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: patient recorded as having no known allergies to drugs attending: chief complaint: ischemic ulcer of the right foot major surgical or invasive procedure: : rt cfa-peroneal with nrsvg, profunda/sfa ea : cardiac catheterization with bare metal stent to the rca complicated by l groin hematoma : ex1. left groin exploration. 2. repair of left iliac vein bleed and left external iliac artery bleed. 3. evacuation of retroperitoneal hematoma. history of present illness: the patient is an 89-year-old gentleman has severe ischemic rest pain and nonhealing ischemic ulcers of his right foot. arteriography showed him to be a poor candidate for endovascular treatment; his common femoral artery was heavily calcified with a high-grade calcific plaque at the origin of the profunda femoris artery and essential total occlusion of all vessels down to the level of the mid peroneal artery which was his best runoff vessel distally. for these reasons he was admitted to with planned bypass graft in the right leg. past medical history: pvd with non-healing ulcers of r foot htn colon ca s/p colectomy carotid stenosis-chronic 100% occlusion l carotid afib cri with baseline creatinine 2.0 chronic macrocytic anemia disease by ct psh: turbt, s/p r cea social history: lives alone, his wife died a few years ago. served in wwii. has family nearby. family history: n/c physical exam: upon discharge a and o nad vss perrl, moist mucus membranes, no jvd rrr + systolic murmur nl s1 s2 ctab soft slight ttp at l inguinal region extensive ecchymoses at r and l flanks abdominal staples along llq; incision c/d/i r groin incision c/d/i r le + pitting edema, + incision c/d/i; open staples at proximal thigh l le no c/c/e pulses: l dp neither palpable nor dopplerable, l pt dopplerable; r dp and pt dopplerable pertinent results: 05:10pm blood hct-32.0* 10:49am blood wbc-11.4* rbc-3.16* hgb-10.1* hct-28.2* mcv-89 mch-32.0 mchc-35.9* rdw-14.6 plt ct-224 06:00am blood wbc-13.5* rbc-2.61* hgb-8.6* hct-25.4* mcv-97 mch-33.1* mchc-34.0 rdw-13.4 plt ct-296 02:05pm blood wbc-12.4* rbc-2.69* hgb-8.7* hct-25.7* mcv-96 mch-32.5* mchc-34.1 rdw-13.1 plt ct-323 10:49am blood glucose-124* urean-25* creat-1.2 na-141 k-3.9 cl-109* hco3-27 angap-9 02:05pm blood glucose-127* urean-26* creat-1.5* na-143 k-5.1 cl-114* hco3-21* angap-13 10:49am blood calcium-7.4* phos-2.4* mg-2.0 brief hospital course: the patient is an 89 yo male who was admitted for scheduled angiography and intervention. the patient was admitted to vascular surgery/dr. on , taken to angio suite and inderwent successful rt cfa-peroneal with nrsvg, profunda/sfa ea. the patient recovered in pacu then transferred to 5 for further observation. on routine post-op check patient was noted to have cold l lower extremity(non-intervention leg) and no dp pulse, but no complaints of pain. pod1 no acute events, l foot is now warm with dp pulse. routine nursing care, lines discontinued. leni- showed significant l iliac, sfa and tibial disease. pod2 patient complained of chest pain, ekg was done that showed st depression throughout the precordium. cardiac enzymes were cycled, initial troponin .04; repeat 0.15. his hct was noted to be 25.4, down from 28.2 on admission. the patient most likely suffered demand ischemia in setting of postoperative acute blood loss anemia, with his symptoms, ecg changes, and enzyme changes consistent with nstemi. transfused with 2 units prbc's with lasix in between. cardiology consulted. pod3 : cardiac echo: efx 55%, elongated la, dilated ra, mild regional systolic lv dysfunction, mild-moderate mr, thickened ao, mitral, tc valve leaflets. cards plan for cardiac cath on monday , to give mucomyst night prior to procedure. pod4 transfused with 1 unit prbc. pod5 pre-oped for cardiac cath. pod6 cardiac catheterization: the patient successfully underwent cardiac catheterization, which revealed 90% occlusion in rca s/p bare metal stent, 70% occlusion in distal left main, no intervention done. left groin hematoma s/p exploration, evacuation, left external iliac arteriotomy and l iliac venotomy: unfortunately the patient became hypotensive to sbp 60s and a large groin hematoma was noted while the groin sheath was being pulled by cardiology in the catherization area. the patient was intermittently placed on dopamine, then vascular surgery was called, and the patient was given ivf, and 2 units of packed rbc with pressure held to the groin with his sbp returning to the 150s. his blood pressure began to drop again, however, to the 70s systolic, and so he was taken emergently to the operating room on under general anesthesia for l groin exploration that revealed a bleeding l external iliac artery, l iliac vein, both of which were sutured. the hematoma was evacuated. a jp drain was left in place and the patient was extubated and returned to the ccu, and then to the floor. he did receive 2 units of blood intraoperatively and then 1 unit following the surgery, but his hematocrit remained stable at 28-29. he remained hemodynamically stable postoperatively and thereafter. a foley catheter was placed on when the patient returned to the operating room. two staples were removed in the upper thigh on the right with concern for infection but there was no drainage. the slight redness is thought to be secondary to scrotal irritation. the patient was then seen by physical therapy, who recommended short term rehab. the remainder of his stay was uneventful, and he is being discharged today in stable condition. medications on admission: lisinopril 10', lovastatin 20', metoprolol tartrate 50', nifedical xl 60', quinine sulfate 324', triazolam .25', asa 81' discharge medications: 1. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 2. senna 8.6 mg tablet sig: one (1) tablet po at bedtime as needed. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed. 9. triazolam 0.25 mg tablet sig: one (1) tablet po qhs () as needed. 10. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 12. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 13. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 14. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po at bedtime. discharge disposition: extended care facility: discharge diagnosis: pvd with non-healing ulcers of r foot, ischemic l leg htn carotid stenosis-chronic 100% occlusion l carotid afib cri with baseline creatinine 2.0 chronic macrocytic anemia disease by ct psh: turbt, s/p r cea, colon ca s/p colectomy discharge condition: weak but stable discharge instructions: 1. the upper thigh wound may be covered with a dry sterile gauze as needed 2. the patient is being discharged with a leg bag and foley catheter. he is s/p turp and you may attempt to d/c the foley again. he needs follow up with his primary care physician. 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: 1. follow up with your cardiologist, dr. : phone:( 3:30 pm 2. follow up with dr. phone: this is very important because you need follow up for your prostate and difficulties urinating as well as your other medical problems. 3. follow up with dr on 12:50 pm and at 11:10 am; phone: for your vascular surgery. procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters other (peripheral) vascular shunt or bypass incision of abdominal wall suture of artery endarterectomy, lower limb arteries cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on single vessel diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation hematoma complicating a procedure chronic kidney disease, unspecified ulcer of other part of foot hemorrhage complicating a procedure personal history of malignant neoplasm of large intestine atherosclerosis of native arteries of the extremities with ulceration 

Answer: The patient is high likely exposed to