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: iodine attending: chief complaint: s/p mvc unrestrained passenger car vs. tree, pinned against winshield +loc +etoh major surgical or invasive procedure: endotracheal intubation vats x2 - , history of present illness: 63 y/o unrestrained passenger car vs. tree, pinnned against windshield, +loc, +etoh past medical history: htn, gout, previous exploratory laparotomy social history: +etoh family history: nc physical exam: on discharge: afebrile, all vital signs stable general: alert and oriented x1, no acute distress resp: ct d/c with dressings cdi. reg even rate no audible wheeze, decreased bs on l cardiac: rrr, no rubs, murmurs, gallops abd: +bs, obese, nd, nttp extremities: bilateral upper distal radius fractures splinted splints: clean/dry/intact sensation intact to light touch, neurovascular intact distally, capillary refill brisk, 2+ pulses, weight bearing: non weight bearing on bilateral upper extremities left antecubital fossa: c/d/i with dry gauze pertinent results: 07:30pm wbc-12.3* rbc-5.09 hgb-15.5 hct-42.0 mcv-82 mch-30.4 mchc-36.9* rdw-13.9 07:30pm plt count-197 07:30pm pt-13.1 ptt-25.6 inr(pt)-1.1 07:30pm fibrinoge-361 07:30pm asa-neg ethanol-31* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:30pm lipase-39 07:30pm urea n-14 creat-0.8 07:42pm glucose-136* lactate-3.0* na+-140 k+-4.1 cl--99* 07:42pm po2-68* pco2-35 ph-7.43 total co2-24 base xs-0 comments-green top 09:10pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-15 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:27pm lactate-2.6* trends: 02:08am blood wbc-11.6* rbc-3.27* hgb-9.6* hct-28.5* mcv-87 mch-29.5 mchc-33.7 rdw-14.8 plt ct-556* 02:34am blood wbc-13.6* rbc-2.86* hgb-8.6* hct-24.8* mcv-87 mch-30.2 mchc-34.8 rdw-14.7 plt ct-470* 03:39pm blood wbc-19.5* rbc-2.67* hgb-8.2* hct-24.0* mcv-90 mch-30.9 mchc-34.3 rdw-14.9 plt ct-476* 02:46am blood wbc-21.0* rbc-2.79* hgb-8.7* hct-25.0* mcv-89 mch-31.0 mchc-34.7 rdw-15.0 plt ct-475* 01:45am blood wbc-11.6* rbc-2.61* hgb-8.2* hct-23.0* mcv-88 mch-31.4 mchc-35.7* rdw-15.3 plt ct-388 04:21am blood wbc-8.6 rbc-2.98* hgb-8.9* hct-26.1* mcv-87 mch-29.8 mchc-34.1 rdw-15.3 plt ct-287 01:34am blood neuts-76* bands-4 lymphs-13* monos-3 eos-2 baso-1 atyps-0 metas-1* myelos-0 05:30am blood neuts-77.6* lymphs-16.3* monos-3.8 eos-1.8 baso-0.5 02:00am blood pt-14.3* ptt-29.7 inr(pt)-1.2* 02:29am blood pt-15.1* ptt-28.9 inr(pt)-1.3* 02:34am blood pt-16.6* inr(pt)-1.5* 01:46am blood pt-15.9* inr(pt)-1.4* 01:46am blood pt-21.0* inr(pt)-2.0* 05:30am blood pt-20.4* ptt-33.7 inr(pt)-1.9* 09:02am blood pt-18.1* ptt-36.3* inr(pt)-1.7* 04:21am blood pt-16.4* ptt-34.6 inr(pt)-1.5* 12:28am blood glucose-145* urean-15 creat-0.8 na-135 k-4.8 cl-102 hco3-21* angap-17 02:00am blood glucose-158* urean-22* creat-1.5* na-132* k-8.7* cl-104 hco3-23 angap-14 01:52am blood glucose-173* urean-54* creat-1.7* na-147* k-3.9 cl-109* hco3-29 angap-13 02:59am blood glucose-136* urean-57* creat-2.0* na-148* k-3.9 cl-111* hco3-31 angap-10 02:08am blood glucose-133* urean-76* creat-2.4* na-145 k-3.3 cl-110* hco3-27 angap-11 02:46am blood glucose-138* urean-81* creat-2.7* na-145 k-4.6 cl-109* hco3-26 angap-15 04:20am blood glucose-129* urean-66* creat-1.9* na-144 k-4.0 cl-110* hco3-24 angap-14 02:26am blood glucose-133* urean-80* creat-2.3* na-141 k-3.9 cl-110* hco3-23 angap-12 01:46am blood glucose-92 urean-47* creat-1.4* na-143 k-3.7 cl-111* hco3-25 angap-11 07:29am blood glucose-88 urean-31* creat-1.1 na-140 k-4.2 cl-109* hco3-23 angap-12 04:26am blood glucose-94 urean-26* creat-1.0 na-139 k-3.8 cl-108 hco3-26 angap-9 12:28am blood alt-83* ast-59* ld(ldh)-304* ck(cpk)-356* alkphos-46 totbili-0.6 02:05am blood alt-31 ast-57* ld(ldh)-186 totbili-0.5 01:34am blood alt-57* ast-87* alkphos-54 totbili-0.4 07:45am blood alt-40 ast-39 alkphos-75 totbili-0.5 dirbili-0.3 indbili-0.2 12:28am blood ck-mb-8 ctropnt-0.03* 03:57pm blood ck-mb-4 ctropnt-0.05* 11:59pm blood ck-mb-notdone ctropnt-0.13* 07:14pm blood ck-mb-notdone ctropnt-0.12* 07:42pm blood glucose-136* lactate-3.0* na-140 k-4.1 cl-99* 09:27pm blood lactate-2.6* 03:07am blood lactate-2.3* 04:27am blood glucose-170* lactate-1.8 k-4.2 02:01am blood lactate-1.4 micro: 12/25,26 blood - s. aureus pan-s - x 3 cultures 1:30 am blood culture source: line-cvl. . **final report ** blood culture, routine (final ): staph aureus coag +. final sensitivities. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 0.5 s penicillin g---------- =>0.5 r trimethoprim/sulfa---- <=0.5 s aerobic bottle gram stain (final ): reported by phone to at 1725, . gram positive cocci in pairs and clusters. anaerobic bottle gram stain (final ): gram positive cocci in pairs and clusters. . 