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: shortness of breath major surgical or invasive procedure: arteriovenous fistula placement history of present illness: this is a 45 y/o female with poorly controlled htn, h/o frequent admssions for hypertensive urgency/emergency (negative w/u for secondary causes), esrd on hd, presented with dyspnea and was found to have elevated blood pressure 200s/130s. she reports compliance with medications, but she is not able to clearly state names and dosages. she also complained of l chest pain, frontal ha, pain under the anterior ribs bilaterally, and n/v, all of which have now resolved. she denies visual changes, weakness, slurred speech, dysarthria, confusion, or hematuria. . in ed, she was treated with 5 gm iv lopressor x 2, labetolol 20 mg iv, labetolol 40 mg iv x2, then hydralazine 10 mg iv, hydralazine 20 mg iv x1, with improvement in bp. she recieved 80 mg iv lasix with mild response in urine output. she was then transferred to the micu for further care. . in the micu, her blood pressure has now been well controlled on her home po medications, with the exception that her labetalol was changed to metoprolol. she had hemodialysis yesterday and again today (usual days t/th/sat). she also ruled out for mi. she is currently asymptomatic and feels back at her baseline. . ros negative. past medical history: 1. htn- poorly controlled with recurrent admissions for htn urgency/emergency. secondary w/u negative including normal tsh, cortisol, and levels, mri/a abd negative for adrenal masses/no evidence of ras. 2. cri/esrd- in cr 0.9, since cr elevated, more acutely from baseline 2.7-3.5 to in . 3. anemia- baseline hct 23-30 4. schizophrenia - diagnosed approximately 4-5 years ago. followed at hospital, where she receives risperidone im injections every 2 weeks. 5. h/o hyperprolactinemia?????? found to have elevated prolactin level to 229 in , in context of missed menses in and galactorrhea. pituitary mri was negative. resolved with adjustment of risperidone dose. social history: patient has been working at old navy for the past 4-5 years, and she just completed a certificate program to work as a medical office assistant. she lives alone in , but she occasionally spends the night with her mother in the when she works nights. she has been in a monogamous, heterosexual relationship for the past 10 months. she stopped taking her ocp??????s in , but she reports condom use most of the time. she smoked approximately cigarettes/day for one year and quit 1 1/2 months ago. she denies alcohol or drug use. family history: mother, 65, has refractory hypertension and glaucoma. maternal relatives also have hypertension. no known family history of psychiatric illness (depression, bipolar, schizophrenia). no reported family history of diabetes, renal disease, rheumatologic disease, stroke, or sudden cardiac death. physical exam: upon arrival to icu: vs: t 96.1, bp 143/99, hr 72, rr 18, 99% on ra gen: nad heent: perrl, eomi, anicteric sclera neck: supple, no thyromegaly heart: rrr, nl s1/s2, no murmur chest: few bibasilar crackles abd: +bs, soft, nd/nt ext: warm, trace edema, 2+dp pulses b/l neuro: a&ox3, no focal weakness. pertinent results: 11:30pm wbc-9.2 rbc-2.99* hgb-9.0* hct-25.5* mcv-85 mch-30.1 mchc-35.3* rdw-15.0 11:30pm plt count-197 11:30pm glucose-86 urea n-75* creat-10.1*# sodium-133 potassium-4.2 chloride-96 total co2-19* anion gap-22* 11:30pm tot prot-5.8* calcium-9.0 phosphate-5.3*# magnesium-2.0 11:30pm ck(cpk)-169* 11:30pm ctropnt-0.03* 11:30pm ck-mb-4 . : chest xray - findings consistent with mild chf . : ekg sinus tachycardia, rv conduction delay lateral st-t changes are nonspecific since previous tracing of , rate is increased brief hospital course: in brief, the patient is a 45 year old woman with poorly controlled hypertension, end-stage renal disease on hemodialysis who presented with shortness of breath found to be in hypertensive urgency. . 