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: history of present illness: the patient was admitted for an endoscopic retrograde cholangiopancreatography. the patient is a 45 year-old gentleman with a history of chronic pancreatitis due to chronic and current heavy alcohol consumption. he also has new onset diabetes. he previously had a cat scan showing abnormal pancreatic head enlargement, calcifications and biliary dilation in addition to cholestatic liver function tests. the patient underwent endoscopic retrograde cholangiopancreatography on . this showed chronic calcific pancreatitis, multiple stones in the main pancreatic duct, a biliary stricture compatible with chronic pancreatitis versus pancreatic cancer. the patient underwent successful biliary sphincterotomy. plastic stent was successfully placed in the common bile duct. the patient was then admitted to the medicine service overnight for observation. at the time of admission the patient denied abdominal pain, nausea, vomiting. he stated he had chronic diarrhea that has gone on for months. he denies melena or bright red blood per rectum. he denied chest pain or shortness of breath. the patient states he currently drinks at least two beers per night. his last drink was the day prior to admission. the patient rarely goes a day without drinking. past medical history: 1. chronic pancreatitis with calcified pancrease. 2. diabetes due to pancreatic insufficiency, resent onset. 3. chronic alcohol abuse with a history of dts. 4. possible benign prostatic hypertrophy. 5. pancreatic mass and biliary dilation. 6. depression. 7. anxiety. medications at home: 1. actos 15 mg po q.d., although the patient stopped taking this a few weeks prior to admission against the advise of his physician. 2. protonix 40 mg po q day. 3. viokase 60/16/60 three tables each meal. 4. wellbutrin sr 150 mg po b.i.d. 5. zoloft 200 mg po q.d. 6. insulin nph 10 units subq in the morning. 7. trazodone 400 mg po q.h.s. 8. motrin prn. allergies: ativan causes severe agitation. social history: the patient lives at home. he is disabled. he has been smoking two packs per day for twenty years. the patient drinks at least two beers per day. family history: mother had abdominal aneurysm. physical examination on admission: temperature 97.9. blood pressure 130/88. heart rate 64. respirations 16. sating 96% on room air. a finger stick was 314. the patient was thin and in no acute distress. he was not jaundice. there was no scleral icterus. pupils are equal, round and reactive to light bilaterally. mucous membranes are moist. heart sounds were regular. there was no murmurs, rubs or gallops. chest is clear to auscultation bilaterally. bowel sounds are present. the abdomen was soft and mildly tender in the epigastric area as well as the right upper quadrant. there were no peritoneal signs. there was no peripheral edema. the patient was alert and oriented times three with no focal neurological deficits. laboratory: white blood cell count 8.0, hematocrit 39.8, platelets 299, inr 1.0, pt 12.6, ptt 31.0, alt 191, ast 123, alkaline phosphatase , amylase 79, total bilirubin 0.5, lipase 56. the patient underwent an endoscopic retrograde cholangiopancreatography, which showed chronic calcific pancreatitis, multiple stones in the main pancreatic duct, biliary stricture consistent with chronic pancreatitis versus pancreatic cancer. cytology was sent. the patient underwent sphincterotomy and plastic stenting in the common bile duct. the gallbladder does not fill with contrast. ct of the abdomen from showed large heterogenous ill defined mass in the pancreatic head displacing the adjacent duodenum anteriorly and laterally and abutting approximately 50% of the smv circumference, which was slightly distorted by the mass. the mass was poorly marginated. the mass caused some obstruction of the biliary system with intrahepatic ductal dilation. as well there was atrophy and calcified neck at body and tail of the pancrease with calcifications in the head consistent with chronic pancreatitis. hospital course: the patient was admitted to the acove medicine service. 1. chronic pancreatitis and pancreatic mass: the patient underwent an endoscopic retrograde cholangiopancreatography on the day of admission. he was then kept npo overnight and monitored. the next day the patient felt well. he was able to tolerate po. 2. diabetes: the patient normally takes actos and 10 units of nph in the morning. while he was npo he was placed on a regular insulin sliding scale. on the night of the admission the patient received 8 units of regular insulin for finger stick of 314. the patient then became hypoglycemic with finger stick blood sugar of 19. over the course of approximately two hours the patient required 4 amps of d50 as well as d5w at 200 cc an hour to maintain a blood sugar of greater then 60. when his finger stick was 19 the patient felt diaphoretic and was slightly confused. the patient's nph insulin was held the next morning. the patient was allowed to resume po intake. the patient's finger sticks then improved to the 200 to 300 range. the patient will resume his outpatient diabetes regimen once he is discharged. 3. alcohol abuse: the patient has a history of alcohol withdraw. he stated that he never goes a day without drinking. the patient has previously had bad reactions with ativan. he was therefore given a one time dose of valium 5 mg on the night of admission. a ciwa scale was checked q 2 hours. the patient did not require any further benzodiazepines and showed no signs of withdraw. 4. depression/anxiety: the patient was continued on his outpatient psychiatric medications. discharge diagnoses: 1. chronic pancreatitis. 2. pancreatic mass. 3. status post endoscopic retrograde cholangiopancreatography with cytology pending. 4. diabetes. 5. hypoglycemia. 6. alcohol abuse. 7. possible benign prostatic hypertrophy. 8. depression. 9. anxiety. discharge medications: 1. protonix 40 mg po q.d. 2. viokase 60/16/60 three tablets with each meal. 3. wellbutrin sr 150 mg po b.i.d. 4. trazodone 200 mg po q.h.s. 5. ibuprofen prn. 6. actos 15 mg po q.d. 7. nph insulin 10 minutes subq in the a.m. discharge follow up: the patient will continue to be followed by the gi service. cytology from biopsy taken during the endoscopic retrograde cholangiopancreatography is pending at this time. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified transcatheter embolization for gastric or duodenal bleeding diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hemorrhage complicating a procedure hydronephrosis chronic pancreatitis acute pancreatitis cyst and pseudocyst of pancreas other and unspecified alcohol dependence, continuous aneurysm of other visceral artery 

Answer: The patient is high likely exposed to