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: lovenox / aspirin attending: chief complaint: chest pain and shortness of breath major surgical or invasive procedure: hemodialysis (monday, wednesday, friday each week) history of present illness: history of present illness: 76 yo male history of anoxic brain injury s/p likely vfib arrest, esrd on hd mwf, htn, and dmii presenting from rehab with sob. per report, patient awoke with substernal chest pain and shortness of breath around 11:30 am. in the ed, initial vs were: t97.4, hr87 bp190/87 rr22 satting 100% on nrb. labs showed cbc with hct of 39, otherwise rest of cbc wnl, pro bnp of , normal lfts except for an ap of 135, and a cmp showing hyponatremia with na of 129, hyperkalemia of 5.5, cl of 95, bun 54, cr of 6.9 and glucose of 251. troponins were checked with a trop of 0.34 with baseline in the 0.25 to 0.4 region. ekg performed showed sinus rhythm with peaked tw in the anterior leads, as well as twi in avl and v1. lvh present as well as lae. no other st/ischemic changes were noted. cxr showed bilateral infiltrates with superimposed fluid overload. patient was provided with iv vancomycin and levofloxacin for empiric tx of pna. in the icu patient is complaining of chest/belly pain past medical history: anoxic brain injury s/p likely vf arrest in the setting of hyperkalemia ckd stage v, on hd mwf at hospital htn dm ii severe peripheral neuropathy glaucoma depression social history: lives at in jp. niece/hcp , 043 - tobacco: none - alcohol: none - illicits: none family history: no history of cardiac disease, diabetes. physical exam: admit exam: vitals: t 97.6, hr 81, bp 196/93, rr 22, satting 99% on 3l general: alert, oriented, appears uncomfortable heent: sclera anicteric, mmm, oropharynx clear with poor dentition, eomi, perrl neck: supple, no lad cv: regular rate and rhythm, normal s1 + s2, pansystolic murmur as well as crescendo descrescendo murmur best auscultated parasternally. no rubs, gallops lungs: diffuse crackles with wheezes. abdomen: soft, mild tenderness to palpation in epigastric region. non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused,1+ pulses, no clubbing, cyanosis or edema. fistula with palpable thrill and auscultated bruit in lue. neuro: alert and oriented to person and place. cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 1+ reflexes bilaterally, gait deferred. discharge exam: pertinent results: imaging: cxr - findings: diffuse parenchymal opacities with areas of increased interstitial markings are consistent with development of moderate pulmonary edema. no pneumothorax is seen. there is mild cardiomegaly. there may be small pleural effusions. surgical clips are noted in the region of the gastroesophageal junction. micro/path: admit labs: 12:30am blood wbc-6.3 rbc-5.03 hgb-11.4* hct-39.0* mcv-78* mch-22.7* mchc-29.2* rdw-17.1* plt ct-176 12:30am blood neuts-77.2* lymphs-15.2* monos-5.5 eos-1.7 baso-0.4 12:30am blood plt ct-176 04:39am blood pt-10.1 ptt-32.5 inr(pt)-0.9 12:30am blood glucose-251* urean-54* creat-6.9*# na-129* k-5.5* cl-95* hco3-23 angap-17 12:30am blood alt-27 ast-27 alkphos-135* 12:30am blood probnp-* 12:30am blood ctropnt-0.34* 12:30am blood albumin-4.1 calcium-9.1 phos-4.5# mg-2.7* 04:50am blood type- po2-44* pco2-52* ph-7.29* caltco2-26 base xs--1 12:40am blood lactate-0.8 k-5.3* relevent labs: 04:39am blood wbc-5.2 rbc-4.87 hgb-11.1* hct-37.9* mcv-78* mch-22.9* mchc-29.4* rdw-17.0* plt ct-155 04:39am blood plt ct-155 04:39am blood glucose-314* urean-52* creat-6.5* na-129* k-5.1 cl-96 hco3-23 angap-15 brief hospital course: 76 year old male with anoxic brain injury s/p likely vfib arrest, end stage renal disease on hemodialysis three times a week (monday, wednesday, friday), hypertension, and type two presenting from rehab with shortness of breath and chest pain. # chest pain: intial chest xray shows bilateral multiple inflitrates concerning for fluid overload from flash pulmonary edema. while acute coronary syndrome was a concern, troponins were initially around baseline without evidence of ekg changes. while in the micu he was treated with a nitroprusside drip given his hypertension to 220's systolic and underwent hemodialysis with the removal of 3.3 liters. his chest pain and shortness of breath resolved. repeat ekg's and cardiac markers were unconcerning for a cardiac etiology. # respiratory distress: pt likely volume overloaded from renal failure and superimposed congestive heart failure exacerbation given elevated bnp, appearance of cxr, hypertension and history of similar episodes. his respiratory status improved with hemodialysis and nebulizers of albuterol and ipratropium. on day of discharge, he was dialyzed and 1.8l were removed. it appears that this is a recurrent process which may be related to inability to fully ultrafiltrate patient because bps tend to fall. ****it is important that patient receive antihypertensives after dialysis sessions.