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: percocet / percodan attending: chief complaint: contained rupture of an infrarenal abdominal aortic aneurysm major surgical or invasive procedure: repair of ruptured abdominal aortic aneurysm, repair of ventral hernia. 1.placement of open tracheostomy 2.therapaeutic bronchoscopy 3. esophageoscopy history of present illness: this is an 83-year-old woman who presented emergently to hospital with abdominal and back pain and tenderness who was noted on ct to have a likely contained rupture of an abdominal aortic aneurysm. she was transferred to where contrast ct was performed, again showing likely contained rupture of an infrarenal abdominal aortic aneurysm. she was not a candidate for an endograft repair due to severe angulation of the proximal neck, inadequate neck below the renal arteries and very small iliac arteries. she was taken emergently to the operating room for aneurysm repair past medical history: pmh: htn, aaa, copd, cerebrovascular aneurysms x2 s/p clipping, hypothyroid psh: open ccy, tonsillectomy social history: pos smoker non drinker family history: n/c physical exam: a/o nad supple farom neg lyphandopathy neg supraclavicular nodes decreased bs at bases pos bs / surgical inc c/d/i pulses fem dp pt r 2+ 1+ 2+ m l 2+ 1+ 2+ - pertinent results: 06:30am blood wbc-10.3 rbc-3.94* hgb-12.0 hct-35.7* mcv-91 mch-30.4 mchc-33.6 rdw-15.8* plt ct-485* 06:30am blood plt ct-485* 02:44am blood pt-12.8 ptt-33.4 inr(pt)-1.1 06:30am blood glucose-136* urean-28* creat-1.1 na-140 k-4.5 cl-99 hco3-36* angap-10 06:30am blood calcium-9.3 phos-3.3 mg-2.2 09:07am urine color-yellow appear-clear sp -1.012 urine blood-sm nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.5 leuks-mod urine rbc-0-2 wbc-* bacteri-none yeast-none epi-0-2 urine casthy-0-2 9:43 am sputum source: endotracheal. gram stain (final ): >25 pmns and <10 epithelial cells/100x field. 1+ (<1 per 1000x field): gram negative rod(s). respiratory culture (final ): oropharyngeal flora absent. escherichia coli. sparse growth. of two colonial morphologies. escherichia coli | ampicillin------------ <=2 s ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ 4 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- 2 s 9:51 am chest (portable ap) chest: comparison is made with the prior chest x-ray of . there has been no significant change since this time. atelectasis at both bases persists. no definite infiltrates are present. impression: no change. echocardiography report , portable tte (complete) results measurements normal range left atrium - four chamber length: 5.2 cm <= 5.2 cm right atrium - four chamber length: 4.6 cm <= 5.0 cm left ventricle - ejection fraction: >= 60% >= 55% aorta - ascending: 3.0 cm <= 3.4 cm aortic valve - peak velocity: 1.9 m/sec <= 2.0 m/sec mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 1.2 m/sec mitral valve - e/a ratio: 0.67 mitral valve - e wave decel time: *310 ms 140-250 ms tr gradient (+ ra = pasp): *>= 37 mm hg <= 25 mm hg findings left ventricle: moderate symmetric lvh. normal lv cavity size. overall normal lvef (>55%). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. aortic valve: aortic valve not well seen. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. lv inflow pattern c/w impaired relaxation. tricuspid valve: mildly thickened tricuspid valve leaflets. physiologic tr. moderate pa systolic hypertension. pericardium: no pericardial effusion. general comments: suboptimal image quality - bandages, defibrillator pads or electrodes. suboptimal image quality - ventilator. conclusions there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). cannot exclude basal inferior hypokinesis; image quality technically suboptimal for assessment of regional wall motion. right ventricular chamber size and free wall motion are normal. the aortic valve is not well seen. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion brief hospital course: pt admitted emergent aaa repair - intra op recieved prbc / plt / ffp / fluid resusitation sent to the cvicu in critical condition presuure support and resusitation while in the cvicu while in the cvicu multiple atempts to wean patient. could not thoracics consulted. trach and peg placed. pt also experienced in crease in wbc / febrile / all lines changed out. pan cx'd. pos urine and sputum. pan sensitive to cipro. sputum - e coli treated with cipro, urine - morganelli also sensitive cipro. pt to be on cipor for 14 days upon dc. pt also had agitatiion. haldol given with good results pt also had elevation in cardiac enzymes. cardiology consult - demand ischemia, cardiology followed. on enzymes are decreasing. pt needs full cardiac work-up as an out patient. treated for hyponatremia with free water once completely resusitated from cvicu. pt sent to the vicu for further care. pt consult and case management involed recommended rehab medications on admission: : plavix 75', quinapril 5', lasix 40''', levoxyl (unknown dose), combivent , serevent 50mcg discharge medications: 1. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 2. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 14 days. 3. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 4. famotidine 20 mg tablet sig: one (1) tablet po q24h (every 24 hours). 5. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 7. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: six (6) puff inhalation q4h (every 4 hours) as needed. 8. beclomethasone dipropionate 80 mcg/actuation aerosol sig: one (1) inhalation (). 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 10. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 11. acetaminophen 160 mg/5 ml solution sig: one (1) po q6h (every 6 hours) as needed. discharge disposition: extended care facility: - discharge diagnosis: ruptured aaa demand ischemia with troponin leak anemia requuiring blood products uti respiratory distress requiring trach / unable to wean from vent post operative ftt postoperative requiring peg placement pna / e coli discharge condition: good discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? 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 incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs 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 ?????? you should get up every day, get dressed and walk, gradually increasing 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 (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 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions followup instructions: call dr office and schedule an appointment for weeks. he can be reached at . pt had demand ischemia post operative period. needs full cardiac workup when stable. , a , immediatly when discharged from rehab. procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more other endoscopy of small intestine insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization temporary tracheostomy resection of vessel with replacement, aorta, abdominal bronchoscopy through artificial stoma repair of other hernia of anterior abdominal wall diagnoses: anemia, unspecified urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified pneumonia due to escherichia coli [e. coli] hyperosmolality and/or hypernatremia urinary complications, not elsewhere classified abdominal aneurysm, ruptured ventral, unspecified, hernia without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to