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: cardiac arrest major surgical or invasive procedure: cpr endotracheal intubation and extubation cardiac catheterization history of present illness: ms. is a 63yo female with esrd on hd s/p vf arrest. she completed dialysis (1l off, 3.0k bath), tolerated ok, and was then found unresponsive. on arrival of ccu team, pt found ashen, pulseless, apneic, unresponsive. cpr initiated with good effect, lasted approximately 3 min. cpr prior to monitor leads being placed-> identified polymorphic vt/vf. shocked 200j-> cpr continued, pt intubated. given insulin 10u, d50. rhythm checked -> narrow complex brady, but still no pulse. cpr reinitiated, amp calcium given, epi, bicarb, and atropine prepared, but rhythm revealed sinus tach w/ good pulses. initial postcode blood pressure = 170/110, pt responsive and fighting tube attempting to pull out. transferred to ccu for further management (did not receive remaining code drugs). on arrival to ccu, pt requesting extubation, good ms, passed sbt 5/0. therefore extubated, but then became anxious, tachypneic, sats high 80s on nrb->99-100 on cpap nppv. subsequently, bp to 80s, and echo revealed new wma and depressed ef. therefore, pt taken to cath lab emergently. revealed no flow limiting disease, pcwp 21. post-cath continued to do well, initiated on cvvhd for slow fluid removal. past medical history: cad (s/p nstemi-> om1 stent in ) chf/volume overload amyloidosis smoldering myeloma schizotypal disorder major depressive d/o basal cell carcinoma hypothyroidism hypercholesterolemia esrd on hd hypertension social history: divorced with two sons. currently lives in with one of her sons. formerly worked as a teacher but currently lives off ss assistance. former smoker but quit 20yr ago. prior etoh abuse, denies current. denies illicits. family history: mother w/ cva, brother w/ cad, and another brother w/ ivdu. physical exam: upon arrival to ccu: temp: 98f hr 112 bp 166/89 rr 29 o2sat 100% intubated: ac 550/ rr 14/ peep 5/ fio2 1 gen: intubated and sedated heent: perrl, eomi, ett in place neck: jvp to thyroid cartilage chest: paradoxical sternal movement with inspiration. crackles at lateral bases cv: rrr harsh late peaking systolic murmur at rusb no radiation abd: soft, nt, nd, +bs ext: warm, 2+dp pulses neuro: intubated and sedated on vent. moving all 4 extremities symmetrically pertinent results: laboratory results: 11:00am blood wbc-7.7 rbc-3.29* hgb-10.0* hct-30.4* mcv-92 mch-30.5 mchc-33.0 rdw-17.2* plt ct-354 07:35am blood wbc-6.4 rbc-3.32* hgb-10.3* hct-31.1* mcv-94 mch-31.0 mchc-33.2 rdw-17.6* plt ct-394 07:35am blood pt-12.0 ptt-88.9* inr(pt)-1.0 07:35am blood glucose-104 urean-23* creat-7.6*# na-136 k-4.2 cl-97 hco3-27 angap-16 12:05am blood ck-mb-notdone ctropnt-0.34* 09:30am blood caltibc-164* ferritn-863* trf-126* 09:49am blood tsh-2.0 09:49am blood free t4-1.4 04:43pm blood pep-hypogammag b2micro-15.4* relevant imaging: cardiac catheterization (): 1. coronary angiography in this right dominant system demonstrated an lmca free of angiographically significant disease. the first diagonal branch had a 70% stenosis at its origin. the lcx system demonstrated a widely patent previously placed stent in om1; om2 had a 50% stenosis. the rca had a distal 40-50% lesion at the crux involving the rpda and rpl branches. 2. resting hemodynamics revealed normal systemic arterial pressures. there was moderate pulmonary artery hypertension and elevated right ventricular filling pressure. echo (): there is moderate symmetric lvh. the lv cavity is unusually small. there is mild to moderate global lv hypokinesis. the ascending aorta is mildly dilated. the av leaflets are severely thickened/deformed. as is estimated as severe although severity may be overestimated. the mv leaflets are mildly thickened. trivial mr is seen. the lv inflow pattern suggests impaired relaxation. compared with the prior study (images reviewed) of , there is no definite change. : cta chest/abd/pelvis: 1. no evidence of pulmonary embolism. 2. bilateral pleural effusion with bibasilar atelectasis. new confluent opacity in the right upper lobe, most likely representing atelectasis, however, pneumonia cannot be excluded. follow-up imaging to document resolution and exclude an underlying mass is advised brief hospital course: in brief, the patient is a 63 yo female with primary amyloidosis, esrd on hd, cad with stent placement in om in and fixed septal defects in the lateral segments, hypothyroidism, major depressive d/o, schizoaffect personality d/o, s/p vtach/v.fib arrest in hd on , pea, and then returned to nsr but with persistent hypotension and oxygen requirement. hypotension resolved with re-hydration and initiation of midodrine. 1. cv. -coronary artery disease: the patient has a history of cad with stent placement in om1 in and fixed septal defects in the lateral segments. repeat catheterization following the cardiac arrest revealed patent vessels with stable coronary disease. repeated ekgs showed no ischemic changes. she continued to receive aspirin and plavix daily. throughout her hospitalization she c/o persistent cp which was likely due to chest compressions, not ischemia related. no bb or ace-i was initially started due to tenuous blood pressure post hd sessions. her bp was supported w/midodrine. as her bp improved she was started placed on lopressor 12.5mg which she was able to tolerate. the midodrine was stopped since her blood pressure stabilized and free care was not able to cover this at time of discharge. -rhythm: the patient presented with a vf arrest in the setting of hemodialysis. the likely cause for the arrest was multifactorial including: dehydration exacerbated by severe aortic stenosis, electrolyte shifts associated with hemodialysis, and qt prolongation secondary to anti-psychotics. she was evaluated by the ep service and it was concluded that her given her overall co-morbidities particularly the amyloidosis that had been found in both bone marrow and kidney would