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: doe major surgical or invasive procedure: hemodialysis history of present illness: 48 y/o male with htn, hcv, and esrd (on hd mwf) presenting to ed c/o facial puffiness and dyspnea on exertion in the context of missing his previous two dialysis sessions (monday and today). patient states that he couldn't get a ride to dialysis center (). denies cp/f/abp/n/v/d, denies any pain. hd catheter c/d/i. . in ed, initial vs were: 96.8 80 169/105 20 100%. potassium found to be 8.3 (hemolyzed). repeat 7.0. ekg showed slightly peaked t waves in v3-v4, but not diffusely. he was felt to be somewhat somnolent, but responsive to stimuli. he reportedly has a history of chewing on saboxone patches. he was ao x 3 with a normal physical exma. . he received calcium gluconate 1 amp, 1.5 amps dextrose, 10 units insulin. he was seen by renal team, and was admitted to micu for urgent hd, as he makes minimal urine. cxr c/w volume overload. l ej was placed for access. . on the floor, his bg was noted to be < 50 and he required an amp of d50. . review of systems: as per hpi. remainder of 10 point ros negative. past medical history: - htn for several years - hcv x 10yrs - asthma x 15yrs - esrd (unsure of etiology) - hd mwf (for the past 8-9yrs) - denies mi, dm, cad but endorses having had episodes of cp previously social history: (+) tobacco /day x 34yrs; etoh 3 drinks (, congac) per day x 34yrs; + ivdu (heroin) in past. live with parents in . family history: mother - asthma, htn. father - healthy, brother died of hiv physical exam: vs: 95.7, 72, 142/87, 19, 93% ra gen: african american male lying in bed in nad, drowsy, apprearing older than stated age. heent: mmm, poor dentition, no jvd skin: dialysis cath site look clean and intact, old sutures in left inner thigh from previous dialysis grafts, scars in upper arms bilaterally from previous dialysis grafts cardio: rrr, no murmurs, rubs, gallops pulm: no use of accessory muscles, rales diffusely and bilaterally abd: soft, nontender, nondistended, +bs ext: warm, 2+ pulses in dp b/l, 1+ pitting edema neuro: drowsy, oriented to place and person, not to day/date. not cooperating with exam. exam upon leaving ama largely unchanged with the following exceptions: gen: more awake and alert, standing in doorway in street clothes pulm: minimal rales at bases b/l ext: no edema pertinent results: labs on admission: 02:30pm blood wbc-6.1 rbc-4.26* hgb-11.6* hct-35.6* mcv-84 mch-27.1 mchc-32.5 rdw-18.0* plt ct-180 02:30pm blood neuts-72.8* lymphs-16.5* monos-4.7 eos-5.7* baso-0.4 02:30pm blood pt-12.5 ptt-31.8 inr(pt)-1.1 02:30pm blood glucose-87 urean-66* creat-15.1* na-133 k-8.3* cl-94* hco3-17* angap-30* 03:00pm blood alt-22 ast-35 alkphos-166* totbili-0.4 11:00pm blood calcium-8.8 phos-8.8* mg-2.5 03:00pm blood osmolal-308 02:30pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:36pm blood lactate-1.4 k-8.5* . labs on discharge: 11:00pm blood wbc-4.7 rbc-4.37* hgb-11.7* hct-36.4* mcv-83 mch-26.8* mchc-32.2 rdw-18.0* plt ct-132* 11:00pm blood glucose-123* urean-47* creat-11.9*# na-136 k-4.2 cl-96 hco3-23 angap-21* brief hospital course: 48 y/o male with htn, hcv, and esrd (on hd mwf) presenting to ed c/o facial puffiness and dyspnea on exertion in the context of missing his previous two dialysis sessions. he completed urgent hd overnight due to elevated potassium to 7.0 and minimal ability to make urine at baseline. repeat potassium was 4.2. . # hyperkalemia/esrd on hd: likely in the setting of missing his previous two dialysis sessions. sessions were missed as he was couldn't get a ride to dialysis center (). he received calcium gluconate, dextrose, and insulin in ed. he was admitted to micu where he underwent urgent hd session overnight for 2 hours at 1 k solution. his k was 4.2 on discharge. there was consideration for additional uf, but patient declined this. he met with sw to arrange for future assistance and rides to dialysis center. he will continue nephrocaps on discharge. . # htn: reportedly on clonidine, labetolol, atenolol, and ?lisinopril, and he will continue same medications on discharge. . # hcv: unclear status and unclear if he has received treatment in the past. has been present for 10 years per patient. patient elected to leave the micu ama, knowing that his physicians felt it was medically most beneficial if he stayed. he was made aware of the risks of leaving (fluid overload and electrolyte imbalances). patient stated he had an appointment at for a fistula mapping and has chosen to leave against physician . patient is felt to be competent and able to make this decision. medications on admission: medications: "i take lots of meds" -clonidine -promethazine -labetolol -atenolol -thyroid med -asa 81 -?lisinopril discharge medications: 1. labetalol 100 mg tablet sig: one (1) tablet po twice a day. 2. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 3. clonidine 0.1 mg tablet sig: one (1) tablet po twice a day. 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po once a day. 5. promethazine 12.5 mg tablet sig: one (1) tablet po once a day as needed for nausea. discharge disposition: home discharge diagnosis: primary: 1. hyperkalemia 2. esrd on hemodialysis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital for swelling/edema and shortness of breath in the setting of missing two dialysis sessions. you received urgent dialysis in the icu for severe electrolyte imbalance. your electrolytes normalized, but the kidney team recommended you have dialysis again on . you did not want to stay in the hosptial for this and decided to leave against medical advise. . medication changes: - none you did not know all the doses of the medications you take. we called dr. office to ask about these but they did not have the information as you have not been seen there in some time. you did tell us you go to for primary care but do not know your pcp's last name and we could not find this out. due to all of this we could not find out what medications you take and at what dose, and so were unable to give you prescriptions. . you met with the social workers to discuss ways to prevent missing hd sessions. please use the resources which were provided for you. followup instructions: please follow-up with your pcp, . md procedure: hemodialysis diagnoses: hyperpotassemia end stage renal disease renal dialysis status tobacco use disorder asthma, unspecified type, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease noncompliance with renal dialysis 

Answer: The patient is high likely exposed to