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: acute pancreatitis major surgical or invasive procedure: none history of present illness: this is a 60 yo man with pmh of anoxic brain injury in during varicocele surgery with subsequent action myoclonus and seizure disorder (on depakote). he presented to the ed with epigastric pain and is found to have pancreatitis. his symptoms were associated with nausea and vomiting. his pain is severe and radiates throughout his abdomen. no fevers or chills. no diarrhea or constipation. no brbpr. no cp, sob, cough, or dysuria. past medical history: 1. htn 2. hypercholesterolemia 3. dm type ii 4. h/o anoxic brain injury s/p intraoperative mi in during varicocele surgery 5. depression, with h/o si and ~15 psych admissions in the past 6. anxiety and panic attacks 7. peripheral neuropathy 8. l5 radiculopathy on left with chronic lbp 9. gerd 10. action myoclonus (on klonapin and valproate) social history: from . graduated from . was a physical education teacher but can no longer work physical disability. divorced, lives alone, son living in state and daughter living in with his ex- wife. not smoked or had etoh since . has 2 pcas to assist with adls. family history: nc physical exam: 96.6, 91, 132/82, 13, 99% nrb gen: nad, appears comfortable and nontoxic, anicteric chest: decreased breaths sound at bases cv: rrr abd: moderately distended, tender in epigastric area, nonrigid, no guarding guaiac negative ext: warm and well perfused pertinent results: 04:15pm blood wbc-16.7*# rbc-4.86 hgb-14.6 hct-43.5 mcv-90 mch-30.1 mchc-33.6 rdw-13.8 plt ct-227 06:20pm blood wbc-10.3 rbc-3.00* hgb-9.3* hct-26.9* mcv-90 mch-31.1 mchc-34.7 rdw-14.3 plt ct-161 05:35am blood wbc-10.8 rbc-3.34* hgb-9.9* hct-29.9* mcv-90 mch-29.7 mchc-33.2 rdw-14.1 plt ct-177 03:15am blood glucose-294* urean-21* creat-1.0 na-140 k-7.2* cl-110* hco3-20* angap-17 05:35am blood glucose-143* urean-13 creat-0.5 na-137 k-3.4 cl-100 hco3-24 angap-16 04:15pm blood alt-60* ast-95* ld(ldh)-220 ck(cpk)-139 alkphos-89 amylase-4695* totbili-0.4 02:41am blood alt-97* ast-60* ld(ldh)-351* alkphos-64 amylase-415* totbili-0.8 05:35am blood alt-20 ast-28 ld(ldh)-344* alkphos-163* amylase-106* totbili-0.6 04:15pm blood lipase-* 03:24am blood lipase-816* 05:35am blood lipase-34 05:35am blood calcium-8.7 phos-4.1 mg-1.8 09:15am blood triglyc-163* 03:24am blood tsh-1.3 04:15pm blood valproa-93 04:15pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . us abd limit, single organ 6:43 pm impression: no evidence of cholelithiasis or acute cholecystitis. . ct abdomen w/contrast 4:27 pm impression: moderate amount of fluid and fat stranding surrounding the pancreas consistent with acute pancreatitis. no secondary complications of pancreatitis identified at this time. . chest (portable ap) 11:18 am impression: no newly appeared parenchymal opacities. . chest (portable ap) 4:05 am as compared to the previous examination, there is a minimal increase in density of the left perihilar lung areas. otherwise, the radiographic appearance is unchanged. the morphology and sequence of change could suggest increasing overhydration. . brief hospital course: this is a 60 year old male who was admitted with abdominal pain and found to have acute pancreatitis, etiology unclear. acute pancreatitis: he was admitted to the sicu and had a received aggessive fluid resuscitation. he was npo with a ngt. he was hypotensive and tachycardic. he received several fluid boluses secondary to hypovolemia and low urine output. his lft's, amylase, lipase trended down. his abdominal pain continued to lessen and distension improved. his diet was advanced along slowly and he was tolerating a regular diet and abdomen was soft. hypertension: he had some hypertension to the 170-180's. his lopressor dose was increased. once tolerating a diet, his home meds were restarted. fluid overload: after several days of aggressive fluid resuscitation, he required lasix iv to offload some fluid. he had mild chf and bilateral vascular markings on cxr. he had an appropriate response to the lasix. hyperglycemia: