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: motrin attending: chief complaint: mrs. is an 86 year old woman with cad, s/p cea and mi as well as severe spinal stenosis with a l4 fracture admitted for cardiac catheterization to obtain cardiac clearance for anticipated spinal surgery due to a (+) exercise tolerance test with a moderate reversible lateral wall defect. major surgical or invasive procedure: left heart catheterization : selective coronary angiography of this right dominant system was difficult due to right brachial access with severe subcalvian artery tortuosity. despite attempts with multiple catheters, we were not able to engage the lmca. sub-optimal images of the rca demonstrated a probably 60% distal stenosis. 2. left ventriculography was deferred. 3. limited resting hemodynamics demonstrated markely elevated systemic systolic pressure. left heart catheterization : right dominant system. lmca: nl lad: 40% fter d1. lcx: mid vessel 50% stenosis at the origin of the om1. the om1 had a tubular ostial/proximal stenosis of 70%. rca: 70% ostial stenosis, a 50% mid segment stenosis and a 90% distal segment stenosis before the pda/pl bifurcation. 2. resting hemodynamics reveal mild systemic arterial hypertension. 3. no left ventriculogram performed to reduce contrast load. 4. despite prolonged attempts it was not possible to recannulate the rca ostium and the procedure was terminated due to prolonged fluroscopy time. 1. two vessel coronary artery disease. 2. mild systemic arterial hypertension. history of present illness: 86 year old female with past h/o htn, cad s/p mi, severe spinal stenosis, and aiha requiring chronic prednisone therapy presents to the ccu after hematocrit drop from 26 to 15.5 s/p cath. in preparation for spinal surgery patient was found to have 7 cm abdominal aortic aneurysm below the level of the renal arteries. pt had a subsequent mibi demonstrating a moderate reversible lateral wall perfusion defect and she was referred for cardiac catheterization. left heart cath performed on via right brachial artery due to limited femoral arterial pulses, aborted after unable to engage the lmca. distal rca likely 60%. pt returned to cath the next morning for second attempt at cardiac cath via femoral artery approach. crit at this time 26. selective coronary angiography demonstrated two vessel coronary artery disease in a right dominant system. the lmca was without flow limiting disease. the lad had a 40% stenosis after the d1. the lcx had a mid vessel 50% stenosis at the origin of the om1. the om1 had a tubular ostial/proximal stenosis of 70%. the rca had a 70% ostial stenosis, a 50% mid segment stenosis and a 90% distal segment stenosis before the pda/pl bifurcation. received large contrast load. despite prolonged attempts was not possible to recannulate the rca ostium and the procedure was terminated due to prolonged fluroscopy time. right groin hematoma formed after cath. pressure held for 23 minutes.hematocrit drop from 27 to 16.9. received 2 liters ns. bp 120's, hr 70-90. 1 unit hung pt admitted to ccu for further management. past medical history: # autoimmune hemolytic anemia -- due to nsaid use; now on chronic prednisone # h/o bladder prolapse and urinary incontinence - uses pessary # osteoporosis - likely steroids - on actonel, ca, vit d # cad s/p mi - at age 65, no stents or cabg - echo = nl ef in , no wma, no valvular disease # s/p r carotid thromboendarterectomy (cholesterol embolism to eye) # depression - on paxil # htn - last bp in omr was 150/78 # asthma # hard of hearing - has bilateral hearing aids # r distal radius fx s/p reduction and external fixation # s/p r pubic fx after a fall in # r cataract surgery social history: presently patient at rehab in ; had been in facility until making own lunch, breakfast; dinner in common area; daughter arranges daily pills -- patient takes independently; widowed with one daughter and son-in-law very active in her care; + tob for many years, quit after mi at age 65; no etoh/drugs family history: no h/o seizures, back problems, strokes. mother died of mi, father had dm. daughter w/ dm, on insulin pump currently. physical exam: general- elderly female very drowsy laying flat with echymoses over body. vitals-t 97.2, hr 95 bp 148/73, rr 21, 96%2 l skin-numerous