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: ekg changes, coronary stenosis major surgical or invasive procedure: catheterization with bare metal stent to left circumflex artery history of present illness: 67 f with hx cad s/p rca and lcx stents, pvd s/p aortobifem bypass and r cea (with 99% restenosis), chf,ischemic cardiomyopathy s/p icd (previous ef 25%, now 50 %), s/p icd who initially presented to med ctr in with diarrhea and found to have ischemic colitis s/p 2 colectomy with 2 colostomies. sent to on and refused by that rehab due to twi v2-v4 on ecg done by ems enroute, unclear why. sent to lgh and where she had a trop t 0.18 and flat cks without any symptoms. was noted to have course complicated by flash pulmonary edema with transfer to ccu. she was subsequently underwent diagnostic cath on showing 80% lcx 80-90% stenosis proximal to previous stents and total occlusion rca with l to r collaterals. she has now been transferred to for interventional cath. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . on arrival to the ccu hr 80s, bp 110-130s, has tlc. she continued to be chest pain free. ekg showed lvh, diffuse twi and old qw in inferior leads. on arrival she was hypotensive with maps to 64 howevr was asymptomatic. she noted to have nitropaste on, presumably to control bp/aferload reduce given recent flash. past medical history: cad h/o nstemi x2 including inferior infarct and stents to circumflex diag and rca. aorto-bifem bypass s/p left leg thrombosis requiring thrombectomy from graft. ischemic cardiomyopathy s/p icd and ppm with ef 25% several months ago but 55% on repeat echo. ischemic colitis c/b post op ileus now on tpn right cea- now occluded? copd smoker htn ckd baseline cr 1.3-1.4 chronic back pain anemia social history: tobacco history: 40 ppy, quit. has daughter. -etoh:none -illicit drugs:none . tobacco history: 40 ppy, quit. has daughter. -etoh:none -illicit drugs:none family history: family history: father died of mi at 35 follow cardiac disease. physical exam: vs: t=99.8 bp= 95/52 hr= 84 rr=17 o2 sat=94% 3l general: comfortable, aox 3 neck: supple, no jvp, no carotid bruit cvs: rrr, s1 s2 clear, i/vi sem heard best at rusb, abdominal bruit/pulsation radiating to femorals. lungs: cta-b, no wheeze, rales, ronchi. abd: +bs, soft, nt, nd colostomy bag site no erythema, tenderness, swelling, staples in place with some granulation tissue/? drainage venous stasis ulcer. . ext: wwp, no edema, 2+ dp/pt pertinent results: 05:23pm alt(sgpt)-179* ast(sgot)-266* ck(cpk)-17* alk phos-451* tot bili-0.7 05:23pm glucose-84 urea n-36* creat-1.1 sodium-135 potassium-4.3 chloride-98 total co2-27 anion gap-14 05:23pm alt(sgpt)-179* ast(sgot)-266* ck(cpk)-17* alk phos-451* tot bili-0.7 05:23pm ck-mb-notdone ctropnt-0.10* 05:23pm albumin-3.1* calcium-8.4 phosphate-4.8* magnesium-1.7 05:23pm wbc-9.4 rbc-4.49 hgb-11.8* hct-35.8* mcv-80* mch-26.3* mchc-33.0 rdw-21.8* 05:23pm neuts-80.2* lymphs-11.1* monos-7.5 eos-1.1 basos-0.1 05:23pm plt count-346 05:23pm pt-13.9* ptt-30.1 inr(pt)-1.2* . - right femoral us large 2.8 x 2.2cm pseudoaneurysm involving the right common femoral vein with active flow noted within it. adjacent right sided hematoma. . - cardiac catheterization one vessel coronary artery disease. 2. placement of a bare-metal stent in the proximal lcx. ultrasound guided thrombin injection right femoral pseudoaneurysm. -final report not available per viewing. per report procedure successful with plan for out patient follow up. brief hospital course: assessment and plan:67 f with hx cad s/p rca and lcx stents, pvd s/p aortobifem bypass and r cea (with 99% restenosis), chf (previous ef 25%, now 50 %) admitted for interventional cath following diagnostic cath at osh who continues to be asymptomatic. . # coronaries:the patient has a 90% stenosis of left circumflex as well as total occlusion of her rca with collaterals. her troponin had been elevated to 0.18 at osh but continued to trend downwards and she remained chest pain free. she underwent interventional cardiac catheterization during which a bare metal stent was placed in her left circumflex artery proximal to her pre-existing lesion. she was continued on aspirin, low dose statin given transaminitis, and metoprolol. she did develop a right femoral vein pseudoaneurysm and hematoma as a complication of her cardiac catheterization and underwent ultrasound guided thrombin injection which was successful. she will have a follow up ultrasound as an outpatient as well as an evaluation with surgery. . # pump: she had a hx of chf with most recent echo showing ef 50%, improved from 25 % previously. she had experienced flash pulmonary edema at an outside hospital but was euvolemic on admission to the ccu here. given this her spironolactone and lisinopriol were held. she will follow up with dr , her outpatient cardiologist, to determine when these medications will be restarted. . # rhythm:she remained in sinus as determined by telemetry. . # ischemic colitis: s/p cholectomy with dual colostomies. she had been on tpn at the osh and had developed transaminitis. her