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 / aspirin / latex / shrimp attending: chief complaint: menorrhagia, endometriosis, chronic pelvic pain major surgical or invasive procedure: 1. total laparascopic hysterectomy 2. cystoscopy history of present illness: 28 year old g5p1041 with a history of severe pelvic pain with laparoscopy-proven endometriosis, metromenorrhagia, and severe constipation who presents for preoperative visit. this patient has failed medical treatments: depo-provera, cocps, progestin-only ocps, mirena, with moderate-severe side effects with each. she did get some relief from laparoscopy with excision of endo x4, for 2-6 months each time. previous operative reports from the republic classified her endometriosis as stage 2. the patient has severe pain when menstruating but always has some pain at baseline. she has never had normal menses and has required narcotic medications for pain relief. she has need excessive amounts of tylenol for pain relief. she is currently also using vicodin at bedtime as well as gabapentin. she also has chronic constipation with some discomfort in bowel movements. she uses a bowel prep twice a week as well as an enema, fiber supplements and stool softeners. there are also plans for bio feedback. past medical history: gynhx: long history of endometriosis and pelvic pain. currently on ocps. on continuous hormones for many years with irregular menses. menarche age 11. reports no "normal menses"; lmp h/o abnormal paps, s/p colposcopy. last pap negative . endometrial biopsy negative denies stis, pid, or . currently sexually active with one male partner although infrequent intercourse due to pain. obhx: g5p1041 (in previous notes, had reported g6p1) sab x4, some requiring d&c svd x1, term, c/b short cvx, pt declined cerclage pmh: - endometriosis - constipation - hx dvt, s/p several months anticoagulation (per pt both injected and po) psh: dx lsc x4, with loa and ?fulguration/excision endometriosis, most recent lsc appy social history: originally from republic. has worked as hairdresser for several years. no t/e/d. family history: non-contributory pertinent results: 07:02pm wbc-10.5# rbc-4.02* hgb-11.6* hct-34.8* mcv-87 mch-28.8 mchc-33.3 rdw-15.3 07:02pm plt count-233 radiology: mr head w/o contrast study date of 2:41 am there is no focus of decreased diffusion to suggest an acute infarct. on the flair sequence, there is very subtle increased signal intensity scattered adjacent to the cortex in the frontal and the parietal lobes, for example, series 6, image 15. the significance of this finding is uncertain. it is unclear if these are artifactual or related to recent anesthesia or other abnormality. a close followup evaluation can be considered on a different mri scanner to assess stability/progression/resolution. no focus of negative susceptibility is noted to suggest hemorrhage. ventricles and extra-axial csf spaces otherwise are unremarkable. small cavum septum pellucidum is noted along with a prominent cavum velum interpositum. the major intracranial arterial flow voids are noted on the t2-weighted images. mild mucosal thickening is noted in the ethmoid air cells. there is a retention cyst measuring approximately 2.2 x 1.6 cm in the left maxillary sinus/polyp. mrv head without contrast: the major venous sinuses are patent. impression: 1. no focus of acute infarction. 2. scattered subtle flair hyperintense signal foci adjacent to the sulci as described above are of equivocal significance. unclear if these are artifactual or related to an abnormality. interval close followup evaluation can be considered on a different mri scanner from the present one to evaluate for any interval change. 3. retention cyst/polyp in the left maxillary sinus. cta chest w&w/o c&recons, non-coronary study date of 8:28 am findings: moderate respiratory motion artifacts that limit the quality of the ct examination. there are filling heterogeneities in the intermediate right pulmonary artery, towards the medial part of the vessel (3, 48) and in a left lower lobe segmental artery (3, 45). in addition, smaller hypodense attenuation heterogeneities are seen in both the right and left lower lobes, at the level of segmental arteries. bilaterally, relatively extensive areas of dependent atelectasis, but on the left, an additional peripheral wedge-shaped opacity is seen (3, 65). a second right-sided wedge-shaped opacity is seen at the level of the right lower lobe apex (3, 43). the heart is of overall borderline size, but the right heart is not enlarged, and there is no bulging of the septum. no evidence of pleural effusions. because of the high likelihood of acute pulmonary embolism, the referring physician, . , was paged for notification at the time of dictation, 9:22 a.m., on . impression: high likelihood of right rather central and left lower lobe peripheral pulmonary embolism. there are bilateral wedge-shaped parenchymal opacities that support this diagnosis. moderate bilateral dependent atelectasis. no right heart enlargement, no bulging of the intraventricular septum. free air in the right upper quadrant after abdominal surgery. brief hospital course: 28 year old f g5p1041 with h/o severe pelvic pain with laparoscopy-proven endometriosis, metromenorrhagia, and severe constipation, h/o dvt s/p short course of anticoagulation and spontaneous abortion x 5 (details unclear, negative hypercoagulable workup per report) transferred to icu for unresponsiveness, now resolved, and new dx of pe, all on pod 1. she was transferred back to the floor on pod 2 and discharged on pod 4. her hospital course is organized by systems below. # unresponsiveness/ sedating medication overdose on pod 1: likely secondary to multiple sedating