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: hypoglycemia major surgical or invasive procedure: none history of present illness: hpi: 84 chinese only speaking female w/htn, niddm who was admitted last week to osh for hypertensive urgency and le edema at which time her metformin was dced, actos started, and lisinopril started. her edema resolved with diuresis and her son believes that she had a wnl. today, she was asymptomatic with a fs of 40 found by vna. emts gave d50 and glucagon. patient reports fatigue since yesterday, but denies all other symptoms. denies fevers, chills, cough, dyspnea, abdominal pain, dysuria, hematochezia, brbpr, change in bowel habits, nausea, vomiting, change in appetite. patient reports that her son helps her with her medications but that she doesn't take them everyday. in the ed, the patient was given levofloxacin, hydralizine, d50 and d5. her fs was initially 148, but then fell to 31; came up to 168 w/1a of d50. . of note, she also had a recent fall at home which she reports was w/o vertigo or presyncope. she reports it to be accidental/mechanical. past medical history: htn niddm hypercholesterolemia social history: sh: lives along, son visits regularly. cantonese speaking. vna also visits. no etoh, no ivda, no smoking family history: nc physical exam: pe: 96.2 142/62 54 18 97ra 113 gen: pleasant female, nad heent: pupils equal, non-reactive to light, 1 mm bilaterally. mmm & oropharynx clear. ecchymosis over r eye. vision grossly intact bilaterally. neck: supple, no lad, no thyromegaly. lungs: crackles bilaterally in lower lung bases, no wheezes, rhonchi, crackles. card: bradycardic, regular rhythm. 3/6 systolic murmur that radiates to the right neck. no rubs, gallops. abd: soft, nt, nd, +bs. no hepatosplenomegaly. extremities: wwp x 4 w/o c/c/e neuro: alert, moving all 4 extremitis. no focal deficits noted. exam limited by language barrier. pertinent results: 06:20pm urine blood-neg nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-tr 05:00pm glucose-165* urea n-39* creat-2.0* sodium-138 potassium-4.6 chloride-106 total co2-23 anion gap-14 05:00pm ck(cpk)-105 05:00pm ck-mb-2 ctropnt-0.01 05:00pm calcium-8.7 phosphate-3.4 magnesium-1.9 iron-18* 05:00pm caltibc-218* ferritin-122 trf-168* 05:00pm tsh-0.93 05:00pm wbc-8.2 rbc-3.43* hgb-8.6* hct-26.2* mcv-76* mch-25.2* mchc-33.0 rdw-14.7 05:00pm neuts-84* bands-3 lymphs-6* monos-5 eos-1 basos-0 atyps-1* metas-0 myelos-0 05:00pm hypochrom-1+ anisocyt-normal poikilocy-1+ macrocyt-normal microcyt-1+ polychrom-1+ ovalocyt-1+ schistocy-1+ fragment-1+ 05:00pm plt smr-normal plt count-143* 05:00pm pt-11.3 ptt-33.4 inr(pt)-1.0 pth: 115 retic: 2.1 u protein:creat: 1.8 uosm: 437 echo: the left atrium is elongated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. ekg: sinus bradycardia. probable old anteroseptal myocardial infarction. non-specific st-t wave abnormalities. no previous tracing available for comparison. ct head: no evidence of acute intracranial hemorrhage. no fracture.\ cxr: either scarring or chronic effusion in the left lung base. otherwise, no acute pulmonary process. microbiology: blood cx negative to date brief hospital course: hypoglycemia/dm- likely due to glyburide secondary to renal insufficiency and lisinopril. while in the hospital, the patient was placed on an insulin sliding scale where her finger sticks required insulin boluses. was consulted and they recommended to stop current glycemic treatment and start amaryl on discharge. diabetes in general appears in good control at this point (hba1c 6.9 compared to 6.9 in ). appointment recommended with for follow up diabetes care. . renal insufficiency- creatinine values ranged from 1.9 to 2.5 during admission. several factors likely contributed including overall worsening secondary to uncontrolled hypertension and diabetes. creatinine clearance was found to be 25, stage iv nephropathy. pth was elevated to 115, however her phosphate remained within normal limits. a trial of lisinopril failed due to hyperkalemia. she was discharged on diovan. follow up with nephrology was arranged to improve management of her nephropathy given its severity. outpatient appointment with dr. . . htn- continued to have high systolic pressures to 180s. various regimens were tried including lisinopril to 40 mg qd, hydralazine and increasing metoprolol and amlodipine. final regimen included toprol xl, lisinopril, amlodipine. bradyarrhythmia: likely secondary to treatment with metoprolol. however, although patient will have heart rates in the 50s, she remains asymptomatic throughout these episodes. after several days of admission, these events resolved. . recent falls- pt was consulted. they found her to be unsteady secondary to deconditioning. they recommended rehab to rebuild strength upon discharge. ct of her head was negative. patient should have appointment regarding osteoporosis care at the endocrine unit (phone (). . microcytic anemia- has had low hct in the past to the 30s, however hct throughout her admission was lower than at baseline and progressively decreased to 20.2. her anemia was believed to be multifactorial. on hd3, patient began complaining of left groin pain and clinical exam was suspicious for hip fracture. plain films of the hip were negative, however mri demonstrated an acetabular fracture with hematoma. as