6 plt ct-156 07:20am blood plt ct-124* 01:25pm blood plt ct-112* 03:30am blood plt ct-111* 09:28pm blood plt ct-101* 09:28pm blood pt-12.6 ptt-21.8* inr(pt)-1.1 01:31pm blood pt-12.7 ptt-23.0 inr(pt)-1.1 11:59am blood plt ct-139* 07:00am blood k-3.9 07:00am blood k-3.9 07:20am blood glucose-117* urean-19 creat-0.8 na-142 k-4.2 cl-107 hco3-27 angap-12 01:25pm blood glucose-117* urean-17 creat-0.8 na-142 k-3.7 cl-106 hco3-26 angap-14 09:28pm blood glucose-200* urean-15 creat-0.8 na-138 k-4.0 cl-103 hco3-29 angap-10 11:59am blood glucose-186* urean-13 creat-0.8 na-138 k-4.1 cl-104 hco3-27 angap-11 04:50pm blood glucose-167* urean-18 creat-0.9 na-143 k-3.3 cl-100 hco3-28 angap-18 03:30am blood ck(cpk)-109 09:28pm blood ck(cpk)-138 04:36pm blood ck(cpk)-141 07:00am blood phos-3.1 mg-1.6 07:00am blood phos-3.0 mg-1.6 07:20am blood calcium-9.2 phos-2.7 mg-1.8 03:30am blood type-art po2-320* pco2-53* ph-7.38 caltco2-33* base xs-5 09:50pm blood type-art po2-266* pco2-58* ph-7.35 caltco2-33* base xs-4 06:51pm blood type-art temp-36.9 rates-/14 fio2-35 po2-133* pco2-57* ph-7.33* caltco2-31* base xs-2 intubat-not intuba vent-controlled 05:11pm blood type-art temp-36.9 peep-5 po2-132* pco2-58* ph-7.31* caltco2-31* base xs-1 intubat-not intuba comment-o2 deliver 03:24pm blood type-art temp-36.1 fio2-40 po2-125* pco2-57* ph-7.32* caltco2-31* base xs-1 intubat-not intuba comment-simple fac 03:30am blood o2 sat-98 09:50pm blood o2 sat-98 brief hospital course: ms. is a year old nursing home patient who fell on and was admitted to the orthopedic service on for a left hip fracture after being evaluated and treated with closed reduction in the emergency room. she underwent open reduction internal fixation of the left hip without complication on . she was extubated in the recovery room. in the early postop period, the patient was lethargic and developed hypercapnea, with pco2 of 57, requiring bipap. her mental status and o2 requirements improved while in the recovery room. she was admitted to the surgical intensive care unit on the night of surgery for close monitoring. she was transfused 2 units of packed red blood cells for post operative blood loss anemia. she improved overnight in the intensive care unit. on hospital day one she was transferred out to the floor in stable condition. on she was again transfused with 1 unit of packed red blood cells due to acute blood loss anemia. on she was again transfused with 1 unit of packed red blood cells due to acute blood loss anemia. she had adequate pain management and worked with physical therapy while in the hospital. the remainder of her hospital course was uneventful and ms. is being discharged to rehab. on 02/ ? /10 in stable condition. medications on admission: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 2. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 3. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 7. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 8. tramadol 50 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 9. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). discharge medications: 1. enoxaparin 30 mg/0.3 ml syringe sig: one (1) syringe subcutaneous q24h (every 24 hours) for 4 weeks. 2. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 3. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 4. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. sertraline 50 mg tablet sig: two (2) tablet po daily (daily). 7. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 8. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 9. tramadol 50 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 10. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 11. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 12. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 13. multivitamin tablet sig: one (1) tablet po daily (daily). 14. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 15. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 16. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 17. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 18. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 19. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 20. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 21. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 22. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous daily (daily) for 4 weeks. 23. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 24. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed) as needed for dry eyes. discharge disposition: extended care facility: - discharge diagnosis: 1. left hip fracture. 2. post-operative hypercapnea. 3. post operative blood loss anemia discharge condition: mental status:confused - sometimes level of consciousness:alert and interactive activity status:ambulatory - requires assistance or aid (walker or cane) discharge instructions: wound care: -keep incision dry. do not soak the incision in a bath or pool. activity: -continue to be full weight bearing on your left leg. -you should not lift anything greater than 5 pounds. - resume your regular diet. - avoid nicotine products to optimize healing. - resume your home medications. take all medications as instructed. - continue taking the lovenox to prevent blood clots. you have also been given additional medications to control your pain. please allow 72 hours for refill of narcotic prescriptions, so plan ahead. you can either have them mailed to your home or pick them up at the clinic located on 2. we are not allowed to call in narcotic (oxycontin, oxycodone, percocet) prescriptions to the pharmacy. in addition, we are only allowed to write for pain medications for 90 days from the date of surgery. - narcotic pain medication may cause drowsiness. do not drink alcohol while taking narcotic medications. do not operate any motor vehicle or machinery while taking narcotic pain medications. taking more than recommended may cause serious breathing problems. if you have questions, concerns or experience any of the below danger signs then please call your doctor at or go to your local emergency room. physical therapy: full weight bearing as tolerated, left leg. treatment frequency: discontinue staples 14 days from date of surgery. followup instructions: 2 weeks in the clinic with , np. please call to make this appointment. procedure: internal fixation of bone without fracture reduction, femur diagnoses: thrombocytopenia, unspecified esophageal reflux pure hypercholesterolemia acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hematoma complicating a procedure depressive disorder, not elsewhere classified osteoporosis, unspecified alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance accidents occurring in residential institution spinal stenosis, unspecified region fall from other slipping, tripping, or stumbling delirium due to conditions classified elsewhere diverticulosis of colon (without mention of hemorrhage) adult failure to thrive acquired absence of both cervix and uterus closed fracture of intertrochanteric section of neck of femur history of fall 

Answer: The patient is high likely exposed to