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: right sdh major surgical or invasive procedure: right craniotomy history of present illness: 58ym with htn and etoh who was found down today by family around 4pm. the family is unclear of the fall history/pattern. there was a questionable fall three days ago that the patient did not comment on to the family. today, the daughter found the patient down on carpet. the patient was arousable but felt weak. he was taken by ambulance to osh with a gcs of 14. the patient then developed mental status changes and projectile vomiting. the patient was then intubated and transfered via life flight to ed. ct at osh showed large right sdh with 8mm midline shift, ?uncal herniation. upon arrival, patient had a gcs of 3 and was hypotensive to 88/71. vecuronium was given prior to life flight, so physical exam was limited in the ed. past medical history: htn, gerd, etoh, ^lipid social history: +etoh family history: nc physical exam: physical exam: t: bp: 98/71 hr: r o2sats gen: wd/wn, comfortable, nad heent: pupils: perrl 2mm-->1mm; right eye ecchymosis, large right posterior contusion neck: in collar --> cspine cleared by discharge lungs: cta bilaterally. cardiac: rrr. s1/s2. abd: soft extrem: warm and well-perfused. neuro: (1-1.5 hours after vecuronium given) mental status: intubated and sedated unarousable. --> extubated and alert by d/c cranial nerves: i: not tested ii: pupils equally round and reactive to light, to 1 mm bilaterally. iii-xii - unable to assess --> by discharge cn ii-xii intact bilaterally and equal corneal reflex, cough reflex all negative --> by d/c all + no withdrawal to noxious stimuli, no localization of pain on discharge, motor and sensation all intact/ pt oriented however walking in with bottom exposed / behavior not always appropriate. / speech clear / no drift. response appropriate but slow. pertinent results: cth 1. large acute right convexity and parafalcine subdural hematoma with effacement of the subjacent sulci and leftward shift of midline structures, subfalcine and impending uncal herniation, as described. 2. probable small left parieto-occipital contusion. 3. no skull fracture. 4. probable underlying sinonasal polyposis cth 1. interval improvement to postoperative pneumocephalus and radiographic evolution of previously identified subarachnoid hemorrhage, intraparenchymal hemorrhage, and residual right-sided subdural hemorrhage. overall amount of right-sided extraaxial fluid is likely not significantly changed. 2. stable mass effect on the right lateral ventricle with resolution of previously noted leftward subfalcine herniation. please note mri is more sensitive for evaluation of acute ischemia. 04:04pm glucose-96 urea n-47* creat-2.1* sodium-148* potassium-3.7 chloride-106 total co2-29 anion gap-17 04:04pm alt(sgpt)-53* ast(sgot)-159* ld(ldh)-580* alk phos-75 amylase-42 tot bili-0.5 04:04pm lipase-29 04:04pm albumin-3.1* calcium-9.2 phosphate-5.0*# magnesium-2.0 04:04pm wbc-11.3* rbc-3.69* hgb-12.6* hct-35.4* mcv-96 mch-34.1* mchc-35.5* rdw-14.2 04:04pm plt count-111* 04:04pm pt-12.3 ptt-21.7* inr(pt)-1.0 brief hospital course: the patient was admitted to neurosurgery s/p right craniotomy for evacuation of right subdural hematoma. the patient tolerated the procedure well with an ebl of 250. for further detail of the procedure please refer to the operative note. the patient was transfered post operatively to the tsicu as per protocol. the patient was placed on a ciwa scale secondary to his history of alcohol use. patient was extubated pod#1 without complication and was transfered out of the icu on pod#2. physical therapy and occupational therapy were consulted and the decision was made to discharge the patient to rehab. the remainder of the hospital course was uncomplicated, and the patient was discharged with an intact neurologic exam. upon discharge to rehab, the patient was afebrile with all vitals stable, tolerating po feeds, ambulating with assistance, and with pain controlled on po pain medication. also of note, toxicology was consulted secondary to his exposure as a metal industry worker and low platelets. labs drawn were still pending as of discharge and will require follow up. medications on admission: lexapro 20', hctz 25', atenolol 100', lipitor 80', prilosec 20', clonazepam 0.5" discharge medications: 1. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 2. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. hexavitamin tablet sig: one (1) cap po daily (daily). 9. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 10. lorazepam 0.5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 11. oxycodone 5 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed. 12. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed. 13. lactulose 10 gram/15 ml syrup sig: thirty (30) ml po tid (3 times a day): hold for loose stool. 14. escitalopram 10 mg tablet sig: two (2) tablet po daily (daily). 15. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). 16. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 17. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 18. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 19. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 20. levetiracetam 500 mg tablet sig: two (2) tablet po bid (2 times a day): please start on . 21. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 doses. 22. phenytoin sodium extended 100 mg capsule sig: two (2) capsule po bid (2 times a day): d/c after last dose 11/28. 23. lorazepam 1-2 mg iv q2-4h:prn anxiety for ciwa > 10 discharge disposition: extended care facility: for the aged - macu discharge diagnosis: right subdural hematoma possible heavy metal poison acute thrombocytopenia, resolved without intervention discharge condition: stable discharge instructions: discharge instructions for craniotomy/head injury ??????have a family member check your incision daily for signs of infection ??????take your pain medicine as prescribed ??????exercise should be limited to walking; no lifting, straining, excessive bending ??????you may wash your hair only after sutures and/or staples have been removed ??????you may shower before this time with assistance and use of a shower cap ??????increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ??????unless directed by your doctor, do not take any anti-inflammatory medicines such as motrin, aspirin, advil, ibuprofen etc. ??????if you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ??????clearance to drive and return to work will be addressed at your post-operative office visit call your surgeon immediately if you experience any of the following: ??????new onset of tremors or seizures ??????any confusion or change in mental status ??????any numbness, tingling, weakness in your extremities ??????pain or headache that is continually increasing or not relieved by pain medication ??????any signs of infection at the wound site: redness, swelling, tenderness, drainage ??????fever greater than or equal to 101?????? f followup instructions: please return to the office in 7 days for removal of your staples/sutures - you may have them removed at rehab - they should be removed no later than . please call to schedule an appointment with dr. to be seen in 4 weeks you will need a cat scan of the brain at that time. you should see your primary care physician as soon as possible to discuss your admission / heavy metal follow up (toxicology)/ liver function test and platelet count / use of alcohol. you should follow up with hospital dept of occupational health procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours incision of cerebral meninges diagnoses: thrombocytopenia, unspecified esophageal reflux tobacco use disorder unspecified essential hypertension alcohol abuse, unspecified compression of brain other and unspecified hyperlipidemia other specified hypotension home accidents contusion of face, scalp, and neck except eye(s) other fall cerebellar or brain stem contusion without mention of open intracranial wound, unspecified state of consciousness 

Answer: The patient is high likely exposed to