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: aspirin / penicillins / vancomycin / iodine / nsaids / lyrica attending: chief complaint: aspirin desensitization major surgical or invasive procedure: cardiac catheterization and stents to rca. history of present illness: patient is a 68 y/o w with history of cad, w/ cabg in w/ lima to lad and svg from rima to marginal branch of circumflex, dm (last a1c 8.9), recurrent cva's in past w/o residual weakness, copd (on 3l nc at baseline) who presented to hospital on c/o chest pain. patient described the acute onset of sharp substernal chest pain with radiation to her left arm while getting up to use the bathroom at home. this episode was associated with dizzyness, some diaphoresis, nausea, mild shortness of breath but without syncope emesis or other complaints. she activated ems and was brought to hospital where she was admitted as a romi. . additionally, patient reports history of intermittent chest pain over several years with multiple hospitalizations in the past. also reports increasing chest pain about once per month over the past year but increasing in severity and frequency. in addition, she describes requiring less exertion to precipitate her episodes. patient reports orthopnea at baseline and sleeps upright in her recliner as a result. reports baseline peripheral edema as well with occasional pnd. is wheelchair dependent at baseline. cardiac review of systems is notable for absence of palpitations, syncope or presyncope. . at the osh, patient's cardiac enzymes were negative, but repeat ekg's showed twi's in v2-v5 stable over several ekg's. cards consult recommended performing diagnostic cath which was performed demonstrating: - severe 3 vessel cad - high grade stenosis (85%) of dominant rca which is non-revascularized. - diffuse narrowing of the distal rca with 70% stenosis. - proximal lad w/ 30% stenosis and stent, and mid-lad with 100% occluded stent, but distal lad with supply from lima. - circumflex with mid 45% stenosis. . impression at osh was that the patient would benefit from stenting of the proximal rca stenosis with a des. patient was then transferred to for aspirin desensitization and stenting. . on review of symptoms, she denies any prior history of bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. she does report occasional headaches. past medical history: cardiac risk factors: - diabetes type ii, last a1c 8.9 , complicated by diabetic gastroparesis and peripheral neuropathy - dyslipidemia, on zocor 40mg qd - hypertension, on metoprolol 50 . cardiac history: cabg in , w/ lima to lad (patent ), svg to marginal branch of circ (patent ) - prior stents to proximal and mid-lad as evidenced by most recent cath - dates/types not known. . additional pmh: - chronic renal insufficiency, cr at osh 1.6 - dvt w/ pe, now s/p ivc filter, and on coumadin - psoriasis - copd on 3l nc at baseline - hiatal hernia - hypothyroidism - left subclavian stenosis - depression - anemia, baseline hct 27.8% social history: patient lives alone in nh. has visiting nurse and home health aid who helps with medications. has two daughters who she is involved with and does not mind if we discuss her care with them. she is a retired police officer. smoked 1 ppd for nearly 40 years. denies history of etoh use or ivdu. family history: family history notable for dm in father and mother. with cad first diagnosed in their 60's. no family history of scd, aspirin allergy that she is aware of. physical exam: vs: t 97.6. , bp 130/50 la, bp 150/60 ra , hr 59, rr 15, o2 99 % on 3l gen: obese elederly woman in nad, resp or otherwise. oriented x3. mood, affect appropriate but at times a bit odd. heent: ncat. sclera anicteric. perrl, eomi. mild conjunctival pallor. wears dentures at baseline. neck: supple, no significant jvd. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. systolic murmur ii/vi at lusb. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, non-distended. mild discomfort with palpation in ruq, rlq, llq, no rebound, no guarding, no masses. skin: mild dermatitis under breasts bilaterally. