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: shortness of breath major surgical or invasive procedure: none history of present illness: 84 year old male with pmh significant for systolic heart failure ef 30%, htn, hyperlipidemia, dm, cad s/p cabg who presented with dyspnea on exertion of 3 days in duration. patient presented to his pcp . and was referred to ed following a cxr which demonstrated bilateral pleural effusion. patient reports he has not been taking his lasix (60 mg ) for the past "few" days. he reports associated cough, exertional dyspnea, fatigue and increasing lower extremity edema. denies dyspnea at rest, pnd or worsened orthopnea (sleeps with head of bed elevated at baseline). denies chest pain or palpatations. patient denies fevers, chills. per his pcp, is ongoing concern about medication compliance at home with cardiac meds. . presenting vitals to ed hr 53, bp 131/49, rr 26, o2 sat 81% 6l. patient was placed on nrb, then bipap, then transferred to icu on 100% ventimask. in ed patient was given lasix 40 mg iv, nitropaste 1 inch, levaquin and asa. due to respiratory compromise he was transferred to the icu for futher care. . on review of systems, he denies any prior history of deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. he denies syncope or presyncope. the rest of the review of systems was negative in detail. past medical history: cad s/p cabg x4v ' chf ef 30-40% pvd dm c/b neuropathy hbga1c 6.0% 4/09 cva gastritis carotid stenosis htn hyperlipidemia bph depression chronic constipation t12 compression fracture cataract s/p surgery glaucoma social history: he grew up in , has been living in since . he is a veteran of world war ii. he worked as a coal miner and then as a manual laborer. he has been retired for years. he is widowed and now living with his son and girlfriend (both are hcp). distant history of smoking 40 years x 2 pack/yr, quit over 20 years ago. no alcohol use. no drug use. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: on admission: vs: t=98.7 bp=135/52 hr=56 rr=20 o2 sat=100% venti-mask general: breathing on ventimask. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: unable to appreciate jvp. cardiac: distant heart sounds. irregular rate, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. decreased breath sounds left base, crackles right base. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. chest x-ray 1. increased size of small-to-moderate right and tiny left pleural effusion with associated central vascular congestion compatible with chf. 2. increased left retrocardiac opacity which likely represents atelectasis, although pneumonia would be difficult to exclude. pertinent results: 04:20pm blood wbc-7.2 rbc-4.11* hgb-11.7* hct-35.9* mcv-87 mch-28.5 mchc-32.6 rdw-17.0* plt ct-219 06:50am blood wbc-6.5 rbc-3.74* hgb-11.0* hct-32.4* mcv-87 mch-29.3 mchc-33.8 rdw-16.7* plt ct-216 04:20pm blood pt-39.8* ptt-38.0* inr(pt)-4.2* 01:13pm blood pt-22.2* ptt-33.4 inr(pt)-2.1* 04:20pm blood glucose-170* urean-27* creat-1.3* na-140 k-3.6 cl-103 hco3-26 angap-15 06:50am blood glucose-103 urean-28* creat-1.3* na-140 k-3.8 cl-102 hco3-31 angap-11 04:20pm blood ck-mb-5 probnp-2458* 04:20pm blood ctropnt-0.02* 12:03am blood ck-mb-notdone ctropnt-0.02* 06:02am blood ck-mb-notdone ctropnt-0.03* 06:02am blood calcium-8.6 phos-3.7 mg-2.2 06:50am blood calcium-8.6 phos-4.3 mg-2.1 brief hospital course: in summary, mr. is a 82m with cad s/p cabg, systolic chf who presented with dyspnea on exertion for 3 days duration in the setting of medication non-compliance. he was admitted to the cardiac intensive care unit and showed significant improvement with diuresis. . # respiratory distress: patient's symptoms of dyspnea on exertion, increased lower extremity edema and non compliance with lasix suppported acute systolic chf episode. cxr also supported this with b/l pleural effusions and associated central vascular congestion. patient transferred from ed on venti mask. there was less concern for pneumonia as no symptoms, fever or elevated white count. trigger of acute chf was most likely med non-compliance; there were no ekg changes to suggest acs, cardiac enzymes were never significantly elevated, and the patient denied increase of salt in diet. patient was on 60 mg po bid lasix at home however was not taking it because of his frustration with needing to urinate frequently while on the medication. pt did well with diuresis and fluid restriction and was transfered to the floor after a couple days in the icu. he was discharged with an indwelling foley cath to help with his urine output and medication non-compliance with a follow-up appointment scheduled with urology. . # rhythm: rate controlled atrial fibrillation. he