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: headache and neck pain major surgical or invasive procedure: cerebral angiogram cerebral angiogram history of present illness: 51m who was in his usual state of health, was home laying down and when he rose to standing experiencing excruciating neck pain then followed by the "worse headache of his life." ten to fifteen minutes from onset of headache, he became nauseated and vomited.he then experienced blurry vision. he presented to hospital where a head ct showed a sah. patient denies any falls. past medical history: htn social history: married with three children. works as a firefighter. + tobacco- 1 ppd. + etoh about 5 drinks, three times a week. denies any recreational drug use. family history: no known aneurysm history in family mother: + mis (living) father: deceased, emphysema sister: deceased, multiple strokes physical exam: hunt and : grade ii : 2 nihss: 0 gcs e: 4 v: 5 motor: 6 = 15 o: t: 97 bp: 151/98 hr: 80 r 18 o2sats 97% gen: nad, holding head in pain heent: normocephalic neck: + nuchal rigidity extrem: warm and well-perfused. neuro: mental status: awake and alert, cooperative with exam, normal affect. orientation: oriented to person, place, and date. recall: able to name pen/glove. language: speech fluent with good comprehension and repetition. naming intact. no dysarthria or paraphasic errors. cranial nerves: i: not tested ii: pupils equally round and reactive to light, 2.5 to 2 mm bilaterally. visual fields are full to confrontation. iii, iv, vi: extraocular movements intact bilaterally without nystagmus. v, vii: facial strength and sensation intact and symmetric. viii: hearing intact to finger voice bilaterally. ix, x: palatal elevation symmetrical. : sternocleidomastoid and trapezius normal bilaterally. xii: tongue midline without fasciculations. motor: normal bulk and tone bilaterally. no abnormal movements, tremors. strength full power throughout. no pronator drift sensation: intact to light touch toes downgoing bilaterally coordination: normal on finger-nose-finger exam upon discharge: oriented x 3, arouseable, interactive, follows commands, perrl, face , , no pronator pertinent results: ct head: sah along the basilar cisterns. no hydrocephalus noted. cta head/neck: negative for aneurysms or other vascular malformations mra brain no aneurysm or other vascular malformation noted. cerebral angiogram negative for aneurysm head ct: decreased subarachnoid hemorrhage, with hemorrhage now seen predominantly within the interpeduncular cistern. no new areas of acute hemorrhage. 07:10pm glucose-134* urea n-18 creat-1.3* sodium-141 potassium-4.4 chloride-102 total co2-28 anion gap-15 07:10pm wbc-9.3 rbc-4.48* hgb-14.6 hct-42.2 mcv-94 mch-32.6* mchc-34.7 rdw-12.4 07:10pm neuts-90.2* lymphs-7.3* monos-1.2* eos-0.3 basos-1.1 07:10pm plt count-272 07:10pm pt-11.1 ptt-16.8* inr(pt)-0.9 08:50am blood wbc-9.0 rbc-4.77 hgb-16.0 hct-43.9 mcv-92 mch-33.5* mchc-36.4* rdw-12.5 plt ct-295 08:50am blood plt ct-295 08:50am blood glucose-93 urean-15 creat-1.0 na-129* k-4.3 cl-91* hco3-29 angap-13 08:50am blood albumin-4.6 calcium-9.4 phos-3.7 mg-2.6 brief hospital course: pt was admitted to the icu and monitored very closely. his neurologic exam remained intact. he was started on nimodipine for vasospasm prophylaxis. he underwent cta of the head and neck as well as mra head and these were both negative for aneurysm. on he underwent diagnostic cerebral angiogram that showed no evidence of aneurysm. he remained in the icu for continued sbp control and neurological monitoring. pt was started on ciwa protocol for dt prophylaxis. he was mobilized oob on to a chair and was started on heparin sc. on , patient remains nonfocal on examination. he reported photophobia and headache, he was started on a prednisone taper. he was also encouraged to get oob. his dilantin level was 7.8 this morning, a bolus of 300mg was given. patient remained stable but then complained of worsening headache on so a head ct was done which showed no new hemorrhage and a resolving sah. on a repeat angiogram was negative. orders for step down were written. on his na was 129 and his ivf were dc'ed and he was on a 1.5l fluid restriction. his na remained stable. on pt was up out bed, walking, and doing well. after discussion with the patient and the attending md patient was sent home. medications on admission: lisinopril 30mg daily discharge medications: 1. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q6h (every 6 hours) as needed for headache. disp:*90 tablet(s)* refills:*0* 2. lisinopril 10 mg tablet sig: three (3) tablet po daily (daily). 3. multivitamin tablet sig: one (1) tablet po daily (daily). 4. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day). disp:*120 capsule(s)* refills:*2* 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 7. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*30 patch 24 hr(s)* refills:*2* 8. docusate sodium 100 mg capsule sig: one (1) capsule po tid (3 times a day). 9. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day). 10. hydromorphone 4 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*90 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: subarachnoid hemorrhage discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: general instructions ?????? take your pain medicine as prescribed. ?????? exercise should be limited to walking; no lifting, straining, or excessive bending. 10 lb weight restriction. ?????? increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. we generally recommend taking an over the counter stool softener, such as docusate (colace) while taking narcotic pain medication. ?????? unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, or ibuprofen etc. ?????? if you were on a medication such as coumadin (warfarin), or plavix (clopidogrel), or aspirin prior to your injury, you may safely resume taking this only after your follow-up appointment. ?????? please refrain from smoking and drinking alcohol. ?????? you have had a low sodium level, please refrain from drinking free water (additional water from what you get from juices/foods, etc...). please have your electrolytes checked by your pcp on or tuesday. call your surgeon immediately if you experience any of the following ?????? new onset of tremors or seizures. ?????? any confusion, lethargy or change in mental status. ?????? any numbness, tingling, weakness in your extremities. ?????? pain or headache that is continually increasing, or not relieved by pain medication. ?????? new onset of the loss of function, or decrease of function on one whole side of your body. followup instructions: please follow-up with dr. in 4 weeks with a head ct w/o contrast. please call paresa to schedule md procedure: arteriography of cerebral arteries arteriography of cerebral arteries diagnoses: tobacco use disorder unspecified essential hypertension hyposmolality and/or hyponatremia subarachnoid hemorrhage 

Answer: The patient is high likely exposed to