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: "well, obviously i attempted suicide" major surgical or invasive procedure: patient ingested 150 pills, and initial tylenol 8hrs out was 364. per tylenol nomogram, he was in the "probable hepatic toxicity" range. pt was started on nac w/in 8 hours of ingestion. in icu patient was followed by toxicology and hepatology. he was extubated on arrival to icu. nac was continued until . transplant surgery was also consulted and patient felt not to need liver transplant given improvement in liver function tests. his lfts continued to trend down and normalized by the time of discharge. inr also normal. history of present illness: 23yom college student with no formal past psychiatric history, who was brought into an osh on after intentional ingestion of tylenol pm in a suicide attempt. patient was since transferred to , and treated in icu for sequelae of the overdose. on exam, patient reports that he has been feeling depressed for ??????the past few months.?????? he has had low , decreased sleep, low energy, and poor concentration (??????feeling scatterbrained??????). he has had normal appetite. he describes being socially withdrawn, ??????not able to get excited about anything,?????? and poor performance in school. he failed his classes, and ??????the last straw was when i found out i was withdrawn from school.?????? he describes additional stressors of poor job prospects for a finance major in the current economy, as well as ongoing struggles with schoolwork. he suffered a sexual assault in sophomore year of college, which is still weighing on him. he began to have suicidal ideation around time, and said he viewed his trip home for as ??????a goodbye period,?????? during which he spent time with his family for what he anticipated would be the last time. however, he did not attempt suicide at that time. on the day of presentation, he had just been informed that he was withdrawn from school. he says at that time, ??????i had been feeling calm, like i had a good life, and i just didn??????t think there was anything else i could improve on. i decided to end it then.?????? he wrote a suicide note to his family, purchased tylenol pm, ??????said a prayer,?????? and took the overdose. he does not recall how he was found (possibly by roommate). currently, he denies suicidal ideation. he says, ??????i think the wheels are in motion, i??????m looking forward now.?????? he is hopeful to get back into , and to eventually graduate and find a job. he is grateful for family support but apprehensive of their eventual response to this. he describes feeling hopeful. he denies hi. patient denies h/o anxiety symptoms, manic symptoms, and psychotic symptoms. he has been drinking alcohol more than he had in the past, about twice per week, with one night a ??????binge?????? (see below). he denies drug use. past medical history: past psychiatric history: patient denies history of psychiatric treatment, medications, or hospitalization. he describes feeling depressed intermittently in the past, and recalls having intermittent suicidal ideation in high school. he went as far as buying tylenol pm in freshman year of college, but has never before made a suicide attempt. he denies history of self-injury. no current providers. trauma: sexual assault during sophomore year of college medical history: no chronic illness. aspiration pna. substance history: drinks alcohol about twice per week, one night is glasses of wine, the other night is a ??????binge?????? of up to 10 drinks. denies h/o withdrawal symptoms, seizures, dt??????s. tried marijuana once, otherwise denies drug use. denies tobacco use. social history: family is from a town near , pa. patient grew up in an intact catholic family with 2 sisters. reports a "happy" childhood. says he did pretty well in school growing up and moved to to attend . he was doing poorly in school and initially related it to "not applying himself". he has done internships with in college both here in and in , working in international stock loan, and was successful there. he is closest to his sisters and , but also has an open relationship with his mother. is not as close to his father. reports his family as being "a good catholic family" who are "guilters". he reports difficulties with romantic relationships but does not want to share them with his family at this time. substance use history: -alcohol: drinks about 2 times/week, once to intoxication and the other time a couple of glasses of wine. -denies tobacco or drug use family history: patient denies known history of psychiatric illness, suicide, or substance abuse. physical exam: physical exam on admission: vs - temp 98.3 bp 142/87 hr 96 rr 18 o2 sat 97%ra general - well-appearing man, sitting comfortably, wet cough on occasion heent - normocephalic, atraumatic cv - within normal limits resp - wet cough, moving air well, oxygenating well ext - moving all extremities, acyanotic, no clubbing pt was medically cleared for an i/p psych admit. mse - appearance: well-groomed, sitting comfortably attitude: cooperative, open and eagerly talking behavior: good eye contact, engaging : "ok now" affect: reactive, euthymic, somewhat dysphoric when discussing sensitive subjects in past such as assault and guilt around sa speech: regular rate, rhythm, and volume thought process: linear and goal oriented thought content: discusses eagerness to re-enroll in school and get plan going for after he leaves hospital si/hi: denies si/hi/avh/delusions insight/judgment: limited cognition: grossly intact pertinent results: 09:35pm glucose-92 urea n-14 creat-1.2 sodium-139 potassium-4.1 chloride-102 total co2-27 anion gap-14 09:35pm alt(sgpt)-61* ast(sgot)-58* ld(ldh)-259* alk phos-70 amylase-60 tot bili-0.5 09:35pm lipase-28 09:35pm albumin-4.2 calcium-9.4 phosphate-3.9 magnesium-2.1 09:35pm vit b12-332 folate-12.9 09:35pm tsh-2.3 09:35pm wbc-6.8 rbc-3.92* hgb-12.8* hct-34.6* mcv-89 mch-32.7* mchc-36.9* rdw-12.8 09:35pm plt count-328 09:35pm pt-11.9 ptt-21.4* inr(pt)-1.0 06:15am wbc-4.7 rbc-3.98* hgb-12.7* hct-34.9* mcv-88 mch-31.9 mchc-36.3* rdw-13.0 06:15am plt count-276 06:20am glucose-91 urea n-12 creat-1.0 sodium-141 potassium-3.9 chloride-104 total co2-27 anion gap-14 06:20am alt(sgpt)-35 ast(sgot)-18 ld(ldh)-204 alk phos-63 tot bili-1.0 06:20am albumin-3.7 