likely limit any benefit an icd placement could offer. furthermore, as she would be treated with myelosuppressive therapy for the amyloidosis/smoldering myeloma, the risk of infection and needed to explant the device also made device placement not indicated. she was started on amiodarone as vf suppressive therapy. -pump: the patient has a diminished ef following the cardiac arrest. the ef mildly improved when repeated during the hospital stay. her severe aortic stenosis with av area 0.8cm2 limited her cardiac output. however, given her active co-morbidities she was not considered a surgical candidate. also, the valve area was already at the estimated post-balloon valvuloplasty diameter so pursuing this procedure would offer no benefit. to optimize her blood pressure, her pre-load was increased with re-hydration and she was started temporarily placed on midodrine both of which acheived a good result. 2. respiratory failure: the patient was initially intubated during the cardiac arrest and was successfully extubation. she did have a persistent oxygen requirement that was thought to be multifactorial including: pulmonary contusion, pulmonary edema, aspiration pneumonia during the arrest, and splinting from the sternal trauma of cpr. she was maintained with cvvh and hd near her outpatient dry weight. she was treated for 10 days with antibiotics for the aspiration pneumonia with flagyl and ceftriaxone last day of abx . supplemental oxygen was provided and weaned as tolerated. 3. schizoaffective disorder and depression: she has a history of schizoaffective disorder and depression. she had been on paxil and zyprexa prior to admission. these medications were discontinued following the arrest as there was concern for qt prolongation and she was not showing signs of psychosis. she remained persistently anxious and depressed given her poor prognosis. she was restarted on prozac and standing ativan. social work was very involved in her care. hospice care was consulted to help with goals of care and transition to home w/hospice care given poor prognosis. 4. esrd: the patient has end-stage renal disease secondary to amyloid nephropathy. she had her cardiac arrest during the hd session as described above. while she was hypotensive she was maintained with cvvhd in the ccu and transitioned back to tradition hd. she was started on midodrine as above which was stopped since free care does not cover this mediation. her blood pressure remains stable. 5. ? multiple myeloma versus amyloid: the patient has a relatively new diagnosis of amyloidosis and smoldering myeloma. she has had prior chemotherapy with melphalan and steroids during a prior hospitalization however she did not follow-up with her therapy. the hematology consult service recommended resuming therapy assuming that proper steady adherance to treatment could be assured. however, given pt's difficulty to comply w/appointments and treatment (she failed to keep her outpatient heme appointments as well as a few hd sessions prior to this admission)heme was reluctant to initiate chemotherapy. given pt's overall poor prognosis and advanced involvement of kidneys/heart, and lack of insight to comply w/treatment discussions w/the pt and attendings on service were had to address goals of care. she was made dnr/dni and will be discharged to home with hospice services. medications on admission: ccu meds: heparin 5000 unit sc tid levothyroxine sodium 75 mcg po daily aspirin 325 mg po daily lorazepam 0.25-0.5 mg po q6h:prn anxiety atorvastatin 80 mg po daily morphine sulfate 1-2 mg iv q2h:prn calcium carbonate 500 mg po tid oxycodone-acetaminophen tab po q4-6h:prn clopidogrel bisulfate 75 mg po daily docusate sodium 100 mg po bid ezetimibe 10 mg po daily senna 1 tab po bid:prn discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*3* 3. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*3* 4. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*3* 5. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*3* 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 7. acetaminophen 500 mg tablet sig: two (2) tablet po tid (3 times a day). 8. midodrine 5 mg tablet sig: two (2) tablet po 3x/week (mo,we,fr): please take on days of hemodialysis only. disp:*180 tablet(s)* refills:*2* 9. oxycodone 5 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 10. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical qd () as needed for pain. disp:*30 adhesive patch, medicated(s)* refills:*1* 13. diazepam 5 mg tablet sig: 0.5 tablet po bid (2 times a day) as needed for anxiety. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: 1)amyloidosis 2)esrd on hd 3)s/p vf arrast 4)severe aortic stenosis 5)schizoaffective personality d/o 6)depression 7)anxiety 8)cad 9)hyperlipidemia 10)hypothyroidism discharge condition: stable discharge instructions: 1)please continue to take all your medications as directed. 2)please attend all appointments scheduled for you below. 3)you will continue to undergo dialysis once you are discharged here at . your next dialysis will be wednesday, at 11:30 on floor 7 of the building. 4)if you notice increasing chest pain, nausea, vomiting, fevers, lightheadedness or other worisome symptoms call your physician or go to the emergency room. followup instructions: provider: , md phone: date/time: 2:00 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube hemodialysis other electric countershock of heart non-invasive mechanical ventilation cardiopulmonary resuscitation, not otherwise specified diagnoses: anemia in chronic kidney disease end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified acquired hypothyroidism cardiac complications, not elsewhere classified aortic valve disorders percutaneous transluminal coronary angioplasty status pneumonitis due to inhalation of food or vomitus cardiac arrest cardiogenic shock ventricular fibrillation subendocardial infarction, subsequent episode of care other amyloidosis schizotypal personality disorder 

Answer: The patient is high likely exposed to