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: percocet / naprosyn / darvocet a500 attending: chief complaint: she is a 78-year-old woman with an infrarenal abdominal aneurysm and bilateral leg claudication left worse than right at 10 feet distance. major surgical or invasive procedure: retroperitoneal tube graft repair of abdominal aortic aneurysm history of present illness: 78-year-old woman with a history of non-insulin dependent diabetes and ex-75 pack year smoker who presents to dr. service, with a history of bilateral lower extremity claudication, left greater than right as stated previously associated with no clear ischemic rest pain however, this is now debilitating in nature. also on workup of ct was found to have an infrarenal abdominal aneurysm as well as extensive aortoiliac atherosclerotic disease. the aneurysm at its maximum diameter was 5x3x5x4 cm. past medical history: pmh: dm, htn, gerd, aaa, hyperchol, hyopth psh: appendectomy, tah, r-breast bx social history: she is an ex-smoker of 75 pack years, she does not smoke currently, she does not drink outside of socially. she uses no recreational drugs. she is a country music singer. family history: non contributary physical exam: pe: afvss neuro: perrl / eomi mae equally answers simple commands neg pronator drift sensation intact to st 2 plus dtr neg babinski heent: ncat neg lesions nares, oral pharnyx, auditory supple / farom neg lyphandopathy, supra clavicular nodes lungs: cta b/l cardiac: rrr without murmers abdomen: soft, nttp, nd, pos bs, neg cva tenderness, inc: c/d/i ext: rle - palp fem, , / dop pt, dp lle - palp fem, , / dop pt, dp pertinent results: wbc-18.6* rbc-4.24 hgb-12.5 hct-36.8 mcv-87 mch-29.4 mchc-33.9 rdw-15.6* plt ct-394 neuts-85.5* bands-0 lymphs-9.5* monos-2.6 eos-2.3 baso-0.1 pt-13.6* ptt-29.5 inr(pt)-1.2 glucose-118* urean-18 creat-0.8 na-136 k-3.9 cl-98 hco3-25 angap-17 calcium-7.6* phos-2.5* mg-1.9 freeca-1.12 2:52 pm chest port comments: a single supine ap view of the chest was reviewed and compared with pa and lateral chest radiographs from . tip of an endotracheal tube is located 5 cm above the level of the carina. a right-sided swan-ganz catheter is seen with its tip projecting over the right main pulmonary artery. the heart size is normal. the mediastinal and hilar contours are unchanged. the lungs are clear. no pleural effusions or pneumothoraces are identified. the pulmonary vasculature is within normal limits. impression: 1. tip of right swan-ganz catheter located in the right main pulmonary artery. 2. no pneumothorax. echo measurements: left atrium - long axis dimension: 3.1 cm (nl <= 4.0 cm) left atrium - four chamber length: 5.1 cm (nl <= 5.2 cm) left ventricle - ejection fraction: 45% to 50% (nl >=55%) aorta - valve level: 3.5 cm (nl <= 3.6 cm) aortic valve - peak velocity: 1.0 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 0.5 m/sec mitral valve - a wave: 0.6 m/sec mitral valve - e/a ratio: 0.83 mitral valve - e wave deceleration time: 294 msec interpretation: findings: left atrium: normal la size. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. left ventricle: normal lv wall thicknesses and cavity size. mild regional lv systolic dysfunction. no resting lvot gradient. lv wall motion: regional lv wall motion abnormalities include: basal anterolateral - hypo; mid anterolateral - hypo; right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic root diameter. aortic valve: aortic valve not well seen. no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: indeterminate pa systolic pressure. pericardium: there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. general comments: suboptimal image quality - poor apical views. suboptimal image quality as the patient was difficult to position. suboptimal image quality - ventilator. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a low risk (prophylaxis not recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. conclusions: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with focal hypokinesis of the anterolateral wall. the remaining segments contract well. right ventricular chamber size and free wall motion are normal. the aortic valve is not well seen. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. impression: mild regional left ventricular systolic dysfunction c/w cad. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a low risk (prophylaxis not recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. 1:27:06 pm ecg sinus rhythm. non-specific st-t wave changes. compared to the previous tracing of . tracing #1 intervals axes rate pr qrs qt/qtc p qrs t 67 132 80 85 10:26 am stool consistency: watery source: stool. final report clostridium difficile toxin assay (final ): feces negative for c. difficile toxin by eia. reference range: negative. 12:19 pm urine - catheter final report 09/13/0 urine culture (final ): no growth general urine information color appear sp yellow clear 1.007 dipstick urinalysis blood nitrite protein glucose ketone bilirub urobiln ph leuks neg neg neg neg neg neg neg 7.0 neg brief hospital course: pt admitted pt undergoes a retroperitoneal tube graft repair of abdominal aortic aneurysm. she tolerates the procedure well. there are no complications. pt is intubated. transfered to the pacu in stable condition. she did require post operaritive drips for hemodynamics. once recovered from anesthesia. pt is transfered to the sicu in stable condition.she is still intubated - pt emained in the sicu she required iv drips for bp control / and gentle diuresis. pt extubated after extubation, pt still required gentlee diuresis. pt did experience some confusion, narcotics dc'd. pt mental status did improve. diet was advanced as tolerated. pt transfered to the vicu case management and pt were consulted. pt diet was advanced foley removed, pt delined. pt with slight increase in wbc, low grade temp - uti, tx with antibiotics. - pt transfered to the floor. pt stable on discharge pt is taking po, ambulating, pos bm, urinating. pt did have multiple stools. c- diff neg. medications on admission: 1. metformin 500 tid 2. atenolol 75 qd 3. ranitidine 4. fosamax 5. lipitor 20 qd 6. asa qd 7. nifedipine sr 90 qd 8. levoxyl 725 mcg qd discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 2. levothyroxine sodium 75 mcg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. alendronate 70 mg tablet sig: one (1) tablet po qmon (every monday). 5. metformin 500 mg tablet sig: one (1) tablet po bid (2 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. nifedipine 90 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 8. albuterol sulfate 0.083 % solution sig: one (1) inhalation q4-6h (every 4 to 6 hours) as needed. 9. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation q4h (every 4 hours) as needed. 