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: no known allergies / adverse drug reactions attending: chief complaint: bilateral pulmonary embolism major surgical or invasive procedure: - pulmonary artery catheterization without tpa infusion history of present illness: 23f s/p laparoscopic appendectomy on . patient was discharged the next day in good condition. pt was ambulating without any difficulty. she reports feeling tired yesterday and this morning feeling lightheaded, sweating, and some chest pain. pt went to hospital where ct scan revealed bilateral pes. she was hypotensive to 76/52 and she was given fluid bolus as well as heparin bolus, followed by heparin gtt. pt was then transferred to for further management. in the tsicu, her o2 sat is 100 on 3l nc. she does not complain of shortness of breath, lightheadedness, or le pain or swelling. denies fever/chill/nausea/vomiting. last bm was yesterday and it was normal. pt reports minimal chest pain. past medical history: hypothyroidism, and adhd social history: no tobacco, occasional alcohol. no illicit substances. family history: non-contributory physical exam: vitals: t98.3 p91 bp96/58 rr16 100% 3l nc gen: nad. alert, oriented x3. heent: no scleral icterus. mucous membranes moist. neck supple cv: rrr, normal s1/s2 pulm: unlabored breathing, ctab abd: soft, nondistended, nttp, no r/g. no masses. normal active bowel sound, port sites are d/c/i ext: warm without le edema/c/c pertinent results: 05:00pm plt count-218 05:00pm wbc-14.4* rbc-4.23 hgb-12.6 hct-37.5 mcv-89 mch-29.7 mchc-33.5 rdw-13.4 05:00pm hcg-<5 05:00pm tsh-3.2 05:00pm d-dimer-3821* 05:00pm calcium-8.3* phosphate-3.3 magnesium-1.8 05:00pm ck-mb-3 ctropnt-0.09* probnp-275* 05:00pm ck(cpk)-46 05:00pm estgfr-using this 05:00pm glucose-83 urea n-10 creat-0.6 sodium-139 potassium-4.4 chloride-107 total co2-25 anion gap-11 05:16pm fibrinoge-493* 05:16pm pt-11.3 ptt-141.7* inr(pt)-1.0 05:23pm lactate-1.3 06:35pm heparin-0.64 06:35pm pt-11.6 ptt-82.4* inr(pt)-1.1 brief hospital course: 23f admitted for bilateral pulmonary embolisms s/p laparoscopic appendectomy on . she underwent a cta of her chest, which showed extensive bilateral pulmonary emboli. she was started on a heparin drip and transferred to the icu. cardiology and vascular surgery were consulted. they recommended therapeutic enoxaparin, which was given. to assess the strain on the heart, an echocardiogram was performed, which showed right free wall hypokinesis, 2+ tricuspid regurgitation, and dilation of the right ventricle. on , heme was consulted, and they recommended lifelong discontinuation of her oral contraceptive pills. they also advised a six-month course of warfarin. she underwent a repeat echo, which showed no change. on , a repeat cta/ctv of th echest was performed as well as a ct of the pelvis to evaluate thrombus burden and to evaluated for iliofemoral clot, respectively. a repeat echo was unchanged. she was put on a regular diet, which she tolerated well. on , she was advanced to po pain meds. given her experience, she had anxiety, and so social work was consulted to evaluate for therapy options. from a cardiovascular standpoint, catheter directed thorombolysis was planned for the next morning, so she was switched over to a heparin drip. on , catheter directed thrombolysis was attempted but ultimately aborted before tpa was given secondary to her right pulmonary artery pressures being found to be normal. a repeat echo showed minimal dilation of the ventricle. she was transferred to the floor in stable condition. cardiology recommended 3 weeks of fondaparinux (7.5 mg sc daily) every day with a transition to warfarin as an outpatient. on , she was doing well and discharged home in stable condition. medications on admission: none discharge medications: 1. acetaminophen 650 mg po q6h:prn fever/pain 2. fondaparinux sodium 7.5 mg sc daily to start . please give as close to 0600am as possible. rx *fondaparinux 7.5 mg/0.6 ml inject one syringe daily disp #*21 syringe refills:*0 3. oxycodone (immediate release) 5-10 mg po q4h:prn pain rx *oxycodone 5 mg tablet(s) by mouth every 6 hours disp #*40 tablet refills:*0 4. docusate sodium 100 mg po bid discharge disposition: home discharge diagnosis: pulmonary embolism discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: please resume all regular home medications unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. avoid driving or operating heavy machinery while taking pain medications. please follow-up with your surgeon and primary care provider (pcp) as advised. followup instructions: test for consideration post-discharge: factor v leiden procedure: right heart cardiac catheterization diagnoses: unspecified acquired hypothyroidism constipation, unspecified hypotension, unspecified other acquired absence of organ iatrogenic pulmonary embolism and infarction nausea alone other postprocedural status attention deficit disorder with hyperactivity heart disease, unspecified 

Answer: The patient is high likely exposed to