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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: - coronary artery bypass grafting x4: left internal mammary artery graft to left anterior descending, reverse saphenous vein of the marginal branch, diagonal branch and left-sided pda. history of present illness: 68 year old female with history of coronary artery disease s/p stent and diabetes that presented for routine physical and was sent for stress test, she denies any symptoms except sob with walking up stairs. she denies any chest pain or discomfort but per outside records there was chest pressure. she then was referred for cardiac catheterization that revealed significant disease with decreased systolic function and is now transferred for surgical evaluation. past medical history: psoriasis pneumonia diabetes mellitus type 2 coronary artery disease myocardial infarction s/p stent hypertension depression chronic bone on bone pain - right ankle after fracture anxiety past surgical history s/p repair of rt ankle fx with pins s/p appendectomy s/p ovarian cyst removal social history: last dental exam: 6 months ago lives with: alone (separated from spouse) contact: phone # cell occupation: intake coordinator cigarettes: smoked yes last cigarette 25 years ago hx: 20 pyh etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use none family history: father deceased 39 mi and pneumonia mother deceased 62 mi sister deceased 75 son failure physical exam: pulse: 43 resp: 18 o2 sat: 98 % ra b/p right: 150/64 left: 150/68 general: no acute distress sitting in chair but emotional at times tearing skin: dry multiple areas of red scaly areas scalp, left flank buttock, left elbow, ecchymosis under bilateral eyes s/p door hitting her in face heent: left pupil 3mm right 2mm reactive to light bilateral eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade abdomen: soft non-distended non-tender bowel sounds + obese no palpable masses extremities: warm , well-perfused edema none deformity right ankle d/e fx varicosities: none neuro: grossly intact pulses: femoral right: +1 left: +1 dp right: +1 left: +1 pt : +1 left: +1 radial right: +1 left: +1 carotid bruit right: no bruit left: no bruit pertinent results: echo pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with focalities in the anterior and infeior septal regions. overall left ventricular systolic function is moderately depressed (lvef= 30-35 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-bypass: preserved rv systolic function. lvef 35%. the previous wall motion abnormalities still persist. intact thoraicc aorta. no new valvular findings. 05:34am blood wbc-10.4 rbc-3.05* hgb-9.1* hct-28.2* mcv-92 mch-29.9 mchc-32.4 rdw-13.5 plt ct-154 05:44am blood wbc-10.0 rbc-3.02* hgb-9.4* hct-27.7* mcv-92 mch-31.2 mchc-34.0 rdw-13.8 plt ct-111* 03:11am blood wbc-10.2 rbc-3.55* hgb-11.0* hct-33.0* mcv-93 mch-31.1 mchc-33.4 rdw-13.9 plt ct-113* 05:34am blood urean-25* creat-0.8 na-138 k-4.8 cl-98 05:44am blood glucose-127* urean-16 creat-0.7 na-135 k-4.3 cl-100 hco3-30 angap-9 03:11am blood glucose-105* urean-18 creat-0.7 na-141 k-4.4 cl-109* hco3-28 angap-8 10:07pm blood na-138 k-4.5 cl-107 brief hospital course: mrs. was admitted to the on for surgical management of her coronary artery disease. she was worked-up in the usual preoperative manner and found to be suitable for surgery. on , mrs. was taken to the operating room where she underwent coronary artery bypass grafting with left internal mammary artery graft to left anterior descending, reverse saphenous vein of the marginal branch, diagonal branch and left-sided pda. please see operative note for details. postoperatively she was taken to the intensive care unit for monitoring. within 24 hours, she awoke neurologically intact and was extubated. on postoperative day one, she was transferred to the step down unit for further recovery. she was gently diuresed towards her preoperative weight. diuresis was increased for moderate left effusion. the physical therapy service was consulted for assistance with her postoperative strength and recovery. beta blocker was increased and lisinopril was started for better blood pressure control, however the lisinopril was stopped and lopressor was decreased due to hypotension/bradycardia on pod3. chest tubes and pacing wires were removed per cardiac surgery protocol. on pod #4 she was ambulating in the halls with assistance, tolerating a full po diet and her incision was healing well. it was felt that she was safe for discharge to penacook place rehab at this time. all appropriate appointments were arranged. medications on admission: zocor 20 mg daily aspirin 325 mg daily glyburide 2 mg daily atenolol 50 mg daily diazepam 20 mg as needed etodolac 300 mg as needed lisinopril 40 mg daily discharge medications: 1. zocor 20 mg tablet sig: one (1) tablet po once a day. 2. clobetasol 0.05 % cream sig: one (1) appl topical (2 times a day): to buttock, left flank and left elbow . 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 7. glyburide 2.5 mg tablet sig: one (1) tablet po daily (daily). 8. simvastatin 40 mg tablet sig: 0.5 tablet po daily (daily). 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 10. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 11. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po tid (3 times a day). 12. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). 13. lasix 40 mg tablet sig: one (1) tablet po twice a day. 14. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day: add when & if bp tolerates home dose was 40mg. discharge disposition: extended care facility: penacook place - discharge diagnosis: psoriasis pneumonia diabetes mellitus type 2 coronary artery disease myocardial infarction s/p stent hypertension depression chronic bone on bone pain - rt ankle after fx anxiety discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol/ultram incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. 1+ edema discharge instructions: 1) please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns *females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: surgeon: dr. on wed at 1:30 pm in the medical office building cardiologist: dr. on at 10:45am please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified other chronic pain coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified pleural effusion unspecified essential hypertension acute posthemorrhagic anemia personal history of tobacco use depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status anxiety state, unspecified other specified cardiac dysrhythmias diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled old myocardial infarction family history of ischemic heart disease other psoriasis pain in joint, ankle and foot other fluid overload personal history of traumatic fracture 

Answer: The patient is high likely exposed to