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: morphine / sulfa (sulfonamides) attending: chief complaint: s/p fall, anemia major surgical or invasive procedure: central venous catheter placement history of present illness: 85 yo f w/ h/o achalasia, type ii dm, cad presents s/p fall. yesterday, she was getting up from bed and reaching for her walker, when she felt dizzy, stumbled and fell forward, striking her left forehead and left knee/hip. the fall was not witnessed. no associated chest pain, shortness of breath, loss of bowel/bladder function. (+) loc "a couple of seconds". she was unable to rise and her husband called ems -> . ct head/pelvis unrevealing. she was noted to have a hematocrit of 26.5 (36.4 ) and sodium 120. u/a positive and given cipro. she was transferred to for further evaluation. currently, she notes left hip/leg pain, worse with movement, , and a headache "all over my head" with tenderness over left frontal area. (+) low back pain, chronic. the patient has a history of recurrent nausea/vomiting, attributed to achalasia and gerd, which has worsened recently. she notes frequent nausea, without vomiting on a daily basis. it appears to be getting worse. its timing is not clearly associated with time of day or food, although she has noted decreased appetite/oral intake. she denies hemetemesis, coffee-ground emesis, diarrhea, brbpr. (+) black stool chronically (takes iron); marked constipation, last bm 4 days ago. she has a chronic non-productive cough, no recent change. she does note pleuritic central chest pain without sob, which started this morning, intermittent, sharp. . the icu was asked to evaluate the patient for placement of central line as no other access was available. shortly thereafter, the patient became tachycardic to 140's but not hypotensive. at time of eval, the chest pain was absent and the patient cannot remember enough about it to describe it in more detail. she was transferred for line placement and closer monitoring. . ros: as above, in addition: no weight loss. (+) fatigue/malaise. no fever, chills, night sweats, change in vision (legally blind), (+) mild rhinorrhea. no sore throat. palpitations, lower extremity edema, hemoptysis, abdominal pain, bleeding, bruising, dysuria, hematuria, rash, numbness, weakness/tingling, lightheadedness. (+) increase urinary frequency. past medical history: anemia (hct range 3/04 ?????? : 24.0-35.6) secondary to gastric polys; followed by dr. @ cad s/p mi in 04 with normal dobutamine echo (): no 2d echocardiographic evidence of inducible ischemia to achieved workload. compared to the prior stress echo report (), mild fixed posterobasal defect is unchanged. hypercholesterolemia htn dm-2 achalasia: s/p multiple botox injections hiatal hernia hypothyroidism s/p right mastectomy for breast ca colon ca in depression with psychosis restless leg syndrome macular degeneration, legally blind cri possible seizure : seen in neurology clinic. the episode she describes most likely represents epilepsy partialis continuum, a prolonged focal seizure. social history: lives in with husband and is an ex nurse. occasional etoh, stopped smoking 40 years ago. family history: non-contributory physical exam: tc 98.7, bp 147/72, hr 140, resp 20, 100% ra gen: writhing around uncomfortably heent: pale conjunctiva, oral mucosa dry, oropharynx clear, neck supple, no bony tenderness over neck cardiac: tachy and regular. no ttp over chest pulm: (+) occasional rhonic, crackles at bases bilaterally abd: nabs, soft, nt/nd ext: full rom hips bilaterally to passive movement; no tenderness to int/ext rotation, full rom knees bilaterally. (+) pain left hip with active flexion. neuro: a&ox3, normal attention, cn ii-xii grossly intact and symmetric bilaterally, sensation intact to light touch proximally and distally in upper and lower extremities bilaterally, 5/5 strength proximally and distally in upper and lower extremities bilaterally, 2+ dtr throughout : no cva tenderness; (+) tenderness to percussion over l4 rectal: hard, black, guaiac positive stool in vault (per hospitalist) pertinent results: 02:53pm blood hct-32.4* 04:02pm blood hct-35.0* 01:30pm blood wbc-10.7 rbc-2.64*# hgb-7.5*# hct-21.8*# mcv-83 mch-28.3 mchc-34.2 rdw-15.5 plt ct-284# 05:05am blood glucose-106* urean-12 creat-0.7 na-132* k-4.6 cl-99 hco3-26 angap-12 01:30pm blood glucose-148* urean-41* creat-0.7 na-129* k-4.7 cl-96 hco3-24 angap-14 05:05am blood ck(cpk)-13* 07:24pm blood ck(cpk)-178* 10:09pm blood ck(cpk)-38 05:05am blood ck-mb-3 ctropnt-0.61* 07:24pm blood ck-mb-27* mb indx-15.2* ctropnt-0.77* 04:58am blood ck-mb-17* mb indx-11.8* ctropnt-0.46* 10:09pm blood ck-mb-4 ctropnt-0.03* 05:05am blood calcium-9.6 phos-3.0 mg-1.7 cholest-113 05:05am blood vitb12-612 folate-15.1 06:00am blood %hba1c-5.5 05:05am blood triglyc-130 hdl-41 chol/hd-2.8 ldlcalc-46 