echymoses over body primarily around left arm cath site and right thigh. feet cool to the touch bilaterally. heent- cataracts bilaterally, hearing aid, unable to assess jvp, as pt laying down. carotid bruit present. cv- tachycardic, regular rhythm. nml s1, s2, no murmurs rubs or gallops lungs- decreased breath sounds bilaterally. no wheesing heard abd- soft, non tender, mid abdominal scar, hypoactive bowel sounds, no hepatomegaly felt. no grey turners or cullens sign. ext- right arm hematoma, warm, well perfused. echymoses bilaterally. atrophied feet, venous changes with erythema in the left leg. cooler feet. faint femoral, pt pulses. large right thigh hematoma, extending down thigh. unable to assess for bruit given pressure bandage. pertinent results: , ct w w/o c 1. infrarenal saccular aortic aneurysm and somewhat ectatic aorta as described. 2. profound bony insufficiency with insufficiency fractures. 12:25pm hct-26.9* 05:31pm hct-30.3* l heart cath 1. selective coronary angiography of this right dominant system was difficult due to right brachial access with severe subcalvian artery tortuosity. despite attempts with multiple catheters, we were not able to engage the lmca. sub-optimal images of the rca demonstrated a probably 60% distal stenosis. 2. left ventriculography was deferred. 3. limited resting hemodynamics demonstrated markely elevated systemic systolic pressure. 05:40am blood hct-27.9* 05:40am blood glucose-103 urean-10 creat-0.6 na-137 k-3.7 cl-98 hco3-29 angap-14 6/29 l heart cath right dominant system. lmca: nl lad: 40% fter d1. lcx: mid vessel 50% stenosis at the origin of the om1. the om1 had a tubular ostial/proximal stenosis of 70%. rca: 70% ostial stenosis, a 50% mid segment stenosis and a 90% distal segment stenosis before the pda/pl bifurcation. 2. resting hemodynamics reveal mild systemic arterial hypertension. 3. no left ventriculogram performed to reduce contrast load. 4. despite prolonged attempts it was not possible to recannulate the rca ostium and the procedure was terminated due to prolonged fluroscopy time. 1. two vessel coronary artery disease. 2. mild systemic arterial hypertension 03:58am blood wbc-13.9*# rbc-3.63* hgb-10.9* hct-31.1* mcv-86 mch-30.1 mchc-35.0# rdw-15.7* plt ct-213 03:58am blood pt-12.5 ptt-28.0 inr(pt)-1.1 03:58am blood glucose-135* urean-9 creat-0.7 na-134 k-3.6 cl-103 hco3-21* angap-14 03:58am blood calcium-7.0* phos-3.6 mg-1.6 06:55am blood triglyc-166* hdl-25 chol/hd-4.1 ldlcalc-44 05:50am blood calcium-7.6* phos-2.7 mg-2.1 05:50am blood glucose-79 urean-23* creat-0.7 na-136 k-3.6 cl-101 hco3-25 angap-14 05:50am blood neuts-88* bands-0 lymphs-5* monos-1* eos-4 baso-1 atyps-0 metas-0 myelos-1* 06:15am blood pt-12.0 ptt-28.0 inr(pt)-1.0 06:15am blood plt ct-284 06:15am blood wbc-9.4 rbc-3.58* hgb-11.0* hct-31.6* mcv-88 mch-30.7 mchc-34.7 rdw-16.5* plt ct-284 brief hospital course: ms. is an 86 year old white female with past history of htn, cad s/p mi, severe spinal stenosis and aiha presenting to ccu s/p cath with hct drop from 26 ->15.5. 1) cardiac: (a) cad: patient underwent catheterizations x 2 as part of pre-operative work-up for surgical intervention for her spinal stenosis. she was found to have 2 vessel disease. procedures were aborted on both occasions without successful stent placement due to unability to engage the lmca and prolonged fluoroscopy time, respectively. in lieu of recannulation, she will be medically optimized on asa and acei. continue asa, as discontinuing would be unlikely to change status of hematoma given long half-life. metoprolol changed to atenolol. lisinopril increased to 20 qd. we are not considering 3rd attempt at cath (b) rhythm - maintaining nsr. beta-blocker dosage was up-titrated as tolerated by bp. (c) pump - last echo demonstrated lv ef 60-65% with marked right and left atrial enlargement. pa pressure 35. patient on lisinopril and atenolol 2) anemia. patient remained hemodynamically stable s/p 4 units of prbc's which she received post-cath, hct around 31.6. large right groin hematoma extends to abdomen and right inner thigh with normal color changes. pt without clinical indicators for rp bleed. although hemodynamically stable, her hct continued to trend slightly downwards, and she was electively transfused later in the hospitalization with an additional 1 u prbc's. continue to monitor cbc's. she is on folic acid 3) psuedoaneurysm: right femoral u/s revealed 1.4 x 1.0 x 0.9 pseudoaneurysm s/p catheterization. interventional cards aware of it. no intervention necessary at this time. dr. emailed about this. his office will contact the patient regarding the management of the aneurysm. 