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: reglan / imitrex / morphine attending: chief complaint: hanging attempt major surgical or invasive procedure: none history of present illness: patient is a 44yof with a history of depression, anxiety, previous suicide attempts, chronic pancreatitis with g tube placement due to cftr gene, migraines, pain disorder on chronic opiates who is transferred to the micu for further management of her airway s/p hanging attempt. . she was initially admitted to deac4 from the ed on due to suicidal ideation in the context of a chronic pancreatitis flare. she was recently admitted to deac4 for similar complaints . since then, plans were in place for opiate detox with plans to transition from methadone to . . per psychiatry note: patient today had requested more seroquel but was found sedated by nursing and was told that it was not possible at this time. approximately 5-6 minutes later, patient was found hanging from the top of her bathroom door using a bed sheet to hang herself. she was elevated above ground and was unresponsive when initially found. her j tube was found on the floor. she was initially poorly responsive, but breathing and responsive to pain. pt's initial vitals were hr 110 bp 144/70 rr 16, spo2 was 100% on ra. fsg 127. she demonstrated fasciculations of the toungue and jaw, later the extremities. io placed by code team after failed piv though poor draws and pain elicited upon use. upon transfer to micu, patient guarding her airway and screaming. . upon arrival to the micu, her inital vs were t95.2 axillary, p95, bp 147/72, rr18, sat 100nrb. she was awake and screaming in response to manipulation of her io line. she noted abdominal pain, though felt no difficulty breathing and she was moving adeqaute air on physical exam. her i/o was d/c'd due to malfunction. . of note, she was recently admitted to the medical floor and again attempted to hang herself from a bedsheet noose due to inadequate pain control. . review of systems could not be elicited due to lack of patient cooperation. past medical history: -chronic pancreatitis - diagnosed in . she is s/p j-tube placement in for poor nutrition. she is s/p dozens admissions for abdominal pain. - left upper extremity dvt in - left axillary and proximal brachial vein thrombus on u/s from ; and also new found clot in right ij thought to be old - migraine headaches - prior cardiomyopathy: ef 30% which improved to 50% in - iron deficiency anemia - h/o gnr bacteremia and multiple line infections, most recent bacteremia felt to be dental caries - vitamin d deficiency . past surgical history: jtube replaced l picc in midline position placed h/o r picc s/p cholecystectomy s/p hysterectomy s/p endometriosis in s/p bilateral lumpectomies with benign pathology s/p tonsillectomy in 's . past psychiatric history: -diagnoses: depression, pain disorder with both a general medical condition and psychological factors, anxiety. first had depression around age 18. -prior hospitalizations: four hospitalizations on 4 since . no other psychiatric hospitalizations. -history of assaultive behaviors: denies -history of suicide attempts or self-injurious behavior: yes, attempted hanging on medical floor as per hpi. per dr. note of , reported 1 prior admission and 1 suicide attempt using family car in garage. -prior med trials: at 18, treated with fluoxetine which caused "anxiety and feeling disorganized." recently, has had trials of wellbutrin and zoloft. -therapist: -psychiatrist: dr. ( maintenance prescriber who is also a psychopharmacologist) social history: - the patient lives in with her female partner () and their son , who is biological son. - partner helps with adls. - adopted at age 5. - recalls early mistreatment prior to adoption. was adopted along with older half-sister. one older brother, biological child of adoptive family. completed college at , worked in accounting for a while, then left to do bartending and working at . liked job at but left after son's birth due to her medical issues. family history: adopted. aware that biological mother and father are heterozygous for cftr gene mutation. mother had breast cancer and ovarian in 30s. physical exam: physical exam on arrival to micu vitals: t95.2 axillary, p95, bp 147/72, rr18, sat 100nrb general: alert, no acute distress heent: sclera anicteric, mmm, oropharynx clear, erythematous skin around neck, no stridor, hard collar in place. neck: supple, jvp not elevated, no lad lungs: clear to auscultation anteriorly, no wheezes, rales, ronchi cv: tachycardic rate and normal rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: g tube site mildly eerythematous, pain on palpation of abdomen, normal bs gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: - supine abdomen x-ray preliminary report !! wet read !! little contrast injected, reportedly due to high resistance rn. faint opacification of sb loops in luq, compatible with jejunal location. - cervical spine ct without intravenous contrast there is no evidence of fracture, malalignment, or prevertebral soft tissue swelling. the lateral masses of c1 are symmetric about the dens. minimal osteophyte formation is superior to the anterior arch of c1, and appears similar compared to prior examination from . otherwise, normal cervical lordosis is preserved. disc space height is normal without evidence of significant endplate degenerative change. the visualized outline of the thecal sac is within normal limits without critical canal stenosis. the thyroid gland appears homogeneous without focal nodule. the imaged lung apices are clear. impression: no acute fracture, malalignment or prevertebral soft tissue swelling. note added at attending review: they thyroid gland demonstrates an apparent nodule in the left lobe. this was obscured by artifact on the prior study, but allowing for this, it appears unchanged. - ct head without contrast evaluation of the skull base is limited due to patient motion. however, there is no evidence of hemorrhage, mass, mass effect, or infarction. the ventricles and sulci are normal in morphology and configuration. -white matter differentiation is grossly preserved throughout. there is no evidence of fracture. the visualized paranasal sinuses and mastoid air cells appear well aerated. impression: no acute intracranial process. - abdomen, supine and left lateral decubitus - gas pattern is unremarkable. there is no evidence of free air. soft tissues are normal. brief hospital course: ms. is a 44yof with depression, anxiety, pain syndrome, polysubstance abuse, chronci pancreatitis with j tube who was transferred from deac4 where she was hosptialized for si to micu7 for further airway management after an attempted hanging. 