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: headache major surgical or invasive procedure: tunnelled catheter placement hemodialysis history of present illness: 20 f with type i diabetes, complicated by esrd on hd for the last year. recently hospitalized here 2-3 weeks ago for uncontrolled hypertension. . states that she has bifrontal headaches associated with her hypertension. this was controlled for only a few days after her discharge. since then, she has had recurrent headaches at least daily, sometimes lasting up to all day. they have been relatively stable these past weeks. she denies associated cp, sob. no signs of infection including fevers, chills, new rash, nausea, vomiting or diarrhea. . was seen at endocrine clinic for her parathyroid adenoma, at which time she was referred to the ed for her elevated blood pressure to sbp > 200 and associated headache. past medical history: * type i dm - since * esrd on hd (mwf in ) * pulmonary embolism on coumadin (diagnosed 1 month prior per patient) * hypertension * hyperlipidemia * retinal detachment l eye * bilateral cataracts social history: the patient lives at home with her parents and younger sister. she denies any alcohol or tobacco use. family history: no history of headaches or migraines. father and grandparents with hypertension. two grandparents are diabetic. physical exam: physical examination vs - 98.1 bp 160/110 hr 91 rr 18 96%ra gen: nad heent - r pupil reactive; l globe scarred; op clr, mmm cv - rrr, no m/r/g resp - r anterior chest tunnelled hd line c/d/i; lungs ctab abd - nabs, soft, nt/nd, ext - no edema pertinent results: 03:30pm glucose-188* urea n-39* creat-6.3* sodium-140 potassium-6.3* chloride-96 total co2-27 anion gap-23* 09:03pm k+-5.7* . 03:30pm wbc-6.4 rbc-3.86* hgb-11.8* hct-38.0# mcv-98 mch-30.6 mchc-31.1 rdw-18.6* neuts-54.5 lymphs-21.0 monos-3.3 eos-17.6* basos-3.6* . 03:30pm pt-33.2* ptt-37.7* inr(pt)-3.6* . cxr . impression: findings consistent with volume overload. repeat radiography following diuresis recommended. brief hospital course: in summary, ms. is a 20 yo female with type i dm, esrd on hd, h/o pe in on coumadin, parathyroid adenoma, admitted for hypertensive urgency. . htn. patient was initially treated in the micu on a nitroglycerin drip. her bp improved. she was then transferred to the floor after one day. she was resumed on her home bp meds (labetolol and losartan and nifedipine). it remained unclear if hypertension was due to medication noncompliance (patient says she reliably takes all meds) versus chronic underdializing and fluid overload. she was then transferred back to the icu for hypertensive urgency again. she required labetolol gtt on and off to control her bp. she received daily ultrafiltration and hemodialysis to regain fluid balance. she was also started on additional oral bp meds including hydralazine and minoxidil (avoided clonidine for concern over reflex hypertention if there is medication non-compliance). once transferred back to the floor, minoxidil was uptitrated to 7.5mg daily. hydralazine was dosed at 25mg po bid, was briefly treated with qid dosing but both patient and her mother thought this would be difficult to maintain while outpatient. upon discharge her bp ranged from sbp 120-130s directly after dialysis to sbp 140-180 on non-dialysis days. when she did exceed sbp > 200, or dbp > 120, she was given hydralazine 5mg iv with appropriate effect. discharged on labetolol, losartan, nifedipine, minoxidil and hydralazine. . line infection/bacteremia. at hd on she was noted to have rigors and subsequently developed a acinetobacter baumannii bactermia and growth from her tunnelled cath tip (after it was removed). she was treated with gentomycin until the sensitivities returned and she was switched to ciprofloxacin. a temporary line was briefly used and then a new tunneled catheter was placed once surveillance cultures returned negative. she completed a 14 day course of cipro and then the medication was discontinued. . ha. patient reports unilateral throbbing headache associated with photophobia and nausea. it was not clear if her headache was due to hypertension or if she was having a migraine. throughout her course, her ha occurred nearly daily and had no clear association with her blood pressure. she was treated also with dilaudid and morphine iv for pain which generally controlled her pain. she was started on a trial of sumatriptan for headaches which was moderately helpful, she was discharged with a limited number of this