4) rash a) maculopapular rash - likely secondary to drug reaction, now with coallescing macules over her posterior aspect. temporal relationship with dose of plavix given cath lab and with prn dose of lasix make these the two most likely culprits (although family says she previously tolerated lasix). might also be delayed reaction to dye. continue atarax for pruritis and sarna lotion and hydrocortisone lotion. avoid diphenhydramine given potential for ams in geriatric patients. b) vesicular rash - over right buttock and flank. consider desquamation secondary to large hematoma vs. radiation burn vs. herpes zoster. dermatology consulted on . they suspected her to have herpes zoster.dfa was ordered and was negative. 4.) cellulitis of left foot: keflex for 7 days. 5.) aiha - continued prednisone 7.5 qday. 6.) code status: full code. medications on admission: ultram 50mg q6 and 25mg prn for break through senna 2tabs qhs senna 30cc every other day ecasa 325mg daily cardizem cd 240mg daily folic acid 1mg daily imdur 30mg daily prednisone 7.5 mg daily colace 100mg zantac 150mg tylenol 975mg q6 otc simbalta 60mg daily oscal w/d 500mg tid discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: thirty (30) ml po qid (4 times a day) as needed for indigestion. 4. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. prednisone 5 mg tablet sig: 1.5 tablets po daily (daily). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 9. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). 10. hydroxyzine hcl 10 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*28 tablet(s)* refills:*0* 11. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed. disp:*1 * refills:*0* 12. hydrocortisone 2.5 % cream sig: one (1) appl rectal (2 times a day). disp:*1 * refills:*2* 13. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 14. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. 15. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual q5 min prn as needed for chest pain. 16. atenolol 25 mg tablet sig: three (3) tablet po daily (daily). 17. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime). 18. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 19. keflex 500 mg capsule sig: one (1) capsule po every six (6) hours for 5 days. discharge disposition: extended care facility: - discharge diagnosis: hypertension autoimmune hemolytic anemia cad depression urinary retention spinal stenosis with l4 fracture discharge condition: stable discharge instructions: please take all medications as prescribed if you have chest pain, shortness of breath, dizziness, palpitations,fever, cough, pain in abdomen please call the doctor on call. followup instructions: please call your pcp dr at to make a follow up appointment. please do a chem 10 three days after the discharge as patient on acyclovir. please keep your appointment with radiology (phone:) date/time: 2:30 please keep your appointment with , m.d., cardiology (phone:) date/time: 2:40 you will get a call from dr office regarding the surgery for the aortic aneurysm. procedure: coronary arteriography using two catheters coronary arteriography using two catheters left heart cardiac catheterization left heart cardiac catheterization transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia hematoma complicating a procedure depressive disorder, not elsewhere classified anxiety state, unspecified peripheral vascular complications, not elsewhere classified old myocardial infarction dermatitis due to drugs and medicines taken internally abdominal aneurysm without mention of rupture cellulitis and abscess of foot, except toes autoimmune hemolytic anemias unspecified analgesic and antipyretic causing adverse effects in therapeutic use other osteoporosis aneurysm of artery of lower extremity other specified disorders of skin spinal stenosis, lumbar region, without neurogenic claudication unspecified drug or medicinal substance causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to