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: colchicine / omeprazole / doxazosin / cipro i.v. / lipitor attending: chief complaint: headaches major surgical or invasive procedure: arterial line history of present illness: y f with history notable for bilateral sdh s/p evac here at in as well as chronic, recurrent non-migrainous headaches, hypertension, and remote h/o migraine ha. who returns to our ed for the second time in two weeks for persistent/recurrent headache. i saw ms. a little over a week ago in our ed (, friday) for her headache, which was similar to now and similar to several previous presentations. at that time, her headache had started one day after she started a new medication (amlodipine at a low dose). it had been going on for several days at that time, with only partial relief from fioricet and motrin, and a one-day spell of relief during a brief stay at where she got reglan. there, nchct was unremarakable (both the report and the images, which i reviewed at that time) and a carotid doppler u/s of the carotids study was reportedly without e/o stenosis. we recommended f/u with her outpatient neurologist (dr. has been following her since ), and stopping the medication that may have triggered the ha (amlodipine) and follow up with her pcp to try a different anti-hypertensive because her bp was 170/x at that time (despite the amlodipine). also recommended giving reglan, which had worked at . pt tells me now that the headache went away for a day or less after the reglan she got here last week, but returned, again present every day at the same intensity or worse, no full relief from the aforementioned analgesics. stopping the amlodipine did not seem to have any effect on the ha. she followed up with dr. this past monday (), and he recommended trying verapamil extended-release 120mg daily for the bp and headaches in lieu of the amlodipine. she checked with her cardiologist, who said this was ok, and has been taking it for a few days now, but no relief from the , she returned to the ed. here, her bp has ranged from 190s-250s systolic over 70s to 110s diastolic, and did not respond well to labetalol or hydralazine. the ed staff planned to admit to medicine icu () for blood pressure control, but dr. noticed that she was in the ed and visited and recommended that we could admit to our neuro-icu service since we are familiar with the patient and he is attending on the inpatient service this week. on my interview with her, she gave the details as listed above and says that nothing else has changed since our last encounter except that she is frustrated that the headache won't stay away. her daughter is concerned about the situation and there is some disagreement between her and the patient about the desired amount of diagnosis and treatment -- patient requests dnr/dni and does not want, e.g., cta or potential coil/clipping if she were found to have an aneurysm. she also takes off the bp cuff and refuses bp cuff measurments because she says it hurts her arm. she says she will allow a-line placement and iv managment of her bp. ros: negative except as above and as noted in previous ed consult note from (no changes). past medical history: 1. remote h/o migraine has 2. bilateral sdh/hygromas s/p evacuation and resolution; no neurologic sequelae except intermittent vertex has since that time, including this week. 3. h/o dm2, but this was apparently related to hydrocortisone use for her low back pain; her daughter explained that the patient stopped requiring any diabetes medications since discontinuing the hydrocortisone (and also lost 10-20lbs recently). 4. obesity 5. hypertension on , bb, and recently started on ccb (the day before the headache started). 6. chronic anemia, on feso4 (not taking) and epo injections (taking). 7. depression, on ssri 8. hyperlipidemia, no longer taking statin (adverse reaction to atorvastatin) 9. h/o gout 10. h/o melanoma 11. h/o "spastic colon" on mesalamine 12. remote surgical history of gastrectomy, t&a, hysterectomy, "bladder lift" 13. hypothyroidism 14. low back pain, chronic - takes tramadol ("my favorite"), formerly experienced better relief with hydrocortisone. 15. chronic renal failure, which her daughter says was adverse reaction to prilosec. recently discontinued from furosemide by nephrologist due to uremia (per dtr.). - denies any h/o stroke, tia, mi, cad social history: no tobacco, etoh family history: family history is notable for many relatives esp. women living into 90s or 100+ years old. physical exam: admission physical exam: vital signs: t 98.6f hr 86, reg bp 196/119 --> 180-190 / 74 on my exam rr 24 --> teens on my exam sao2 100% general: lying in ed stretcher in trauma bay, daughter sitting next to her. smiling, remembers me from last week. appears comfortable, in nad. heent: normocephalic and atraumatic. surgical pupils bilaterally. no scleral icterus. mucous membranes are moist. no lesions noted in oropharynx. neck: supple, with minimally restricted range of motion; no rigidity. no bruits. no lymphadenopathy. pulmonary: lungs cta. non-labored. cardiac: rrr, normal s1/s2, soft systolic murmur @usb. abdomen: obese. soft, non-tender, and non-distended. extremities: obese. warm and well-perfused, no clubbing, cyanosis, or edema. 