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: sulfa (sulfonamides) / cefazolin / aminophylline attending: chief complaint: right leg pain major surgical or invasive procedure: 1) thrombectomies of left ax-fem bypass graft 2) thrombectomy of fem-fem bypass graft 3) thrombectomy of right fem-peroneal bypass graft with dacron patch 4) angioplasty of left ax-fem distal 5) right lower extremity angiography of right tibioperoneal trunk, angioplasty of right peroneal artery, stent placement in right tibioperoneal trunk. history of present illness: 81 y/o female who presented to ed for rle pain with decreased sensation and rom since the early am. pt denies trauma, pain has been increasing throughout day and is now sever in nature. unable to palpate or doppler foot pulses, vascular consulted and decision to go to or for immediate intervention. past medical history: 1) peripheral vascular disease 2) s/p right femoral peroneal bypass 3) s/p common femoral artery thrombectomy 4) status post left axillo bifemoral 5) status post profunda 6) status post left 7) ilioprofunda with ptfe 8) aortic insufficiency 9) htn 10) dm2 diet controlled 11) coronary artery disease 12) status post myocardial infarction 13) status post cabg remote 14) hypothyroidism on no supplement at this time social history: she denies alcohol, drug or tobacco use family history: noncontributory physical exam: pe vitals: 98.7 73 108/60 20 96%ra fs 161 gen: nad heent: eomi, no jvd cv: rrr pulm: clear abd: soft, nt/nd, + bowel sounds groin: staples intact, no dehisence, minimal localized erythema surrounding left incision site pertinent results: 12:05am blood ck-mb-350* mb indx-42.6* ctropnt-6.71* 09:08am blood ck-mb-253* mb indx-7.1* ctropnt-9.37* 03:12pm blood ck-mb-146* mb indx-5.6 ctropnt-8.68* 06:42am blood ck-mb-37* mb indx-3.9 ctropnt-5.97* 12:05am blood ck(cpk)-821* 09:08am blood ck(cpk)-3576* 03:12pm blood ck(cpk)-2593* 06:42am blood ck(cpk)-955* echo : the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is severely depressed with inferior, lateral, mid to distal anterior and apical akinesis (multivesssel. there is no ventricular septal defect. the right ventricular cavity is mildly dilated. there is apical right ventricular free wall hypokinesis. the aortic valve leaflets are severely thickened/deformed. there is mild aortic valve stenosis (area 1.2-1.9cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. compared with the prior study (images reviewed) of , regional wall motion abnormalities are new (c/w multi-vessel cad). in addition, mild aortic stenosis and moderate pulmonary hypertension are present. ekg : sinus rhythm probable incomplete left bundle branch block consider inferior infarct, age indeterminate st-t wave abnormalities - cannot exclude in part injury/ischemia clinical correlation is suggested since previous tracing of , further st-t wave changes present read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 84 148 116 412/452.85 7 -23 146 ekg : sinus rhythm. compared to tracing #1 there is one millimeter st segment elevation in the inferolateral leads suggestive of myocardial infarction/injury pattern. there is also qtc interval prolongation in those leads. decreased limb lead voltage. clinical correlation is suggested. tracing #2 read by: , intervals axes rate pr qrs qt/qtc p qrs t 79 150 106 -32 149 cxr : impression: stable bilateral pleural effusions and left retrocardiac opacity which may represent areas of atelectasis and/or consolidation. no overt chf cbc: 06:20am blood wbc-13.0* rbc-3.35* hgb-10.2* hct-29.6* mcv-88 mch-30.4 mchc-34.4 rdw-16.1* plt ct-408 04:00am blood wbc-10.1 rbc-3.37* hgb-10.3* hct-30.0* mcv-89 mch-30.4 mchc-34.2 rdw-15.6* plt ct-394 coags/inr data: 06:20am blood pt-20.1* ptt-28.3 inr(pt)-1.9* 04:00am blood pt-24.9* ptt-35.1* inr(pt)-2.5* 01:30am blood pt-29.1* inr(pt)-3.0* 06:40am blood pt-34.3* ptt-37.1* inr(pt)-3.7* 07:45am blood pt-42.4* ptt-39.4* inr(pt)-4.8* 12:16pm blood pt-67.8* ptt-39.5* inr(pt)-8.6* 04:31am blood pt-71.0* ptt-39.5* inr(pt)-9.1* 07:48am blood pt-45.4* ptt-102.5* inr(pt)-5.2* 05:45am blood pt-18.3* ptt-150* inr(pt)-1.7* 06:42am blood pt-15.4* ptt-59.7* inr(pt)-1.4* 03:29am blood pt-14.7* ptt-108.6* inr(pt)-1.3* 04:29am blood pt-13.5* ptt-26.0 inr(pt)-1.2* chem 7: 06:20am blood glucose-134* urean-30* creat-0.7 na-141 k-4.4 cl-105 hco3-27 angap-13 lfts: 07:48am blood alt-36 ast-46* ld(ldh)-775* alkphos-64 totbili-0.6 brief hospital course: pt taken from ed into or for a right acute critically ischemic foot/limb where thrombectomies of left ax-fem bypass graft, thrombectomy of fem-fem bypass graft, thrombectomy of right fem-peroneal bypass graft with dacron patch angioplasty of left ax-fem distal , right lower extremity angiography, angioplasty of right tibioperoneal trunk, angioplasty of right peroneal artery, stent placement in right tibioperoneal trunk was completed. the patient tolerated the procedure well and was extubated in the pacu. pt was transferred to the vicu. pod#2 pt was doing well, diet was advanced and diruesed to 1l neg as a goal. her lopressor dose was also increased. the right dp/pt were palpable on exam. 2 units of prbcs were also transfused on this date. pt experienced nausea and emesis that repsonded to compazine. pod #3 cardiac enzymes were found to be elevated(troponin peaked at 9.37), stat cardiology eval. pt denied any cop or sob leading up to these events. her lopressor dose was again increased and she was transferred to the cardiac unit for care. ekg showed ste v4 v5. pt was requiring 6l on nc. pod #4 pt was