tpn was dc'd at and surgery and nutrition consults recommended enteral feeding with nutritional supplements. wound care consult service provided ostomy care. she has a picc line placed while she took tpn to supplement her p.o intake, however she was able to take adequate p.o by calorie count and the tpn and picc were discontinued. she should continue to have oral intake with supplements for adequate nutrition. . # anemia: admitted to all saints with bloody diarrhea with crit drop to 22 with ischemic colitis ,with subsequent x-lap, colostomy and blood transfusions. also has known iron deficiency with iv iron given . hct had been in mid 30s this admission,guaic stools have been negative. she also had prolonged bleeding at the site of her picc placement which eventually stopped with application of pressure and reinforcement as well as right femoral vein hematoma and pseudoaneurysm. after these events, her hct drifted down to 23-24 but was stable over last 5 days. her labs did not indicate a coagulopathy. she will need to check a cbc after discharge. . # weakness: thought secondary to deconditioning. pt evaluated, recommended rehab. . # back pain: this has been ongoing since the patient's mobility has been limited and she has been in bed. she required oxycodone for pain control, warm compresses and physical therapy. medications on admission: home meds: lipitor 80mg daily spironolactone 25mg daily lisinopril 40mg daily metoprolol 25mg daily aspirin 81mg daily fish oil . meds on transfer: aspirin 81 daily atorvastatin 80mg p.o daily lovenox 30mcg sq q 24 iron sulphate 325mg p.o daily lasix 40 iv q 12 metoprolol 25 p.o morphine 2mg iv q 3 hours prn nitroglycerin 1 inch topically q 8 hours nyastatin 100,000 units powder topically applied protonix 40mg daily potassium chloride 40meq p.o tylenol 650mg p.o q4 prn colace 100mg p.o as needed nitroglycerin 0.4 mg sublingual prn q 5 minutes zofran 4mg iv q8 hr prn percocet 1 tab p.o q 4 prn . allergies: iv dye contrast -vomits discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 4. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 5. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 7. oxycodone 5 mg tablet sig: 0.5-1.0 tablet po q4h (every 4 hours) as needed for back pain. 8. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 9. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheezing. discharge disposition: extended care facility: life care center of - discharge diagnosis: coronary atery disease ischemic coliltis requiring colectomy and colostomies x2. chronic diastolic congestive heart failure acute blood loss anemia chronic low back pain transaminitis discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: out of bed with assistance to chair or wheelchair discharge instructions: you were admitted to the hospital because you had blockage in the blood vessels supplying your heart. you had a cardiac catheterization and a stent was placed. it is extremely important that you take plavix and aspirin 325 mg every day for at least 1 month and probably longer. do not stop taking plavix or miss unless dr. tells you to. you developed a hematoma and pseudoaneurysm around the site where the catheterization was done.thrombin was injected at the site.if you have increasing pain, bruising or redness in the next 1-2 weeks, please call at and ask to have the interventional fellow on call paged if this happens. a picc line was placed for intravenous feeding. however, you were able to eat normally and the picc line was discontinued before you were transferred. medication changes: dr will tell you when to restart your spironolactone and lisinopril lipitor 80mg changed to simvastatin 20mg daily. added plavix 75mg daily increased to aspirin 325mg daily. weigh yourself every morning, call dr. if weight goes up more than 3 lbs in 1 day or 6 pounds in 3 days. followup instructions: primary care: pt does not have one, please ask dr. to recommend one . cardiology: , md cardlgy 27 , phone: ( date/time: at 4:45pm. . provider: () lmob (nhb) phone: date/time: 11:00 provider: , md phone: date/time: 11:45 procedure: venous catheterization, not elsewhere classified insertion of non-drug-eluting coronary artery stent(s) parenteral infusion of concentrated nutritional substances left heart cardiac catheterization coronary arteriography using a single catheter injection or infusion of other therapeutic or prophylactic substance cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hematoma complicating a procedure peripheral vascular disease, unspecified chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease peripheral vascular complications, not elsewhere classified old myocardial infarction cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure paralytic ileus automatic implantable cardiac defibrillator in situ lumbago chronic diastolic heart failure colostomy status chronic total occlusion of coronary artery nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] aneurysm of artery of lower extremity acquired absence of intestine (large) (small) 

Answer: The patient is high likely exposed to