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp left: carotid 2+ without bruit; femoral 2+ without hematoma or bruit; dp dopplerable, pt pulses dopplerable b/l. neuro: ao, cn ii - , tongue deviates to left with protrusion, speech is mildly dysarthric at baseline (without dentures in place on exam). no focal weakness on exam, extremities grossly 4+/5 upper and lower. pertinent results: 12:23pm pt-13.2* ptt-150* inr(pt)-1.2* 12:23pm plt count-301 12:23pm wbc-7.3 rbc-2.65* hgb-8.9* hct-26.3* mcv-100* mch-33.7* mchc-33.9 rdw-16.8* 12:23pm glucose-406* urea n-21* creat-1.4* sodium-135 potassium-4.0 chloride-95* total co2-31 anion gap-13 12:23pm estgfr-using this 12:23pm calcium-8.9 phosphate-3.5 magnesium-2.1 08:20pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg 08:20pm urine color-yellow appear-clear sp -1.007 brief hospital course: patient was admitted to the ccu for management: . #1)asa desensitization was accomplished using the standard protocol without complication. . #2)cad: performed and 2 drug eluting stents were placed in the rca. pt. remains chest pain free. lopressor, zocor and imdur were continued. she will need plavix 76 mg daily, uninterrupted for 12 months. it may only be stopped under the direction of dr. . she will need to take aspirin lifelong. ekg shows sinus rhythm and is without changes. #3)diabetes: nph dose was adjusted in hopsital due to glucose elevations. glucose remained elevated with nahco3 infusion during and after cardiac cathetherization. nph dose now resembles home dose. glucose values ranged from 133,265,335, 406 during this admission and she was given regular insulin sliding scale as needed. she will require continued monitoring and treatment. pt. continues with multiple medications for peripheral neiropathy. she is wheelchair bound. she declined physical therapy evaluation on . she has a history of falls. most recent fall at home was 2 weeks ago. she will need further evaluation of this staus prior to returning home safely. she may benefit from rehabilitation, however she declines this option at this time. #4) htn: norvasc was added for improved blood pressure control. we recommend considering ace inhibitor after settling from cardiac cath if creatinine is stable. blood pressure range is from 109/52-209/73. she will need continue monitoring and treatment. #5) chronic renal insufficiency: creatinine was 1.4 on . she was prehydrated with nahco3 before and during catheterization procedure. medications on admission: metoprolol 50mg po bid heparin gtt at 1300 units/hr combivent 2 puff inh docusate na 100mg duloxetine 60mg qd, 30mg qd advair 100ucg furosemide 20mg po qd gabapentin 300mg qhs, 600mg gemfibrozil 600mg insulin lispro ss insulin nph 37 units qhs insulin nph 42 units qam imdur 30mg levothyroxine 75 ucg qd lidocaine patch 5% 2 patches each day (one each leg) metoclopramide 5mg po qachs nortiptyline 25mg qhs nystatin top pantoprazole 40mg po bid quetiapine 50mg qhs simvastatin 40mg po qd . prn butalbital/apap/caff cyclobenzaprine fentanyl glucagon lactulose lorazepam 0.25mg q8 morphine nitroglycerin propoxyphene-apap discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 3. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 4. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po qpm (once a day (in the evening)). 5. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed. 6. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 9. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 10. gabapentin 300 mg capsule sig: two (2) capsule po hs (at bedtime). 11. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 12. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 13. metoclopramide 10 mg tablet sig: 0.5 tablet po qidachs (4 times a day (before meals and at bedtime)). 14. nortriptyline 25 mg capsule sig: one (1) capsule po hs (at bedtime). 15. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 16. quetiapine 25 mg tablet sig: two (2) tablet po qhs (once a day (at bedtime)). 17. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 18. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po bid (2 times a day). 19. miconazole nitrate 2 % powder sig: one (1) appl topical (2 times a day). 20. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 21. warfarin 2.5 mg tablet sig: three (3) tablet po days (th,fr) for 2 days: inr on for further coumadin dose. 22. methadone 10 mg tablet sig: one (1) tablet po qid (4 times a day). 23. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 24. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 25. insulin nph human recomb subcutaneous 42 units in am, and 37 units in evening. discharge disposition: home with service discharge diagnosis: coronary artery dsease. hypertension diabetes. hyperlipidemia ivc filter and hx. of cva-. on coumadin therapy left subclavian stenosis chronic renal insufficiency discharge condition: vs; 97.6- 168/78 labs: groin: no hematoma or bruit followup instructions: dr. in 1 week. dr. 10:45am. procedure: injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) immunization for allergy transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: anemia in chronic kidney disease coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes chronic kidney disease, unspecified other and unspecified hyperlipidemia long-term (current) use of anticoagulants gastroparesis personal history of allergy to analgesic agent 

Answer: The patient is high likely exposed to