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: bactrim ds attending: chief complaint: syncope major surgical or invasive procedure: none history of present illness: mr. is a 63 yo m s/p gastric bypass surgery who presented with 3 episodes of syncope over 3 days. the syncopal episodes came on suddenly and he lost consciousness, once while waiting in the elevator and once on the toilet. he has a hx of vasovagal syncope during defecation. he had never experienced these symptoms when not passing a bm. his witnessed events were not accompanied by shaking/jerking motions, there was no incontinence, tongue biting. he recovered within minutes and did not have focal weaknesses after the episodes. he denied sob, palpitations, pain. in the ed, he had a positive lenis and was found to have a saddle pe by cta. he was hemodynamically stable but over concerns of subsequent clot emboli burden, he was given an ivc filter. past medical history: diastolic chf ( ef>55%) htn hypercholesterolemia dm2 cri ( baseline cr high 1's) gout diverticulosis depression osa on bipap h/o nephrolithiasis social history: # personal: lives with wife in . # professional: attorney. # tobacco: quit smoking 30 years ago, but had smoked one pack per day for years. # alcohol: no current use. # recreational drugs: none. family history: noncontributory physical exam: vitals: general: alert, oriented, no acute distress heent: sclera anicteric/no scleral injection, mmm, oropharynx clear, lacerations on his chin and r temple. neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: no edema, warm, right leg swelling, r thigh tenderness and tightness neuro: a/o x3, cnii-cnxii, motor and reflex exam non-focal, sensory intact . pertinent results: 07:40pm pt-14.5* ptt->150 inr(pt)-1.3* 02:35pm glucose-223* urea n-35* creat-1.3* sodium-142 potassium-4.1 chloride-111* total co2-22 anion gap-13 02:35pm estgfr-using this 02:35pm ck(cpk)-126 02:35pm ctropnt-0.13* 02:35pm ck-mb-5 02:35pm wbc-11.0# rbc-4.09* hgb-12.5* hct-37.0* mcv-91 mch-30.6 mchc-33.8 rdw-13.7 02:35pm neuts-76.7* lymphs-17.6* monos-3.4 eos-2.0 basos-0.3 02:35pm neuts-76.7* lymphs-17.6* monos-3.4 eos-2.0 basos-0.3 imaging: cta chest impression: 1. extensive bilateral pulmonary embolism with saddle embolism and involvement of all pulmonary lobes. evidence of right heart strain. recommend correlation with echocardiogram. no evidence of pulmonary infarct. 2. coarse calcification in the region of the basal inferolateral left ventricular wall, most likely representing calcification of the mitral annulus, much less likely a calcified basilar left ventricular aneurysm. findings can be further assessed on the afore-recommended echocardiogram. 3. multiple pulmonary nodules in the right lung, measure up to 4 mm. if no risk factors, including history of smoking or malignancy, no further followup is necessary. if patient has risk factors, recommend followup chest ct in 12 months. 4. post-surgical changes, incompletely evaluated in the upper abdomen. 5. punctate right renal calculus. echo suboptimal image quality.the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. the right atrial pressure is indeterminate. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). there is no ventricular septal defect. rv is not well characterized but appears to have normal/borderline free wall function. rv size is too difficult to assess. the diameters of aorta at the sinus, ascending and arch levels 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. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. tricuspid regurgitation is present but cannot be quantified. there is mild pulmonary artery systolic hypertension. impression: no definite rv strain. u/s of r thigh impression: findings consistent with hematoma in the muscles of the right thigh, measuring 14 x 4.5 cm. ct-pelvis impression: 1. large predominantly intramuscular right thigh and right gluteal hematoma likely accounts for the drop in hematocrit in this anticoagulated patient has probably enlarged from prior ultrasound exam. cannot evaluate for active extravasation without the use of intravenous contrast. no retroperitoneal hemorrhage is present. the right lower extremity/thigh is asymmetrically swollen in comparison to the left. 2. punctate nonobstructive right renal calculi. slightly atrophic appearing left kidney. 