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: chief complaint: transfer from trauma surgery of a. fib with rvr major surgical or invasive procedure: direct cardioversion history of present illness: events / history of presenting illness: ms. is a 69 yo female with a history of paf and hyperthyroidism who was admitted to trauma surgery following mechanical fall complicated by pelvic hematoma 3 days ago. during her hospital stay, her hct dropped to 17. serial crits were followed and she was transfused 8 units prbcs. a mesenteric angiogram on showed no active bleeding. . during her hospitalization, 5 doses of sotalol were held. on evening prior to transfer to (), patient was found to be in a. fib with rvr with hr ranging from 120 to 173, bp 128/82, rr 16, of2 sat 98% on room air. she was given her home dose of sotalol and 5 mg iv lopressor and her hr dropped to 70s to 100. she was asymptomatic at this time except for palpitations. she had no chest pain, chest pressure, shortness of breath. she seen by ep who hoped to convert her to nsr given that she had been in a. fib for less than 48 hours and had a contraindication to anticoauglation at present (recent pelvic hematoma). they continued sotalol and gave her 0.6 mg of ibutalide. administration of ibutalide was limited by qtc prolongation (465). two attempts at cardioversion at 200 and 360 j failed to convert her to nsr. . upon arrival to the floor, patient denied any chest pain, shortness of breath, palpitations, diarrhea, constipation, nausea, vomiting or any other symptoms. she reports that her right pelvic pain is mild and that she is not requiring pain meds. past medical history: past medical history: hyperthyroidism paroxysmal a. fib . social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death physical exam: physical examination: vs - t 97.3, bp 130/80, hr 88, rr 16, o2 sat 98% gen: wdwn middle aged female in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 9 cm. cv: pmi located in 5th intercostal space, midclavicular line. iregular rhythm, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm. abd aorta not enlarged by palpation. no abdominial bruits. +rlq tenderness. no ecchymosis. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pertinent results: . hct 17 . hct 39 . . impression: right internal iliac arteriogram demonstrated no active extravasation of contrast/acitve bleeding. no embolization was performed. brief hospital course: in summary, ms. is a 69 year old female with paroxysmal atrial fibrillation, hyperthyroidism, who was admitted after a mechanical fall complicated by pelvic hematoma and transferred to for cardioversion for a. fib. . rhythm. patient was transferred to because she went into a. fib with heart ratein 100s. patient was off anticoagulation at the time due to pelvic hematoma following fall. because she could not get anticoagulation due to fall, attempts at cardioversion were made. she was resumed on home sotalol that had been held for 5 doses while on the trauma surgery service. she was given ibutalide, but administration of this was limited by qtc prolongation. two attempts at direct cardioversion were unsuccessful. she was started on metoprolol and then eventually spontaneously converted to nsr within 48 hours of being in a.fib. she was sent home with instructions to take aspirin instead of coumadin for 1 month. after one month, she should resume coumadin. she was sent out with of hearts monitor. she will follow up with her cardiologist. . s/p fall. patient was admitted following a mechanical fall. angiography failed to show active bleeding. she was found to have a pelvic hematoma and her hematocrit on presentation was 17. she was transfused 6 units prbcs. on day of discharge she was able to walk around without significant pain. . hyperthyroidism. patient has history of hyperthyroidism, however a tsh was found to be elevated (5.2). she was asked to have this rechecked by her pcp in few weeks and then consider adjusting her methimazole dose accordingly. medications on admission: . current medications: sotalol 80 mg b.i.d. coumadin methimazole 5 mg, 10mg aternating daily fosamax 70 mg weekly calcium multivitamins prevacid discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. methimazole 5 mg tablet sig: one (1) tablet po qtuthsa (,tu,th,sa). 3. methimazole 10 mg tablet sig: one (1) tablet po qmowefr (monday -wednesday-friday). 4. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 5. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 6. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). 7. fosamax 70 mg tablet sig: one (1) tablet po once a week. 8. multivitamin tablet sig: one (1) tablet po once a day. 9. aspirin ec 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: pelvic hematoma s/p fall paroxysmal atrial fibrillation . secondary diagnosis: hyperthyroidism discharge condition: stable discharge instructions: you were admitted for a fall. you had a significant amount of bleeding into your hip and required several blood transfusions. you went into atrial fibrillation. you were given medications to help convert you to a normal rhythm and two attempts at direct cardioversion were made, but were unsuccessful. you eventually went into a normal rhythm and are now on a medication called sotalol to control your heart rythm. . please resume all medications as you were previous taking except for coumadin. you should stop taking coumadin for four weeks to reduce the risk of bleeding at your hip. when you resume taking coumadin, please call your primary care physician so that you can have your inr checked frequently. please take aspirin daily until you can resume coumadin. . . your thyroid function tests were checked and showed that you were hypothyroid. please have these results rechecked in weeks by your primary care physician. may want to adjust your methimazole dose if your tsh remains elevated. . one of your urine samples had blood in it. please have your urinalysis re-checked on follow up with your primary care physician. . you will also have of hearts monitor. please follow up with dr. regarding your atrial fibrillation. . please call your physician or come to the emergency department if you have worsening hip pain, shortness of breath, chest pain, palpiations, sudden loss of vision, sudden numbness or weakness, or any other concerning symptoms. please call your cardiologist if you go back into atrial fibrillation. followup instructions: please follow up with the trauma clinic in weeks. please call with an appointment. . you have an appointment with dr. on at 2:20 pm. please call his office to re-schedule this appointment in the next month. phone . he will follow your of hearts recordings . please follow up with your primary care physician as soon as possible. procedure: other electric countershock of heart arteriography of femoral and other lower extremity arteries diagnoses: acute posthemorrhagic anemia atrial fibrillation thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm long-term (current) use of anticoagulants fall from other slipping, tripping, or stumbling closed fracture of pubis injury to unspecified pelvic organ, without mention of open wound into cavity 

Answer: The patient is high likely exposed to