he was started on an insulin gtt for bs control. we were able to wean his to sq insulin based on a sliding scale. when he was tolerating a diet again, he was restarted on his home meds. respiratory: he required a face tent for humidified o2 and was receiving nebs prn. after good pulmonary hygeine, he was weaned off the o2. neurology: he has a history of anoxic brain injury and myoclonic jerks and was on his home depakote. in terms of the seizures, patient reports that he has seizures every 2 or 3 days, and his last one was 3 days ago. the seizures, per the patient, are characterized by loss of conciousness. per discussion with his sister the patient has shaking periods where he loses conciousness and has a postictal period, lasting 30 mins. in the icu, he seemed quite somulent, disorietned and agitate. neurology was consulted for the possibility of drug induced pancreatitis secondary to depakote as no other causes of pancreatitis have been identified. it seems that depakote as the etiology is a reasonable idea. he does not have any of the typical more common explanations such as hypertriglyceridemia, alchololism or gallstones. he has multiple reasons for his encepnahlopathy, most notably his significant co2 retention and narcotics. he was started on keppra for seizure coverage, as it is renally excreted, fairly well tolerated and a firstline for myoclonus. as he is quite sedated and in danger of further respiratory depression, we will give a somewhat muted loading dose and maintenance medications on admission: clonazepam 4 qam, 4 afternoon, 2 qhs, valproic acid 500 qam, 250 afternoon, 250 qhs, metformin 1000'', glipizide 5, asa 81, lisinopril 40, simvastatin 40, nifedipine 30, protonix 40 discharge medications: 1. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours. disp:*40 tablet(s)* refills:*0* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 5. levetiracetam 500 mg tablet sig: 2.5 tablets po bid (2 times a day) for 3 days: change to 1250mg po bid on 5/\23 and to 1500mg po bid on as recommended by neuro . disp:*15 tablet(s)* refills:*0* 6. levetiracetam 500 mg tablet sig: three (3) tablet po twice a day: start on . disp:*180 tablet(s)* refills:*2* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 8. nifedipine 30 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 9. metformin 1,000 mg tablet sig: one (1) tablet po bid (2 times a day). 10. glipizide 5 mg tablet sig: one (1) tablet po daily (daily). 11. clonazepam 2 mg tablet sig: two (2) tablet po bid (2 times a day): 4mg qam, 4mg at 1600 . 12. clonazepam 2 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 13. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: acute pancreatitis discharge condition: good discharge instructions: please call your doctor or return to the er for any of the following: * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. . * please resume all regular home medications and take any new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to increase activity daily * no heavy lifting (> lbs) for 6 weeks. followup instructions: please follow-up with dr. (gi-pancreatologist) in weeks. call ( to schedule an appointment. please follow-up with your pcp 2 weeks. call to schedule. provider: , m.d. phone: date/time: 11:30 provider: ,md phone: date/time: 1:00 provider: , md phone: date/time: 10:40 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances insertion of other (naso-)gastric tube diagnoses: acidosis hyperpotassemia other chronic pain esophageal reflux congestive heart failure, unspecified unspecified essential hypertension epilepsy, unspecified, without mention of intractable epilepsy encephalopathy, unspecified hypovolemia unspecified hereditary and idiopathic peripheral neuropathy unspecified sedatives and hypnotics causing adverse effects in therapeutic use acute pancreatitis other chronic nonalcoholic liver disease other and unspecified anticonvulsants causing adverse effects in therapeutic use neuralgia, neuritis, and radiculitis, unspecified body mass index 28.0-28.9, adult 

Answer: The patient is high likely exposed to