3. cholelithiasis without evidence of acute cholecystitis. labs at discharge: 05:20am blood wbc-10.9 rbc-2.93* hgb-8.9* hct-26.2* mcv-89 mch-30.4 mchc-34.0 rdw-14.9 plt ct-324 05:20am blood plt ct-324 05:20am blood pt-20.4* ptt-28.5 inr(pt)-1.9* 05:20am blood 05:20am blood glucose-98 urean-41* creat-1.1 na-142 k-4.4 cl-106 hco3-27 angap-13 05:20am blood calcium-8.6 phos-4.3 mg-2.3 brief hospital course: mr. is a 63 yo male s/p gastric bypass surgery who was admitted with multiple syncopal episodes found to have saddle pe with many smaller pulmonary artery clots. he was anticoagulated and a ivc filter was placed. on the floor, he continued to be anticoagulated and developped a right thigh hematoma that was evaluated for compartment syndrome by ortho who ultimately suggested that it would heal on its own and that he did not have compartment syndrome. he continued to bleed into his right thigh with resultant drop in hct and multiple blood transfusions. his hematocrit eventually stabilized before discharge. his r thigh pain, initially excrutiating and treated with iv dilaudid eventually became much better controlled and mr. was able to ambulate with pain that was not incapacitating. he eventually stopped taking pain medications while on the floor. his lacerations on his chin which bled after anticoagulation, were treated with silvernitrate and were left to heal without dressings. his left wrist, injured during on of his syncopal falls, was negative for fractures and was left to heal without cast or splint. the swelling and pain in his wrist decreased significantly during his stay on the floor. he was deemed stable for discharge for close follow-up with his pcp for coumadin regimen management. discharge medications: 1. allopurinol 100 mg tablet sig: three (3) tablet po daily (daily). 2. oxycodone 5 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain: do not drive or participate in other dangerous activities while on oxycodone. disp:*30 tablet(s)* refills:*0* 3. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 4. simvastatin 40 mg tablet sig: one (1) tablet po at bedtime. 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. calcitriol 0.25 mcg capsule sig: one (1) capsule po once a day. 8. sertraline 25 mg tablet sig: one (1) tablet po once a day. 9. cialis 5 mg tablet sig: one (1) tablet po once as needed. 10. multiple vitamins tablet sig: one (1) tablet po once a day. 11. warfarin 7.5 mg tablet sig: one (1) tablet po once a day: as directed by dr. . disp:*30 tablet(s)* refills:*0* 12. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 13. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: primary: pulmonary embolism thigh hematoma acute blood loss anemia secondary: htn gout diabetes mellitus 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: your were admitted to the because of a clot in your lungs that caused you to have several episodes of loss of consciousness. during your stay you were observed to have a laceration on your face and chin secondary to your falls prior to your admission. you also developed a large blood collection in your right thigh that, although painful, did not significantly compromize blood flow to your right leg and direct orthopeadic intervention was not deemed necessary. you were prescribed heparin and coumadin to thin your blood during your stay in the hospital to prevent the clot in your lungs from getting larger and to prevent new clots from forming. you should continue to take coumadin as directed by your physician. during your stay your blood sugars were slightly elevated and you were put on insulin. you should talk to your doctor about following your blood sugar after discharge and possibly starting medications to treat your blood sugar. during your stay you also received several blood transfusions for anemia. these transfusions helped treat your anemia and increased your hematocrit. we suspect that your anemia is related to losing blood into your right thigh. it is important that you talk to your pcp-. about coumadin dosing and following your inr while on coumadin. your inr should be checked tomorrow when you see dr. . the goal is for your inr to be between 2 and 3. during your stay we modified certain medications. please note the following: start: coumadin 7.5mg daily as prescribed. you will need to have your inrs monitored and your dose adjusted start: senna/docusate as needed for constipation start: oxycodone 5-10 mg every 6 hours as needed for pain please continue to take all other medications as prescribed by your physicians prior to your hospitalization. please talk to your primary care doctor about checking your hematocrit and inr when you see him tomorrow. followup instructions: please follow-up with your pcp at the following time: name: , l. location: healthcare - medical group address: ,8th fl, , phone: appointment: friday 11:00am, procedure: interruption of the vena cava closure of skin and subcutaneous tissue of other sites diagnoses: thrombocytopenia, unspecified acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified unspecified fall open wound of jaw, without mention of complication other constipation nontraumatic hematoma of soft tissue acute venous embolism and thrombosis of deep vessels of proximal lower extremity other pulmonary embolism and infarction diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled orthostatic hypotension bariatric surgery status chronic kidney disease, stage ii (mild) 

Answer: The patient is high likely exposed to