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: no known allergies / adverse drug reactions attending: chief complaint: s/p cardiac arrest in ed major surgical or invasive procedure: endotracheal intubation history of present illness: 74 h/o mr, schizophrenia, htn, lives at group home, last seen normal 8pm. went to sleep at group home. 11 pm noted to be unresponsive. fs 170. pinpoint pupis. afib in 90s. no h/o afib. came to ed. in ed, went for head ct. when came back, jaw clenched and had tonic clonic activity. noted to be cyanotic and pulseless. cpr intiated at 0404. was difficult to assess rhythm. not given shock. given 1 mg epi, 1 mg atropine. 0409 resumed spontaneous circulation and was in afib. then transistioned to sinus rhythm. intubated. fem line placed. started levophed. given vanc/ceftriaxone/acyclo, was initially in afib and then converted to sinus. cards wasnt worried about acute ischemia. recommended jsut pr aspirin. was mildly hypothermic when came in, rectal temp 34. past medical history: urinary incont obesity hypertension paranoid schizophrenia: in psych f/u: geropsych hx glaucoma: open angle: last eye eval:_8/: next due:: retinal ophth: sees ne eye (due ) hx dementia hx ppd (+) hx anxiety hx dry eyes head trauma (bike) 10yo hx wandering hx cataract hx left vith nerve palsy elev creat: 1.8, anemia: nml fe, nml hgb electrophoresis: c/w anem chron dis/cri cri: ref'd renal social history: the patient lives currently in a group home and attends the day program. he apparently does have some issues when he becomes increasingly anxious. no known substance abuse or sexual activity. family history: unable to elicit given patient's cognitive status. physical exam: vitals: t 34c bp 141/73 hr 67 o2 sat 100% (intubated) general appearance: no acute distress eyes / conjunctiva: perrl head, ears, nose, throat: endotracheal tube cardiovascular: (s1: normal), (s2: normal), no(t) s3, no(t) s4, no(t) rub, (murmur: no(t) systolic) peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (expansion: symmetric), (breath sounds: clear : ) abdominal: soft, non-tender, bowel sounds present extremities: right lower extremity edema: absent, left lower extremity edema: absent, no(t) cyanosis, no(t) clubbing skin: not assessed, no(t) rash: , no(t) jaundice neurologic: no(t) attentive, responds to: noxious stimuli, movement: not assessed, tone: not assessed . discharge exam: vs: 96.6 bp: 130-180/60-90, hr 60-70 18 97% ra gen: no apparent distress. says yes sir to most questions. eyes: anicteric heent: op clear, mmm cv: normal s1 and s2, no s3 or s4. res: cta-posteriorly abd: soft, nt, nd, +bs ext: warm, no c/c/e. pertinent results: 12:25am blood wbc-4.4 rbc-3.42* hgb-11.0* hct-33.0* mcv-97 mch-32.1* mchc-33.2 rdw-14.6 plt ct-118* 12:25am blood neuts-62.5 lymphs-25.7 monos-5.1 eos-6.3* baso-0.4 04:25am blood pt-13.1 ptt-150* inr(pt)-1.1 04:26am blood ret aut-1.9 01:30am blood glucose-169* urean-32* creat-1.6* na-138 k-3.9 cl-101 hco3-30 angap-11 01:30am blood alt-47* ast-36 ld(ldh)-160 alkphos-126 totbili-0.2 04:25am blood ck(cpk)-546* 01:30am blood lipase-17 01:30am blood ctropnt-0.10* 04:25am blood ck-mb-17* mb indx-3.1 04:25am blood ctropnt-0.25* 04:25am blood calcium-8.7 phos-4.7* mg-2.2 12:14pm blood caltibc-189* vitb12-525 folate-7.1 hapto-77 ferritn-216 trf-145* 04:25am blood osmolal-310 04:25am blood tsh-6.0* 04:25am blood cortsol-18.5 04:25am blood ethanol-neg 01:30am blood asa-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:03am urine color-straw appear-clear sp -1.012 02:03am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 02:03am urine rbc-3* wbc-2 bacteri-few yeast-none epi-0 rapid plasma reagin test (final ): nonreactive. reference range: non-reactive. ct head : impression: no acute intracranial process, and no change. echo : the left atrium is elongated. the right atrium is moderately dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the right ventricular cavity is mildly dilated with borderline normal free wall function. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: normal global and regional left ventricular systolic function. mildly dilated right ventricle with borderline normal function. mild mitral regurgitation. cta chest : 1. no acute cardiothoracic process including no evidence of pulmonary embolism. 2. no acute process of the abdomen and pelvis. 