12:57 pm catheter tip-iv source: l sc cvl. **final report ** wound culture (final ): staph aureus coag +. >15 colonies. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 0.5 s penicillin g---------- =>0.5 r trimethoprim/sulfa---- <=0.5 s . ucx-enterococcus 4k . ucx **final report ** urine culture (final ): staph aureus coag +. 10,000-100,000 organisms/ml.. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml _________________________________________________________ staph aureus coag + | gentamicin------------ <=0.5 s levofloxacin----------<=0.12 s nitrofurantoin-------- 32 s oxacillin-------------<=0.25 s penicillin g---------- =>0.5 r trimethoprim/sulfa---- <=0.5 s sputum: rare gnr source: endotracheal. **final report ** gram stain (final ): <10 pmns and <10 epithelial cells/100x field. no microorganisms seen. quality of specimen cannot be assessed. respiratory culture (final ): rare growth oropharyngeal flora. gram negative rod(s). rare growth. . tissue culture: mssa source: l antecubital vein. **final report ** gram stain (final ): 2+ (1-5 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram positive cocci in clusters. reported by phone to at 535 . tissue (final ): staph aureus coag +. sparse growth. staphylococcus species may develop resistance during prolonged therapy with quinolones. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. testing of repeat isolates may be warranted. sensitivities: mic expressed in mcg/ml ______________________________________________________ staph aureus coag + | clindamycin-----------<=0.25 s erythromycin----------<=0.25 s gentamicin------------ <=0.5 s levofloxacin---------- 0.25 s oxacillin------------- 0.5 s penicillin g---------- =>0.5 r trimethoprim/sulfa---- <=0.5 s anaerobic culture (final ): no anaerobes isolated. . mrsa screen: no mrsa lung bx: neg pleural fluid: neg bronchoalveolar lavage broncial wash. **final report ** gram stain (final ): 1+ (<1 per 1000x field): polymorphonuclear leukocytes. 2+ (1-5 per 1000x field): gram negative rod(s). respiratory culture (final ): oropharyngeal flora absent. escherichia coli. 10,000-100,000 organisms/ml.. enterobacter cloacae. 10,000-100,000 organisms/ml.. this organism may develop resistance to third generation cephalosporins during prolonged therapy. therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. for serious infections, repeat culture and sensitivity testing may therefore be warranted if third generation cephalosporins were used. escherichia coli. ~8ooo/ml. sensitivities: mic expressed in mcg/ml ________________________________________________________ escherichia coli | enterobacter cloacae | | escherichia coli | | | ampicillin------------ =>32 r =>32 r ampicillin/sulbactam-- =>32 r =>32 r cefazolin------------- =>64 r =>64 r cefepime-------------- <=1 s <=1 s <=1 s ceftazidime----------- <=1 s <=1 s <=1 s ceftriaxone----------- <=1 s <=1 s <=1 s cefuroxime------------ 16 i 16 i ciprofloxacin---------<=0.25 s <=0.25 s <=0.25 s gentamicin------------ <=1 s <=1 s <=1 s meropenem-------------<=0.25 s <=0.25 s <=0.25 s piperacillin---------- 32 i <=4 s 32 i piperacillin/tazo----- <=4 s <=4 s tobramycin------------ <=1 s <=1 s <=1 s trimethoprim/sulfa---- <=1 s <=1 s <=1 s fungal culture (final ): yeast. . ucx: yeast >100,000 cdiff negative x 2 urine: yeast 10,000-100,000 sputum site: endotracheal **final report ** gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): yeast(s). respiratory culture (final ): rare growth oropharyngeal flora. yeast. moderate growth. yeast. sparse growth of 2nd colonial morphology. rsc tip: no growth final bcx neg mrsa negative and ucx: no growth final bcx: negative c-diff x1: no growth . radiographic studies: ct head w/o contrast impression: two small foci of subarachnoid hemorrhage. there is also a small inter-falx subdural hematoma. . ct head w/o contrast impression: slight redistribution of subarachnoid hemorrhage in the left frontal paramedian region, with overall decrease in bifrontal subarachnoid hemorrhage density. small left parafalcine subdural hematoma has decreased in density or resolved. no evidence of new acute abnormalities. . right wrist, ap, lateral, and oblique views: overlying cast obscures fine detail. there is a transverse fracture through the distal radius, with a small displaced fragment along the ulnar aspect. no definite intra- articular extension noted. there is also a fracture through the distal ulna and extending into the styloid process. no additional fractures are identified. left wrist, ap, lateral, and oblique views: there is an oblique fracture through the left radial styloid process. no definite ulnar fracture is identified. no additional fractures are identified. there are degenerative changes at the first cmc and first pip joints. . echocardiography report impression: suboptimal image quality. mild symmetric left ventricular hypertrophy with preserved global biventricular systolic function. significant aortic valve stenosis. . echocardiography report conclusions the left atrium is mildly dilated. the left atrium is elongated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is mild functional mitral stenosis (mean gradient 4 to 5 mmhg) due to mitral annular calcification. