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: protonix attending: chief complaint: chest pain major surgical or invasive procedure: left carotid stent coronary artery bypass graft x 4 (lima to lad, svg to diag, svg to om, svg to pda) history of present illness: this is a 64 y/o male with a h/o left embolic stroke in . during that hospitalization he experienced angina. underwent cardiac cath that revealed severe three vessel disease. during work-up for stroke, was found to have severe left carotid stenosis. therefore he is being admitted to undergo intervention on his left carotid artery and coronary arteries. past medical history: history of embolic stroke, coronary artery disease, s/p ptca/stents , diabetes mellitus, hypertension, emphysema, chronic pancreatitis, gastroesophageal refulx disease, chronic renal insufficiency, hepatitis c, trauma to left eye social history: lives alone in dochester. distant alcohol abuse. no smoking. going to school for his ged; until now functionally illiterate, but has learned to read, though basic math still difficult. family history: mother had stroke in her 60s. physical exam: vs: 68 20 132/61 gen: wdwn male in nad skin: w/d, -lesions heent: blind left eye, perrl right eye, dentition fair neck: supple, from, 2+ bilat carotid bruit chest: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd, +bs ext: warm, well-perfused, -edema, -varicosities, 2+ pulses throughout neuro: a&o x 3, mae, non-focal pertinent results: 04:55pm blood wbc-5.3 rbc-3.88* hgb-10.6* hct-33.9* mcv-87 mch-27.3 mchc-31.3 rdw-13.6 plt ct-214 04:55pm blood pt-12.6 ptt-30.9 inr(pt)-1.1 04:55pm blood glucose-65* urean-20 creat-1.9* na-140 k-5.2* cl-109* hco3-25 angap-11 05:15am blood alt-15 ast-17 ld(ldh)-182 alkphos-105 amylase-212* totbili-0.3 04:55pm blood calcium-9.4 phos-2.5* mg-2.1 06:07am blood wbc-10.5 rbc-3.17* hgb-9.0* hct-27.6* mcv-87 mch-28.2 mchc-32.4 rdw-13.9 plt ct-620* 06:07am blood glucose-112* urean-26* creat-2.3* na-139 k-5.1 cl-107 hco3-23 angap-14 05:12am blood glucose-131* urean-34* creat-2.2* na-141 k-5.3* cl-109* hco3-23 angap-14 03:39am blood glucose-65* urean-35* creat-2.2* na-140 k-3.8 cl-106 hco3-22 angap-16 05:12am blood amylase-66 03:39am blood alt-30 ast-21 ld(ldh)-217 alkphos-62 amylase-84 totbili-0.5 03:39am blood calcium-8.6 phos-3.1 mg-2.7* abdominal ultrasound: the liver is normal in echo texture with no focal lesions identified. there is no intrahepatic ductal dilatation. the common bile duct measures 7 mm in its proximal free segment. the distal common bile duct and pancreas cannot be visualized. there is appropriate forward portal venous flow. there is no perihepatic ascites. abdominal ct scan: 1. findings consistent with chronic pancreatitis. no ct evidence of acute on chronic pancreatitis. 2. essentially unchanged appearance of the pancreas since . 3. pneumobilia. 4. diverticulosis without evidence of diverticulitis. brief hospital course: initially admitted under vascular service and underwent successful left carotid stent placement on by dr. . postoperatively experienced hematuria related to traumatic foley placement. he was followed closely by the urology service which recommended to continue foley catheter with void trial after surgical revascularization surgery. over several days, his hematuria improved. he otherwise remained pain free on medical therapy. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see seperate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. initially hypertensive, he required aggressive blood pressure management. he also experienced persistent hyperkalemia which was intermittently treated with glucose, insulin, kayexelate, and intravenous lasix. he otherwise maintained stable hemodynamics and remained in a normal sinus rhythm. on postoperative day one, he awoke neurologically intact and was extubated without incident. early postop, he complained of nausea and vomiting. given chronic pancreatitis, he was initially kept npo, with nasogastric tube in place and general surgery was consulted. white count was only slightly elevated. pan cultures remained negative. abdominal ultrasound and ct scans were obtained which found no evidence of acute pancreatitis. over several days, his abdominal symptoms gradually improved as did his white count and amylase levels. the ngt was eventually removed and he was started clear liquids. he made slow but steady progress and eventually transferred to the sdu on postoperative day seven. foley was removed and he was voiding without difficulty. his diet was slowly advanced. as expected, he continued to experience abdominal pain given his chronic pancreatitis. he should followup with dr. as an outpatient to continue management of his chronic pain. prior to discharge, the pain service was consulted and recommended neurontin in addition to his narcotics. his renal function postop remained relatively stable with creatinine ranging from 1.9 - 2.3. he remained in a normal sinus rhythm without atrial or ventricular arrhythmias. he continued to make clinical improvements with diuresis and was eventually cleared for discharge to home on postoperative day 10. medications on admission: in house: plavix 75mg qd, lipitor 80mg qhs, glyburide 1.25mg qd, imdur 30mg qd, lopressor 50mg , aspirin 325mg qd, nitro gtt, neo gtt, keflex 250mg q8hr, percocet discharge medications: 1. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*1* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. nortriptyline 10 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*1* 8. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*1* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po q2h (every 2 hours) as needed. disp:*40 tablet(s)* refills:*0* 10. chlorpromazine 10 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (). disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 12. glyburide 1.25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 left carotid stenosis s/p left carotid stent pmh: h/o embolic stroke, s/p ptca/stents , diabetes mellitus, hypertension, emphysema, chronic pancreatitis, gastroesophageal refulx disease, chronic renal insufficiency, hepatitis c, trauma to left eye (blind) discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks, call for appt dr. in weeks, call for appt local cardiologist in weeks, call for appt procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: hyperpotassemia coronary atherosclerosis of native coronary artery chronic hepatitis c without mention of hepatic coma diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of native arteries of the extremities with intermittent claudication hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified angina pectoris other emphysema chronic pancreatitis occlusion and stenosis of carotid artery with cerebral infarction 

Answer: The patient is high likely exposed to