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: lisinopril attending: chief complaint: right groin pain major surgical or invasive procedure: open mesh repair of incarcerated right inguinal hernia. history of present illness: y/o m with large right inguinal hernia x1 year who presents with mental status changes for past day. he experiences intermittent discomfort from the hernia. he denies worsening pain. one week ago, he was admitted for nausea/vomiting and diarrhea. his symptoms were thought to be due to gastroenteritis at that time. since discharge, he has experienced increased loss of appetite with continued diarrhea. he has had minimal po intake in past few days. no further episodes of emesis. he presents to ed today when family members were concerned that pt was becoming increasingly lethargic. no fever. past medical history: 1. hypertension. 2. memory loss. 3. status post stroke . 4. history of shortness of breath. 5. impaired vision. - l retinal detachment 6. history of gout. 7. urinary frequency. 8. hearing loss. 9. left wrist ganglion. past surgical history: 1. removal of cataracts, . 2. colon cancer with surgical removal. 3. left arm skin graft, status post burn when he was young, working in a laundry. social history: lives with his daughter who cooks for him and manages his medications. he ambulates with walker and toilets independently. daughter reports that his memory is pretty good. spends his days watching tv or family history: reviewed and noncontributory physical exam: temp 88 hr 155/86 r 16 sao2 96% 3l gen: lethargic, follows commands heent: no scleral icterus lungs: clear heart: regular rate and rhythm abd: soft, nondistended, nontender, large irreducible right inguinal hernia extrem: 2+ lower extremity edema pertinent results: 09:30am blood wbc-7.2 rbc-3.71* hgb-11.8* hct-35.2* mcv-95 mch-31.9 mchc-33.5 rdw-13.6 plt ct-276 04:38am blood wbc-8.6 rbc-3.27* hgb-10.6* hct-30.6* mcv-94 mch-32.5* mchc-34.7 rdw-13.3 plt ct-236 05:55am blood wbc-14.4* rbc-3.49* hgb-11.1* hct-33.6* mcv-97 mch-32.0 mchc-33.1 rdw-13.4 plt ct-257 03:20am blood wbc-16.5* rbc-3.47* hgb-11.2* hct-33.2* mcv-96 mch-32.4* mchc-33.9 rdw-13.5 plt ct-257 04:30pm blood wbc-9.9 rbc-4.14* hgb-13.1* hct-39.6* mcv-96 mch-31.5 mchc-33.0 rdw-13.4 plt ct-213 05:15pm blood neuts-73* bands-2 lymphs-7* monos-15* eos-1 baso-0 atyps-0 metas-0 myelos-2* 09:30am blood plt ct-276 04:38am blood plt ct-236 02:20am blood pt-13.2 ptt-26.2 inr(pt)-1.1 05:15pm blood plt smr-normal plt ct-229 04:50am blood glucose-104* urean-11 creat-0.9 na-136 k-3.4 cl-97 hco3-29 angap-13 04:38am blood glucose-127* urean-18 creat-1.0 na-143 k-3.1* cl-103 hco3-31 angap-12 05:55am blood glucose-109* urean-22* creat-1.0 na-145 k-3.5 cl-107 hco3-26 angap-16 05:45pm blood glucose-119* urean-35* creat-1.4* na-136 k-4.6 cl-101 hco3-25 angap-15 04:50am blood calcium-8.1* phos-2.7 mg-1.8 : cat scan of abdomen and pelvis: impression: 1. mechanical small-bowel obstruction. transition point likely just proximal to right inguinal hernia. there is normal bowel wall enhancement. in comparison to exam, bowel loops within the right inguinal sacappear more prominent with small amount of free fluid, raising a possibility of closed loop obstruction. early bowel ischemia cannot be excluded. 2. trace bilateral pleural effusions with adjacent areas of compressive atelectasis. 3. numerous hepatic and renal hypodensities, too small to characterize, may represent cysts; however underlying malignant disease cannot be excluded. 04:38am blood calcium-7.9* phos-2.2* mg-2.0 05:51pm blood lactate-1.3 04:31pm blood freeca-1.03* : ekg: sinus rhythm. left axis deviation. left anterior fascicular block. non-diagnostic repolarization abnormalities. compared to the previous tracing of there is no significant change. : chest x-ray: impression: 1. markedly diminished lung volumes. bibasilar opacities, most likely atelectasis, however, superimposed infection cannot be excluded. 2. stable appearance of prominent mediastinal silhouette, which is likely due to tortuous aorta with possible aneurysmal changes. : cat scan of the head: 1. no acute intracranial process. 2. bilateral extra-axial collections likely chronic subdural hematomas. 3, small vessel ischemic disease. 3. prominent sulci and ventricles, likely age-related involutional changes : echo: the left atrium is mildly dilated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: suboptimal image quality due to body habitus. moderate symmetric left ventricular hypertrophy with a small lv cavity and hyperdynamic lv systolic function. the rv is not well seen but is probably normal. mild aortic regurgitation. diastolic function could not be adequately assessed : chest x-ray: there is no change in the cardiomediastinal silhouette. lungs are essentially clear, except for bibasal atelectasis and small bilateral pleuraleffusions. minimal vascular engorgement is noted that might reflect changes in radiograph technique. no pneumothorax is seen. : ultrasound of left arm: impression: no dvt in the left upper extremity