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. . portable ap chest impression: 1. left-sided rib fractures. 2. marked interval worsening in left-sided pleural effusion. 3. support lines unchanged. . ct chest w/o contrast impression: 1. small to moderate left pleural fluid traversed by pleural tube is nonhemorrhagic and largely dependant. a small nonhemorrhagic paramediastinal component is loculated. considerable left lower lobe atelectasis accounts for much of radiographic opacity. 2. severe aortic calcifications and left ventricular prominence suggest aortic stenosis. 3. early multifocal pneumonia or widespread aspiration. 4. bronchomalacia, not fully evaluated. 5. severely displaced left rib fractures. . renal u.s. impression: no evidence of hydronephrosis or nephrolithiasis. the study and the report were reviewed by the staff radiologist. . ct chest w/o contrast impression: 1. little change to complete left lower lobe collapse and hydropneumothorax. 2. severe aortic valve calcifications and mitral valvular calcifications. 3. 6-mm noncalcified pulmonary nodules in the middle lobe, which warrant further evaluation with ct after acute process has resolved. 4. enlarged precarinal lymph node which is nonspecific. 5. grossly comminuted rib fractures, as before. . ct chest w/o contrast; ct abdomen w/o contrast; ct pelvis w/o contrast impression: 1. increase in small pockets of gas in the atelectatic left lower lobe, a finding that is not well evaluated but suggests cavitation in necrotizing pneumonia. 2. no significant change in mixed attenuation left hydropneumothorax. 3. several small pulmonary nodules in the right middle lobe will require followup after the acute episode. 4. small retroperitoneal hemorrhage extending along the left iliac vessels. 5. tiny volume ascites. 6. multiple comminuted displaced left rib fractures. 7. aortic valve calcifications, which is associated with aortic stenosis. . wrist(3 + views) bilat findings: there are comminuted fractures of bilateral distal radii. in the left wrist, on the lateral view, there is mild volar tilt of the radial articular surface, which measures degrees and is unchanged from the prior study. in the right wrist, there is neutral alignment of the right radius on the lateral view. there is limited visualization of the carpal bones due to overlying cast. in particular, the degenerative changes in the carpus seen in bilateral wrists on the prior ct are not as optimally seen. soft tissues appear prominent about both wrists. impression: cast placement in bilateral wrists. neutral alignment of right radius and slight volar tilt of left radius. unchanged from prior exam. . chest (portable ap) impression: decreased left lateral pleural effusion/hemothorax status post second left chest tube placement. multiple left lateral rib fractures. weighted enteric feeding tube tip projects just within the stomach and should be advanced. . chest (pa & lat) study date of 6:05 pm findings: in comparison with the study of , the left-sided chest tubes remain with the side port of one being external to the pleural cavity. little change in the left pleural effusion and atelectasis. multiple left-sided rib fractures persist. . chest (pa & lat) final report findings: in comparison with the study of , with the chest tubes on waterseal, there is a small pneumothorax. this information was telephoned to dr. . . chest (pa & lat) the current study demonstrates no evidence of right pneumothorax. the chest tube is in unchanged position. cardiomediastinal silhouette is unchanged. there are again noted healed fractures of the right upper ribs. pleural effusion is most likely bilateral. there is no change in the appearance of the left lower lung retrocardiac opacity most likely consistent with atelectasis. . chest (pa & lat) final report reason for examination: discontinuation of the chest tube. pa and lateral upright chest radiograph were compared to the prior study obtained the same day earlier at 12:03 p.m. the left chest tube has been