1. attempted hanging: patient with attempted hanging on deac4 with 3-5 minutes of suspension by the cervical spine. at no point has she demonstrated signs of airway compromise including hypoxia/desaturation, stridor, secretion pooling, coughing, cyanosis. her examination revealed excellent air movement and her robust voice was reassuring. she was not intubate. she remained npo with serial examinations. ct head and neck were done and ruled out soft and bony tissue trauma. her diet was liberalized when imaging showed no airway edema, and she resumed all po meds. she retained a 1:1 sitter while in icu. lab was difficult to obtain given poor access. she was cleared medically to go to psychiatry. 2. j-tube removal: patient with abdominal pain related to her self-d/c of j tube. per patient and hcp, no desire to continue j tube, and she could not cooperate with initial replacement attempt due to pain. j tube was replaced on with good positioning but difficulty with flushing given the kink and despite use of soda to declog it. it was replaced again on by surgery, and the j tube study showed that it was normal. however there was difficulty with flushing tube so surgery replaced on . patient will need a j tube study in order to confirm placement. in order to order the study, poe should be accessed. under the "radiology" tab, click on "general xray." in that tab, in the "other exam:" enter "g" and click on "g/gj/gi tube check." in addition, the j tube should be flushed after each feed. 3. polysubstance abuse/opiate dependence: gave iv methadone then po when cleared for oral intake. prn dilaudid given for breakthrough pain. 4. chronic pancreatitis: currently without appetite, restarted pancrelipase when taking po diet 5. acute agitation: patient was acutely agitated around the time of coding and unit transfer though calmed down thereafter. received a dose of haldol 2.5mg iv for anxiety/agitation, but was later able to take po meds. initially had planned to limit benzos per psych recommendation, though after speaking with patient's hcp, planned to generally keep patient comfortable in unit. 6. depression: patient with complex depression on aggressive psychiatric regimen including buspar, seroquel, amitryptiline, and clonidine. 7. transaminitis: chronic in nature. medications on admission: acetaminophen mg po/ng q8h:prn pain/headache/fever not to exceed 4g/day of tylenol amitriptyline 50 mg po/ng hs acetaminophen-caff-butalbital tab po q12h:prn headache not to exceed 4 g of acetaminophen per day buspirone 20 mg po tid clonidine 0.1 mg po bid start: in am ferrous sulfate 325 mg po/ng tid gabapentin 400 mg po/ng tid ibuprofen 600 mg po q6h:prn pain lisinopril 10 mg po/ng daily start: in am lorazepam 1 mg po/ng q12h:prn severe anxiety methadone 10 mg po/ng qid hold for oversedation metoprolol succinate xl 25 mg po daily mirtazapine 30 mg po/ng hs pantoprazole 40 mg po q24h start: in am pancrelipase 5000 2 cap po qidwmhs promethazine 25 mg po/ng q4h:prn nausea promethazine 25 mg im q8h:prn nausea quetiapine fumarate 100 mg po tid:prn agitation sertraline 50 mg po/ng tizanidine 8 mg po/ng hs:prn pain tizanidine 2 mg po/ng qam:prn pain start: in am tramadol (ultram) 25 mg po q12h:prn pain zolpidem tartrate 5 mg po hs:prn insomnia repeat x 1 allergies: imitrex, morphine, prochlorperazine, reglan discharge medications: 1. amitriptyline 50 mg tablet sig: one (1) tablet po hs (at bedtime). 2. buspirone 10 mg tablet sig: two (2) tablet po tid (3 times a day). 3. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). 4. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po tid (3 times a day). 5. gabapentin 400 mg capsule sig: one (1) capsule po tid (3 times a day). 6. lisinopril 5 mg tablet sig: two (2) tablet po daily (daily). 7. methadone 10 mg tablet sig: one (1) tablet po qid (4 times a day). 8. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 9. lipase-protease-amylase 5,000-17,000 -27,000 unit capsule, delayed release(e.c.) sig: two (2) cap po qidwmhs (4 times a day (with meals and at bedtime)). 10. sertraline 50 mg tablet sig: one (1) tablet po bid (2 times a day). 11. mirtazapine 15 mg tablet sig: two (2) tablet po hs (at bedtime). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. butalbital-acetaminophen-caff 50-325-40 mg tablet sig: tablets po q4h (every 4 hours) as needed for headache. 14. zolpidem 5 mg tablet sig: 1-2 tablets po hs (at bedtime) as needed for insomnia. discharge disposition: extended care facility: (genesis) tcu - (west contact) discharge diagnosis: severe depression discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted because you were attempt to hurt yourself. you were in the icu for close observation. you were observed and were found ready to go back to the psychiatry unit. while you were in the medical unit, we had surgery see you see in order to replace your j tube. it was replaced and is working well. no changes were made to your medications. followup instructions: please be sure to keep the following appointments: department: pain management center when: tuesday at 10:20 am with: , md building: one place (, ma) campus: off campus best parking: parking on site md procedure: percutaneous (endoscopic) jejunostomy [pej] percutaneous (endoscopic) jejunostomy [pej] percutaneous (endoscopic) jejunostomy [pej] diagnoses: other chronic pain unspecified protein-calorie malnutrition opioid type dependence, unspecified iron deficiency anemia, unspecified chronic pancreatitis other and unspecified coagulation defects mechanical complication of colostomy and enterostomy migraine, unspecified, without mention of intractable migraine without mention of status migrainosus major depressive affective disorder, recurrent episode, severe, specified as with psychotic behavior suicidal ideation suicide and self-inflicted injury by hanging unspecified problem with head, neck, or trunk 

Answer: The patient is high likely exposed to