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: "i tried to commit suicide. i was planning on hanging myself for real." major surgical or invasive procedure: none history of present illness: initial ed hpi: the patient is a 50 year old man with a h/o ptsd, mdd, and polysubstance abuse who was biba after his daughter called the doc at and reported that her father was tearful, making suicidal statements, and had locked himself in the bathroom earlier and was seen with a belt around his neck. . the patient reports that he has a long h/o depression but has been increasingly more depressed over the last 2-3 weeks since getting into an argument with his sister and her husband that lead to her filing an assault charge against him. he reports that he was previously close to his sister and that she lied about the assault which he denies. his mother lives with his sister and he has been unable to see her since cutting ties with his sister and reports that his mother has been calling him and crying because she misses him. his mother was recently brought to with "heart trouble" and he visited her this am which lead to feelings of extreme guilt. he reports feeling that his whole family has been blaming him for everything his whole life. he went home and decided to hang himself with a belt and locked himself in his bedroom. his 9 year old son and 17 year old daughter broke the door down and found him with a belt around his neck. he now reports that he is frightened to go home because he is afraid of what effect it might have on his son if he tried to commit suicide again. the children are now home with their mother. is amenable to inpatient hospitalization. . . hpi from 4: pt reports that he came into the ed a couple days ago after a long time being depressed. he reports that he has had family problems recently. had an argument with his sister concerning the behavior of her boyfriend towards him. he reports that she began to punch his car and then he later received a letter from the police department stating that his sister had pressed charges for pushing her, etc. he reports that she lied about this and that he would have "never laid hands on a woman." he has a court date for . his 88-year old mother lives with his sister and he reports that he is very close to her and often takes her to her medical appointments. he is angry that his sister told their mother about the problems between them. he believes this is the reason why his mother is currently in the hospital (for cardiac issues). he reports that he came home from his sister's house following the argument and "in a big rage," tried to strangle himself with a belt. the patient says that he did this because of "a " at the spur of the moment and that he was not planning this sa. he denies any suicide attempts in the past. he reports that he now regrets this and that he wants help. he says that it was a mistake that he will regret for the rest of his life. he says that he has a lot to live for, including his children and his mother. reports that he was doing "okay but not great" before the incident of arguing with his sister. states that most recently he has had decreased energy, concentration, and libido. he reports that he had been eating okay. he has been having increased number of nightmares recently. he stopped taking all his medications months ago, but that the effexor had worked well for him in the past. he thinks that counseling on the unit and being in the hospital will help him. past medical history: medical: pcp--. @ htn dm hyperlipidemia gerd chronic pain from prior work injury hand arthritis . past psychiatric history: pt reports that he has had mdd x 10 years related to his chronic pain. he initially denied a h/o ptsd but then reported that he had a rough relationship with his aggressive father as a child due to his father's alcoholism. he reports that he sees dr. for psychopharm but that he would like a new psychiatrist. he was initally resistant to seeing a therapist but agrees to think about being set up with one. he denies any prior suicidality or suicide attempts. social history: patient lives in with his long-time girlfriend and two children (9-year old son and 17-year old daughter). he is on disability for a work injury. he was born in and has 7 siblings. per omr, he came to the us 30 years ago, completed 2 years of hs and worked in maintenance until he became disabled. he has been on and off with the mother of his children for many years. . substance use: tobacco: denies etoh: had 4 or 5 "nips of brandy" on day of ; reports drinking occasionally/socially - pint of brandy + beers/occasion; does not see alcohol as an issue -denies withdrawal seizures/dts cocaine use 8-9 months ago by snorting; reported using it 1x/week; no use currently denies all other drugs; denies ivda family history: per omr, 2 sisters and 1 brother with depression. father and brothers with alcohol abuse. no known h/o suicide attempts or completions physical exam: performed by , md () vital signs: t: 98.9 bp: 112/78 p: 90 . ros: negative . head: nc/at eyes: no injection, anicteric ears: no exudate or tenderness nose: no erythema mouth: denitition intact pharynx: non-erythematous neck: no lad, thyroid not enlarged heart: rrr, no m/r/g lungs: ctab abd: soft, nt/nd, +bs back: atraumatic ext: no edema . neurologic: cn ii-xii intact motor: strength 5/5 throughout sensory: intact to light touch throughout reflexes: 2+ throughout coordination: intact with finger-to-nose gait: no ataxia pertinent results: 05:45am glucose-212* urea n-16 creat-1.0 sodium-138 potassium-4.0 chloride-105 total co2-23 anion gap-14 05:45am alt(sgpt)-22 ast(sgot)-19 alk phos-54 tot bili-0.6 05:45am calcium-9.1 phosphate-3.2 magnesium-1.2* 05:45am vit b12-269 folate-13.9 05:45am tsh-1.3 05:45am wbc-5.1 rbc-3.50* hgb-10.8* hct-31.2* mcv-89 mch-30.8 mchc-34.6 rdw-13.4 05:45am plt count-156 12:20pm glucose-193* urea n-24* creat-1.2# sodium-139 potassium-4.5 chloride-104 total co2-25 anion gap-15 05:05am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 05:05am urine color-yellow appear-clear sp -1.017 05:05am urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 