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 11. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 12. metronidazole 500 mg tablet sig: one (1) tablet po tid (3 times a day) for 10 days. 13. insulin insulin sc (per insulin flowsheet) sliding scale qachs, qpc2h, hs, qam insulin sc sliding scale breakfast lunch dinner bedtime regular glucose insulin dose 0-50 mg/dl 4 oz. juice 51-150 mg/dl 0 151-200 mg/dl 2 units 201-250 mg/dl 4 units 251-300 mg/dl 6 units 301-350 mg/dl 8 units 351-400 mg/dl 10 units > 400 mg/dl notify m.d. 14. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 15. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 7 days. discharge disposition: extended care facility: - discharge diagnosis: abdominal aortic aneurysm discharge condition: stable discharge instructions: discharge instructions following aortic surgery . this information is designed as a guideline to assist you in a speedy recovery from your surgery. please follow these guidelines unless your physician has specifically instructed you otherwise. please call our office nurse if you have any questions. dial 911 if you have any medical emergency. . activity: . there are no specific restrictions on activity other than no lifting an object heavier than twenty-five (25) pounds for the first three (3) months. gradually increase your level of activity back to normal depending on how you feel. fatigue is normal, especially for the first month postoperative. resume driving when you feel strong enough and comfortable enough without needing pain medication. . please call us immediately for any of the following problems: . severe and worsening abdominal pain . . pain or swelling in one of your legs. . increasing pain, redness or drainage related to your incision(s) . . watch for signs and symptoms of infection. these are: a fever greater than 101 degrees, chills, increased redness, or pus draining from the incision site. if you experience any of these or bleeding at the incision site, call the doctor. . exercise: . limit strenuous activity for 8 weeks. . resume driving when you feel strong enough and comfortable enough without needing pain medication . . no heavy lifting greater than 20 pounds for 8 weeks. . avoid excessive bending at the hips and stooping for 4 weeks. . bathing/showering: . you may shower immediately if the incision is dry upon coming home. no baths until sutures / staples are removed. dissolving sutures may have been used. in either case, you can wash your incision gently with soap and water. . wound care: . suture / staples may be removed before discharge. if they are not, an appointment will be made for you to return for staple removal. . when the sutures / staples are removed the doctor may or may not place pieces of tape called steri-strips over the incision. these will stay on about a week and you may shower with them on. if these do not fall off after 10 days, you may peel them off with warm water and soap in the shower. . avoid taking a tub bath, swimming, or soaking in a hot tub for two weeks after surgery. . medications: . you may resume taking medication you were on prior to your surgery unless specifically instructed otherwise by your physician will be given a new prescription for pain medication, which should be taken every three (3) to four (4) hours only if necessary. . remember that narcotic pain meds can be constipating and you should increase the fluid and bulk foods in your diet. (check with your physician if you have fluid restrictions.) if you feel that you are constipated, do not strain at the toilet. you may use over the counter metamucil or milk of magnesia. appetite suppression may occur; this will improve with time. eat small balanced meals throughout the day. . cautions: . no smoking! we know you've heard this before, but it really is an important step to your recovery. smoking causes narrowing of your blood vessels which in turn decreases circulation. if you smoke you will need to stop as soon as possible. ask your nurse or doctor for information on smoking cessation. . avoid heavy lifting (over 20 pounds) for 8 weeks after surgery. . no strenuous activity for 4-6 weeks after surgery. . diet: . there are no special restrictions on your diet postoperatively. poor appetite is expected for several weeks and small, frequent meals may be preferred. . for people with vascular problems we would recommend a cholesterol lowering diet: follow a diet low in total fat and low in saturated fat and in cholesterol to improve lipid profile in your blood. additionally, some people see a reduction in serum cholesterol by reducing dietary cholesterol. since a reduction in dietary cholesterol is not harmful, we suggest that most people reduce dietary fat, saturated fat and cholesterol to decrease total cholesterol and ldl (low density lipoprotein-the bad cholesterol). exercise will increase your hdl (high density lipoprotein-the good cholesterol) and with your doctor's permission, is typically recommended. you may be self-referred or get a referral from your doctor. . if you are overweight, you need to think about starting a weight management program. your health and its improvement depend on it. we know that making changes in your lifestyle will not be easy, and it will require a whole new set of habits and a new attitude. if interested you can may be self-referred or can get a referral from your doctor. . if you have diabetes and would like additional guidance, you may request a referral from your doctor. . follow-up appointment: . be sure to keep your medical appointments. the key to your improving health will be to keep a tight reign on any of the chronic medical conditions that you have. things like high blood pressure, diabetes, and high cholesterol are major villains to the blood vessels. don't let them go untreated! . please call the office on the first working day after your discharge from the hospital to schedule a follow-up visit. this should be scheduled on the calendar for seven to fourteen days after discharge. normal office hours are 8:30-5:30 monday through friday. . please feel free to call the office with any other concerns or questions that might arise. followup instructions: follopw up with dr in two weeks. she can be reached at . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified pulmonary artery wedge monitoring resection of vessel with replacement, aorta, abdominal transfusion of packed cells transfusion of other serum diagnoses: other iatrogenic hypotension esophageal reflux pure hypercholesterolemia unspecified pleural effusion urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atherosclerosis of native arteries of the extremities with intermittent claudication atherosclerosis of aorta abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to