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: inderal attending: chief complaint: dyspnea, chest pain major surgical or invasive procedure: cardiac catheterization with bare matal stents to left circumflex artery and right coronary artery picc line placement and removal history of present illness: source: patient, interviewed with her adult son translating. ( cambodian interpreter available except via telephone). son speaks excellent english and appears to speak fluently with his mother. . ms is a 63 year old woman with a history of asthma, who was in her usual state of health, able to be up and about her house, rode here stationary bike etc on sunday. yesterday, she didn't feel as well, developed some dyspnea on awakening that persisted through the day. she had chest pain thru the day as well, though it waxed and waned, with her dyspnea worsening. she took her nebulizers and her other medications and this helped her shortness of breath and her chest pain. she has not had any fevers. has a sore throat but she says she has had his for a long time. says at least one month, where it is worse in the morning and improves with the albuterol nebs and resolves by midday. she presented to the ed where she was noted to be dyspneic and was treated for pna +/- asthma flare with levofloxacin, nebulizers and steroids. she also received an aspirin. she is now admitted to the medicine service for further evaluation and management. . ros she later describes her pain as in her chest, extending across upper abdomen doesn't know how long she's really had this, seems to come and go, and patient is not really able to describe for how long she's had it. says her medications make it better. no diarrhea, constipation. decrease energy with acute illness. + dark stools x a long time (is on iron supplement). . all other ros are otherwise negative past medical history: from omr 1. diabetes mellitus, type 2: she was diagnosed in and has been followed by dr. since that time. she is controlled on insulin. here most recent hba1c was < 7%. 2. chronic hepatitis b. 3. stage 2 - chronic kidney disease (hyperparathyroidism renal issues). 4. nephrotic syndrome. 5. hypertension. 6. asthma. 7. hypertriglyceridemia. 8. cva/tia. 9. raynaud's phenomena. 10. generalized anxiety disorder. social history: she lives with her daughter, son and husband. she has 9 children, 3 are deceased. her occupation was as a housewife. she was born in living in a rural area. she denies ever smoking cigarettes but does continue to chew betel. she denies alcohol abuse. she came to the united states in . independent of adls. has help with some iadls. no recent falls. son = (son). hcp = (daughter). . code status confirmed as full family history: per omr: daughter and son with asthma; no strokes or seizures in family per granddaughter. physical exam: 98.6 162/90 100 24-28 98% on 2l, fs 254 gen: obese woman, dyspneic, appears somewhat tired : anicteric, mmm neck: unable to visualize jvp cv: reg rate, tachycardic, distant lungs: distant lung sounds, markedly diminished air entry, increased i:e ratio abd: obese, some mild tenderness across upper abdomen, + distended, soft, otherwise no abnl, no hsm appreciated due to habitus ext: warm, dps palp neuro: alert, appropriate, follows commands, speech fluent . at discharge: same as above except: gen: not dyspneic, comfortable, not tired-appearing lungs: ctab pertinent results: 10:10am glucose-245* urea n-24* creat-1.3* sodium-141 potassium-3.8 chloride-105 total co2-23 anion gap-17 03:26pm lactate-3.4* 10:10am ctropnt-0.03* 10:10am wbc-8.2 rbc-3.73* hgb-11.5* hct-36.0 mcv-96 mch-30.8 mchc-31.9 rdw-13.6 10:10am plt count-248 10:10am pt-12.4 ptt-26.4 inr(pt)-1.0 ekgs reviewed (as described below) tte: from the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a fat pad. compared with the prior study (images reviewed) of , the findings are similar. . cardiac catheterization : final diagnosis: 1. three vessel coronary artery disease. 2. moderate systemic hypertension. 3. successful pci of lcx with bms 4. successful pci of rca with bms 5. successful rra tr band 6. medical regimen. . discharge labs: 06:53am blood wbc-11.2* rbc-2.82* hgb-8.9* hct-26.3* mcv-94 mch-31.5 mchc-33.7 rdw-13.9 plt ct-198 03:39pm blood hct-29.0* 06:53am blood glucose-110* urean-32* creat-1.3* na-140 k-4.6 cl-108 hco3-27 angap-10 06:53am blood calcium-8.0* phos-3.8 mg-2.5 06:09am blood %hba1c-7.9* eag-180* enzymes: 10:10am blood ctropnt-0.03* 02:30am blood ck-mb-18* mb indx-6.9* ctropnt-0.11* probnp-2431* 04:45am blood ck-mb-24* mb indx-7.2* ctropnt-0.25* probnp-2808* 06:09am blood ck-mb-33* mb indx-5.7 ctropnt-2.87* 06:15am blood ck-mb-13* mb indx-4.8 ctropnt-1.41* 10:18pm blood ck-mb-5 04:02am blood ck-mb-5 brief hospital course: 63 yo f with dm ii, htn, dl and ckd who presents after multiple episodes of chest pain and sob. admitted initially for asthma exacerbation but later found to have an nstemi and found to have 3vd on cath . . # cad: s/p nstemi. currently stable without cp. received cardiac catheterization with bare matal stents to left circumflex artery and right coronary artery on . she has done well post catheterization with a resolving small hematoma on the left radial site. she should have a full dose 325 mg aspirin and plavix 75 mg every day for at least one month and possibly longer. she will also need to be on atorvastatin 80 mg. her lisnopril was restarted on . her beta blocker was held and not restarted because of her severe asthma. she was rate controlled with increased dose of long acting diltiazem. she has remained in a normal sinus rhythm. her heart function is stable with a preserved ef at 60-65%, no significant valvular abnormality. she will see dr. in cardiology here at in 1 month. . # asthma exacerbation: history of asthma with exacerbations several times per year, but no history of intubations who presents with 2 day history of worsening shortness of breath, no uri symptoms, and intermittent chest pain. started on standing nebs and prednisone pulse in the micu, now on prednisone taper. leukocytosis likely