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: penicillins attending: chief complaint: tylenol overdose major surgical or invasive procedure: central venous line placement picc placement history of present illness: ms. is an 18 yo f w/ h/o seizure disorder who presented with ingestion after suicide attempt. patient reports taking 1 teaspoon of potassium ferricyanide (kodak product for developing film), and 48 extra strength tylenol tablets. patient may have been upset about her boyfriend breaking up with her. they currently live together but did not wish to elaborate. . in the ed vital signs on presentation t 95.3 bp 97/34 hr 96 rr 18 oxygen sat 100%. labs significant for alt 378, ast 443, t bili 1.8, alb 4.5, inr 1.3. abg 7.29/35/68. lactate 5.5. ua negative for uti. hcg negative. serum tylenol level 248.8. serum tox negative for benzos, barbiturates, tcas, etoh. asa 4. urine tox negative for opiates, cocaine, amphetamines, methadone. . the patient was treated with cyanide antidote kit - but only sodium thiosulfate for elevated lactate. nausea was treated with zofran. n-acetylcysteine started. liver and toxicology team were consulted. past medical history: 1. thyroid nodule 2. adhd/anxiety 3. seizure disorder s/p subdural and orbital fracture following a seizure - diagnosis given after syncopal episode, reportedly a passerby saw her seize. 4. syncopal episode social history: she is a student at ,just finished her first year, undercleared major.. she lived with her grandmother for much of her high school education. she and her grandmother seem to have a very positive relationship. she smokes cigarettes on occasion. no alcohol or drug use. family history: notable for hypertension in father. mother with schizophrenic disorder. physical exam: per dr. vs: 98.1 115/53 90 100% 2l 16 heent: pleasant, pale female, nad, speaking full sentences nc, at, perrla, anicteric, eomsi, neck: no jvd, supple cv: rrr, nl s1, s2, pulm: ctab/l, no w/r/r, no back pain abd: decrease bs, snd, diffuse tenderness with voluntary guarding extr: no edema, no cyanosis neuro: no focal deficits appreciated pertinent results: admission labs: 141 105 8 -------------< 102 3.5 16 0.9 . ck: 45 mb: notdone ca: 9.7 mg: 1.9 p: 4.3 alt: 378 ap: 102 tbili: 1.8 alb: 4.5 ast: 443 : 39 serum asa 4 serum acetmnphn 248.8 serum etoh, benzo, barb, tricyc negative iron: 44 . 15.0 10.4 >----< 334 40.9 n:83.7 l:10.5 m:5.8 e:0.1 bas:0.1 . pt: 14.2 ptt: 25.6 inr: 1.3 . trends: hct 40 - 30 plt 334 - 132 . coags: 12:20pm blood pt-14.2* ptt-25.6 inr(pt)-1.3* 05:29pm blood pt-19.5* ptt-29.6 inr(pt)-1.9* 10:48pm blood pt-22.3* ptt-35.4* inr(pt)-2.2* 01:46am blood pt-25.2* ptt-106.3* inr(pt)-2.5* 05:56am blood pt-28.8* ptt-74.5* inr(pt)-3.0* 03:00pm blood pt-55.9* ptt-42.7* inr(pt)-6.8* 06:18pm blood pt-55.2* ptt-43.5* inr(pt)-6.7* 08:14pm blood pt-46.7* ptt-40.2* inr(pt)-5.4* 10:53am blood pt-33.1* ptt-35.5* inr(pt)-3.6* 06:20pm blood pt-31.8* ptt-36.4* inr(pt)-3.4* 02:06am blood pt-21.5* ptt-31.8 inr(pt)-2.1* 05:17am blood pt-16.8* ptt-29.6 inr(pt)-1.5* . liver enzymes: 12:20pm blood alt-378* ast-443* alkphos-102 totbili-1.8* 05:29pm blood alt-453* ast-460* alkphos-93 totbili-2.6* 10:48pm blood alt-478* ast-433* alkphos-89 totbili-2.9* 01:46am blood alt-495* ast-404* alkphos-87 totbili-2.7* 05:56am blood alt-536* ast-414* alkphos-83 totbili-2.9* 12:19pm blood alt-627* ast-474* alkphos-87 06:01pm blood alt-988* ast-878* alkphos-91 totbili-5.2* 09:55pm blood alt-1503* ast-1398* alkphos- totbili-5.0* 03:09am blood alt-2241* ast-2086* alkphos-103 totbili-4.9* 09:00am blood alt-3934* ast-3871* alkphos-108 totbili-5.1* 03:00pm blood alt-5137* ast-5187* alkphos-109totbili-4.5* 08:14pm blood alt-5170* ast-4400* alkphos-122* totbili-4.7* 11:49pm blood alt-5170* ast-3567* alkphos-124* totbili-4.3* 03:00am blood alt-3885* ast-2813* alkphos-124* totbili-4.1* 06:00am blood alt-4383* ast-2358* alkphos-89 totbili-4.3* 10:53am blood alt-4123* ast-1818* alkphos-126* totbili-5.2* 06:20pm blood alt-3456* ast-1128* alkphos-129* totbili-4.7* 02:06am blood alt-2973* ast-695* alkphos-135* amylase-24 totbili-5.2* 05:17am blood alt-1874* ast-178* alkphos-125* totbili-5.3* . thyroid: tsh-0.39, free t4-1.9* . hbsag-negative hbsab-positive hbcab-negative hav ab-negative afp-3.5 . tylenol level: 05:29pm blood acetmnp-161.3* 05:56am blood acetmnp-81.0* 03:09am blood acetmnp-12.7 . imaging: ruq ultrasound: liver normal echo: the left atrium is normal in size. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: normal biventricular size and function. no structural valvular disease. brief hospital course: 18 year old woman history of syncope of unclear etiology, presumed seizure, low baseline blood pressure and presenting with tylenol, cyanide, iron overdose. she ingested significant quantities of tylenol. hospital course by problem: . # tylenol overdose - we trended the liver enzymes and liver function tests. she was started on a nac gtt and monitored in the icu. she was followed by the liver, toxicology, and liver transplant teams. supportive care was provided and her enzymes trended as above. her alt/ast peaked in the 5000 range. her inr also peaked around 6.0. given concerns for irreversible liver damage, a full transplant evaluation was started. all values improved with the nac and supportive care so a transplant was not necessary. on , her alt/ast were much improved and her inr was less than 1.5. the nac was stopped and it was determined that she was medically cleared for psych treatment. recommend monitoring ast, alt, alk phos, t bili, inr every other day for one week to monitor trend. liver enzymes will remain elevated for at least 4 weeks after the tylenol ingestion. . # psych: patient had a suicide attempt as above. psych followed patient. we provided emotional support as well as a 24 hour sitter. she remained depressed and with thoughts of hurting herself. she was quite anxious at times and had heart rates into the 120s with anxiety. this improved with po ativan. she will be referred to inpatient psych at behavioral, care of dr. . patient was transferred on section 12 per psychiatry. . # sinus tachy and borderline hypotension: both have been documented in the past. her bp remained stable in sbp low 90s. her heart rate increased to 120s particularly with multiple visitors or discussions about her disease. it improved with ativan. we do not feel there is an underlying medical ailment which causes this tachycardia. . # thyroid nodule - tsh, ft4 as above. we recommend outpatient evaluation. . # cn overdose - elevated lactate on admission thought cn overdose. this improved and she received sodium thiosulfate in the ed. toxicology assisted with management, no futher interventions are indicated. . # h/o syncope and possible seizure: history is unclear. pt is not currently taking any anti-seizure medications. recommend f/u with pcp. . # uti - she received cipro x3 days. . # dispo status: medically cleared. requires inpatient psych per psych. medications on admission: keppra 1000 mg in the morning and 1500 mg in the afternoons - stopped it, has not had recurrent seizures ortho tri-cyclin daily. . allx: pcn discharge medications: 1. lorazepam 0.5 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for anxiety for 1 months. disp:*60 tablet(s)* refills:*0* 2. hexavitamin tablet sig: one (1) cap po daily (daily). discharge disposition: extended care facility: behavioral care - discharge diagnosis: - suicidal ideation/attempt - tylenol overdose - hepatic failure - urinary tract infection - anxiety discharge condition: tearful, anxious, sad. stable discharge instructions: you came in after an overdose on tylenol. we provided supportive care and treated your liver failure. your symptoms improved. we discharged you to a psychiatric facility for treatment of your thoughts of harming yourself. please take your medications as recommended. please followup with your pcp after your psychiatric hospitalization. . please call your pcp or return to the ed if you have thoughts of hurting yourself. followup instructions: provider: , m.d. phone: date/time: 10:40 . please followup with psychiatry and your pcp after discharge from psychiatric center. procedure: venous catheterization, not elsewhere classified diagnoses: acidosis urinary tract infection, site not specified acute and subacute necrosis of liver epilepsy, unspecified, without mention of intractable epilepsy poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics attention deficit disorder with hyperactivity suicide and self-inflicted poisoning by other and unspecified solid and liquid substances nontoxic uninodular goiter toxic effect of hydrocyanic acid and cyanides 

Answer: The patient is high likely exposed to