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: ceclor attending: chief complaint: s/p motor vehicle crash - multi-trauma major surgical or invasive procedure: orif posterior pelvic ring bilaterally, orif anterior pelvic ring on right side, i&d elbow open fracture, ulnar nerve expliration and placment of external fixation 1. i and d right elbow. orif right elbow,ivc filter i and d right elbow with bone grafting history of present illness: 22m was unrestrained driver s/p motor vehicle crash, unknown rate of speed or mechanism but ejected from vehicle approx 100ft. cardiac arrest on scene, received cpr in ambulance. large volume rescucitation, and bilateral chest tube placement in ed during code, no blood or air return. fast neg x2. pulses returned w/o epinephrine or shocks. past medical history: none pshx: ureter correction age 8 social history: parents involved in care. family history: noncontributory pertinent results: 11:16pm glucose-164* urea n-21* creat-1.3* sodium-143 potassium-5.2* chloride-114* total co2-20* anion gap-14 11:16pm calcium-7.1* phosphate-4.1 magnesium-1.9 11:16pm wbc-13.8* rbc-4.18* hgb-12.5* hct-35.4* mcv-85 mch-29.8 mchc-35.3* rdw-14.2 11:16pm plt count-182 09:21am plt count-188 09:21am pt-12.0 ptt-28.4 inr(pt)-1.1 imaging: ct head: stable multicompartmental intracranial hemorrhage including small globus pallidus and medial temporal lobe intraparenchymal hemorrhage and minimal hemorrhage in occipital of left lateral ventricle. a tiny focus of hemorrhage may not be visualized in the occipital of the right lateral ventricle suggestive of redistribution. no new hemorrhage or shift in midline structures. right parietal subgaleal hematoma with associated laceration and staples overlying. . lenis: no evidence of dvt in b/l le . cxr: low lung volumes persist. bibasilar atelectasis larger on the left are unchanged. lines and tubes are in standard position. there is no pneumothorax or pleural effusion. left subcutaneous emphysema has improved. . abd ct: no evidence of infection in chest, abdomen, and pelvis, to account for the patient's fever. the study is not tailored for evaluation of pulmonary embolism; however, within this limitation, filling defects in left lower lobar and segmental arteries, is concerning for pulmonary embolus. extensive thoracic and abdominal pelvic fractures, with interval fixation of pelvic fractures in near anatomic alignment. new mild widening of the right sacroiliac joint. known right renal lacerations, with mild interval decrease in the hematoma in the perinephric space. stable high-density fluid layering in the right paracolic gutter and anterior pelvis. no new interval intra-abdominal or pelvic bleed. . chest pta r/o pe: intraluminal filling defects c/w pulmonary emboli are visualized in distal left lower lobe pulmonary artery and extend into anteromedial, lateral and posterior basal segmental pulmonary arteries. no evidence of right heart strain. brief hospital course: mr. was noted to have lost pulses in the ambulance on arrival to the ed. he was intubated in the field. he was actively coded while bilateral chest tubes were placed, a cordis was placed in his right groin and a central line was placed in his left subclavian. he regained pulses before losing them approximately 10 minutes later, and was coded for an additional amount of time prior to regaining his pulses and remaining stable thereafter with several units of blood and crystalloid being infused. his fast was negative and he was noted to have an open fracture of his right distal humerus as well as pelvic instability. there was concern for urethral injury and a catheter was not placed at this time. given persistent hemodynamic instability he was sent to the angio suite with interventional radiology where they embolized the bilateral internal iliacs with gelfoam. they also performed a retrograde urethrogram at this time which demonstrated an intact urethra and placed a foley catheter at this time. between the ed and ir, he received 9 units of prbcs, 4 units of blood and 4 l of crystalloid. he returned to the trauma icu stable not on pressors, but intubated and sedated. stable, he was taken to radiology for further radiologic workup revealing the following injuries: left intraparenchymal hemorrhage basal ganglia posterior scalp laceration right parietal subgaleal hematoma right distal humerus and olecranon fractures right renal lacerations with subcapsular hematoma right posterior 11th rib fracture l2-4 transverse process fracture right iliac crest fracture bilateral superior and inferior pubic rami fractures left si joint diastasis he was taken to the or on by the orthopedic team for orif right hip/acetabular fracture as well as i&d and ex-fix of his right elbow. he returned to the or on for another washout of his elbow with orif and concomitantly had an ivc filter placed. his hospital course by systems as follows: neuro: neurosurgery was consulted early on due to his brain injuries - seizure prophylaxis was started, serial exams and head ct scans were followed as well. his repeat head scans remained stable. he was kept intubated and sedated through his initial days in the tsicu. his sedation was weaned for extubation on and he was treated with iv dilaudid for pain control. he was mildly confused after extubation. given his altered mental status his cervical-collar was not able to be cleared at first. as his mental status improved we were able to obtain an adequate physical exam and removed the cervical collar. at time of discharge he is awake and answers questions and follows commands. he was started on trazodone at hs to help regulate his sleep/wake cycle given his brain injury and this has seemed to help. cv: after initial hemodynamic instability, he stabilized and remained stable throughout his hospital course. his hcts were trended and stable. he was initially tachycardic after extubation and intermittently after transfer out of the icu remained tachycardiac. he was stated on beta blockers which has brought his heart into the 80's-90's range. resp: initially placed chest tubes were removed on (right side) and (left) without complication. he had no pneumo or hemothorax. he was extubated on . after transfer to the floor on he was transferred back to the icu on for respiratory distress and for a fever. ct chest/abdomen/pelvis did not reveal an obvious source of fever but he was placed in the icu, antibiotics were broadened and he recovered well. on re-review, radiology could not exclude a pulmonary embolism in the left lower lobe. this was followed with a cta on which confirmed this finding in the left lower lobe basilar segments and he was started on a heparin drip. he was transitioned to coumadin; his dose was held on for inr 4.1 after having received 5mg the night before. we are recommending that he be given 2.5 mg on for inr 2.4 repeating