veins. however, nonspecific asymmetry of the subclavian vein waveforms is noted and a more central stenosis cannot be entirely excluded. : ultrasound of left lower extremity: impression: no evidence for dvt in the left lower extremity brief hospital course: mr was admitted to the surgical service following repair of his inguinal hernia on by dr . the procedure went well without complication. please see dr note for further details. because of poor oxygenation and lack of spontaneous deep breaths, he remained intubated after surgery and was transferred to the icu intubated/sedated and off pressors. he was weaned to extubation on pod 1, but continued to have difficulty with respirations. it became apparent that he was not mobilizing fluid and had become fluid overloaded with bibasilar crackles and pitting edema. his iv fluids were held and he was given iv lasix. he diuresed well over the next 24 hours, with measured negative of 1.2 liters. he was also given regular nebulizers (xopenex and budesonide) given our suspicion for long-standing undiagnosed copd. tte was performed pod3 revealing normal ef and no significant valvular disease. he was evaluated by speech and swallow on pod 3 and was deemed unfit for po intake. by pod 3, he was saturating well on 2l nasal canula and appeared to have stable mental status, so he was transferred to the surgical floor, maintaining strict npo. transferred to the surgical floor on pod #3. he was evaluated by speech and swallow prior to initiating food because of his history of overt aspirations. he was cleared for pureed solides with supervision during meals. nutrition services did speak to the family about adding supplements to the diet. he dietary intake has been limited. his foley catheter was discontinued on pod # 6 and he has been incontinent of urine. he did receive occasional doses of lasix to help improve mobilzation of his fluids. he was noted to have swelling of his left upper extremity and underwent an ultrasound which did not show a dvt, however, nonspecific asymmetry of the subclavian vein waveforms was noted and a more central stenosis could not be entirely excluded. in preparation for discharge, he was evaluated by physical therapy and recommendations made for a rehabilitation facility, his family prefers to provide the necessary care at home with the assistance of vna. his vital signs are stable and he is afebrile. he has resumed his home medications. his family has been instructed by physical therapy in assisting him to the commode and into the wheelchair. vna will also be available to provide additional assistance. he will follow-up with the acute care service on for staple removal and with your pcp 2 weeks. medications on admission: hctz 25 mg alternating with 12.5 mg daily, cozaar 25 mg daily discharge medications: 1. budesonide 0.25 mg/2 ml suspension for nebulization : two (2) ml inhalation q6h (). 2. levalbuterol hcl 0.63 mg/3 ml solution for nebulization : one (1) neb inhalation q6h (). 3. losartan 25 mg tablet : one (1) tablet po daily (daily). 4. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 5. acetaminophen 325 mg tablet : two (2) tablet po tid (3 times a day). 6. assist device wheelchair with removable arms and elevating legs 7. hydrochlorothiazide 12.5 mg capsule : one (1) capsule po 3 days per week. discharge disposition: home with service facility: homecare discharge diagnosis: incarcerated r inguinal hernia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *your pain in not improving within 8-12 hours or is not gone within 24 hours. call or return immediately if your pain is getting worse or changes location or moving to your chest or back. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. 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 lifting weights greater than lbs until you follow-up with your surgeon. avoid driving or operating heavy machinery while taking pain medications. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *avoid swimming and baths until your follow-up appointment. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *your staples will be removed at your follow-up appointment. followup instructions: provider: care clinic phone: date/time: 3:45 please follow up with your primary care provider, . , in 2 weeks. procedure: enteral infusion of concentrated nutritional substances repair of inguinal hernia with graft or prosthesis, not otherwise specified diagnoses: hypocalcemia unspecified essential hypertension chronic airway obstruction, not elsewhere classified gout, unspecified old myocardial infarction personal history of malignant neoplasm of large intestine personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits other postprocedural status diarrhea leukocytosis, unspecified other alteration of consciousness other fluid overload swelling of limb inguinal hernia, with obstruction, without mention of gangrene, unilateral or unspecified (not specified as recurrent) unspecified retinal detachment other symptoms involving urinary system 

Answer: The patient is high likely exposed to