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: patient recorded as having no known allergies to drugs attending: chief complaint: hypertensive emergency major surgical or invasive procedure: renal vein sampling in interventional radiology history of present illness: in brief, the pt is a 20y/o f with mpgn s/p renal xplant in c/b multiple admissions for hypertensive emergency who presented on this admission with sob/cough, n/v, and systolic bp in the 230s. she was admitted to the icu where she was managed with a labetolol drip until her bp and n/v improved and she was able to tolerate po medications. she responded rapidly in the icu and her bp was well controlled by d2 of her hospitalization and remained so on oral medications. she received dialysis today and was called out to the floor team for further management. of note, because of her frequent episodes of hypertension there is concern that the patient may have a kidney secreting higher than normal levels of renin and ir was contact to obtain a renal vein sample tomorrow for further analysis. . on the floor, the patient notes resolution of all the symptoms that brought her to the emergency room and denies current chest pain, shortness of breath, headache, blurry vision, abdominal pain, nausea, dysuria, fever, weakness, or paresthesias. past medical history: #)mpgn: diagnosed age 9 by biopsy. s/p lrrt in 08/. post transplant pt was doing well, but had rising cr for two year. on , pt presented with uncontrolled bp requiring icu admission for isradipine drip. repeat biopsy showed a type 1 mpgn. negative hepc,hepb,, and renal u/s from nmec showed stable avf. her creatinine peaked to 4's and she was started on steroids, prograf and cellcept. in , she required 3 sessions of hd through a right upper chest catheter. creatinine slowly recovered to 3.2. plasmapheresis was then initiated with plan to then treat with rituximab. she only underwent 3 sessions of . she is now transferred her care to dr. at to an adult clinic. #)peripheral edema and abdominal striae steroids #)htn steroids and renal disease, multiple admissions for hypertensive emergency. most recently one month ago, #)hemolytic anemia - was seen by heme/onc who felt it was to malignant hypertension #)migranes social history: lives at home with , brother and sister, college student at in the health sciences. denies etoh, illicit drugs, tobacco. family history: no history of kidney disease, malignancy, heart disease, or diabetes. physical exam: vs: t 99.7, bp 141/84, hr 93, rr 22, 94% on 3 liters gen: eyes closed. comfortable with flat affect. heent: eomi, perrl, mmm, op clear neck: supple, no lad resp: crackles ~1/2 up bilterally. cv: rrr 3/6 sem heard best at lusb and throughout precordium chest: catheter intact, no tenderness noted abd: soft nt/nd + bs no rebound or guarding. no renal bruits noted. ext: warm well perfused, no peripheral edema skin: no rashes, mildly icteric neuro: cn ii-xii intact, strength 5/5 in all ext, no gross sensory deficits. did not assess gait pertinent results: venous sampling 10:25 am venous sampling reason: please sample all 3 renal veins for renin levels contrast: visapaque medical condition: 20 year old woman with mpgn with renal transplant with severe htn reason for this examination: please sample all 3 renal veins for renin levels radiologists: the procedure was performed by dr. , dr. , and dr. , the atending radiologist who was present and supervisiong throughtout the procedure. indication for exam: this is a 20-year-old woman s/p renal transplant and hypertension. procedure: venous renal sampling. procedure and findings: after informed consent was obtained from the patient explaining the risks and benefits of the procedure, the patient was placed supine on the angiographic table and the left groin was prepped and draped in standard sterile fashion. using palpatory technique and after injection of 5 cc of 1% lidocaine, the left common femoral vein was accessed with a 19-gauge needle and a 0.035 guidewire was advanced through the needle up to the level of the inferior vena cava under fluoroscopic guidance. using a 5 french sos catheter, access was gained into the contralateral common iliac vein and then into the vein draining the transplanted kidney. 5 cc of blood were collected from the renal vein of the transplanted kidney and from the left iliac vein. subsequently, using a cobra catheter, access was gained into the left and right native renal veins and 5 cc of blood draws were obtained. blood draws were also obtained from the inferior vena cava above the level of the renal veins and inferior to the level of the renal veins. all the samples were sent for chemical analysis. the catheter was removed and manual compression was held for 5 minutes until hemostasis was achieved. moderate sedation was provided by administering divided dose of 150 mcg of fentanyl and 3 mg of versed throughout the total intraservice time of 1 hour and 30 minutes during which the patient's hemodynamic parameters were continuously monitored. impression: successful renal venous sampling from the native bilateral renal veins, transplanted kidney renal vein, left common iliac and inferior vena cava above and below the level of the renal veins brief hospital course: a/p: 20y/o f w/ mpgn s/p renal xplant c/b failure and now back on hd presenting with hypertensive emergency . # hypertensive emergency unclear etiology though thought to be partially due to her renal failure along with question of transplanted kidney excreting massive amounts of renin with the thought being it is not being perfused well. patient underwent renal vein sampling of transplanted kidneys along with native kidneys. results will be available in a few weeks to be followed up by renal. the results of the renin levels will have to be adjusted to the velocities in the renal vein. in the meantime the patient's blood presssure was well controlled on her current discharge regimen along with aggressive dialysis. patient was symptom free at discharge with follow up scheduled with dr. on . patient had ample medications at home, no prescriptions were needed. medications on admission: 1. prednisone 5 mg every other day 2. clonidine 0.2 mg/24 hr patch weekly (every tuesday) 3. hydralazine 50 mg q8h 4. furosemide 80 mg 5. losartan 75 mg 6. mycophenolate mofetil 500 mg 7. labetalol 800 mg tid 8. captopril 75 mg tid 9. calcium acetate 667 mg tid 10. b complex-vitamin c-folic acid 1 mg daily 11. isradipine 15 mg tid discharge medications: 1. prednisone 5 mg tablet sig: one (1) tablet po every other day (every other day). 2. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qmon (every monday). 3. mycophenolate mofetil 500 mg tablet sig: one (1) tablet po bid (2 times a day). 4. hydralazine 25 mg tablet sig: two (2) tablet po q8h (every 8 hours). 5. captopril 25 mg tablet sig: three (3) tablet po tid (3 times a day). 6. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 7. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 8. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). 9. losartan 50 mg tablet sig: 1.5 tablets po bid (2 times a day). 10. isradipine 5 mg capsule sig: three (3) capsule po tid (3 times a day). discharge disposition: home discharge diagnosis: hypertensive emergency renal failure mpgn anemia discharge condition: stable, blood pressure controlled on oral medications discharge instructions: you were admitted with hypertensive emergency to 220/180, you were briefly in the icu to control your blood pressure with iv medications. your blood pressure was controlled and you underwent a study to sample blood from each of your kidneys to see if they are releasing an enzyme which could be causing your blood pressure to elevate. you received dialysis on the day of discharge which will help with your blood pressure. you have an appointment to follow up with dr. on to check on how you are doing. if your blood pressure is systolic>180 or diastolic>110 call the renal clinic or present to the er for treatment. if you develop any chest pain, shortness of breath, headache, visual blurring when your blood pressure is elevated you must go to the er for urgent evaluation as this may be life threatening. followup instructions: provider: , md phone: date/time: 9:00 procedure: venous catheterization, not elsewhere classified hemodialysis arteriography of renal arteries diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease anemia in chronic kidney disease end stage renal disease surgical operation with transplant of whole organ causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation complications of transplanted kidney 

Answer: The patient is high likely exposed to