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: demerol / doxycycline / morphine sulfate / cipro / iodine; iodine containing / epinephrine attending: chief complaint: s/p fall major surgical or invasive procedure: arterial line history of present illness: 77 y/o female who presents to ed after fall last night. patient unclear about details of fall as she cannot remember too much of the incidient but thinks it may have been after she took her klonopin medication. patient did bruise her hip and has multiple abrasions on lower extremities. she denies any chest pain or shortness of breath. in ed patient noted to have ekg changes (lateral st dep v4-v6, twi v2-v3) and elevated ck and troponin. cards called to evaluate in the ed and decided to hold off on heparin and cycle cardiac enzymes for now. patient also noted to have giuac positive brown stool in ed. . patient was recently d/c from from neurology service on for gait difficulty which was thought to be secondary to bppv vs cervical stenosis vs uti. bp in 90's->70's, responds to ivf boluses (rec'd total 4l ns in ed). admit to micu for monitoring past medical history: essential tremor htn gerd s/p ampullary adenoma removal, s/p cholecystectomy s/p appendectomy s/p hysterectomy s/p b/o oophorectomy nephrolithiasis (no stroke, seizure, cancer, or dm) social history: retired, used to work in customer service. not married, no children. h/o 40py smoking, quit 12y ago. drinks "2oz" vodka nightly. denies drug use. family history: father with lung ca, brother w/ ca, mother with arrhythmia and tremor physical exam: vitals- t 97.8, bp 78/46- 100/63, hr 70 nsr, rr 20, 96% ra gen: pleasant, no acute distress heent: membranes dry neck: no jvd lungs: clear to auscultation b/l cardiac: rrr. no m/r/g abdomen: soft, nt/nd. b/l hip echymoses ext: ant knee abrasions b/l. no c/c/e. cool le's w/ 1+ pulses dp b/l neuro: alert and oriented x 3. cnii-xii intact. motor fn intact b/l ue/le rect: trace guaiac + stool in ed pertinent results: admission labs: ============== 09:40pm wbc-9.8# rbc-4.67 hgb-13.6 hct-38.8 mcv-83 mch-29.2 09:40pm neuts-81.3* bands-0 lymphs-14.5* monos-4.0 eos-0.1 09:40pm calcium-9.0 phosphate-3.6 magnesium-2.1 09:40pm ck(cpk)-1099* 09:40pm glucose-111* urea n-22* creat-0.9 sodium-138 potassium-3.2* chloride-97 total co2-24 anion gap-20 09:48pm lactate-2.7* . cardiac enzymes: 09:40pm ctropnt-0.26* 09:40pm ck-mb-12* mb indx-1.1 06:45am ck-mb-8 ctropnt-0.15* 06:45am ck(cpk)-645* 09:32am ck-mb-9 ctropnt-0.12* 09:32am ck(cpk)-679* . 06:45am caltibc-164* vit b12-957* folate-5.7 ferritin-85 06:45am calcium-6.5* phosphate-2.5* magnesium-1.7 iron-22* 10:10am cortisol-23.9* 09:33am cortisol-45.9* 10:10am tsh-1.1 . micro: ===== urine cx: 10-100,000 enterococcus blood cx: no growth to date . studies: ======== ekg: nsr. twi v2-v3; v4-v6 st depressions . six views, bilateral hips: there is no fracture or abnormal alignment. the hip joints are preserved. the sacroiliac joints are intact. there are mild degenerative changes of the lower lumbar spine. clips are seen in the right lower quadrant. no fracture or dislocation. . cxr: no acute cardiopulmonary abnormality brief hospital course: 71 y/o female who presented to ed s/p fall with elevated cardiac enzymes . ## hypotension- initially with sbp in 70's-80's, asymptomatic, mentating well and with good urine output. admitted to the icu for hemodynamic monitoring. low blood pressure suspected secondary to volume depletion in setting of decreased po's and uti. her blood pressure medications were initially held and she was repleted with ns ivf hydration with good effect. she did not require pressor support. arterial line was placed for blood pressure monitoring and this revealed stable blood pressures in the 90's-100's after ivfs. in terms of other possible etiologies of her hypotension, stim was performed which showed normal adrenal reserve. blood cultures were sent and revealed no growth. urinalysis was positive ( wbc, mod bacteria) and she was treated with a 3 day course of bactrim. echo demonstrated no new wma, low ef or valvular dx, and her troponins subsequently trended down (see below). given her clinical stability she was transferred to the medicine floor on . . ## s/p fall- patient with baseline low blood pressure. also with history of gait disturbance in the past. patient most likely had pre-syncopal episode from orthostatic hypotension secondary to medications she takes such as klonopin, imipramine, propranolol in setting of uti. initially held these medications, and re-started prior to discharge. medication regimen kept the same after discussion with pcp who confirmed that these medications have been long-standing in etiology. the urinary tract infection was treated with bactrim as outlined above, and she was evaluated by physical therapy prior to discharge. . ## nstemi- suspected demand ischemia in setting of uti/hypotension. elevated troponin to 0.26 on admission. no associated chest pain. ekg with lateral st depressions. cardiology consulted in er, and recommended holding off on heparin. b-blocker also held given hypotension. cardiac enzymes cycled, and troponin trended down over next 24 hours. repeat ekg demonstrated normalization of st changes. echo performed and demonstrated no wall motion abnormalities and normal ef. recommend stress test to evaluate for underlying cad. medications on admission: 1. abilify oral 2. zyprexa oral 3. primidone 150 mg po hs 4. clonazepam 0.5 mg po daily 5. propranolol 10 mg po bid 6. imipramine hcl 100 mg po hs 7. thiamine hcl 100 mg po once a day. 8. colace 100 mg po twice a day. 9. senna 8.6 mg po twice a day. 10. dulcolax 5 mg prn discharge disposition: extended care facility: & rehab center - discharge diagnosis: hypotension, s/p fall discharge condition: stable discharge instructions: please follow up with your primary care provider in the next 2 weeks. please present to the hospital or call your primary care provider if you have fever/chills, shortness of breath or chest pain, headache or dizzyness. please take all of your medications as directed. please have an oupatient cardiac stress test. followup instructions: you have the following appointments: provider: , md phone: date/time: 11:30 provider: , .d. date/time: 2:50 provider: radiology phone: date/time: 11:30 md procedure: arterial catheterization diagnoses: subendocardial infarction, initial episode of care esophageal reflux urinary tract infection, site not specified unspecified essential hypertension abnormality of gait hypovolemia personal history of malignant neoplasm of other gastrointestinal tract syncope and collapse orthostatic hypotension 

Answer: The patient is high likely exposed to