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: crestor attending: chief complaint: hypertensive urgency major surgical or invasive procedure: none history of present illness: 55 y f with hx diastolic hf, with baseline cr of 2.2, htn, cad (50% stenosis of om, no stents), dm, presenting with bp 242/124 in the setting of inability to take meds for 3 days n+v. n+v started 4 days ago, last solid meal 3 days ago, and has not been taking meds for past 3 days. usually applies clonidine patch on sunday but reports that she didn't take a shower on sunday nfw and therefore never put on her patch. she doesn't remember ever taking her old patch off but states that it must have come off at some point. mild abd pain, none now. no diarrhea or constipation, last bm yesterday. seen today at heart failure clinic, sent here for sbp>200. she denies fever, chills, uri symptoms, diarrhea, sick contacts. . in the ed she had mild chest pressure when she arrived, which resolved now after treating bp. ekg was negative, trop 0.39 (but not up from baseline) and ck-mb negative (10). they were unable to get iv access so an ej was placed. no ha, dizziness, visual changes on presentation. her bp was treated with labetalol 20 mg iv x2, then a nitro gtt. her sbp remained in the 190s. head ct was obtained due to the isolated nausea/vomiting, no ich seen. . at time of transfer she continues to report nausea and slight headache, worsened since getting ntg in ed. ros negative for fevers, chills, cough, uri ,dysuria, hematuria, melena, brbpr, rash. . past medical history: cad (stent in ) cri (baseline cr ~2.0) diastolic chf htn anemia dm peripheral neuropathy . social history: denies tobbacco, denies alcohol, denies ivdu. family history: mother with htn and , denies fh of dm, cad. physical exam: vitals: t97.2 hr 74 bp 207/98 rr 8 100%ra . gen: middle aged female, sleeping, awakens easily, appears uncomfortable heent: perrla, eomi, sclera anicteric, op clear, mmm, no lad, no jvd, rej iv in place cv: regular, nl s1, s2, +syst ii/vi murmor at rusb. pulm: ctab anteriorly, no r/r/w. abd: soft,obese, nontender, nondistended, bs+ ext: warm, no pedal edema, dp's 2+ bilaterally neuro: alert & oriented x 3, cn ii-xii grossly intact pertinent results: 12:00pm glucose-236* urea n-33* creat-2.2* sodium-143 potassium-3.7 chloride-106 total co2-26 anion gap-15 12:00pm ck-mb-10 ctropnt-0.39* . 12:00pm wbc-10.9 rbc-4.05* hgb-11.0* hct-34.1* mcv-84 mch-27.3 mchc-32.3 rdw-14.5 12:00pm neuts-85.0* lymphs-11.8* monos-2.8 eos-0.4 basos-0.1 12:00pm plt count-197 12:00pm pt-12.0 ptt-24.6 inr(pt)-1.0 . . studies: r heart cath : 1. resting hemodynamic measurements by right heart catheterization demonstrated elevated left and right heart pressures with a mean pcwp of 37mmhg, rvedp of 24mmhg and ra of 21mmhg. the pulmonary artery systolic pressure was significantly elevated with a mean of 50mmhg. the calculated fick c.i. was preserved at 3.33 l/min/m2. final diagnosis: 1. severe biventricular diastolic dysfunction. 2. severe primary pulmonary hypertension. . tte : the left atrium is moderately dilated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. left ventricular systolic function is hyperdynamic (ef>75%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). transmitral doppler and tissue velocity imaging are consistent with grade ii (moderate) lv diastolic dysfunction. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. the tricuspid valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. . compared with the prior study (images reviewed) of , the degree of tricuspid regurgitation (underestimated on prior study and pulmonary hypertension detected have decreased. these constellation of diastolic heart failure, lvh, thickened valves, large atria and pericardial effusion are suggestive (not diagnostic) of cardiac amyloidosis. . cxr : no radiographic evidence of pneumonia or chf. . head ct : no acute intracranial hemorrhage. . ekg 19:56 - nsr at 68bpm, evidence of atrial enlargement, l axis deviation, minimal criteria for lvh, normal intervals. ' ekg 11:29 nsr at 88bpm, lad, atrial enlargement, lvh, strain pattern with st elevation in v1 through v3. brief hospital course: this is a 55 year old woman with h/o of diastolic chf, , and diabetes who presented with hypertensive emergency, and was transferred to icu on nitroprusside gtt. . # hypertensive emergency/urgency: thought most likely to stopping antihypyertensives, including clonidine patch and inability to take oral pills due to nausea/vomiting. patient has severe htn likely worsened by and is on a 4 drug regimen as an outpatient. associated symptoms of headache and chest pain with strain pattern on ekg were concerning for htn emergency. she was admitted to icu, ruled out for mi, required nitro drip. on transfer to the floor she was able to tolerate po's and was restarted on her home regimen with good effect. by discharge day, the trend had shown that the one time of day when blood pressure above goal was shortly after waking. pt was told to take her carvedilol very soon after awakening rather than waiting an hour and a half as she had been doing. pt states she sleeps until 9am every morning. # nausea/vomiting: resolved with addition of reglan. pt was warned of side effects and discharged on one week supply. told to follow up with pcp as she may only require this for one week if nausea and vomitting were due to virus. if due to developing gastroparesis, may need indefinitely. . # chronic diastolic dysfunction: at dry weight currently (166 lbs) and without evidence of volume overload. . #chronic kidney disease: creatinine at baseline by discharge. . # anemia: at baseline of 35, attributed to , no evidence of acute bleed at this time. medications on admission: diovan 160 mg coreg 25 mg clonidine 0.3mg/24h patch qsun amlodipine 10 mg qday lasix 100/80 mg neurontin 300 po qday zetia 10 mg qday vitamin d 1000 u qday lantus 16 units qhs asa 81 mg qday feso4 325 mg qday discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. clonidine 0.3 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qwed (every wednesday). 3. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 4. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 5. valsartan 160 mg tablet sig: one (1) tablet po bid (2 times a day). 6. metoclopramide 10 mg tablet sig: one (1) tablet po tid w/ meals for 1 weeks. disp:*20 tablet(s)* refills:*0* 7. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 8. lasix 100 mg in the morning and 80 mg in the eveming discharge disposition: home discharge diagnosis: hypertensive emergency nausea discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet please be sure to take the same blood pressure medications you were taking prior to admission, but make a point to take the carvedilol as soon as you wake up in the morning. followup instructions: please follow up with your primary care doctor within one week. you will be given enough of the anti-nausea medication to last one week. md procedure: venous catheterization, not elsewhere classified diagnoses: anemia in chronic kidney disease coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute kidney failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes chronic kidney disease, unspecified chronic diastolic heart failure gastroparesis hypertensive chronic kidney disease, malignant, with chronic kidney disease stage i through stage iv, or unspecified 

Answer: The patient is high likely exposed to