diuresed for volume overload and sob, heparin gtt was continued, bb, asa, plavix, statin continued. nitro gtt was stopped. r groin site was c/d/i. pod #5 pt was feeling better, had periods of sob with labored breathing. pt was started on warfarin for a goal inr of due to anterior/apical akinesis. pt was administered metolazone and lasix. pod #6 sob improved, inr jumped to supratherapuetic level->9.1, diureses continued pt transferred to vicu, dopplerable pulses to r foot : uneventful, physical therapy saw and worked with the patient-cleared for home, pt transferred to floor status on , received 1 unit of prbc for slowly declining hct, hct responded appropriately : acute isolated episode of sob in early am, responded well to nebulizers, o2 levels and vitals remained stable, dopplerable pulses to r foot, picc line removed on discharge, home meds were resumed with the following exceptions: 1)lopressor dose lowered to 37.5 from 50, 2)isordil 10 tid, 3)procardia held until pcp/cards f/u appointment, 4) statin at 80 from 10, 5) 1 week course of clindamycin(cephalosporin allergy), 6) coumadin dose at 2mg--inr checks to be done by vna with call-in to pcp, (started on apical akinesis) medications on admission: lop 50 ; nifedipine xr 60qd; isordil 30bid; lipitor 10qd; tylenol; asa 325qd; plavix 75qd; chlorpropamide 100qd; percocet; lasix 40" 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. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. furosemide 40 mg tablet sig: two (2) tablet po daily (daily). 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. clindamycin hcl 150 mg capsule sig: two (2) capsule po q6h (every 6 hours) for 7 days. disp:*56 capsule(s)* refills:*0* 8. chlorpropamide 100 mg tablet sig: one (1) tablet po once a day. 9. klor-con 10 10 meq tablet sustained release sig: one (1) tablet sustained release po once a day. 10. coumadin 2 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*1* 11. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po twice a day. disp:*90 tablet(s)* refills:*2* 12. isosorbide dinitrate 10 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: 1) ischemic right foot 2) mi discharge condition: stable discharge instructions: medications: ?????? take aspirin 325mg (enteric coated) once daily ?????? take plavix (clopidogrel) 75mg once daily ??????**stop** taking procardia until you see your primary care doctor(this may be re-started later). -your metoprolol(lopressor) medication was changed to a lower dose: 37.5mg twice a day. -your lipitor dosage was increased to 80mg every day. -also you were started on clindamycin (an antibiotic), please take until gone. -you were started on coumadin which will require weekly inr checks to adjust dosing. you will be taking 2mg every night unless otherwise notified. -continue all other medications you were taking before surgery. *****tonight only: take an additional 40mg of furosemide(1 lasix pill)before going to bed***** ?????? you make take tylenol or prescribed pain medications for any post procedure pain or discomfort what to expect when you go home: it is normal to have slight swelling of the legs: ?????? elevate your leg above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated ?????? it is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? drink plenty of fluids and eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? when you go home, you may walk and go up and down stairs ?????? you may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? no heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? after 1 week, you may resume sexual activity ?????? after 1 week, gradually increase your activities and distance walked as you can tolerate ?????? no driving until you are no longer taking pain medications ?????? call and schedule an appointment to be seen in 1 week for post procedure check and ultrasound what to report to office: ?????? numbness, coldness or pain in lower extremities ?????? temperature greater than 101.5f for 24 hours ?????? new or increased drainage from incision or white, yellow or green drainage from incisions ?????? bleeding from groin puncture site sudden, severe bleeding or swelling (groin puncture site) ?????? lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. if bleeding stops, call vascular office . if bleeding does not stop, call 911 for transfer to closest emergency room. **please call dr. office and dr. office if you experience shortness of breath at rest. if you are having a great difficulty breathing please go directly to the emergency room. followup instructions: you have an appointment with dr. office on weds , 2:00pm. please call and schedule an appointment to be seen by dr. ( this week for adjustment of medications. please call and see your cardiologist within 1-2 weeks from discharge. procedure: venous catheterization, not elsewhere classified other revision of vascular procedure angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) transfusion of packed cells cranial or peripheral nerve graft insertion of one vascular stent procedure on two vessels diagnoses: subendocardial infarction, initial episode of care unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism aortocoronary bypass status other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure old myocardial infarction other complications due to other vascular device, implant, and graft below knee amputation status arterial embolism and thrombosis of lower extremity atherosclerosis of native arteries of the extremities with rest pain 

Answer: The patient is high likely exposed to