2+ radial, dp pulses bilaterally. c/o pain at both ue from bp cuff. ***************** neurologic examination: mental status exam: oriented to person, , , location, reason for treatment. some difficulty relating some historical details, as before; daughter fills in the rest. attentive, able forward and backward. speech was not dysarthric. repetition was intact. language is fluent with intact repetition and comprehension, normal prosody, and normal affect. there were no paraphasic errors. naming is intact to both high and low frequency objects (watch, band, pen, stethescope). anterograde memory excellent --> as before. no evidence of apraxia or neglect or ideomotor apraxia; the patient was able to reproduce and recognize brushing hair with right hand; used fingers/hand to represent toothbrush on brushing teeth with left hand. calculation intact (answers seven quarters in $1.75 and $0.32). left-right confusion as before; touched her left ear with her left hand instead of r ear with left hand. -cranial nerves: i: olfaction not tested. ii: surgical, non-reactive pupils bilaterally (old cataracts procedure). visual fields are full. disc sharp and vessels normal on the right; cannot visualize left fundus at this time. iii, iv, vi: eoms full and conjugate with no nystagmus. no saccadic intrusion during smooth pursuits. normal saccades. v: facial sensation intact and subjectively symmetric to light touch v1-v2-v3. vii: no ptosis, no flattening of either nasolabial fold. brow elevation is symmetric. eye closure is strong and symmetric. normal, symmetric facial elevation with smile. viii: hearing intact and subjectively equal to finger-rub bilaterally; worse hearing loss on left vs. extinguishes on left. ix, x: palate elevates symmetrically with phonation. : equal strength in trapezii bilaterally. xii: tongue protrusion is midline. -motor: no pronator drift, and no parietal up-drift bilaterally. mild resting tremor left>right, less pronounced than 1wk ago. no asterixis. normal muscle bulk and tone, no flaccidity. mild hypertonicity of rle. delt bic tri we ff fe io | ip q ham ta gastroc l 5 5 5 5 5 5 5 5 5 5 5 5 5 r 5 5 5 5 5 5 5 4* 5 4* 5 5 5 * pain-limited (causes pain in right lower back) -sensory: no gross deficits to light touch, pinprick, cold sensation sensation in either upper or distal lower extremity. joint position sense minimally impaired in both both great toes and subtly in rue (missed nose initially; may have been compression from bp cuff which i just deflated before test). - cortical sensory testing: no agraphesthesia or astereoagnosia. no extinction. -reflex examination (left; right): biceps (++;++) triceps (++;++) brachioradialis (++;++) quadriceps / patellar (++;++) gastroc-soleus / achilles (0;0) plantar response was mute bilaterally. -coordination: finger-nose-finger testing with no dysmetria or intention tremor, mild tremor. heel-knee-shin testing with no dysmetria. no dysdiadochokinesia. -gait: deferred, given the labile bp and pt preference ______________________________________________________________ discharge examination: no change from initial examination except for variable orientation: oriented to name and place but not month, year, or hospital name. pertinent results: admission labs: 08:30am blood wbc-5.8 rbc-3.96* hgb-11.8* hct-33.4* mcv-84 mch-29.8 mchc-35.3* rdw-15.1 plt ct-173 08:30am blood neuts-60.1 lymphs-26.1 monos-4.7 eos-8.6* baso-0.6 03:59am blood pt-11.5 ptt-21.7* inr(pt)-1.0 08:30am blood glucose-138* urean-34* creat-1.4* na-139 k-5.2* cl-109* hco3-20* angap-15 03:59am blood alt-12 ast-14 ck(cpk)-288* alkphos-112* totbili-0.3 03:59am blood albumin-4.2 calcium-10.2 phos-2.6* mg-2.0 03:59am blood tsh-4.9* discharge labs: na 139, k 4.5, cl 107, hco3 20, bun 35, cr 2.2 wbc 5.2, hgb 10.3, plt 139 imaging: ct head : impression: 1. post-sdh evacuation changes in the bilateral frontal calvarium. 2. no intracranial hemorrhage. cxr : heart size is normal. mediastinum is normal. lungs are essentially clear. there is no pleural effusion or pneumothorax. elevation of left hemidiaphragm is unchanged. brief hospital course: is a yo woman with pmhx of bilateral sdh/hygromas in s/p evacuation and resolution, dm, htn, hl and hypothyroidism who presented with ha x2 weeks and hypertensive urgency, thought to be causing the headaches. . # neurologic: patient was initially on a nicardipine gtt, but this was able to be stopped on . we initially continued her on verapamil sr 120mg that was started prior to her admission as well as her home valsartan. we increased her toprol xl dose and restarted her on lasix 20mg to help control her bp. she refused bp checks with a cuff because they were "too painful". therefore, we kept her in the icu to have her bp monitored with an a-line. she was started on clonidine as well for blood pressure management and was transferred from the icu to the floor. she developed orthostasis the next day, but this resolved quickly with intravenous fluids and the holding of her blood pressure medications. we decided on a final regimen of metoprolol succinate (50mg xl), clonidine (0.1 ), and valsartan (home dose, 320 mg daily) for her blood pressure management. # cardiovascular: she did not have any events on telemetry while here. her hr remained stable in the 70's after we increased her toprol xl dose from 25->50mg qd. we restarted her lasix after discussing this with her outpatient nephrologist (who was previously prescribing it). this helped to control her bp and her ha's. # infectious disease: pt had a u/a with wbcs and leukocytes but no