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: penicillins / watermelon / almond oil / hydralazine attending: chief complaint: hypertension during dialysis major surgical or invasive procedure: right and left heart catheterization history of present illness: 33 yo m with esrd on hd, dm1, nonischemic cardiomyopathy (ef 30-35%), hypertension, who developed hypertension after right- and left- catheterization. . patient had hd yesterday with removal of 3kg of fluids. he denied any abnormal symptoms after dialysis. he took all of his medications today except for amlodipine. today, he came in for an elective catheterization to work up his cardiomyopathy as part of the transplant workup for kidney/pancreas transplant. the cardiomyopathy was first noted in when he was admitted for dka. his then showed a depressed lvef of 30-35%, down from 52% from previous in . . thoday, he underwent a right- and left-sided cath which showed elevated left and right sided pressures as well as wedge pressure. patient developed hypertension with sbp >190s in the recovery area and was treated with iv labtalol as well as nitro gtt. . he is being admitted to the ccu for dialysis while on nitro gtt. dialysis fellow aware. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: (+)diabetes (+)hypertension 2. cardiac history: - cabg: none - percutaneous coronary interventions: none - pacing/icd: none - nonischemic cardiomyopathy with ef 30-35% 3. other past medical history: - dm type i since age 19, followed at . complicated by nephropathy, neuropathy, gastroparesis, retionpathy. - esrd on hd t/t/s: right arm fistula - anemia: felt to be due to both iron deficiency and advanced ckd - depression social history: states that he previously drank heavily (30-40 drinks/week) but has not used alcohol since . +h/o tobacco use, quit in , relapsed, quit last year and denies tobacco currently. denies other drugs. neg ppd . lives with girlfriend. family history: family history of diabetes and hypertension physical exam: vs: t=98 bp=170/95 hr=85 rr=12 o2 sat= 95% ra general: nad. oriented x3. flat affect. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. right and left post-groin sites c/d/i. right arm av fistula in place. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 1. labs on admission: 12:48pm blood wbc-3.9* rbc-3.12* hgb-9.7* hct-29.1* mcv-93 mch-31.0 mchc-33.2 rdw-15.3 plt ct-204 12:48pm blood pt-12.1 ptt-23.5 inr(pt)-1.0 08:40am blood glucose-496* urean-18 creat-7.0* na-133 k-6.3* cl-94* hco3-32 angap-13 . 2. labs on discharge: 12:48pm blood glucose-237* urean-20 creat-7.3* na-133 k-4.7 cl-95* hco3-30 angap-13 09:04am blood glucose-445* 09:04am blood o2 sat-93 . 3. cardiac catheterization: no coronary disease, but elevated pulmonary wedge pressure and pa pressure. final report pending at the time of discharge. please see omr. brief hospital course: 33 yo m with esrd on hd, dm1, nonischemic cardiomyopathy (ef 30-35%), hypertension, who developed hypertension after right- and left- catheterization. . # hypertension/volume overload: patient is an esrd patient who had received hd the day prior to admission to ccu. on the day of admission patient was noted to have sbp >170s during cardiac catheterization, most likely from volume overload. patient also did not take his morning amlodipine dose. he was admitted to the ccu where he was started on ultra-filtration with the removal of 2.5l of fluid. hypertension treated with nitro drip which was weaned off prior to discharge. . # cardiomyopathy: patient was noted to have a decreased lvef on echo of 30-35% in during an admission for dka, down from baseline of 52%. he underwent elective right- and left sided cardiac catheterization to workup his cardiomyopathy, which did not show cad but did show elevated pulmonary wedge pressure of 42 and pulmonary pressure of 77/36, suggestive of volume overload. final catheterization report was pending at the time of discharge. please see omr. medications on admission: amlodipine - 10 mg tablet - 1 tablet(s) by mouth daily *** didn't take carvedilol - (prescribed by other provider) - 25 mg tablet - 2 tablet(s) by mouth twice a day glucagon (human recombinant) - 1 mg kit - use as directed for low blood sugar or passing out humalog pen - (prescribed by other provider) - 100 unit/ml insulin pen - sliding scale insulin glargine - (prescribed by other provider) - 100 unit/ml solution - 15 units every morning daily lidocaine-prilocaine - 2.5 %-2.5 % cream - use as directed one hour prior to dialysis three times a week lisinopril - 40 mg tablet - one tablet(s) by mouth once a day omeprazole - 20 mg capsule, , ***prn ondansetron - 4 mg tablet, rapid dissolve - 1 tablet(s) by mouth every eight (8) hours as needed for nausea sevelamer carbonate - 800 mg tablet - 1 tablet(s) by mouth tid with meals sumatriptan succinate - 25 mg tablet - 1 tablet(s) by mouth once repeat in 2 hours if no effect. ***prn - reglan 10 mg qd, 1/2 hour prior to largest meal of the day medications - otc aspirin - (not taking as prescribed: forgetful and taking sporadically) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth daily blood sugar diagnostic - strip - to be used four times daily dextrose - 40 % gel - gel(s) by mouth for blood sugar < 60 if blood sugar < 60, take gels and recheck blood sugar in 30 minutes to one hour. insulin syringe-needle u-100 - 30 gauge x " syringe - use up to four times daily as directed lancets - misc - 1 misc(s) four times a day discharge medications: 1. amlodipine 5 mg tablet : two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. carvedilol 12.5 mg tablet : four (4) tablet po bid (2 times a day). 3. lidocaine-prilocaine 2.5-2.5 % cream : one (1) appl topical once a day as needed for dialysis for 1 doses. 4. lisinopril 20 mg tablet : two (2) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) : one (1) capsule, delayed release(e.c.) po bid (2 times a day) as needed for heartburn. 6. zofran 4 mg tablet : one (1) tablet po every eight (8) hours as needed for nausea. 7. sevelamer hcl 800 mg tablet : one (1) tablet po three times a day: with meals. 8. sumatriptan succinate 25 mg tablet : one (1) tablet po daily (daily) as needed for headache. 9. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 10. insulin glargine 100 unit/ml solution : fifteen (15) units subcutaneous once a day. 11. humalog 100 unit/ml solution : per sliding scale units subcutaneous three times a day. 12. endocet 5-325 mg tablet : one (1) tablet po every eight (8) hours as needed for pain. disp:*10 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: hypertension congestive heart failure discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure to care for you during your admission. you underwent a cardiac catheterization and were noted to have severely elevated blood pressure. catheterization showed no blockages in your arteries. you were admitted for ultrafiltration and your blood pressure was treated with medications. your blood pressure improved and you were discharged home. it is very important that you take your blood pressure medications regularly. please follow up with your primary care early next week for adjustment of your blood pressure medications. followup instructions: please follow up with your primary care doctor this week for a blood pressure check and adjustment of your blood pressure medications. department: hemodialysis when: saturday at 7:30 am department: endo suites when: wednesday at 10:30 am department: digestive disease center when: wednesday at 10:30 am with: , md building: building (/ complex) campus: east best parking: main garage md, procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters hemodialysis diagnoses: other primary cardiomyopathies hyperpotassemia anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere renal dialysis status congestive heart failure, unspecified polyneuropathy in diabetes depressive disorder, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease long-term (current) use of insulin iron deficiency anemia, unspecified diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled background diabetic retinopathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled acute on chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to