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: robotic prostatectomy, cystectomy with ileal conduit, requiring post-op monitoring major surgical or invasive procedure: : robotic prostatectomy, cystectomy with ileal conduit by urology : intubation and sedation for surgery by anesthesia : extubation by icu team history of present illness: 80 yo male with bladder cancer past medical history: past medical history (per urology and cardiology notes): - cad, s/p myocardial infarction, cabg - hypertension - bladder and prostate cancer - pvd s/p peripheral stent , r fem- - gerd - hypothyroidism - l1 compression fx - aaa, 3.1 cm on observation social history: retired from navy and managed in in , for many years and . he lives with his wife now in and enjoys golfing. quit smoking tobacco many years ago and drinks in moderation. he denies any illicit drug use. family history: unremarkable physical exam: admission physical exam: vitals: t: 97.1 bp: 107/57 p: 99 r: 12 sao2: 100% on ac at 500/12 50/5 general: intubated, sedated, but does move head to voice heent: perrl 2-1mm, ng tube in place neck: jvp not elevated, no lad lungs: clear to auscultation bilaterally on anterior exam, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-distended - 2 jp drains with serosanguinous drainage, abdominal urinary catheter draining bloody urine gu: no foley ext: cool but well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: moves head to voice, perrl icu discharge physical exam: vitals: t 36.4 ??????c hr 76 bp 98/43 rr 18 sao2 96% general appearance: no acute distress heent: perrl, normocephalic lungs: few scattered rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdominal: soft, bowel sounds present, mildly tender around drains extremities: no edema, warm and well-perfused neurologic: attentive, follows simple commands pertinent results: 09:25am blood wbc-7.9 rbc-2.69* hgb-9.0* hct-25.6* mcv-95 mch-33.5* mchc-35.1* rdw-12.8 plt ct-514* 08:25am blood wbc-8.5 rbc-2.79* hgb-9.1* hct-26.4* mcv-95 mch-32.7* mchc-34.5 rdw-12.9 plt ct-530* 09:25am blood glucose-101* urean-11 creat-1.1 na-139 k-4.3 cl-108 hco3-22 angap-13 07:10am blood glucose-104* urean-12 creat-1.1 na-138 k-4.1 cl-106 hco3-22 angap-14 09:25am blood albumin-2.8* calcium-8.8 phos-3.2 mg-1.9 brief hospital course: 80-year-old male with pmhx mi s/p cabg in , htn, pvd s/p left pci with stenting 4 years ago in presents to the icu s/p urologic surgery for monitoring. . # s/p urologic surgery. in the icu the patient was able to be extubated without difficulty, awake and alert afterwards with complaints of abdominal pain responsive to dilaudid. hemodynamically stable. pain was well-controlled on toradol/dilaudid prn, and he was transitioned to dilaudid pca on pod1. he received maintenance iv fluid rehydration, and a nasogastric tube was kept for continued post-operative bowel decompression. ampicillin & flagyl + 1 dose gentamycin were given for post-op infection prophylaxis. . # cad. patient with no complaints of chest pain. breathing is stable. continued on metoprolol po with iv metoprolol prn. aspirin, plavix, and were held per urology recommendation. lasix and spironolactone were also held pending creatinine stabilization. home zetia and lipitor were restarted on pod1. . # hypertension. bps in the icu ranged 95/42(59)-187/87(129). acute hypertension was expected in the setting of holding home diuretics and antihypertensives (as above). elevated sbp >160 was managed with iv hydralazine prn. . # hypothyroidism. continued home levothyroxine at 50mcg daily. . # gerd. continued home nexium. mr. is an 80 year old male with pmhx mi s/p cabg in , htn, pvd s/p left pci with stenting 4 years ago in who is coming to the icu for monitoring after a robotic prostatectomy and cystectomy with ileal conduit. the patient usually lives in and was initially diagnosed there, but came to see dr. a 2nd opinion as one of his relatives see's dr. . it was felt that he had high-grade bladder cancer with diffuse carcinoma in situ throughout the bladder and sum 6 adenocarcinoma of the prostate in two areas of the prostate and was referred for the above procedure. he did see dr. for pre-operative cardiac clearance at which time he was started on metoprolol succinate 25mg daily. . he underwent the 7 hour procedure . he was intubated using a glide scope. he was fairly hemodynamically stable, although he did require temporary use of phenylephrine for hypotension thought to be secondary to anesthesia. his ebl was 200cc, he received a total of 5l crystalloid (4l lr, 1l ns) as well as 1l 5% albumin and 1 unit prbc. the procedure was completed without major complication and the patient was admitted to the icu intubated for monitoring. from the pacu he was taken to the general surgical floor where he had a hospital course secondary to postoperative ileus. he was eventually discharged on tolerating a regular diet but with services to further promote care of his ostomy and strength. his staples were removed prior to discharge and his drains had been removed as well. he did have ureteral stents in place visible at the stoma. medications on admission: - asa 81' - plavix - ntg prn - diovan 80' - toprol xl 25' - lasix 40' - aldactone 25' - synthroid 50' - lipitor 80' - zetia 10' - vicodin prn - nexium 40' - 180' - rhinocort nasal discharge medications: 1. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain, fever>101. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. macrobid 100 mg capsule sig: one (1) capsule po twice a day for 1 days: take the morning of your appointment with dr. . take until finished. disp:*2 capsule(s)* refills:*0* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: tablet, chewables po qid (4 times a day) as needed for heartburn. 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 8. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 12. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). 13. oxycodone 5 mg tablet sig: 0.5-1 tablet po q4h (every 4 hours) as needed for pain. disp:*35 tablet(s)* refills:*0* 14. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: vna care discharge diagnosis: bladder cancer 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: it has been a pleasure participating in your care. you will be discharged home with visiting nurse services that will further assist you with management of your ongoing physical therapy and postoperative rehabilitation and urostomy care. -resume your pre-admission medications unless otherwise noted. -also, ibuprofen has been held as well. do not resume nsaid therapy (ibuprofen/aleve/motrin/advil etc.) unless specifically advised to do so by your urologist -please also refer to educational materials provided by the nurse specialist in urostomy care and management -the maximum dose of tylenol (acetaminophen) is 4 grams (from all sources) per day. -the prescribed pain medication may also contain tylenol (acetaminophen) so this needs to be considered when monitoring your daily dose and maximum. -please do not drive, operate dangerous machinery, or consume alcohol while taking narcotic pain medications. -do not drive while urostomy bag is in place and until you are cleared to resume such activities by your pcp or urologist -colace has been prescribed to avoid post surgical constipation and constipation related to narcotic pain medication. discontinue if loose stool or diarrhea develops. colace is a stool softener--it is not a laxative. -you may shower but do not tub bathe, swim, soak, or scrub incision -if you have had skin clips (staples) or drains removed from your abdomen; bandage strips called ??????steristrips?????? have been applied to close the wound. allow these bandage strips to fall off on their own over time. you may get the steristrips wet. -no heavy lifting for 4 weeks (no more than 10 pounds) medical attention for fevers (temp>101.5), worsening pain, drainage or excessive bleeding from incision, chest pain or shortness of breath. followup instructions: please contact dr. office upon discharge to arrange follow up appointment for 7-10 days from discharge. please call your pcp to arrange follow-up and to discuss your medications and postoperative course. please call and schedule an appointment to see the ostomy nurse at for 2 - 4 weeks from discharge. the clinic number is . please call with any questions. procedure: radical cystectomy formation of cutaneous uretero-ileostomy division or crushing of other cranial and peripheral nerves regional lymph node excision laparoscopic robotic assisted procedure diagnoses: other iatrogenic hypotension esophageal reflux unspecified essential hypertension unspecified acquired hypothyroidism coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status diaphragmatic hernia without mention of obstruction or gangrene malignant neoplasm of prostate other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction paralytic ileus other diseases of lung, not elsewhere classified abdominal aneurysm without mention of rupture carcinoma in situ of bladder 

Answer: The patient is high likely exposed to