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: gluten attending: chief complaint: altered mental status major surgical or invasive procedure: esophagogastroduodenoscopy history of present illness: 75 yo m with refractory hcc on cycle 1 of 5fu, hep b cirrhosis, tumor obstruction of left portal vein, partial obstruction on right followed by dr. for chemotherapy presents from home via ed. this morning he was found to be minimally responsive and had flecks of blood on the pillow noted by family the morning of admission. at he was intubated for airway protection in setting gcs 8, head ct was obtained and negative for acute bleed, he recieved 5l ivf. patient has hd stable and was guiac + from rectal vault with brown stool. on arrival to ed, he was hd stable, afebrile, intubated. labs repeated and notable hct 25, inr 1.7. stools were guiac positive stools, ng tube placed to suction red tinged gastric contents without lavage. he was noted to develop progressive abdominal distention. given h/o ruptured hepatoma in 04 with hemoperitoneum he was sent for ct ab/pelvis prior to trasfer to the floor which showed moderate ascites, no intraperitoneal bleed, atelectasis vs consolidation at lung bases and distended urinary bladder. it was also noted that his bp was trending down and he was started on prbcs, protonix iv, octreotide gtt, cipro. the liver/omed teams were made aware of the admission. at the time of transfer, vital signs: t97.5 bp 124/72 hr 76 rr 16 pox100% on ac. past medical history: -hepatocellular ca recently treated with sorafenib (stopped ), planning to try 5-fu/leucovorin vs. palliative care - he initially presented with a ruptured hepatoma in . he underwent surgical resection and has had for recurrent disease, radiofrequency ablation as well as trans arterial chemoembolization. he tolerated the tace poorly and has had subsequent progression of disease and is not a candidate for rfa or cyberknife therapy. -hepatitis b cirrhosis -h/o reptured hematoma -prostate ca social history: -(+) etoh/tobacco in past; not anymore -military (korean/) -lives with 2 supportive sisters and gf from family history: non-contributory physical exam: general - well-appearing man in nad, comfortable, appropriate heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear neck - supple, no thyromegaly, no jvd, no carotid bruits lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions lymph - no cervical, axillary, or inguinal lad neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, dtrs 2+ and symmetric, cerebellar exam intact, steady gait pertinent results: admission labs: 06:56pm ascites tot prot-0.6 06:56pm ascites wbc-470* rbc-85* polys-52* lymphs-6* monos-0 macrophag-42* 03:30pm hct-28.0* 10:15am po2-225* pco2-26* ph-7.46* total co2-19* base xs--2 comments-specimen t 09:20am comments-green top 09:20am glucose-113* lactate-2.9* 09:15am glucose-121* urea n-35* creat-1.0 sodium-126* potassium-4.0 chloride-97 total co2-20* anion gap-13 09:15am estgfr-using this 09:15am alt(sgpt)-22 ast(sgot)-36 ck(cpk)-35* alk phos-249* tot bili-3.4* 09:15am lipase-111* 09:15am ctropnt-<0.01 09:15am ck-mb-notdone 09:15am calcium-8.0* phosphate-3.2 magnesium-2.0 09:15am ammonia-86* 09:15am wbc-7.4 rbc-3.13* hgb-8.1* hct-25.3* mcv-81* mch-26.0* mchc-32.1 rdw-24.7* 09:15am neuts-85.0* lymphs-8.7* monos-5.6 eos-0.6 basos-0.1 09:15am plt count-168 09:15am pt-18.6* ptt-34.5 inr(pt)-1.7* . labs on discharge: 05:10am blood wbc-3.5* rbc-3.69* hgb-10.1* hct-30.9* mcv-84 mch-27.3 mchc-32.6 rdw-22.6* plt ct-80* 05:10am blood pt-18.6* ptt-64.1* inr(pt)-1.7* 05:10am blood glucose-91 urean-23* creat-0.6 na-132* k-4.3 cl-105 hco3-19* angap-12 05:35am blood alt-19 ast-38 alkphos-201* totbili-3.6* 05:10am blood calcium-8.5 phos-2.5* mg-2.0 . imaging: ct abd: impression: 1. moderate-to-large amount of ascites in the abdomen. no evidence of intraperitoneal or retroperitoneal bleeding. 2. markedly distended urinary bladder with foley catheter balloon within the urethra, repositioning required. 3. cirrhotic liver with hypoattenuating lesions consistent with hepatocellular carcinoma, and hyperattenuating foci consistent with prior chemoembolization. . ruq ultrasound: () impression: 1. moderate ascites, spot marked for bedside paracentesis. 2. doppler examination difficult given the abdominal ascites. nonocclusive thrombus in the main portal vein, with slow flow. hepatopetal flow in the left portal vein. right portal vein not seen. recommend repeat doppler examination following paracentesis. 3. cirrhotic liver, with limited evaluation for focal lesions. . ruq u/s (): impression: 1. moderate ascites is slightly decreased since . 2. no evidence of flow in the main and right portal veins, consistent with known thrombus, similar to . 