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: xanax / lamictal attending: chief complaint: tylenol pm overdose (intentional) major surgical or invasive procedure: nasogastric tube placement history of present illness: ms. is a 28 year old with a history of depression and multiple prior suicide attempts admitted to the micu following intentional tylenol overdose. she was hospitalized at on 4 from to for suicidal ideation. she received 3 treatments of ect as an inpatient and tolerated the therapy well. she was discharged to her outpatient psychiatric / dbt house earlier today. per ed signout at 10:20pm she took approximately 100 tablets of tylenol pm (100mg acetaminophen/25mg benadryl). she is not clear how she got to the emergency department. she denies co-ingestion of any other substances including alcohol. in the emergency department, initial vitals were 97.2, 146, 131/70, 20 98% ra . she was noted to be well oriented but lethargic. ekg sinus tachycardia. initial labs with serum aceteminophen level of 72.2 and normal lft. toxicology was consulted and recommended charcoal (given at 11:05pm), hold off on giving nac for now, recheck acetaminophen level at 4hr time point and if >150 then start iv nac. ngt placed given concern of possible delayed gasric emptying with benadryl. she was given 2l ivf and transferred to micu for further management. past medical history: - gerd - depression (multiple hospitalizations) - multiple suicide attempts in past - 5-6 times with overdose, intubated 3 times in icu - most recently in at for overdose social history: - born and raised in . attended latin hs - completed 1 yr of college at . worked as a waitress for thelast 6 yrs. stopped working in because of hospitalizations. she was recently discharged from the hospital in to mmhc dbt program and to live at dbt house in . family history: significant for depression in several family members physical exam: (per admitting resident) vital: 98.2 126/77 141 23 98%ra gen: female appears stated age in nad, lethargic heent: anicteric, oropharynx clear, ngt in place neck: thyroid without obvious mass, no lymphadenopathy cv: s1, s2 regular rhythm, normal rate lung: cta bilaterally abd: soft, ntnd, no gaurding, no hsm ext: warm, distal pulses intact, no edema, healing cut marks wrist neuro: arousable to loud voice, oriented to self, reports month is , cnii-xii intact, mae antigravity pertinent results: labs on admission: 11:17pm plt count-213 11:17pm neuts-63.0 lymphs-31.2 monos-3.4 eos-2.2 basos-0.2 11:17pm wbc-9.9# rbc-4.08* hgb-10.4* hct-34.1* mcv-84 mch-25.6* mchc-30.6* rdw-14.7 11:17pm asa-neg ethanol-neg acetmnphn-72.2* bnzodzpn-neg barbitrt-neg tricyclic-neg 11:17pm phosphate-3.2 11:17pm lipase-40 11:17pm alt(sgpt)-10 ast(sgot)-17 alk phos-67 tot bili-0.2 11:17pm glucose-187* urea n-21* creat-0.9 sodium-140 potassium-3.8 chloride-103 total co2-27 anion gap-14 labs prior to discharge 06:45am blood wbc-5.5 rbc-3.92* hgb-10.5* hct-32.8* mcv-84 mch-26.9* mchc-32.1 rdw-15.2 plt ct-235 06:45am blood pt-11.5 ptt-30.8 inr(pt)-1.0 06:45am blood glucose-97 urean-14 creat-0.7 na-141 k-3.9 cl-106 hco3-25 angap-14 06:45am blood alt-8 ast-16 ld(ldh)-122 alkphos-61 totbili-0.2 06:45am blood calcium-9.2 phos-4.8* mg-1.8 other labs: 02:36am blood acetmnp-262.4* 06:30am blood acetmnp-151.6* 01:19pm blood acetmnp-35.1* 09:02pm blood acetmnp-6.9* 02:55am blood acetmnp-neg ecg : sinus tachycardia. left atrial abnormality. non-diagnostic repolarization abnormalities. compared to the previous tracing of heart rate is increased. cxr : single portable upright view of the chest: the cardiomediastinal contour is normal. the heart is not enlarged. the bony thorax appears normal. nasogastric tube courses below the diaphragm and the field of view. impression: no evidence of acute process. ecg : sinus rhythm. compared to the previous tracing the heart rate is reduced. otherwise, there is no major change. ecg : sinus tachycardia. compared to the previous tracing there is no diagnostic change. cxr : chest, ap: the ng tube has been retracted, and now terminates in the proximal esophagus. the lungs are clear. the cardiomediastinal and hilar contours are normal. there is no pneumothorax. impression: ngt in proximal esophagus. this was paged to dr. on at 12 p.m. brief hospital course: 28 year old