**** dialysis team will communicate with outpatient nephrologist. # end stage renal disease: on hemodialysis monday, wednesday, and friday. while in the micu we renally dosed his medication and treated him with nephrocaps, calcium acetate, vitamin d. on day of discharge, 1.9l were dialyzed off. for further comments see above. # hypertension: pt was hypertensive to systolic blood pressure of 220s on admission. initially he was started on a nitroglycerin drip to drop pre-load and underwent dialysis for volume removal as above. he was continued on his home amlodipine, lisinopril, and carvedilol. his pulse pressure remained high, likely secondary to his fistula. # coronary artery disease and systolic congestive heart failure: no evidence of acute coronary syndrome on ekg. tropnin leak likely secondary to demand ischemia. he was constinued on his medications one dialysis was complete. his bnp was elevated suggesting a acute chf exacerbation. unclear etiology. be dietary indiscrestion or underlaying infection or inadequate fluid removal during dialysis. #diabetes mellitus: chronic issue. placed on insulin sliding scale. #glaucoma: chronic issue. continued outpatient eyedrops. transitional issues: 1) please check cbc on wednseday to follow up on mild leukopenia. 2) please be sure to give antihypertensives after diaylsis sessions per renal recommendations. medications on admission: 1. amlodipine 10 mg po daily hold for sbp<100 2. omeprazole 20 mg po daily 3. finasteride 5 mg po daily 4. nephrocaps 1 cap po daily 5. brimonidine *nf* 0.2 % ou 6. senna 1 tab po bid 7. levobunolol 0.25% 1 drop both eyes 8. docusate sodium 100 mg po bid 9. calcium acetate 667 mg po tid w/meals 10. pilocarpine 1% 1 drop right eye qid 11. acetaminophen 500 mg po qod hs 12. gabapentin 400 mg po hs 13. carvedilol 12.5 mg po bid hold for sbp<100, hr<60 14. lisinopril 40 mg po daily hold for sbp<100 15. guaifenesin 20 ml po tid cough 16. loperamide 2 mg po qid:prn diarrhea 17. polyethylene glycol 17 g po bid:prn constipation 18. epoetin alfa 0.6 ml sc m,w,f at hd 19. lidocaine 5% patch 1 ptch td daily 20. isosorbide mononitrate 30 mg po qam hold for sbp<120 21. loratadine *nf* 10 mg oral qd itching, allergic rash 22. vitamin d 50,000 unit po 1x/week (tu) 23. glargine 5 units bedtime insulin sc sliding scale using hum insulin discharge medications: 1. amlodipine 10 mg po daily 2. omeprazole 20 mg po daily 3. finasteride 5 mg po daily 4. nephrocaps 1 cap po daily 5. brimonidine tartrate 0.15% ophth. 1 drop both eyes 6. senna 1 tab po bid:prn constipation 7. levobunolol 0.25% 1 drop both eyes 8. docusate sodium 100 mg po bid 9. calcium acetate 667 mg po tid w/meals 10. pilocarpine 1% 1 drop right eye q6h 11. acetaminophen 500 mg po q6h:prn pain 12. gabapentin 400 mg po hs 13. carvedilol 12.5 mg po bid 14. lisinopril 40 mg po daily 15. guaifenesin 20 ml po tid cough 16. epoetin alfa 0.6 ml sc m,w,f at hd 17. isosorbide mononitrate (extended release) 30 mg po daily 18. lidocaine 5% patch 1 ptch td daily 19. loperamide 2 mg po qid:prn diarrhea 20. loratadine *nf* 10 mg oral qday:prn itching 21. polyethylene glycol 17 g po bid:prn constipation 22. vitamin d 50,000 unit po 1x/week (tu) 23. glargine 5 units bedtime insulin sc sliding scale using hum insulin discharge disposition: extended care facility: - discharge diagnosis: hypertensive urgency pulmonary edema discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: dear mr. , you were admitted to the hospital when you were short of breath and had a high blood pressure. you required care in the intensive care unit for your blood pressure and you needed an extra course of dialysis to get fluid off of your lungs. it is unclear exactly why your blood pressure went so high. you were stable after this and are now safe to go back to your rehab facility. no medication changes were made **your white blood cell count was a little low at the time of discharge and this will need to be rechecked at rehab on ** followup instructions: department: surgical specialties when: tuesday at 2:45 pm with: , md building: campus: east best parking: garage department: center when: thursday at 1:45 pm with: , m.d. building: sc clinical ctr campus: east best parking: garage md procedure: hemodialysis diagnoses: hyperpotassemia end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere renal dialysis status anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes unspecified glaucoma depressive disorder, not elsewhere classified anoxic brain damage long-term (current) use of insulin acute on chronic systolic heart failure diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled leukocytopenia, unspecified personal history of sudden cardiac arrest other acute and subacute forms of ischemic heart disease, other other fluid overload hypertensive heart and chronic kidney disease, unspecified, with heart failure and chronic kidney disease stage v or end stage renal disease glaucoma stage, unspecified 

Answer: The patient is high likely exposed to