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: vaginal bleeding, abdominal pain major surgical or invasive procedure: intubation mechanical ventilation history of present illness: this is a 51-year-old woman with a history of schizophrenia, lead poisoning, mental retardation, and type 2 diabetes who presented to the emergency room on from her group home with abdominal pain and vaginal bleeding. per report she had noted abdominal pain and was found to have blood on her sheets and in the bathroom from the ngiht prior to admission. the patient's last menstrual period was in the begining of . on arrival in ed her initial vitals were t 97.1, hr 125, bp 144/73, rr 18, 100%ra. she was trace guaiac positive on rectal exam but her abdominal exam was benign. she was noted to have wheezing on lung exam and received nebulizers and methylprednisolone 125 mg iv x 1. in this setting she became agitated and resisted nebulizer treatment. she was unable to undergo initial ct scan secondary to agitation and subsequently dropped her oxygen saturations to the 80s on room air which improved to the 90s on a non-rebreather. she received 1 mg lorazepam and 2 mg haloperidol with no improvement in her agitation and was subsequently intubated for airway protection. initial abg post-inbuation was 7.14/67/383 which improved with sedation to 7.29/51/187. she underwent ct torso which reavaled a possible rul pneumonia and a 3.7 cm adenexal cyst. urine hcg was negative. she received a total of 3l ivf. she was subsequently admitted to the micu. while in the micu she underwent pelvic which showed a 2.8 cm simple left ovarian cyst and trace endometrial fluid. she was started on ceftriaxone and azithromycin for community acquired pneumonia. she was quickly extubated without difficulty although she has had persistent tachypnea and tachycardia without evidence of respiratory distress. she was noted to have persistent vaginal bleeding which was felt to be likely secondary to menstruation. she is being transferred to the floor for further management. currently she has no complaints. she denies fevers, chills, night sweats. no chest pain or difficulty breathing. no palpitations. no nausea, vomiting, abdominal pain. no diarrhea or constipation. no melena or hematochezia. she does endorse vaginal bleeding. she denies having regular periods and the bleeding is intermittent. no other vaginal discharge. no dysuria or hematuria. no leg pain or swelling. she denies visual or auditory hallucinations. all other review of systems is negative in detail. past medical history: type ii diabetes hypertension lead poison schizophrenia anxiety mild mental retardation hepatitis c social history: lives at group home. currently smokes pack per day. has not been drinking alcohol for many years. she denies a history of ivdu. family history: her sister has schizophrenia. she has no known family history of malignancy. physical exam: admission physical exam: vs: 97.0, hr 88, bp 113/76, rr 12, 99% intubated gen: middle-aged african-american woman intubated, looking uncomfortable, responding to commands skin: no rashes or skin changes noted heent: no jvd, neck supple chest: lungs are clear from anterior, no wheezing cardiac: regular rhythm; no murmurs, rubs, or gallops abdomen: no apparent scars. non-distended, and soft without tenderness extremities: no peripheral edema, warm without cyanosis neurologic: responding to commands discharge physical exam: vitals: t: 99.2 bp: 114/51 p: 116 r: 21 o2: 92% on ra general: alert, oriented to person, , not date, no acute distress heent: sclera anicteric, mmm, poor dentition, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pelvic: blood coming from vaginal area rectal: trace guaiac negative in er . pertinent results: hematology: 01:45am wbc-5.4 rbc-4.83 hgb-11.6* hct-38.3 mcv-79* mch-24.0* mchc-30.3* rdw-16.2* 01:45am neuts-28.4* lymphs-44.4* monos-5.0 eos-21.8* basos-0.4 01:45am plt count-107* 08:05am blood wbc-3.9* rbc-4.09* hgb-10.4* hct-32.6* mcv-80* mch-25.5* mchc-32.0 rdw-16.8* plt ct-134* chemistries: 01:45am blood glucose-146* urean-9 creat-0.8 na-138 k-3.7 cl-102 hco3-25 angap-15 01:45am blood alt-11 ast-45* ld(ldh)-165 alkphos-95 totbili-0.3 08:05am blood glucose-158* urean-8 creat-0.7 na-135 k-4.5 cl-101 hco3-29 angap-10 08:05am blood calcium-9.1 phos-3.8 mg-2.0 05:31pm blood ck-mb-7 ctropnt-<0.01 01:45am blood lipase-41 04:05am blood caltibc-455 ferritn-13 trf-350 imaging: cxr : the heart is normal in size. bilateral hilar adenopathy is longstanding. small areas of new opacification in the lingula and right base could be pneumonia, or lung involvement of presumed sarcoidosis. there is no pleural effusion or pneumothorax. ct chest/abdomen/pelvis : 1. right upper lobe pneumonia versus sequelae of the patient's known sarcoidosis. 2. 6.8 cm left adnexal hypodense structure for which pelvic evaluation is recommended. differential diagnosis includes large adnexal/ovarian cyst, although underlying hydrosalpinx is not excluded. multiple uterine fibroids and prominent endometrium which can also be evaluated on the recommended . 3. 6 mm right breast nodular density; recommend correlation with mammography. 4. trace amount of right lower quadrant free fluid of uncertain clinical significance. 5. no evidence of pulmonary embolism. pelvic : 1. 2.8 cm simple left ovarian cyst warrants followup to document resolution or improvement. 