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: transfer for cath major surgical or invasive procedure: cardiac catheterization history of present illness: this is a 68 yo f who p/w to osh with chest pain that began suddenly, sscp not relieved by 2 nitroglycerin. pt has recently had several social stressors and has noticed more frequent dyspnea on exertion and increased fatigue. last night, after drinking two margaritas, she went to bed and shortly thereafter felt substernal chest pain that was "heavy" and radiating down her left arm. + associated sob and diaphoresis. she took a 3rd nitro with some relief. she says she has not had this pain since she last had chest pain in . she reports that in the ambulance to the osh she had a hr to 140's and was in a.fib, but it resolved on its own as the chest pain resolved. at , the patient had an unremarkable ekg but troponin's peaked at 2.81. she was started on integrillin and heparin drips (not given plavix). . per her request, the patient was transferred to for cardiac catheterization. . upon arrival, she was without chest pain or dyspnea. she was still on the heparin drip but not the integrillin drip. no c/o at this time. . ros: (-) denies fever, chills, night sweats. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, palpitations. denied nausea, vomiting, diarrhea, constipation or abdominal pain. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. . past medical history: --hypertension --hypercholesterolemia --iddm - diagnosed in --cad, s/p mi w/ balloon angioplasty catheterization at (dr. is cardiologist) 1. two vessel coronary artery disease (100% occlusion of mid-rca, 90% stenosis of om1) 2. mild diastolic dysfunction. 3. successful ptca of the om1. --asthmatic --bronchitis/emphysema --s/p hip and knee replacement --osteoarthritis . social history: pt has a month h/o drinking 4 shots of vodka (absolut/boru 40 proof) every night. she quit smoking in s/p a 30py smoking history. denies illicit drug use. lives at home with her husband , hcp (-cell, -home) family history: daughter who is hypoglycemic. cousin w/ dm type i. mother deceased from lung ca. father w/ arthritis physical exam: vitals: t: 99.4 p: 58 bp: 138/72 r: 18 sao2: 93%ra 185 lbs. general: awake, alert, moderately obese, nad. heent: nc/at, perrl, eomi without nystagmus, no scleral icterus noted, mmm, no lesions noted in op neck: supple, no jvp or carotid bruits appreciated pulmonary: +bibasilar dry crackles bilaterally cardiac: rrr, nl. s1s2, no m/r/g noted abdomen: soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: no c/c/e bilaterally, 2+ radial, dp and pt pulses b/l. no femoral bruit appreciated skin: diffuse bruises on extremities bilaterally venipuncture. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. -cranial nerves: ii-xii intact -motor: normal bulk, strength and tone throughout. no abnormal movements noted. -sensory: no deficits to light touch throughout. -cerebellar: no nystagmus, dysarthria, intention or action tremor . pertinent results: at osh, bnp 282.2 (nl<100), co2 30.8, glucose 355, cr 0.8, 6:15 tropi 2.81, 11:43 tropi 2.34 (nl<0.1), hct 38.2, . 08:42am blood wbc-6.3 rbc-4.23 hgb-13.9 hct-41.5 mcv-98 mch-32.9* mchc-33.6 rdw-13.7 plt ct-218 09:15pm blood ptt-86.9* 08:42am blood glucose-315* urean-19 creat-0.8 na-134 k-4.5 cl-98 hco3-26 angap-15 08:42am blood triglyc-82 hdl-77 chol/hd-2.0 ldlcalc-60 ldlmeas-74 . cath report: coronary angiography: was performed in multiple projections using a 5 french jl4 and a 5 french jr4 catheter, with manual contrast injections. percutaneous coronary revascularization was performed using placement of drug-eluting stent(s) to mid-lad. . ct abd/pelvis: impression: large left retroperitoneal hematoma extends from just below the iliac crest to the left groin. high-density material surrounding the left common femoral artery and vein in the groin suggests possible active bleeding at this site. . brief hospital course: 68 yo caucasian f with 2 vessel cad s/p recent nstemi (cath on with des to lad), h/o mi in with stenting of om1, iddm, htn, and hyperlipidemia who is being transferred to the ccu with a 10x11 cm rp bleed. pt noted new onset back pain and dizziness post cath with sbp in the 90's. . pt was initially transferred to from an on for cardiac catheterization following increasing episodes of sub-sternal cp radiating to her arm, dyspnea on exertion, fatigue, and diaphoresis. on admission, troponin elevated to 2.8. ecg without st-t changes (old t wave inversions were noted in v1-v4). she was loaded with plavix and continued on asa, beta blocker, , and lipitor. her cath was initially scheduled for , however, was postponed until today secondary to inadvertent overdosing of integrellin. she was noted to have mild bleeding of skin scabs and oral mucosa which has since resolved. . cath revealed a 100% occlusion of lad after septals, patent om1, 99% small om2, and rca with 100% after rv marginals with placement of cypher stent to lad (0% residual). , pt reported back pain, nausea, and diaphoresis. sbp dropped to the 70's with a hr in the 40's-50's. her blood sugar was 66. she had oozing from her l groin site. she was given 1.5l of fluids with recovery of sbp to the 100-120's and resolution of her symptoms. a ct scan showed a 10x11cm retroperitoneal bleed. she was typed and crossed. a vascular surgery consult was requested, and she was transferred to the ccu for observation . she remained hemodynamically stable in the ccu, hct 41.9->32->42.1 s/p 2 uprbc's. repeat abdomen/pelvis ct done showing stabilization of hematoma. vascular surgery followed, but no intervention was necessary. . she was transferred back to the floor on as she remained hemodynamically stable. . she was restarted on atenolol 25mg daily prior to discharge. she should f/u with dr. next week. she should f/u with her pcp for diabetes management. medications on admission: - ambien 5mg qhs - atenolol 50mg qd - diovan 80mg qd - lasix 20mg qod - lipitor 80mg qd - paroxetine 20mg qd - protonix 40mg qd - quinine 325mg qd - zetia 10mg qd - aspirin 81mg qd - hydromorphone/asa - iss - lantus 27 units qpm discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*3* 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. insulin glargine 100 unit/ml cartridge sig: twenty (20) units subcutaneous once a day. 6. valsartan 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 8. atenolol 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 9. zetia 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. insulin continue your regular home insulin regimen based on your blood sugar checks. discharge disposition: home discharge diagnosis: --hypertension --hypercholesterolemia --diabetes mellitis --coronary artery disease --asthma --bronchitis/emphysema --s/p hip and knee replacement --osteoarthritis discharge condition: stable discharge instructions: you were admitted for a heart attack, and underwent stenting of your coronary vessels. you had internal bleeding from the catheter puncture site in your groin that required a blood transfusion and monitoring in the cardiac intensive care unit. follow up scanning to look for bleeding, and measurements of your blood counts were stable. . please take all of your medications as prescribed. it is essential you continue to take plavix every day. failure to do so could cause a large heart attack and death. . weigh yourself every morning. call dr. if your weight increases by more than three pounds. . call dr. or 911 if you experience any chest pain, shortness of breath, further bleeding or bruising in your groin, dizziness, lightheadedness, or any other concerning symptoms. followup instructions: please see dr. in 1 month for follow up. . please see your primary care doctor in weeks for follow up. procedure: injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transfusion of packed cells insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension hematoma complicating a procedure polyneuropathy in diabetes chronic obstructive asthma, unspecified diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to