removed. the left basal opacity is unchanged as well as known left pleural effusion accompanying multiple left rib fractures. no pneumothorax is demonstrated. . bilateral wrists three views of the left wrist in plaster shows no change relative to , in the partially healed, physiologically aligned, impacted fracture of the distal left radius . three views of the right wrist show no appreciable change in the fractures of the distal right radius and ulna, with relative preservation of physiologic relationship with respect to the proximal carpal row. as before, there is appreciable bone resorption at the major fracture plane in the radius. the previously noted fracture of the carpal navicular is not demonstrated well this examination. the region of expansile lucency in the capitate could be due to disuse. there are no new findings to indicate interim healing. brief hospital course: mr. presented to the ed after a mvc where he was the unrestrained passenger with +loc and was found pinned underneath the windshield of the car. he was seen at osh and found to have sah and transferred to for further management. ct c-spine and torso were obtained at osh and were notable only for l rib fractures . bilateral wrist films were obtained demonstrating r distal radius, ulna, and scaphoid fxs and l distal radius and scaphoid fractures. orthopaedics was consulted and the l wrist was reduced at the bedside and splinted. on pt went to or for possible operative repair of wrists however surgery was deferred secondary to t wave inversions. cardiology was consulted and an echocardiogram was obtained which demonstrated an ef > 55% and pt was started on nitro gtt. on pt exhibited symptoms of etoh withdrawal and was treated c/ clonidine, benzos, and lopressor. pt progressed to severe dts and required intubation, ativan and midazolam gtts, valium, haldol and propofol throughout his course. on he became febrile and was noted to have cellulitis at old peripheral iv site and started on vancomycin. blood cultures from and were noted to be growing mssa and iv catheter tip from also c/ mssa. his central lines were removed. on cxr demonstrated opacification in the l lung and chest tube was placed. he was given lasix to assist in diuresis. on he underwent ct head for continued sedation (although thought to be secondary to high doses of benzos pt received for dts) which showed no new intracranial process. ct chest showed continued pleual effusion and ct was repositioned. zosyn and cipro were started for emperic coverage for possible pneumonia after bal grew gpc and gnr. due to continued fevers site of thrombophlebitis was excised and grew mssa. during his course he received tube feeds and subq heparin for prophylaxis. his mental status slowly improved and he was extubated . pt's course has been c/b hemothorax. pt went to or for vats thoracostomy and flexible bronch; he was intubated for the procedure and extubated on . hospital course further c/b gib, worsening lung opacifications, and eventually required reintubation on . patient underwent bronchoscopy on which revealed moderate to severe tracheobronchomalacia. patient was successfully extubated on and has remained stable. a l subclavian was placed on . colchicine was started at therapeutic level on for fever with suspected gout and was changed to a prophylactic dose 2 days later. on patient was transfered out of the icu. after extubation he had persistant hemothorax on the l that was unable to be drained by chest tubes. he underwent an additional vats on to drain the persistent collection and had intra-plueral tpa 3x (, , ). he then had both of his chest tubes pulled and post-ct removal cxr showed no residual pneumothorax. while in the icu, the patient had a traumatic foley placement when foley was changed for funguria and was evaluated by urology. subsequent ucx were negative for yeast. after this incident he had no further issues with his foley. the patient remained afebrile on the floor and antibiotics were d/c on . the patient had diarrhea on the floor and a flexicele was placed on . blood, urine, and sputum cultures remained negative after the thrombophelbitis was treated. cdiff was negative x3 and diarrhea was attributed to colchicine which was d/c on . on psychiatry left their final recs - follow up with a therapist or a psychiatrist of his choice as needed. as far as rehab, if the patient becomes agitated, the staff should try using zyprexa prn as he responded well on that particular medication in the icu. on , the patient got bilateral xrays of his wrists to assess healing. xr films demonstrate little healing. orthopedic surgery was contact regarding the results of the films. on medications on admission: atenolol, colchicine, indomethacin, simvastatin, asa 81mg discharge medications: 1. terazosin 1 mg capsule sig: two (2) capsule po hs (at bedtime). 