hct had dropped to 20.2, she was transfused with 2 u prbcs with an appropriate bump in hct. however, her hematocrit continued to drop, she was transferred to the unit for closer monitoring where she received additional units (ptt 139.8, ?heparin reaction). micu course below. other causes of anemia include chronic renal failure (reticulocyte count indicated a hypoplastic process). patient also revealed h/o thalassemia which would explain iron studies and h/o microcytic anemia with normal iron stores. epoetin and iron was started. hypercholestermia: atorvastatin increased to 40 mg, however lfts increased, therefore it was decreased to 20 mg. hip pain: on hospital day 4, she developed severe left hip pain without any acute stressors. her hip was tender to palpation and she had decreased passive range of motion. plain films of the hip demonstrated no fracture, however an mri showed acetabular fracture with psoas hematoma. orthopedics was consulted. they recommended no further management, as she is able to bear weight. increasing llq tenderness in the setting of decreasing hematocrit warranted further imaging (ct torso) demonstrating a large, expanding hematoma. ptt was found to be 139.8. heparin was stopped. for prophylaxis she was given boots. an ivc filter was placed one day prior to admission to be removed two weeks from placement date. ivc will removed by ir on . micu course : she received 2u prbc on and 1u prbc on with appropriate bump in hct. her hct remained stable at ~30 for 24 hours. vascular and ortho signed off. her asa continued to be held due to the rp bleed but was restarted after 48 hrs of stable hct. lenis were negative, but she remains a high dvt risk given her hip fx. ivc filter placed after discharged from the icu as above. medications on admission: toprol 200 qd lisinopril 40/20 glipizide 5 qd actos 30 qd asa 81 qd amlodipine 10 qd lipitor 20mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 6. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 7. glimepiride 1 mg tablet sig: one (1) tablet po daily (). disp:*60 tablet(s)* refills:*0* 8. toprol xl 200 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 9. epoetin alfa 40,000 unit/ml solution sig: one (1) injection every two weeks. 10. lisinopril 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: health & rehabilitation center - discharge diagnosis: primary: 1. hypoglycemia 2. myocardial infarction 3. hip fracture with hematoma secondary 1. chronic kidney disease stage iii/iv. 2. proteinuria. 3. anemia of ckd. 4. diabetes mellitus type ii. 5. hypertension. 6. hypercholesterolemia. 7. ? thalassemia (per patient) discharge condition: stable, euglycemic, hypertension controlled discharge instructions: you were admitted with low blood sugars. during your admission, you experienced a mild heart attack due to low blood. your blood was low because you were bleeding into your abdomen as a result of a hip fracture likely suffered during your fall prior to admission. for your low blood sugars, we stopped your old diabetes medications and started amaryl 1mg to take daily in the morning. you should follow up with the clinic (call ). for your heart, we increased atorvastatin to 20 mg daily. you shoudl continue to take asa 81 mg every day. you should make an appointment with dr. for further follow up. for your high blood pressure we changed your amlodipine to 20 mg daily. we also changed your metoprolol to ?? for your hip fracture, orthopedics stated that surgery was not indicated. you may bear weight as tolerated. hip fractures commonly lead to blood clots. to prevent blood clots, an ivc filter was placed. you are to have your ivc filter removed as scheduled below. for your renal failure, you should follow up with dr. on as scheduled below. in addition you should continue taking iron and epopoietin to improve your anemia which is being worsened by your renal failure. your renal failure also contributes to thin bones, please follow up with endocrinology as noted below. please follow up with doctors as described below. please call yor primary care doctor if you have increased weakness, pain, dizziness, chest pain, shortness of breath, palpitations or any other concerning symptoms. followup instructions: please call dr. , j. for close follow up. . please follow up with the clinic (phone: regarding blood sugar control. . kidney follow up: provider: . phone: date/time: 3:00 . please follow up with division of endocrinology (phone (regarding management of your osteoporosis as scheduled below. provider: density testing phone: date/time: 4:20 provider: , md phone: date/time: 2:30 . please call to schedule for removal of your ivc filter on . procedure: interruption of the vena cava transfusion of packed cells diagnoses: hyperpotassemia anemia in chronic kidney disease subendocardial infarction, initial episode of care pure hypercholesterolemia acute posthemorrhagic anemia chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified unspecified fall diabetes with other specified manifestations, type ii or unspecified type, uncontrolled hepatitis, unspecified closed fracture of pubis closed fracture of acetabulum injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum diabetes with renal manifestations, type ii or unspecified type, uncontrolled other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to