medication. fioricet was tested and did provide moderate relief. she was discharged on a limited number of this medication. . parathryoid adenoma. parathyroid scan on showed anterior mediastinal parathyroid adenoma. patient will need surgical removal of adenoma in future given that hypercalcemia likely contributes to both her headache and recurrent nausea. dr. was consulted while inpatient and planned on removing her adenoma while inpatient. the day of the proposed operation, however, her blood pressure was so poorly controlled that anesthesiology thought it unsafe to proceed with surgery. she was recommended to follow-up with dr. as an outpatient with an appropriate anesthesiology pre-operative evaluation given the severity of her hypertension. . history of pe. patient had pe at osh in and is on coumadin. she was continued on coumadin in the hospital with her inr within goal range of . her coumadin was briefly held while inpatient and she was transitioned to a heparin drip in preparation for her parathyroid adenomectomy. once it became clear that her surgery could not be obtained while inpatient, she was restarted on coumadin. the day of discharge she had a therapeutic inr x 48 hours. . esrd on hd: followed by renal consult. continued on hd and ultrafiltration. also treated with sevelamer and cinacalcet per renal recommendations. discharged with follow-up at prior hemodialysis facility. also instructed inr monitoring during hd. . dm1. long standing history on uncontrolled type 1 diabetes. she was hyperglycemic initially with her infection, but then was better controlled in the micu. continued on glargine and humalog with meals. maintained fair control while inpatient from 100-200. was continuously difficult to control given erratic eating patterns, poor diet compliance and refusal by patient & mother to adhere to prescribed insulin dosing at various intervals. discharged with glargine 15u at breakfast and 12u at supper and a humalog insulin sliding scale. also set-up with vna services given the complexity of her medical issues. . hyperkalemia. intermittently hyperkalemic in the setting of esrd. never symptomatic. no ekg changes. treated intermittently with kayexelate when k > 5. . abdominal pain - intermittent abdominal pain described as vague and diffuse. c/w with constipation in addition to possible gastritis. continued on ppi and an aggressive bowel regimen. resolved with these interventions. was discharged without abdominal pain x 48 hours. . h/o glaucoma. on multiple medications, eye drops consistent with glaucoma. additionally on prednisone gtts of unclear reasoning. patient insisted on continued drops during inpatient stay. on discharge was recommended to follow-up with ophthalmologist to better define course of prescribed medications. . discharged home with moderately controlled hemodynamic stability, afebrile. vna services set-up on discharge for family support given complexity of her medical problems. medications on admission: 1. b complex-vitamin c-folic acid 1 mg daily 2. prednisolone acetate 1 % drops, one drop daily 3. dorzolamide-timolol 2-0.5 % drops 1 drop daily 4. brimonidine 0.15 % drops 1 drop daily 5. butalbital-acetaminophen-caff 50-325-40 mg one tablet po q8h prn 6. labetalol 800 mg po tid 7. prochlorperazine 10 mg po q8h prn nausea 8. pantoprazole 40 mg po q24h 9. sevelamer 1600 mg po tid w/meals 10. warfarin 5 mg po at bedtime mon, wed, fri, sat; 2.5 mg tues, , 11. insulin glargine 12 units with breakfast, 10 units at bedtime 12. humalog sliding scale 13. cinacalcet 90 mg po once a day 14. losartan 100 mg po once a day 15. nifedipine 30 mg po q8h discharge medications: 1. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic (2 times a day): 1 drop both eyes daily . 2. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic daily (daily): 1 drop both eyes daily . 3. brimonidine 0.15 % drops sig: one (1) drop ophthalmic daily (daily): 1 drop both eyes daily . 4. warfarin 2.5 mg tablet sig: one (1) tablet po q mwfsat (). 5. warfarin 5 mg tablet sig: one (1) tablet po q tuethursun (). 6. imitrex 25 mg tablet sig: one (1) tablet po once a day as needed for migraine: please take within 2 hours of onset of headache. disp:*30 tablet(s)* refills:*0* 7. losartan 50 mg tablet sig: two (2) tablet po daily (daily). 8. b-complex with vitamin c tablet sig: one (1) tablet po daily (daily). 9. cinacalcet 30 mg tablet sig: three (3) tablet po daily (daily). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*30 tablet(s)* refills:*0* 11. sevelamer 800 mg tablet sig: four (4) tablet po tid w/meals (3 times a day with meals). disp:*150 tablet(s)* refills:*2* 12. prochlorperazine 10 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. 13. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 14. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 15. labetalol 200 mg tablet sig: four (4) tablet po tid (3 times a day). 16. butalbital-aspirin-caffeine 50-325-40 mg capsule sig: one (1) cap po every eight (8) hours as needed for headache. 17. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 18. minoxidil 2.5 mg tablet sig: three (3) tablet po once a day. disp:*90 tablet(s)* refills:*1* 19. hydralazine 25 mg tablet sig: one (1) tablet po every twelve (12) hours. disp:*60 tablet(s)* refills:*1* 20. nifedipine 60 mg tablet sustained release sig: two (2) tablet sustained release po once a day. disp:*60 tablet sustained release(s)* refills:*1* 21. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for headache for 20 doses: do not exceed more than 3gm of acetamenophen (tylenol) in one day. this medication contains 325mg per tablet. disp:*20 tablet(s)* refills:*0* 22. vna port maintenance heparin flush port (10 units/ml) 5 ml iv each visit with 10 ml ns followed by 5 ml of 10 units/ml heparin (50 units heparin) each lumen, each visit. inspect site each visit. 23. outpatient lab work please check inr at each hemodialysis visit and forward information to dr. z at so that he may adjust her coumadin dosing. 24. lantus 100 unit/ml solution sig: 12-15 units subcutaneous twice a day: take 15 units at breakfast and 12 units at bedtime . 25. humalog 100 unit/ml solution sig: as directed by insulin sliding scale units subcutaneous four times a day. discharge disposition: home with service facility: vna care discharge diagnosis: primary: hypertension, diabetes mellitis type i secondary: esrd, parathyroid adenoma, hypercalcemia, hyperlipidemia, prior pulmonary embolism on coumadin discharge condition: good, moderate hemodynamic control and afebrile discharge instructions: you were admitted for hypertension and associated headache. your blood pressure was controlled by increasing your medications and your headache was controlled with agressive pain relief. you additionally had an infection in your blood while you were in the hospital. you have been treated for this infection. on discharge you will have the continued vna services. you should also have hemodialysis every monday, wednesday and friday with monitoring of your inr while there. you also need to schedule a follow-up appointment with , m.d. at ( for removal of your parathyroid adenoma. . please take all your medications as prescribed in the following medication sheet. there have been several modifications concerning your blood pressure medications but it is important that you take all these medications as prescribed. . if you have worsening headache, blurry vision, nausea/vomiting, shortness of breath, chest pain, or any other concerning symptoms, please call your physician or come to the emergency department. . please keep all your outpatient appointments. followup instructions: please follow up with your primary care physician, . , in 1 to 2 weeks. please schedule an appointment by callling . . or, if you prefer to have your primary care physician transferred to , you may call at to make an appointment to establish care. . please contact , m.d. at ( to schedule a follow-up appointment for surgical removal of your parathyroid adenoma. you will also need a preoperative anesthesiology visit prior to this operation. you should discuss this with dr. . . continue to follow-up closely with your gynecologist at women & infant's hospital. . follow-up with your clinic 3-5 days post-discharge for a inr check and dose adjustment. procedure: hemodialysis venous catheterization for renal dialysis transfusion of other serum diagnoses: hypertensive chronic kidney disease, malignant, with chronic kidney disease stage v or end stage renal disease end stage renal disease unspecified septicemia sepsis hypopotassemia hypoxemia infection and inflammatory reaction due to other vascular device, implant, and graft kidney dialysis as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure headache accidents occurring in residential institution surgical or other procedure not carried out because of contraindication diabetes with renal manifestations, type i [juvenile type], uncontrolled hypercalcemia eosinophilia benign neoplasm of parathyroid gland 

Answer: The patient is high likely exposed to