prednisone. she has baseline doe and tight breath sounds with no audible wheezes on exam. she also has a dry cough. her adviar dose was increased from home dose and she has no o2 requirement (also no home o2) . # diabetes mellitus: she is followed by dr. at and has had high insulin requirements, started on u500 insulin as outpt. her blood sugars have been labile and she will likely need more insulin given prednisone. she was transitioned to glargine with a humalog sliding scale. . # htn: currently well controlled on diltiazem and lisinopril. . # hyperlipidemia: restarted home simvastatin 40mg daily . # ckd: patient with baseline 1.4-2.4. cr rising slightly after contrast load with catheterization, should be monitored after discharge and avoid nephrotoxins. . # chronic hbv infection with gastric varices. viread was decreased to 300mg q 72 hours for renal function. her meld score is 12. seen by hepatology during hospital stay and has an upoming outpt appt. . # social: pt has a large family and her son is the hcp. she was previously living at home with her husband and son and was independent. she is deconditioned with some gait instability, should be on fall precautions until she is stonger. medications on admission: viread 1 tab q72 hours albuterol mdi diltiazem 300 mg/d 1 tab po bid advair 100 mcg-50 mcg 1 inh furosemide 80 mg po bid duoneb q4-6 hrs prn lisinopril 40 mg po bid metoprolol 25 mg po bid omeprazole 20 mg po daily simvastatin 40 mg po daily valsartan 320 mg po daily aspirin 81 mg po daily docusate 100 mg po bid iron 325 daily --> will hold given acute illness vit d omega 3 fatty acids humulin r as per sliding scale discharge medications: 1. tenofovir disoproxil fumarate 300 mg tablet sig: one (1) tablet po q72h (every 72 hours). 2. vitamin d 50,000 unit capsule sig: one (1) capsule po every other week. 3. levalbuterol hcl 0.63 mg/3 ml solution for nebulization sig: one (1) ml inhalation q4h () as needed for wheezing/sob. 4. ipratropium bromide 0.02 % solution sig: one (1) vial inhalation every six (6) hours. 5. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. diltiazem hcl 180 mg capsule, sustained release sig: two (2) capsule, sustained release po daily (daily). 9. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 10. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily): hold sbp < 100. 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 12. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 13. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 14. simethicone 80 mg tablet, chewable sig: 1.5 tablet, chewables po qid (4 times a day) as needed for abdominal pain. 15. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 16. polyethylene glycol 3350 17 gram/dose powder sig: one (1) packet po daily (daily). 17. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for coughing. 18. heparin (porcine) 5,000 unit/ml solution sig: one (1) syringe injection twice a day. 19. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for pruritis. 20. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for pruritis. 21. hydrocortisone 0.5 % cream sig: one (1) appl topical tid (3 times a day) as needed for pruritis. 22. insulin glargine 100 unit/ml solution sig: fifty (50) units subcutaneous qpm. 23. insulin aspart 100 unit/ml solution sig: 2-14 units subcutaneous four times a day. 24. nystatin 100,000 unit/ml suspension sig: five (5) ml po tid (3 times a day). 25. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours). 26. prednisone 5 mg tablet sig: 0.5 to 2 tablet po once a day: taper: 10mg daily until , 5mg daily 12/5-7, 2.5mg daily then dc. . discharge disposition: extended care facility: rehabilitation & nursing center - discharge diagnosis: non st elevation myocardial infarction diabetes mellitus asthma exacerbation hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you had chest pain and a heart attack. you had a cardiac catheterization and needed to bare metal stents to two of your heart arteries to open blockages. you were also treated for a severe asthma exacerbation with prednisone, nebulizer treatments and a long acting controller medicine called advair. . we made the following changes in your medicines: 1. stop taking albuterol, , metoprolol and valsartan 2. increase aspirin to 325 mg daily 3. increase diltiazem long acting to 360 mg daily 4. increase advair to 250/50 mg twice daily 5. start taking plavix to keep the stent open. do not stop taking plavix for any reason or miss unless dr. tells you to. 6. start taking senna and miralax to prevent constipation 7. start taking guaifenesin for your cough 8. start taking levalbuterol nebulizers as needed for your breathing 9. start taking benadryl as needed for your itching 10. start using sarna lotion and hydrocortisone cream as needed for your itching. followup instructions: department: : pls d/c if pt goes to ecf when: tuesday at 9:10 am with: , m.d. building: campus: east best parking: garage department: cardiac services when: tuesday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage department: liver center when: thursday at 9:20 am with: building: lm campus: west best parking: garage procedure: venous catheterization, not elsewhere classified insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters left heart cardiac catheterization left heart cardiac catheterization transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: hyperpotassemia subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified pure hyperglyceridemia other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) long-term (current) use of insulin secondary hyperparathyroidism (of renal origin) personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits hypoxemia chronic obstructive asthma with (acute) exacerbation varices of other sites chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta raynaud's syndrome leukocytosis, unspecified chronic diastolic heart failure generalized anxiety disorder nephrotic syndrome with unspecified pathological lesion in kidney allergic urticaria 

Answer: The patient is high likely exposed to