2. endometrial fluid, a component of which is likely hemorrhage. ekg : sinus tachycardia at 120, normal axis, normal intervals, no acute st segment changes, no priors for comparison. microbiology: urine culture : negative brief hospital course: assessment and plan: 51-year-old woman with history of schizophrenia, lead poisoning, type ii diabetes and hypertension who presented with abdominal pain and vaginal bleeding subsequently intubated for agitation. vaginal bleeding: pelvic notable for simple ovarian cyst and small amount endometrial bleeding. patient continues to have her menstrual periods regularly. per her case manager she had a pap smear and pelvic exam three weeks prior to this admission which was unremarkable per report. her hematocrit decreased from 38 on admission to 33 although this was in the setting of iv hydration. her hematocrit was subsequently stable. she had a pelvic which was notable for a simple ovarian cyst which will require a repeat pelvic in six weeks to confirm resolution. hypoxia/shortness of breath: patient was noted to have hypoxia in the setting of extreme agitation in the emergency and was intubated. she underwent cta which showed no evidence of pulmonary embolism but did show evidence of sarcoidosis and a possible pneumonia. she was treated initially with levofloxacin and will complete a course of azithromycin for community acquired pneumonia. she also was noted to have wheezing on exam and was given a short course of inhaled corticosteroids and bronchodilators. at the time of discharge she was breathing comfortably on room air. anemia: patient was noted to have a hematocrit on presentation in the high 30s which decreased to the low 30s with ivf. iron studies were consistent with iron deficiency. she was started on iron supplements. she should be referred for screening colonoscopy as an outpatient given her age. abdominal pain: patient presented with abdominal pain. on arrival the pain had resolved and her exam was benign. she had a ct of the abdomen and pelvis which showed an ovarian cyst but was otherwise negative. the ovarian cyst was confirmed by pelvic . she did not require pain medications. it was thought that her pain might be related to menstrual cramping. breast nodule: patient was noted to have a 6 mm breast nodule on ct scan. she is scheduled for mammogram as an outpatient at which time correlation should be made. type ii diabetes: her oral hypoglycemics were held given contrast load for ct. she was managed with an insulin sliding scale. her home medications were restarted on discharge. hypertension: she was continued on lisinopril 2.5 mg daily. schizophrenia/anxiety: she was continued on lamotrigine, fluphenazine, risperidone and ativan. mild thrombocytopenia: platelet count stable. attributed in the past to medications versus hepatitis c. prophylaxis: she received subcutaneous heparin for dvt prophylaxis. medications on admission: albuterol inh 1-2 puffs qid benztropine 1 mg qhs fluphenazine 30 mg qday glyburide 5 mg qday lamotrigine 75 mg lisinopril 2.5 mg qday lorazepam 2 mg qhs metformin 1000 mg risperidone 4 mg qday acetaminophen prn aspirin 325 mg qday discharge medications: 1. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: inhalation four times a day as needed for shortness of breath or wheezing. 2. combivent 18-103 mcg/actuation aerosol sig: ih inhalation four times a day as needed for shortness of breath or wheezing. disp:*1 inhaler* refills:*2* 3. fluphenazine hcl 10 mg tablet sig: three (3) tablet po daily (daily). 4. benztropine 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 5. glyburide 5 mg tablet sig: one (1) tablet po once a day. 6. lamotrigine 25 mg tablet sig: three (3) tablet po twice a day. 7. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. 8. lorazepam 1 mg tablet sig: two (2) tablet po hs (at bedtime). 9. metformin 1,000 mg tablet sig: one (1) tablet po twice a day: please restart this medication on sunday . 10. risperidone 2 mg tablet sig: two (2) tablet po hs (at bedtime). 11. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 12. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, fever. 13. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 14. advair diskus 250-50 mcg/dose disk with device sig: one (1) ih inhalation twice a day. disp:*1 ih* refills:*2* 15. azithromycin 250 mg tablet sig: one (1) tablet po once a day for 4 days. disp:*4 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: abdominal pain menstrual bleeding wheezing secondary: schizophrenia history of lead poisoning discharge condition: mental status:confused - sometimes level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were seen and admitted for your abdominal pain. you had an extensive workup which included a ct scan and pelvic which did not show a cause for your pain. you were diagnosed with pneumonia and started on antibiotics. you were diagnosed with a small ovarian cyst on pelvic . you will need a repeat in six weeks. please make sure that this is done by your primary care doctor. you were also noted to have a 6 mm right breast nodular density; recommend correlation with mammography which is scheduled for . please take all your medications as prescribed. the following changes were made to your medication regimen. 1. please take azithromycin 250 mg for four more days 2. please take advair 1 puffs two times a day 3. please take combivent 1-2 puffs every 6 hours as needed for wheezing 4. please hold your metformin until sunday 5. please take iron 325 mg daily please keep all your follow up appointments as scheduled. followup instructions: please keep the following appointments: provider: , md date/time: 10:50 provider: phone: date/time: 10:30 provider: , md phone: date/time: 11:30 provider: phone: date/time: 10:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: pneumonia, organism unspecified acidosis thrombocytopenia, unspecified tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) unspecified viral hepatitis c without hepatic coma unspecified schizophrenia, unspecified anxiety state, unspecified acute respiratory failure iron deficiency anemia, unspecified chronic obstructive asthma with (acute) exacerbation tachycardia, unspecified mild intellectual disabilities leiomyoma of uterus, unspecified other and unspecified ovarian cyst late effect of poisoning due to drug, medicinal or biological substance late effects of accidental poisoning other (abnormal) findings on radiological examination of breast person with feared complaint in whom no diagnosis was made 

Answer: The patient is high likely exposed to