medications, including high doses of opiates received overnight prior to transfer. improved with one dose of iv narcan 0.5mg, although transient. patient transferred to unit and with time improved without further intervention. we initially held sedating medications for now, including ativan. we attempted pain control with toradol and po tylenol, but this was inadequate so low dose iv dilaudid was started (after a trial of oxycodone without sedition). toradol was discontinued due to questionable allergic reaction including vasculitic lesion on the right lower extremity. after transfer to the floor on pod 2, her pain was well-controlled with vicodin and she had no further somnolence. # pe: on pod 1 she complained of chest pain and had persistent tachycardia to 130s-140s. bilateral pe noted on cta chest , likely was contributing to tachycardia and new o2 requirement. pt with h/o dvt and multiple spontaneous abortions, it is possible she has an underlying clotting disorder however testing in the past has been unremarkable and is unlikely to be helpful now. patient was started on lovenox 60 mg sc bid, will need lifelong anticoagulation with coumadin. discharged to home with vna and lovenox, to make appiontment with . # tachycardia: likely pe and hypovolemia, as tachycardia improved with iv fluids # vasculitic lesion: question temporal relationship to toradol administration. derm was consulted due to concern of the lesions, question vasculitis given history of abortions and pe. biopsy is pending, no further interventions. # s/p lap hysterectomy: pt complaining of pain, but tolerated surgery. pain controlled with vicodin prior to discharge. # lower extremity weakness/numbness: likely epidural catheter, which persisted a day into the icu course. neurology was consulted and expressed concern about the possibility of a venous sinus thrombosis given that the patient also has left-sided headache. mri/mrv was unremarkable. neurology also recommended mri t and l spine to r/o epidural bleed, but unlikely, weakness likely functional. l-spine mri and weakness/numbness spontaneously improved. she was seen by pt and by pod 4 (day of discharge) was ambulating independantly with no ongoing deficit. the patient was discharged to home in good condition on pod 4. medications on admission: epinephrine, medroxyprogesterone, omeprazole, polyethylene glycol, bisacodyl, cetirizine, colace, percocet discharge medications: 1. vicodin 5-500 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 2. lovenox 60 mg/0.6 ml syringe sig: one (1) syringe subcutaneous twice a day. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: endometriosis/pelvic pain, menorrhagia pulmonary emboli discharge condition: activity status: ambulatory - independent. level of consciousness: alert and interactive. mental status: clear and coherent. discharge instructions: dear ms. , you were admitted for laparoscopic hysterectomy for heavy bleeding and pelvic pain. your post-operative course was complicated by bilateral pulmonary emboli (lung clots), and a stay in the icu. for this, you will need lifelong anticoagulation (blood thinners). for now, you will inject lovenox twice daily and will be transitioned to oral coumadin. you will need to call the on tuesday do set up an appointment (). they will help you start the coumadin and arrange for blood draws to monitor your dose. also, you had leg numbness and weakess that was possibly related to the epidural and slowly resolved. you were seen by neurology and physical therapy both of which thought you were improving and safe to be discharged on your own. general instructions: * take your medications as prescribed. * do not drive while taking narcotics. * do not combine narcotic and sedative medications or alcohol * do not take more than 4000mg acetaminophen (apap) in 24 hrs * no strenuous activity until your post-op appointment * nothing in the vagina (no tampons, no douching, no sex) for 3 months * no heavy lifting of objects >10lbs for 6 weeks. * you may eat a regular diet incision care: * you may shower and allow soapy water to run over incision; no scrubbing of incision. no bath tubs for 6 weeks. * if you have steri-strips, leave them on. they will fall off on their own or be removed during your followup visit. to reach medical records to get the records from this hospitalization sent to your doctor at home, call . call your doctor for: * fever > 100.4 * severe abdominal pain * difficulty urinating * vaginal bleeding requiring >1 pad/hr * abnormal vaginal discharge * redness or drainage from incision * nausea/vomiting where you are unable to keep down fluids/food or your medication followup instructions: ob/gyn 1) call the first thing on tuesday at . tell them that you had bilateral pulmonary emboli and were discharged on lovenox and need lifetime anticoagulation. they can call with any questions but you need an appointment as soon as possible. 2) follow-up with dr. on at 4pm. 3) follow-up with your primary care provider within one week of discharge. md procedure: other cystoscopy closed biopsy of skin and subcutaneous tissue insertion of catheter into spinal canal for infusion of therapeutic or palliative substances systemic to pulmonary artery shunt laparoscopic total abdominal hysterectomy diagnoses: constipation, unspecified iatrogenic pulmonary embolism and infarction migraine, unspecified, without mention of intractable migraine without mention of status migrainosus other alteration of consciousness unspecified symptom associated with female genital organs other musculoskeletal symptoms referable to limbs excessive or frequent menstruation endometriosis of uterus allergic purpura other non-narcotic analgesics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to