calcium-8.9 phosphate-3.8 magnesium-1.9 06:20am wbc-7.4 rbc-4.00* hgb-12.6* hct-35.5* mcv-89 mch-31.6 mchc-35.6* rdw-12.8 06:20am plt count-210 06:45am blood alt-54* ast-21 ld(ldh)-212 alkphos-69 totbili-0.6 07:35am blood alt-85* ast-39 ld(ldh)-222 alkphos-65 totbili-0.6 01:05pm blood alt-109* ast-69* ld(ldh)-259* alkphos-67 totbili-0.5 brief hospital course: psychiatry: on admission, was extremely focused on how to move forward and continue his life outside of the hospital. although he could highlight times in his life where he needed to "take a day to sleep and regroup", and admitted to having thought about suicide in the past, he denied ever feeling depressed. he was unable to conceptualize his inability to complete school work and avoidance of classes outside of being "lazy". he described his suicide attempt as being "eerily calm", and described how he had not felt comfortable reaching out to his roommate, friends, family, or 911. he felt that his suicide attempt was related to losing his job offer, being asked to leave school and losing his place of residence. he was linear, goal oriented, and appropriate, although he did minimize his sa and focus more on next steps than what led up to this episode. over the course of his hospital stay, he was very cooperative and enjoyed his psychotherapy sessions. he began to explore how his identity from a young age was linked to success and career aspirations and that when this began to fail, he felt like he could not turn to his family and suicide was the only option. he has begun to embrace other aspects of his identity and develop coping skills such as focusing on his emotions in the present and identifying when his family is making him feel guilty. he is planning on opening up lines of communication within his family and also is looking forward to meeting weekly with a therapist for support. he was also started on celexa during his hospital stay, which was well tolerated. he was concerned about some memory loss initially, but now attributes this to his environment. on discharge, his and affect has improved. his thought process remains linear and goal-oriented. his insight and judgment is also improved. denies any suicidal ideation and has identified several support systems in case he does feel suicidal later. specifically he feels that he can rely on his sister , could call 911, will rely on his therapist, and will try to vocalize his emotions when he feels depression mounting. psych testing: prior to discharge, underwent psychiatric testing which was reviewed with him. the testing showed chronic suicidality. in addition, characteristics associated with mania and antisocial behavior were noted in the high-normal ranges; these are consistent with his age, gender, and goal-oriented mentality. family: -, his parents, his sister and her husband attended a family meeting prior to discharge. the meeting was very emotional for everyone involved. there was discussion about guilt and anger, psychoeducation about the symptoms of depression and risk factors for suicide, and discussion about improving communication between family members. planning was done concerning dispo to and having adequate support for the pt. group/milieu: - participated in several groups. he was cooperative and appropriate. medicine: - lfts were followed closely while on service. he had 1 day of elevated ast and alt, for which dr. was consulted and did not feel it was concerning. he recommended redrawing lfts, which have since showed an overall downwards trend. -he finished his course of clindamycin and his aspiration pna is resolving. dispo: -due to his family situation, was offered services in , however he chose to return home to pa for a few weeks until he re-enrolls in . in pa he will attend a partial hosptialization program; the providers there will then refer him to a therapist he can continue to see when at home. he was also given a list of providers he can contact when he returns back to to finish his course work. his pcp was also and will follow-up his transaminitis and aspiration pna. medications on admission: -none medications on admission: none discharge medications: 1. ipratropium bromide 17 mcg/actuation aerosol sig: one (1) puff inhalation q6h (every 6 hours) as needed for prn. disp:*1 inhaler* refills:*0* 2. benzonatate 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for prn cough. disp:*15 capsule(s)* refills:*0* 3. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed) as needed for sore throat. disp:*15 lozenge(s)* refills:*0* 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*15 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: axis i: major depressive disorder, recurrent, without psychosis. axis ii: defer axis iii: recovering from tylenol pm overdose, recovering from aspiration pneumonia, transaminitis (improving) axis iv: loss of job offer, on leave from school, family stressors, relationship stressors, financial concerns axis v: gaf = 50 discharge condition: stable, improved. mental status exam: appearance: young man, appears stated age, smiling and pleasant. no psychomotor abnormalities. speech: fluent, normal rate/rhythm/volume. : ??????good.?????? affect: well-related, reactive appropriately today, either smiling or serious depending on topic. appears optimistic. tp: linear, well organized. tc: denies ah, vh, ior, pi. denies si now and describes future orientation. denies hi. abnormal perceptions: denies discharge instructions: please follow up with all outpatient health care givers. please take your medications only as prescribed. if you begin to experience any severe symptoms or are concerned for your safety please call 911 or visit your nearest hospital emergency room. followup instructions: pcp: . doyleston, pa fax monday at 6 pm php: clinic php, 722 e. pike, fax 10:00 am psychiatrist/therapist: to be arranged by partial hospital program in . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified diagnoses: depressive disorder, not elsewhere classified acute respiratory failure pneumonitis due to inhalation of food or vomitus poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics hepatitis, unspecified suicide and self-inflicted poisoning by other specified drugs and medicinal substances poisoning by antiallergic and antiemetic drugs 

Answer: The patient is high likely exposed to