3. cirrhotic liver with large infiltrative mass again seen. . . micro: 6:56 pm peritoneal fluid peritoneal fluid. gram stain (final ): 4+ (>10 per 1000x field): polymorphonuclear leukocytes. no microorganisms seen. this is a concentrated smear made by cytospin method, please refer to hematology for a quantitative white blood cell count.. fluid culture (preliminary): no growth. anaerobic culture (preliminary): no growth. . brief hospital course: in short, mr is a 75m with metastatic treatment-refractory hcc (dx ), course c/b ascites and portal vein thrombosis, who presented with altered mental status and concern for ugib, s/p intubation for airway protection, now improved to baseline. his hospital course is as follows: . # altered mental status: most likely hepatic encephalopathy. was given aggressive lactulose with marked improvement in his mental status. he was also diagnosed with sbp as a possible precipitant. ct head was unremarkable. he was extubated without complications. ruq ultrasound was negative for acute thrombosis. egd was negative for bleed. we continued his lactulose and ctx with good effect. aox3 on discharge. . # respiratory failure: intubated largely for airway protection. weaned quickly and extubated on . was stable in the micu and on the floor thereafter. . # sbp: diagnostic paracentesis on with close to 250 pmns. gram stain with pmns. given his clinical picture, pt treated with a 5-day ctx course as well as with albumin. . # metastatic hcc: s/p 5fu on . poor prognosis. discussed possible hospice, but pt did not feel ready to make the decision. plan was discussed with dr and dr . . # pancytopenia: likely the result of his chemotherapy. egd was negative for acute bleeding. . # urinary retention: urology was consulted for elevated bladder scan and difficult foley. they recommended keeping the foley catheter in place x2 weeks and to follow up as an outpatient. pt also developed low urine output, likely low flow from severe liver disease. since pt comfortable and cr 0.6, no intervention done. mild intermittent oozing at urethral meatus likely from foley trauma. . # full code # contact: (sister) (home), (cell) (brother) (home) (sister) (cell) medications on admission: spironolactone 25mg daily lactulose 15gm/15ml 1 tbsp daily omeprazole 20mg po daily prochlorperazine 10mg q6-8hrs prn nausea discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 2. lactulose 10 gram/15 ml syrup sig: fifteen (15) ml po tid (3 times a day): please titrate to bowel movements per day. disp:*1350 ml(s)* refills:*2* 3. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: discharge diagnosis: hepatic encephalopathy . metastatic hepatocellular carcinoma hepatitis b cirrhosis prostate cancer discharge condition: improved, mental status at baseline. there is some oozing/bleeding at the urethral meatus foley trauma; foley flushes without any obstruction or clot to suggest internal hemorrhage discharge instructions: you were admitted to the hospital with altered mental status likely from hepatic encephalopathy. please continue taking lactulose to have bowel movements a day. take more lactulose if you feel confused. . your medications changes are as follows: 1. continue your spironolactone 25mg daily 2. continue your lactulose 3. changed your prilosec to high-dose pantoprazole (40mg twice daily) . if you have any fevers, chills, chest pain, shortness of breath, abdominal pain or any other concerning symptoms, please call your physician. followup instructions: please call your primary care physician for followup upon your discharge: , . please follow up with urology in 2 weeks for voiding trial and psa check: dr () or dr (). . other appointments: provider: , rn phone: date/time: 11:00 provider: , rn phone: date/time: 11:00 provider: , rn phone: date/time: 11:00 md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours other endoscopy of small intestine percutaneous abdominal drainage insertion of indwelling urinary catheter other urethroscopy diagnoses: cirrhosis of liver without mention of alcohol hyposmolality and/or hyponatremia personal history of malignant neoplasm of prostate antineoplastic and immunosuppressive drugs causing adverse effects in therapeutic use retention of urine, unspecified bladder neck obstruction personal history of venous thrombosis and embolism other ascites malignant neoplasm of liver, primary esophageal varices in diseases classified elsewhere, without mention of bleeding other specified disorders of stomach and duodenum other alteration of consciousness volume depletion, unspecified spontaneous bacterial peritonitis chronic viral hepatitis b with hepatic coma without hepatitis delta other specified aplastic anemias 

Answer: The patient is high likely exposed to