3. slightly limited assessment of the upper abdomen due to lack of oral contrast. mr acute abnormalities. small vessel ischemic changes as described. . discharge labs: 06:50am blood wbc-4.8 rbc-2.73* hgb-8.6* hct-25.4* mcv-93 mch-31.4 mchc-33.7 rdw-15.5 plt ct-218 06:25am blood neuts-48* bands-0 lymphs-36 monos-9 eos-7* baso-0 atyps-0 metas-0 myelos-0 06:50am blood plt ct-218 06:50am blood plt ct-218 06:50am blood glucose-71 urean-21* creat-1.7* na-141 k-4.1 cl-105 hco3-30 angap-10 06:50am blood alt-66* ast-42* alkphos-95 totbili-0.3 04:04pm blood ck-mb-28* mb indx-3.2 ctropnt-0.19* 06:50am blood albumin-3.2* calcium-8.9 phos-3.6 mg-2.1 12:14pm blood caltibc-189* vitb12-525 folate-7.1 hapto-77 ferritn-216 trf-145* . ecg : sinus rhythm with a-v conduction delay. low limb lead qrs voltage. delayed r wave progression. modest inferolateral lead t wave changes. findings are non-specific. clinical correlation is suggested. since the previous tracing of sinus tachycardia and right bundle-branch block are both now absent. . ecg : sinus bradycardia. delayed r wave progression with late precordial qrs transition. modest diffuse t wave changes. prominent u waves. findings are non-specific but cannot exclude drug/electrolyte/metabolic effect. since the previous tracing of probably no significant change. . cxr there are persistent low lung volumes. cardiac size is top normal, accentuated by the low lung volumes. pulmonary edema is unchanged. small bilateral pleural effusions associated with atelectasis left greater than right are unchanged. there are no new lung abnormalities. . microbiology: no growth for bc and uc to date. brief hospital course: 74 yo admitted for found unresponsive at group home. during his initial evaluaiton he had a cardiac arrest in the ed. he was admitted to the micu for post-arrest cooling protocol and transferred to the floor. his post-icu course was complicated by hypertension and hyperglycemia. 1. status post cardiac arrest - circumstances regarding arrest are somewhat unclear. after being found unresponsive at his group home during standard bed checks, mr. was brought to the ed for eval. in the ed, he was awake, but altered. a nurse from his group home stated that she witnessed possible seizure like activity. shortly after, mr. was found to be pulseless and acls was initiated. initial rhythm is unknown as no rhythm strips were available from the ed. he underwent 3 minutes of resuscitation with epinephrine, atropine and cpr with return to pulsatile rhythm afterwards. initial perfusing rhythm was atrial fibrillation with rvr. he was intubated during the code and admitted to the icu for further managment. cta was negative for pe. in the icu, he was started on post-arrest cooling protocol, which was uneventful during the cooling and re-warming phases. he spontaneously awoke and moved during the re-warming phase. he was followed by neuro. they felt that the seizure-like activity was likey as a result of and not the cause of his arrest. they did not feel that seizure ppx was neccessary. he was also seen by cardiology who did not identify an etiology for his arrest. after waking up, he was at his baseline mental status. he was called out to the general medicine floor, where he continued to improve. 2. altered mental status - mr. has known developmental delay and schizophrenia. he had change in mental status over past months. no report of fever, cough or shortness of breath. initial working differential included seizure, meningitis, medication reaction; urine and serum tox screens were negative. lp was attempted by both icu and neurology teams with no csf fluid obtained. he was empirically covered with vanc/ceftriaxone/ampicillin/acyclovir for meningitis. he had an ir guided lp after warmed. this showed no e/o infection. antibiotics were stopped. mri was unrevealing. on the medical floor, however, he was noted to have a few episodes of agitation, usually in the setting of being cleaned by nursining staff. he never required medication for this. 3. stage iii ckd: creatinine varied from 1.2 to 1.9 throughout the hospital course. hypertension controlled as below and he will follow-up with renal as an outpatient. 4. pancytopenia: present on admission, unclear etiology. reticulocyte index was inappropriately low. iron studies consistent with anemia of chronic disease. potentially some component was related to the cooling/rewarming process; however, this will need to be followed as an outpatient and he was set up to follow with hemaotlogy. 