bacteria, so we waited to see if the ucx grew anything before considering abx as she was not symptomatic. # hematology/oncology: patient has known mild anemia, is on epo as an outpatient. her hct remained stable throughout this hospitalization. # endocrine: we continued patient's l-thyroxine, however her tsh was mildly elevated at 4.9. her free t4 was 1.2 (normal). # nephrology/urologic: pt has known chronic kidney disease, which began with prilosec treatment and per daughter plateaued and improved after withdrawal of this medication. we monitred her potassium and bun/cr, which remained increased after starting furosemide, likely also with a contribution of volume depletion. we stopped her furosemide and will not restart this medication at this time. # code/contact: dnr/ requested by pt; daughter transitional care issues: she will need her bp monitored and her bun + cr monitored to ensure that they stay within her baseline ranges. please recheck her electrolytes to monitor her potassium and creatinine. she will be going to rehab for a short course for physical therapy to improve her gait stability. medications on admission: 1. verapamil sr 120mg daily (started earlier this week) 2. procrit 3. fiorinal 50/325/100 - prn for headaches (takes < 1/day) 4. motrin ?600mg otc - prn for headaches (takes 1+ per day q8+h) 5. tramodal 50mg prn for back pain (takes < 1/day) 6. valsartan (diovan) for htn 320mg daily 7. sertraline (zoloft) for mood 25mg daily 8. ondansetron (zofran) 4mg prn for nausea (took a few this wk) 9. metoprolol-succinate (xr) 25mg daily (?for htn) 10. mesalamine 400mg q8h for gi discomforts 11. pantoprazole (protonix) 40mg daily 12. folic acid 1mg daily 13. mvi daily 14. vit d qsun 15. levothyroxine 100mcg daily * ] * * while ago due to improved blood sugar and a1c down to 6% after stopping hydrocortisone for back pains ] discharge medications: 1. tramadol 50 mg tablet sig: one (1) tablet po twice a day as needed for low back pain (home med). 2. valsartan 160 mg tablet sig: two (2) tablet po daily (daily) as needed for hypertension (home med/dose). 3. sertraline 25 mg tablet sig: one (1) tablet po daily (daily) as needed for mood (home med). 4. mesalamine 250 mg capsule, extended release sig: four (4) capsule, extended release po tid (3 times a day) as needed for gi discomfort (home med). 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily) as needed for home med. 6. levothyroxine 50 mcg tablet sig: two (2) tablet po daily (daily) as needed for hypothyroidism (home med/dose). 7. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po 1x/week (). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours) as needed for gerd. 9. ondansetron 4 mg iv q8h:prn nausea (takes 4mg odt at home prn) 10. multivitamin tablet sig: one (1) tablet po daily (daily) as needed for home med. 11. clonidine 0.1 mg tablet extended release 12 hr sig: one (1) tablet extended release 12 hr po twice a day: for management of blood pressure. 12. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day: for control of blood pressure. discharge disposition: extended care facility: long term care - discharge diagnosis: primary: hypertensive urgency secondary: chronic headaches, history of subdural hematomas discharge condition: mental status: confused - sometimes. level of consciousness: lethargic but arousable. activity status: ambulatory - requires assistance or aid (walker or cane). neurologic: oriented to name and place but not hospital name or month/year. otherwise no focal deficits. discharge instructions: dear ms. , you were seen in the hospital because of headaches and high blood pressure. while here we controlled your blood pressure, initially on intravenous medications, and then on oral medications. your blood pressure improved, and when this happened, your headaches also improved. we made the following changes to your medications: 1. we would like you to continue taking valsartan 320 mg by mouth daily for control of your blood pressure. 2. we would like you to take a higher dose of metoprolol. the new dose will be metoprolol succinate (extended-release) 50 mg by mouth daily. 3. we would like you to take a new blood pressure medication called clonidine 0.1 mg by mouth twice daily. this is a very strong blood pressure medication. it is very important to adhere to the twice daily scheduling of this medication as not taking this medication can cause a quick rise in your blood pressure. 4. please stop taking the medication furosemide. 5. please stop taking the medication verapamil. please continue to take your other medications as previously prescribed. if you experience any of the below listed danger signs, please contact your doctor or go to the nearest emergency room. it was a pleasure taking care of you on this hospitalization. followup instructions: department: neurology when: wednesday at 2:00 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: arterial catheterization diagnoses: hyperpotassemia anemia in chronic kidney disease esophageal reflux unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified depressive disorder, not elsewhere classified chronic kidney disease, unspecified anxiety state, unspecified personal history of noncompliance with medical treatment, presenting hazards to health headache do not resuscitate status lumbago volume depletion, unspecified irritable bowel syndrome 

Answer: The patient is high likely exposed to