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: nitrofurantoin attending: chief complaint: abdominal distension major surgical or invasive procedure: none history of present illness: 32 yof with severe mr , well known to our service, s/p ex lap for sbo to weeks ago, returns with a reported increase in abdominal distension at care facility. ct at osh showed dialted small bowel, with transition point in rlq. per report, she had been having loose stools, and had nothing draining form the peg tube when it was placed to gravity. both there, and here, her labs show no signs of infection, however she does have severe electrolyte abnormalities. past medical history: cerebral palsy, encephalopathy (unknown etiology), gerd, seizures, chronic lung disease (due to chronic aspiration), mental retardation, siadh (stable) social history: resids at nursing home. mother (primary language cambodian, but speaks some english) makes medical decisions for patient (c ), sister in law - lives with pt's mother () family history: nc physical exam: awake, mental status unchanged from prior hospitalization rrr no mrg diffuse secretions, rales throughout softer than prior exams on discharge, nt, scar healing well. + 1 edema pertinent results: 05:30pm glucose-88 urea n-9 creat-0.2* sodium-125* potassium-4.6 chloride-87* total co2-27 anion gap-16 05:30pm wbc-8.9 rbc-3.89* hgb-11.7* hct-36.1 mcv-93 mch-30.0 mchc-32.4 rdw-14.9 05:30pm neuts-61.2 lymphs-33.3 monos-4.2 eos-0.2 basos-1.1 05:30pm plt count-556*# 05:30pm pt-10.7 ptt-21.2* inr(pt)-0.9 02:45am blood wbc-8.4 rbc-3.32* hgb-10.0* hct-31.2* mcv-94 mch-30.2 mchc-32.2 rdw-14.8 plt ct-542* 02:45am blood plt ct-542* 02:45am blood glucose-482* urean-3* creat-0.2* na-143 k-2.3* cl-107 hco3-27 angap-11 03:52am blood type-art po2-123* pco2-51* ph-7.39 caltco2-32* base xs-5 02:34am blood alt-21 ast-53* ld(ldh)-379* alkphos-144* amylase-42 totbili-0.3 02:34am blood lipase-22 brief hospital course: neurologic: pt has cp and was continued on her home carbamazepime. she did not require medication for pain. cardiovascular: pt is tachycardic baseline. she was continued on beta-blockers with resultant hr < 100; plan is to continue beta-blockade with appropriate holding parameters in three times daily dosing. pulmonary: there is a tracheostomy in place & the pt is maintained on trach collar. she had copious thin secretions requiring frequent suction although these did decrease towards the end of her hospital stay & glycopyrrolate was used to help wit this problem. gastrointestinal / abdomen: despite findings of obstruction with transition point on outside ct, the pt had stool and gas in rectum on imaging at . therefore this is not likely an sbo. pt's abdomen is less distended when compared to exam on prior discharge on . she was given enemas to help with stooling. of note: her staples from previous surgery were removed on . nutrition: pt is maintained on tf and these were restarted once she was stooling appropriately renal: pt has a foley catheter. her baseline creatine 0.1. her serum na on admission 125 (acutely low) and she does has a hx of siadh. she was maintained on d5ns ivf and her sodium on day of discharge was 143. hematology: her hct remained stable and she did not require transfusion. ppx: she was given heparin sc for dvt prophylaxis endocrine: she was covered with a regular insulin sliding scale during her hospital stay. infectious disease: pt had no current issues. code status: pt remains a full code. medications on admission: albuterol sulfate 90 mcg daily, tylenol, dulcolax, polyethylene glycol, monteleukast, provera 10mg daily, carbemazepime 300mg tid, levothyroxine 175mcg daily, lorazepam 0.5mg four times daily, colace, insulin, ipratroprium, pulmicort, lopressor 37.5mg , lansoprazole 30mg daily discharge medications: 1. metoprolol tartrate 25 mg tablet : 1.5 tablets po tid (3 times a day): please hold for sbp<100 or hr<60. 2. bisacodyl 10 mg suppository : one (1) suppository rectal hs (at bedtime) as needed for constipation. 3. omeprazole 20 mg capsule, delayed release(e.c.) : one (1) capsule, delayed release(e.c.) po bid (2 times a day). 4. glycopyrrolate 1 mg tablet : 1.5 tablets po qid (4 times a day) as needed for increased respiratory secretions. 5. levothyroxine 175 mcg tablet : tablet po once a day: through g-tube. 6. montelukast 10 mg tablet : one (1) tablet po once a day: through g-tube. tablet(s) 7. carbamazepine 100 mg/5 ml suspension : fifteen (15) ml po three times a day: please check levels daily. 8. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler : six (6) puffs inhalation every four (4) hours as needed for shortness of breath or wheezing. 9. acetaminophen 650 mg suppository : one (1) suppository rectal every six (6) hours as needed for fever or pain. 10. colace 60 mg/15 ml syrup : twenty five (25) ml po twice a day as needed for constipation. 11. ipratropium bromide 0.02 % solution : one (1) nebulizer inhalation every eight (8) hours. 12. budesonide 0.5 mg/2 ml suspension for nebulization : one (1) nebulizer inhalation twice a day. 13. provera 10 mg tablet : one (1) tablet po once a day for 14 days: through g-tube (14 days each month starting on the 15th of each month). 14. prempro 0.625-2.5 mg tablet : one (1) tablet po once a day: through g-tube. 15. regular insulin sliding scale fingerstick qachs insulin sc sliding scale glucose-->insulin dose 0-70mg/dl-->proceed with hypoglycemia protocol 71-100mg/dl-->0 units 101-150mg/dl-->2 units 151-200mg/dl-->4 units 201-250mg/dl-->6 units 251-300mg/dl-->8 units 301-350mg/dl-->10 units 351-400mg/dl-->12 units > 401mg/dl notify m.d. discharge disposition: extended care facility: at discharge diagnosis: post-operative ileus discharge condition: stable, tolerating tube feeds & ostomy functional discharge instructions: dishcharge instructions: please call your doctor or nurse practitioner or return to the emergency department for any of the following: *you experience new chest pain, pressure, squeezing or tightness. *new or worsening cough, shortness of breath, or wheeze. *if you are vomiting and cannot keep down fluids or your medications. *you are getting dehydrated due to continued vomiting, diarrhea, or other reasons. signs of dehydration include dry mouth, rapid heartbeat, or feeling dizzy or faint when standing. *you see blood or dark/black material when you vomit or have a bowel movement. *you experience burning when you urinate, have blood in your urine, or experience a discharge. *you have shaking chills, or fever greater than 101.5 degrees fahrenheit or 38 degrees celsius. *any change in your symptoms, or any new symptoms that concern you. please resume all regular home medications , unless specifically advised not to take a particular medication. also, please take any new medications as prescribed. incision care: *please call your doctor or nurse practitioner if you have increased pain, swelling, redness, or drainage from the incision site. *you may shower, and wash surgical incisions with a mild soap and warm water. gently pat the area dry. *if you have steri-strips, they will fall off on their own. please remove any remaining strips 7-10 days after surgery. followup instructions: please call ( to schedule a follow-up appointment in the acute care surgery clinic in weeks. procedure: enteral infusion of concentrated nutritional substances diagnoses: esophageal reflux epilepsy, unspecified, without mention of intractable epilepsy other diseases of lung, not elsewhere classified encephalopathy, unspecified other disorders of neurohypophysis unspecified intestinal obstruction gastrostomy status tracheostomy status infantile cerebral palsy, unspecified unspecified intellectual disabilities 

Answer: The patient is high likely exposed to