ldlmeas-53 01:30pm blood tsh-2.4 . the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with focal akinesis of the distal inferior wall, distal anterior wall and apex. the remaining left ventricular segments contract normally. no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild-moderate (+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a fat pad. . impression: mild symmetric left ventricular hypertrophy with regional systolic dysfunction c/w cad (distal lad lesion). mild-moderate mitral regurgitation. brief hospital course: gi bleed/acute blood loss anemia: upper gi source suspected. attempt at ng lavage by hospitalist was unsuccessful (tube coiled in throat) and the patient declined further attempts. the hospitalist spoke with her gastroenterologist, who revealed that the patient has a history of fundic polyps with recurrent bleeding. hct 32 -> 21. hct stable s/p transfusions. no active bleed. vit b12/folate wnl. continue ppi. gi recommending f/u with pcp as outpatient. plan outpatient egd. restart fe after abx. . # hyponatremia: likely hypovolemic - gi bleed, poor po intake, n/v. it resolved after administration of one liter ns. . # uti: dx by positive u/a at osh. was treated with cefpodoxime. . #troponin leak/nstemi: developed tachycardia with st segement depressions in v3-v6 in the setting of low hct. tnt peaked 0.77, with flat cks and elevated mbs; likely demand ischemia in setting of active tachycardia and anemia. continued on beta-blocker, statin, asa (given hct stable). tte lvh, ef 60-65%, 1+mr, dte with fixed postero basal defect (unchanged from ). repeat tte done, which showed mild symmetric left ventricular hypertrophy with regional systolic dysfunction c/w cad (distal lad lesion). mild-moderate mitral regurgitation. bb increased to 75 tid and imdur decreased to 60 mg on discharge. pt never developed chest pain or anginal sx. case discussed without patient cardiologist, who agreed with medical management as pt high risk for bleeding. ldl checked and was excellent (50s). . # s/p fall: head ct/c-spine negative; full rom left hip, pelvic ct negative. pt consulted for falls risk- close to baseline. discharged with home services. . #n/v: attributed to achalasia/hiatal hernia. medications on admission: diovan 320mg po daily duragesic patch 75mcg q 3 days (due tomorrow) fluoxetine 10mg po daily glucatrol 5mg po daily isosorbide 120mg po daily levothyroxine 0.125mcg po daily omeprazole 20mg po daily percocet 5/325 prn mirtazapine 7.5 mg po daily chloropromazine 25mg po daily zocor 10mg po bid requip 0.25mg po prn nifedipine 120mg po daily lopressor 50mg po tid iron discharge medications: 1. fentanyl 75 mcg/hr patch 72 hr sig: one (1) patch 72 hr transdermal q72h (every 72 hours). 2. valsartan 160 mg tablet sig: two (2) tablet po daily (daily). 3. fluoxetine 10 mg capsule sig: one (1) capsule po daily (daily). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 5. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day): 75 mg po tid. disp:*45 tablet(s)* refills:*2* 7. nifedipine 60 mg tablet sustained release sig: two (2) tablet sustained release po daily (daily). 8. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 9. requip 0.25 mg tablet sig: one (1) tablet po at bedtime. 10. mirtazapine 15 mg tablet sig: 0.5 tablet po hs (at bedtime). 11. glucotrol 5 mg tablet sig: one (1) tablet po once a day. 12. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours. 13. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 14. zocor 10 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home with service facility: discharge diagnosis: primary diagnosis 1. acute blood loss anemia 2. troponin leak secondary to above 3. ?aspiration pna 4. restless leg syndrome secondary diagnoses: hypertension dm achalasia discharge condition: stable discharge instructions: please come back to the emergency room should you develop any lightheadedness, fevers, chills, chest pain, shortness of breath, blood in your stools, black stools or any other complaints. followup instructions: 1. please follow up in the sleep clinic for your sleepless leg syndrome by calling and ask for to make an appointment. we tried to make an appointment for you, but the sleep clinic would like to talk to the patient directly before making the appointment. 2. you have an appointment scheduled with dr. () on wednesday at 1:00. 3. dr. office should be contacting you in the next few days to schedule a follow up appointment. procedure: venous catheterization, not elsewhere classified diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia mitral valve disorders urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia unspecified acquired hypothyroidism pneumonitis due to inhalation of food or vomitus achalasia and cardiospasm benign neoplasm of stomach 

Answer: The patient is high likely exposed to