inr on . gi: initially started on tube feeds via ogt then advanced to a regular for which he is tolerating much better now with improved mental status. gu: his foley catheter was found to be placed in the urethra with balloon expansion in the urethra on mri after foley placement in ir. the catheter was advanced. he was also noted to have a right sided renal laceration and subcapsular hematoma. urology was following for both of these issues and recommended conservative management wit keeping foley in place for 3-4 weeks and repeating urethrogram at the end of that time. he will follow up in clinic as an outpatient. id: he maintained on broad spectrum antibiotic coverage (ancef/levo/flagyl) for his open fractures and after placement of orthopedic hardware given high risk of infection. the antibiotics were eventually stopped. he is afebrile and his wbc on . heme: an ivc filter was placed given his multiple fractures. afterwards was deemed okay for heparin (per neurosurgery) and was started on heparin sq as prophylaxis which was maintained throughout the hospitalization. he was started on a heparin drip on to treat a pulmonary embolism in the left lower lobe basal segments. and now on coumadin as mentioned previously. msk: he has an external fixation on his right arm and is non weightbearing. he is also non weight bearing on his lower extremities due to his pelvic fractures. follow up films of his pelvis due to complaints of increased pelvic pain were done on to assess the hardware and it was noted that there were no issues. he will follow up as an outpatient in clinic. he was evaluated by physical and occupational therapy and is being recommended for rehab after his acute hospital stay. medications on admission: denies discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 3. famotidine 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. 5. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 6. tramadol 50 mg tablet sig: one (1) tablet po qid (4 times a day). 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po three times a day as needed for constipation. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 10. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime). 11. warfarin 5 mg tablet sig: one (1) tablet po every evening: dose daily based on inr goal of 2.0-3.0. 12. warfarin 2.5 mg tablet sig: one (1) tablet po dose daily based on inr: please adjust dose daily based on maintaining goal inr range . discharge disposition: extended care facility: - discharge diagnosis: s/p motor vehicle crash injuries: left intraparenchymal hemorrhage basal ganglia posterior scalp laceration right parietal subgaleal hematoma right distal humerus and olecranon fractures right renal lacerations with subcapsular hematoma right posterior 11th rib fracture l2-4 transverse process fracture right iliac crest fracture bilateral superior and inferior pubic rami fractures left si joint diastasis pulmonary embolus discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hospital following a motor vehicle crash where you sustained multiple injuries that required several operations. you also developed a blood clot in your lung over the course of your hospital stay requiring treatment with a blood thinner called wafarin (coumadin) - you will be on this medication at least for 6 months and possibly longer. due to the extent of your injuires you are being recommended to go to a rehabilitation facility. followup instructions: * department: orthopedics when: tuesday at 9:25 am with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage department: orthopedics when: tuesday at 9:45 am with: , md building: campus: east best parking: garage department: general surgery/ with: , md when: monday at 2:30 pm with: acute care clinic building: lm bldg () campus: west best parking: garage department: radiology when: thursday at 1:15 pm with: cat scan building: cc clinical center campus: west best parking: garage department: neurosurgery when: thursday at 2:15 pm with: , md building: lm campus: west best parking: garage we are working on a follow up appointment for you to see one of our physicians in urology within the next 2-4 weeks. you will be called at rehab with the appointment information. if you have questions or have not heard, please call to inquire about the appointment. name: , md specialty: internal medicine location: address: , , phone: please discuss with the staff at the facility a follow up appointment with your pcp when you are ready for discharge. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more interruption of the vena cava enteral infusion of concentrated nutritional substances aortography arteriography of other intra-abdominal arteries closure of skin and subcutaneous tissue of other sites other endovascular procedures on other vessels open reduction of fracture with internal fixation, radius and ulna debridement of open fracture site, radius and ulna debridement of open fracture site, radius and ulna cardiopulmonary resuscitation, not otherwise specified anoscopy open reduction of fracture with internal fixation, humerus closed reduction of fracture with internal fixation, other specified bone other peripheral nerve or ganglion decompression or lysis of adhesions transposition of cranial and peripheral nerves insertion of two vascular stents application of external fixator device, humerus open reduction of separated epiphysis, radius and ulna other repair or plastic operations on bone, radius and ulna diagnoses: other iatrogenic hypotension injury to ulnar nerve open wound of scalp, without mention of complication constipation, unspecified cardiac arrest closed fracture of one rib other motor vehicle traffic accident involving collision with motor vehicle injuring driver of motor vehicle other than motorcycle unspecified sedatives and hypnotics causing adverse effects in therapeutic use closed fracture of lumbar vertebra without mention of spinal cord injury other pulmonary embolism and infarction contusion of lung without mention of open wound into thorax traumatic shock injury to other intra-abdominal organs without mention of open wound into cavity, peritoneum other and unspecified intracranial hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration subarachnoid hemorrhage following injury without mention of open intracranial wound, unspecified state of consciousness injury to kidney without mention of open wound into cavity, laceration acute respiratory failure following trauma and surgery subdural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration multiple open pelvic fractures with disruption of pelvic circle open wound of scrotum and testes, without mention of complication closed dislocation, sacrum open fracture of olecranon process of ulna other open fracture of lower end of humerus 

Answer: The patient is high likely exposed to