5. afib: currently in sinus and no recurrence of afib. will continue on asa 325 mg daily at discharge. due to his instability with pt he will not be anti-coagulated with warfarin at this time. 6. hypertension: on transfer from the icu to the medical floor, the patient was noted to be hypertensive. he was restarted on his home regimen of amlodipine and lisinopril; however, his blood pressures remained elevated. given persistent hypertension, he was also started on hydralazine and lasix. a beta blocker was not started out of concern for pauses and bradycardia on telemetry. blood pressures will need to be rechecked as an outpatient, and blood pressure medications will need to be titrated as needed. he was discharged on norvasc, lisinopril, hydralazine and lasix for blood pressure control. of note, given episodes of agitation while in house, it was felt that this could possibly be contributing somewhat to the patient's elevated blood pressures. - he will need an elecytrolyte check next week since he was started on daily lasix. 7. dm: he is currently on 6 units of nph in the hospital, but his sugars have been noted to be in the 200's to 300's after eating. he was also started on 3 units of humalog with meal with a sc for coverage for higher sugars. he was written for a pen perscription to help with administration at his group home. - his pcp will need to follow up his hgba1c and insulin regiment medications on admission: humulin n 6 unit once a day in am cosopt 1 drop lumigan 0.3% qhs aspirin 81mg ditropan 5 mg tid norvasc 10 mg qhs senna-gen 8.6 zestril 40 mg qam zocor 20 mg qd risperdal 1 mg qhs risperdal 0.5mg qam colace 300 mg qhs vit d 5000 iu once a week caps prn lasix 40 mg prn, bisacodyl prn, tylenol prn discharge medications: 1. docusate sodium 100 mg capsule sig: three (3) capsule po hs (at bedtime). 2. risperidone 1 mg tablet sig: one (1) tablet po hs (at bedtime). 3. risperidone 0.25 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 4. amlodipine 5 mg tablet sig: two (2) tablet po at bedtime. 5. humulin n 100 unit/ml suspension sig: six (6) units subcutaneous once a day: in am. 6. zocor 20 mg tablet sig: one (1) tablet po once a day. 7. zestril 40 mg tablet sig: one (1) tablet po once a day: in am. 8. senna lax 8.6 mg tablet sig: one (1) tablet po twice a day. 9. lumigan 0.03 % drops sig: one (1) ophthalmic at bedtime. 10. cosopt 2-0.5 % drops sig: one (1) ophthalmic twice a day. 11. tylenol 325 mg tablet sig: two (2) tablet po four times a day as needed for temp > 100.5 or general discomfort. 12. bisacodyl 5 mg tablet sig: one (1) tablet po once a day as needed for constipation. 13. lasix 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 14. vitamin d-3 5,000 unit tablet sig: one (1) tablet po once a week. 15. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 16. hydralazine 25 mg tablet sig: one (1) tablet po q8h (every 8 hours): please increase hyralazine to 50 mg q8 if patient blood pressure is > 130/80. disp:*90 tablet(s)* refills:*0* 17. insulin lispro 100 unit/ml insulin pen sig: one (1) variable subcutaneous four times a day: please see attached sliding scale for daily meal time insulin requirements. disp:*120 variable* refills:*0* 18. outpatient lab work please get chem 8 on 19. oxybutynin chloride 5 mg tablet sig: one (1) tablet po three times a day. discharge disposition: extended care discharge diagnosis: cardiac arrest discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. you were admitted to for unresponsiveness, and concern for a cardiac arrest. you were in the intensive care unit and your body was cooled after you were found unresponsive. you were subsequently brought to he medical floor where your blood sugars were high, and you had high blood pressure. you will need to see several specialists listed below to help manage your care. the following medication changes were made: added: lasix scheduled added: hydralazine added: humalog stopped: lasix prn f/u with pcp re blood pressure. your pcp was holding your iron. you should follow-up with him regarding restarting this medication. followup instructions: provider: , md phone: date/time: 9:30 please have the patient see his pcp: : procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours spinal tap incision of lung insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization diagnoses: anemia in chronic kidney disease tobacco use disorder acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation atrial flutter other persistent mental disorders due to conditions classified elsewhere pulmonary collapse chronic kidney disease, stage iii (moderate) cardiac arrest altered mental status diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled unspecified intellectual disabilities paranoid type schizophrenia, unspecified facial nerve disorder, unspecified 

Answer: The patient is high likely exposed to