1. hypertensive urgency: there was no evidence of end organ damage (no neurologic deficits and ruled out for mi). her blood pressure was initially controlled with iv medications. the likely trigger to this hypertensive episode was irregular medication adherence. her prior evaluation for causes of secondary hypertension did not reveal evidence consistent with either endocrine or renovascular causes. during her evaluation she had an isolated aldosterone level of 37, however, 3 days later the an aldosterone and renin levels were measured (7 and 9.2, respectively) and were not consistent with a primary hyperaldosterone state. prior imaging of her adrenals by mri revealed normal size and signal to the glands. repeat aldosterone and renin levels were drawn to confirm the prior findings. these labs were pending at time of discharge. her blood pressure was ultimately stabilized on combination of minoxidil and lisinopril with volume control by ultra-filtration at hemodialysis. . 2. shortness of breath: the presenting shortness of breath was likely due to flash pulm edema in the setting of uncontrolled hypertension. as above, she ruled out for mi. her breathing improved with continued hemodialysis. . 3. end-stage renal disease: the patient has been dialysis dependent secondary to her end-stage renal disease on a t/th/sat schedule. she had been scheduled to undergo an av fistula placementusual schedule t/th/sat. says has not missed hd appointments. followed by dr. of nephrology and dr. of transplant. she underwent an av fistula placement in the left arm without complications. please the operative report from for details. she continued on phosphate binders while in the hospital. . 4. anemia: multifactorial - acd and contribution from renal disease. baseline hct 23-30. no signs of active bleeding. stable hct. she received iv iron at hd. erythopoetin adiministration will be per nephrology team. . 5. low serum bicarbonate with ag of 18: this was thoughtly ikely due to renal failure/uremia. the lab value improved with dialysis. . 6. elevated ck, trop: the patient presented with hypertensive urgency and had a small elevation in her troponins and ck consistent with demand ischemia in setting of hypertension and pulmonary edema. an ekg revealed no acute ischemic changes. . 7. schizophrenia: reports that she is followed at hospital, where she is treated with risperdone 25mg im injections every two weeks. there was no evidence of acute psychosis during this admission. the patient will follow-up with her regular providers as previously scheduled. . 8.) ppx: ppi, sc heparin . 9.) code: full. . 10.) dispo: the patient was discharged in good condition with stable vital signs to follow-up with 3x/week dialysis sessions. medications on admission: labetalol 600 mg amlodipine 10 mg qd terazosin 5 mg lisinopril 20 mg b complex-vitamin c-folic acid tab qd lanthanum 500 mg tid (phos binder-fosrenol discharge medications: 1. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 4. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. minoxidil 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for 3 days. disp:*36 tablet(s)* refills:*0* 7. risperdal consta 25 mg/2 ml syringe sig: two (2) ml intramuscular every 2 weeks. discharge disposition: home discharge diagnosis: primary: hypertensive urgency . secondary: end-stage renal disease anemia schizophrenia discharge condition: good. stable vital signs. ambulating unassisted. tolerating oral medications and nutrition. blood pressure controlled on oral medications. discharge instructions: you have been evaluated and treated for extremely high blood pressure. you pressure was controlled with a combination of iv and oral medications. there was no evidence of damage to your organs because of this episode of high blood pressure. . it is essential that you take your blood pressure medications as prescribed. managing your blood pressure properly is an essential goal to maintain your health and to prevent bad events such as strokes and heart attacks. . your next dialysis session will be on tuesday on 7. . please attend the recommended appointments described below. . if you develop any new concerning symptoms particularly chest pain, shortness of breath, persistant nausea or vomiting please seek medical attention. . please call at the clinic at to schedule your next injection of risperidone. followup instructions: you have the following appointments scheduled for you: 1) internal medicine: dr. on at 1:30pm () 2) dialysis: on 7 on tuesday procedure: hemodialysis arteriovenostomy for renal dialysis 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 congestive heart failure, unspecified unspecified schizophrenia, unspecified 

Answer: The patient is high likely exposed to