2. simvastatin 10 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 3. acetaminophen 500 mg capsule sig: capsules po q6h (every 6 hours) as needed for pain. 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation: hold for diarrhea. 6. multivitamin tablet sig: one (1) tablet po daily (daily). 7. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed. 8. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day) as needed for constipation: please hold for diarrhea. 9. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 10. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) 2.5mg/3ml inhalation q6h (every 6 hours) as needed for reactive airways. 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for reactive airway disease. 13. famotidine 20 mg tablet sig: one (1) tablet po daily (daily). 14. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 15. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). 16. valsartan 80 mg tablet sig: two (2) tablet po daily (daily). 17. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. discharge disposition: extended care facility: - discharge diagnosis: right traumatic subarachnoid hemorrhage left temporal intraparenchymal hemorrhage right distal radius, ulna, and scaphoid fractures left distal radius and scaphoid fractures alcohol withdrawal thrombophlebitis bacteremia discharge condition: stable discharge instructions: if you experience any shortness of breath, chest pain, new redness, increased swelling, pain, or drainage, or have a temperature >101, please call your doctor or go to the emergency room for evaluation. you may/not bear weight on your arms. please use your slings for comfort. you may resume all of the medications you took prior to your hospital admission. take all medication as prescribed by your doctor. you have been prescribed a narcotic pain medication. please do not drive or operate any machinery while taking this medication. feel free to call our office with any questions or concerns. followup instructions: please follow up with dr. from neurosurgery in one month. call to make an appointment. please follow up with dr with repeat xrays of both arms/wrists in 2 weeks. please call to schedule your follow-up appointment. let the secretary know that you need to have repeat xrays scheduled for that day before your appointment. please follow up with dr. in clinic in 2 weeks with a chest xray (pa/lat). you can call ( to schedule an appointment and let the secretary know that you will need to have an xray scheduled prior to your appointment as well. per psychiatry, the patient can follow up with a therapist or a psychiatrist of his choice as needed. procedure: insertion of intercostal catheter for drainage insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube fiber-optic bronchoscopy fiber-optic bronchoscopy enteral infusion of concentrated nutritional substances arterial catheterization closed [endoscopic] biopsy of bronchus colonoscopy other incision of pleura alcohol detoxification transfusion of packed cells closed reduction of fracture without internal fixation, radius and ulna transfusion of other serum diagnoses: esophageal reflux tobacco use disorder acute posthemorrhagic anemia acute kidney failure, unspecified gout, unspecified atrial fibrillation other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure bacteremia methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site cellulitis and abscess of upper arm and forearm unspecified accident injury to bladder and urethra, without mention of open wound into cavity phlebitis and thrombophlebitis of superficial veins of upper extremities ventilator associated pneumonia traumatic hemothorax without mention of open wound into thorax electrolyte and fluid disorders not elsewhere classified closed fracture of five ribs alcohol withdrawal delirium other diseases of trachea and bronchus other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration motor vehicle traffic accident due to loss of control, without collision on the highway, injuring passenger in motor vehicle other than motorcycle infection following other infusion, injection, transfusion, or vaccination benign essential hypertension closed fracture of lower end of radius with ulna subdural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration contusion of heart without mention of open wound into thorax closed fracture of navicular [scaphoid] bone of wrist 

Answer: The patient is high likely exposed to