with a history of depression and multiple prior suicide attempts admitted to the micu following intentional tylenol pm (acetaminophen/benadryl) overdose found to have acetaminophen level of 72 at 1 hour with normal lfts. # tylenol pm overdose: the pateient arrived with an acetominophen level of 72 after an intentional ingestion of tylenol pm. the toxicology team was consulted and recommended activated charcoal (given in ed) and re-check of acetominophen level at 4 hours; this was elevated to > 150, so treatment with nac was initiated. lfts were checked tid until acetominophen level was undetectable; then daily. peak inr was 1.2 and no transaminase elevations were seen. nac was stopped once serum acetaminophen was no longer detectable. the patient was initially kept npo with ngt placement (over concern for delayed gastric emptying with diphenhydramine), but diet was advanced on hospital day 2 and patient tolerated it well. the patient did experience an initial sinus tachycardia, which may have been related to the anticholinergic effects of diphenhydramine. however, ekgs were trended and no other abnormalities (e.g. qrs widening, arrhythmia, heart block which have also been associated with diphenhydramine od) were noted. at discharge, she is going to be transferred to an inpatient psychiatric unit for further treatment. # elevated ptt: patient developed an elevated ptt to ~70 in the setting of sq heparin, and her sq heparin was initially held. on call-out to the medicine floor, the patient was restarted on sq heparin with no problems. # nausea/vomiting: patient received zofran prn. # depression: the patient was restarted on her home psych meds once diet was advanced and she was tolerating po. as above, she was transferred to an inpatient psychiatric unit. medications on admission: - duloxetine 120mg delayed release po daily - aripiprazole 25mg po daily - omeprazole 40mg po daily - quetiapine 300mg po qhs - quetiapine 25mg po q4hr prn anxiety discharge medications: 1. duloxetine 30 mg capsule, delayed release(e.c.) sig: four (4) capsule, delayed release(e.c.) po daily (daily). 2. aripiprazole 10 mg tablet sig: 2.5 tablets po daily (daily). 3. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 4. quetiapine 100 mg tablet sig: three (3) tablet po qhs (once a day (at bedtime)). 5. quetiapine 25 mg tablet sig: one (1) tablet po every four (4) hours as needed for anxiety. 6. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po daily (daily). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. miralax 17 gram powder in packet sig: one (1) packet po once a day as needed for constipation. 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal once a day as needed for constipation. discharge disposition: extended care facility: hospital - discharge diagnosis: primary diagnosis - tylenol pm overdose secondary diagnosis - depression discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you presented to the hospital after you have taken a large amount of tylenol pm. you were admitted to the icu and were treated with charcoal as well as other medications. you did well and did not exhibit significant side effects from the tylenol pm. you are now being discharged to the inpatient psychiatric service at hospital. changes to your medications: - we started iron supplementation because your iron levels were low. - we also started colace, senna, bisacodyl suppository and miralax to help your with constipation. it was a pleasure taking part in your medical care. followup instructions: after you are discharged, you should follow-up with your pcp, . , within 1-2 weeks. please be sure to have your heart rate checked at this visit. you can contact dr. office at . you should also follow-up with your psychiatrist on discharge from the inpatient service. this will be arranged for you. md procedure: gastric lavage diagnoses: esophageal reflux constipation, unspecified other specified cardiac dysrhythmias major depressive affective disorder, single episode, unspecified iron deficiency anemia, unspecified poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics suicide and self-inflicted poisoning by other specified drugs and medicinal substances poisoning by antiallergic and antiemetic drugs borderline personality disorder 

Answer: The patient is high likely exposed to