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: penicillins attending: chief complaint: intermittent claudication major surgical or invasive procedure: right femoral to above-knee popliteal artery bypass with an 8-mm ptfe graft history of present illness: this 70-year-old gentleman is status post an aortobifemoral bypass in the distant past for aneurysm with occlusive disease. he has developed bilateral superficial femoral artery occlusions with severe disabling claudication. the left side was treated with an angioplasty. the right side is not amenable to catheter-based intervention. arteriography showed reconstitution of an above-knee popliteal artery with 3-vessel runoff below the knee. past medical history: aaa with illiac artery aneurysms treated with an aortobifemoral graft . bilat carotid endarterectomies cad - coronary angioplasty and stenting cabg (lima to lad, svg to diagonal, svg to om, sequential svg to am/pda) hyperlipidemia htn aodm cerebral hemorrhage mid ??????s prior cva social history: patient is married with 8 children. lives with: wife occupation: fitter - retired etoh: rare tobacco: denies family history: non contributory physical exam: please see h&p pertinent results: 06:51pm glucose-153* urea n-19 creat-1.1 sodium-137 potassium-4.4 chloride-106 total co2-21* anion gap-14 06:51pm estgfr-using this 06:51pm alt(sgpt)-32 ast(sgot)-50* alk phos-40 06:51pm ck-mb-2 ctropnt-<0.01 06:51pm calcium-8.6 phosphate-4.1 magnesium-1.9 06:51pm hgb-11.9* hct-35.4* 06:51pm plt smr-very low plt count-50* 06:51pm pt-14.3* ptt-30.9 inr(pt)-1.2* 05:25pm type-art po2-203* pco2-43 ph-7.34* total co2-24 base xs--2 05:25pm glucose-137* lactate-1.9 na+-136 k+-4.1 cl--105 05:25pm hgb-12.8* calchct-38 05:25pm freeca-1.15 03:46pm type-art po2-101 pco2-32* ph-7.45 total co2-23 base xs-0 03:46pm glucose-143* lactate-1.6 na+-138 k+-3.9 cl--107 03:46pm hgb-14.2 calchct-43 03:46pm freeca-1.23 brief hospital course: this 70-year-old gentleman is status post an aortobifemoral bypass in the distant past for aneurysm with occlusive disease. he has developed bilateral superficial femoral artery occlusions with severe disabling claudication. the left side was treated with an angioplasty. the right side is not amenable to catheter-based intervention. arteriography showed reconstitution of an above-knee popliteal artery with 3-vessel runoff below the knee. patient was admitted for right femoral to above-knee popliteal artery bypass with an 8-mm ptfe graft. post-op patient was noted to be doing well with minimal pain and stable hct. pod1: patient continued to do well had a small hematoma at his groin site. dp and pt pulsed were dopplerable bilat. pod 2: foley was removed. patient voided appropriately. patient was started on plavix and tolerated a regular diet. pod 3: patient was seen by pt and cleared for home without services. medications on admission: : plavix 75', folate-b6-b12, gabapentin 1200', glimepiride 1 mg', lopressor 50', simvastatin 80', sitagliptin 100', asa 81, niacin, omega fa, vit e 400'. discharge medications: 1. oxycodone 5 mg capsule sig: 1-2 tablets po q6h (every 6 hours) as needed for pain for 10 days. disp:*30 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day: otc - while on pain medication. 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 5. vytorin 10-40 10-40 mg tablet sig: one (1) tablet po at bedtime: home med. 6. nortriptyline 25 mg capsule sig: one (1) capsule po hs (at bedtime): home med. 7. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily): home med. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 8. glimepiride 2 mg tablet sig: one (1) tablet po at bedtime: home med. 9. januvia 100 mg tablet sig: one (1) tablet po once a day: home med. discharge disposition: home discharge diagnosis: intermittent claudication with right superficial femoral artery occlusion. discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: division of vascular and endovascular surgery lower extremity bypass surgery discharge instructions what to expect when you go home: 1. it is normal to feel tired, this will last for 4-6 weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? unless you were told not to bear any weight on operative foot: you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have swelling of the leg you were operated on: ?????? 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 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? 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: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? unless you were told not to bear any weight on operative foot: ?????? you should get up every day, get dressed and walk ?????? you should gradually increase your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (unless you have stitches or foot incisions) no direct spray on incision, let the soapy water run over 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 over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 100.5f for 24 hours ?????? bleeding, new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: provider: , md phone: date/time: 12:40 procedure: other (peripheral) vascular shunt or bypass diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of native arteries of the extremities with intermittent claudication aortocoronary bypass status percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits chronic total occlusion of artery of the extremities 

Answer: The patient is high likely exposed to