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: aspirin / aleve attending: chief complaint: chf exacerbation. major surgical or invasive procedure: none. history of present illness: 70 yo f with h/o chf (lvef 54%), cad, esrd on hd, dm2, gave p/w dyspnea. around 7 pm yesterday pt had episode of diaphoresis/nausea followed by dyspnea one later. denies associated cp, though did feel mild left posterior neck pain just prior to onset. sx felt like past episodes of heart failure. admits to taking in more fluid than allowed by restriction. ate a salty meal last night off her diet. has been taking her meds. given worsening symptoms ems called. . in ed vitals t98, hr 130, bp 208/141, rr 30, satting 99% on 2l nc. nitro gtt started. given captopril 25 mg po, lasix 80 mg iv x 1. uop approx 500 cc. cxr demonstrated interval worsening of pulmonary edema since (recent admit for cp). ekg with st@ 110 bpm, no st-t changes. labwork cr 5.1. tpn 0.02 (chronically elevated 0.02-0.04), ck-mb negative. pt's bp stabilized in the ed to systolics 150s, dyspnea improved. . pt transferred to the icu for further monitoring. past medical history: --chronic gastric angiodysplasia (gave)and consequent chronic low-grade ugib, and has therefore been advised not to take aspirin or other antiplatelet agents. --dm type ii - c/b nephropathy and neuropathy --esrd - on hd since --cad - suspected by stress test () in : mild global hypokinesis. lvef 43%. normal myocardial perfusion at the level of stress achieved\; stress : impression: 1. abnormal myocardial perfusion scan demonstrating new inferior wall ischemia which is hypokinetic. 2. lvef = 54% --chf: tte : mild concentric left ventricular hypertrophy without dilatation, a left ventricular ejection fraction of 55%, and moderate-to-severe mitral regurgitation, mild-to-moderate tricuspid regurgitation and mild pulmonary hypertension --anemia: multifactorial (esrd + iron deficiency gib) - colonoscopy on -> two nonbleeding polyps in sigmoid - egd -> sig for erythema, edema, and erosion in the antrum c/w gastritis in addition to erythema in the proximal bulb c/w duodenitis - egd demonstated gave (duodenal ectasia) --occult gi bleed with studies as above --gout social history: pt lives with her grandson. she has a visiting nurse . no etoh, tobacco, or drugs. family history: son and daughter have dm. her son also has htn. her mother had an mi in her 80s physical exam: temp 97.2 bp 152/84 pulse 96 resp 20 o2 sat 98% gen - alert, no acute distress heent - extraocular motions intact, anicteric, mucous membranes moist neck - no jvd appreciated, no cervical lymphadenopathy, left cervial trapezius mild ttp chest - crackles -way up bilaterally cv - normal s1/s2, rrr, no murmurs appreciated abd - soft, nontender, mildly distended ventral hernia, normoactive bowel sounds extr - no edema. 2+ dp pulses bilaterally neuro - alert and oriented x 3, non-focal skin - no rash pertinent results: 02:15am blood wbc-7.9 rbc-3.98* hgb-12.7 hct-39.3 mcv-99* mch-31.9 mchc-32.2 rdw-17.7* plt ct-191 03:20am blood wbc-7.6 rbc-3.81* hgb-11.9* hct-37.4 mcv-98 mch-31.2 mchc-31.9 rdw-18.0* plt ct-213 02:15am blood glucose-185* urean-50* creat-5.1*# na-144 k-4.1 cl-105 hco3-25 angap-18 03:20am blood glucose-105 urean-32* creat-4.1*# na-142 k-3.8 cl-103 hco3-28 angap-15 brief hospital course: a/p: 70 yo f with h/o chf (lvef 54%), cad, esrd on hd, dm2, gave p/w dyspnea. . pulmonary edema: potential precipitants failure include htn, overload associated with renal failure, dietary indiscretion, ischemia. --cont nitro gtt, will attempt wean today --increase ace-i, increase bb --continue diuresis with lasix iv prn (pt still making urine) --hd as below --cycle enzymes --daily weights, strict i/os . cad: presently w/o cp though ischemia a potential precipitant as above --cont bb, statin, ace-i --allergic to asa; other anti-coagulants held in past due to gave . esrd on hd: pt on m-w-f schedule. renal aware. will dialyze today. . dm2: --hold home glyburide --iss . fen: dm/renal/low na/hh diet, fluid restrict . ppx: boots, ppi . access: pivs . full code . communication: son ( hd#2 pt stable and doing very well after diuresis. was d/c to home with pcp in 2 weeks. pt give rx for new dose of acei and metoprolol medications on admission: 1. acetaminophen 325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain, fever. 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. glyburide 2.5 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 9. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 10. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 11. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 12. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 13. toprol xl 50 mg tablet sustained release 24hr sig: three (3) tablet sustained release 24hr po twice a day. discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 8. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 9. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 10. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). discharge disposition: home with service facility: services discharge diagnosis: primary: --chf exacerbation . secondary: --chronic gastric antral vascular ectasia (gave) and consequent chronic low-grade ugib, has therefore been advised not to take aspirin or other antiplatelet agents. --dm type ii - c/b nephropathy and neuropathy --esrd - on hd since --cad - p-mibi 1. abnormal myocardial perfusion scan demonstrating new inferior wall ischemia which is hypokinetic. 2. lvef = 54% stress impression: anginal type symptoms with non-diagnostic ekg changes. --chf: tte : mild concentric left ventricular hypertrophy without dilatation, a left ventricular ejection fraction of >55%, and moderate-to-severe mitral regurgitation, mild-to-moderate tricuspid regurgitation and mild pulmonary hypertension --anemia: multifactorial (esrd + iron deficiency gib) - colonoscopy on -> two nonbleeding polyps in sigmoid - egd -> sig for erythema, edema, and erosion in the antrum c/w gastritis in addition to erythema in the proximal bulb c/w duodenitis - egd demonstated gave (duodenal ectasia) --gout discharge condition: afebrile, vital signs stable. at dry weight 59.5kg. discharge instructions: weigh yourself every morning, md if weight > 3 lbs. . adhere to 2 gm sodium diet . fluid restriction: 1 liter . please take your medications as prescribed. . please call your primary care doctor to arrange follow-up within the next two weeks. . you were admitted to the hospital for a congestive heart failure exacerbation. you should call your doctor or return to the er should you experience any of the following: severe increase in pain fever > 101 severe pain in chest numbness/tingling/paralysis severe dizziness nausea/vomiting severe chest pain/sob any other symptoms that worry you. followup instructions: please follow-up with your pcp, . , within the next two weeks. call to schedule an appointment. . provider: , m.d. phone: date/time: 10:40 procedure: hemodialysis diagnoses: end stage renal disease coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified gout, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease diseases of tricuspid valve diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled angiodysplasia of stomach and duodenum without mention of hemorrhage 

Answer: The patient is high likely exposed to