12:20am glucose-425* urea n-27* creat-2.3*# sodium-135 potassium-4.2 chloride-98 total co2-21* anion gap-20 12:20am ck(cpk)-69 12:20am asa-neg ethanol-183* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 12:20am wbc-6.5 rbc-3.76* hgb-11.4* hct-32.9* mcv-88 mch-30.4 mchc-34.7 rdw-13.6 12:20am neuts-73.8* lymphs-19.6 monos-5.1 eos-1.2 basos-0.4 12:20am plt count-205 brief hospital course: the patient was initially admitted to the medicine service (on ) for increased blood sugars (400s) and increased creatinine (2.3). these values were controlled on the medicine service and the patient was transferred to the inpatient psychiatric service on . . psychiatric: the patient signed a cv upon presentation to the unit. his outpatient medication, effexor 100 mg , was restarted. the patient reported that he had not been taking his medications for quite some time. he reported that trazodone gave him terrible nightmares and therefore, this medication was held. the patient reported he was able to think about his family issues during his time as an inpatient and realized that he had "a lot to live for." he reported that his future plans included spending time with his family and joining a church. he believed his inpatient stay was quite helpful to him. the patient was agreeable to initiate treatment with a therapist upon discharge in addition to following up with his outpatient psychiatrist. patient spontaneously requested referral to an anger management group, and agreed to f/u with his therapist on this. the patient attended many groups while hospitalized and it was reported that he was quite sociable and pleasant. psychosocial: dr. (chief resident) spoke with his spanish-only speaking girlfriend on the day of discharge who reported that the patient is not welcome to come back to her house (section 8 housing, he is not on the resident list). she reports that he has been disruptive, kicking inanimate objects while at her apartment and threatening to kill himself in front of the children. he has not overtly hurt her or the children, and she does not feel threatened in this way. the patient was informed that he is not welcome to go back to his girlfriend's house. he accepted this information appropriately, and said he agreed with the decision, acknowledging that he and his girlfriend have been fighting recently. patient informed us that he will go to his sister house to live, and sw confirmed with that patient is welcome there. also indicated that she is aware of patient/gf's situation. dr. spoke with the patient's girlfriend again to inform her that the patient will not be returning to her house and that she has resources to call dss or 911 if she continues to be concerned for the safety of her children. . medical: *dm--the patient's blood sugar was elevated to the 400s on to the medical unit. the patient was restarted on his home medication regimen while on the medical service, his blood sugars were well-controlled and was subsequently transferred to the inpatient psychiatric unit. he was placed on an insulin sliding scale, and continued on glyburide and metformin. initially his blood sugars were in the high 100s-200s, but then dropped to the 30s on the morning of . for this reason, his sliding scale regular insulin doses were halved. following this, his blood surgars remained in good control. the patient was encouraged to take his home medication regimin upon discharge. *htn--the patient's blood pressure was well-controlled. lisinopril 40 mg daily was restarted while hospitalized. *hyperlipidemia--simvastatin was continued as well as asa 81 mg daily *chronic pain--the patient was given tylenol prn and neurontin 600 mg tid was continued. *gerd--omeprazole 20 mg daily medications on : **pt reports he has not been taking his medications for "a while"** simvastatin 40 mg daily omeprazole 20 mg daily neurontin 600 mg tid metformin 1000 mg lisinopril 40 mg daily ibuprofen 800 mg prn glyburide 10 mg daily asa 81 mg daily venlafaxine 100 mg trazodone 200 mg qhs prn insomnia (pt reports that he stopped taking this long ago due to it causing horrible nightmares) viagra 100 mg prn discharge medications: 1. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day). 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 4. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 6. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 7. glyburide 5 mg tablet sig: two (2) tablet po daily (daily). 8. venlafaxine 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: axis i: depression nos (dysthymia vs. substance induced mood d/o vs. mdd). polysubstance abuse. post-traumatic stress disorder. axis ii: deferred axis iii: chronic pain, hypertension, diabetes mellitus, hyperlipidemia, gastroesophageal reflux disorder, hand arthritis axis iv: unemployed, poor family relationships axis v: 45 discharge condition: discharge mental status exam: appearance: neatly dressed and groomed, good eye contact, no psychomotor abnormalities, smiling. mood: ??????perfect.?????? affect: friendly, cooperative, appears euthymic. had some difficulty with discussion about his family issues, and often minimzed, saying, ??????i know it??????s fine, it??????s problem.?????? however was able to be more thoughtful and introspective with encouragement. tp: linear, goal-directed. tc: denies ah, vh, ior, pi. denies si. denies hi. future oriented. insight: fair, recognizes that stressors and alcohol contributed to presentation, and to interpersonal difficulties. judgment: fair, agreeable to treatment, understands family situation and problem solve about other places to live. discharge instructions: please go to the nearest emergency room if you are feeling unsafe (wanting to harm yourself or others) please attend followup appointments followup instructions: pcp: , md date/time: 11:10 am psychiatrist: dr. phone: date/time: 2:10 pm therapist: - @ @ 9 am therapist will refer patient to a group procedure: venous catheterization, not elsewhere classified diagnoses: acidosis esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified depressive disorder, not elsewhere classified 

Answer: The patient is high likely exposed to