was supratherapeutic on his inr on admission therefore warfarin was initially held. his outpatient metoprolol was continued at 25mg qd. he was discharged with instructions to follow up in clinic for titration of his warfarin dosing, and to resume coumadin dose at 7mg on and and prior to clinic visit. . # coronaries: 3vd s/p cabg. his aspirin, statin and beta blocker were continued as an inpatient. his lisinopril was held given his acute renal failure. . # acute renal failure: hyaline casts on admission ua were concerning for poor perfusion. creatinine elevated mildly from baseline of 1.1, peaked at 1.5, then was downtrending prior to admission with a discharge creatinine of 1.3. meds were renally dosed, electrolytes repleted and lisinopril held. would recommend outpatient follow-up to ensure complete resolution of his renal failure. . # htn: his amlodipine was continued for hx of hypertension, lisinopril held as noted previously. . # dm: treated with nph and insulin sliding scale while inpatient . # depression: his celexa and risperidone were continued in the inpatient setting. . # glaucoma: brimonidine/dorzolamide/timolol were continued in the inpatient setting. the patient was full code, this was confirmed with , /hcp . medications on admission: medications: confirmed with son amlodipine - 10 mg tablet - 1 tablet(s) by mouth daily brimonidine - 0.15 % drops - 1 gtt(s) od citalopram 40 mg tablet - 1and tablet(s) by mouth once a day dorzolamide-timolol 0.5 %-2 % drops - 1 gtt od twice a day finasteride - 5 mg tablet - 1 tablet(s) by mouth once a day furosemide - 40 mg tablet - 1.5 tablet(s) by mouth twice a day lisinopril 40 mg tablet - 1 tablet(s) by mouth daily metoprolol succinate - 25 mg tablet once a day pilocarpine hcl 4 % gel - apply od at bedtime risperidone 1 mg tablet - 1.5 tablet(s) by mouth at bedtime simvastatin - 20 mg tablet 1 tablet(s) by mouth once a day for warfarin - 10 mg mwf, every other day 7 mg tablet aspirin - (otc) - 81 mg tablet once a day insulin nph human recomb - (dose adjustment - no new rx) - 100 unit/ml suspension - 14 units twice a day discharge medications: 1. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 2. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 3. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 4. pilocarpine hcl 4 % drops sig: one (1) drop ophthalmic qhs (once a day (at bedtime)). 5. citalopram 40 mg tablet sig: 1.5 tablets po once a day. 6. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 7. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 8. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 9. risperidone 1 mg tablet sig: 1.5 tablets po at bedtime. 10. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. insulin nph human recomb 100 unit/ml suspension sig: fourteen (14) units subcutaneous twice a day. 13. outpatient lab work please check inr and chem-7 on monday and call results to dr. at . discharge disposition: home with service facility: health vna discharge diagnosis: acute on chronic systolic congestive heart failure acute renal failure diabetes mellitus type 2 coronary artery disease hypertension hyperlipidemia discharge condition: stable bp= 124/53 hr= 56 weight= 190 pounds discharge instructions: you had an episode of congestive heart failure from stopping lasix at home. we have restarted your lasix and kept a foley catheter in. you will see dr. next week for evaluation. in the meantime, empty the foley bag whenever it gets full. the visiting nurse will help you with this at home as well. weigh yourself every morning, call dr. if weight > 3 lbs in 1 day or 6 pounds in 3 days. adhere to 2 gm sodium diet fluid restriction: 1500cc or about 8 cups. . medication changes: 1. do not take coumadin today. resume coumadin on and and and take 7 mg. please check inr on and the will tell you how much to take. 2. take your lasix twice daily at 60 mg followup instructions: urology: provider: , md phone: date/time: 11:45. please call the office for directions. primary care: , a. phone: date/time: at 11:00am. cardiology: dr. phone: date/time: tuesday at 2:20pm. procedure: non-invasive mechanical ventilation injection of insulin diagnoses: abnormal coagulation profile coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified atrial fibrillation aortocoronary bypass status diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of tobacco use unspecified glaucoma depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia long-term (current) use of insulin long-term (current) use of anticoagulants personal history of noncompliance with medical treatment, presenting hazards to health acute on chronic systolic heart failure unspecified late effects of cerebrovascular disease atherosclerosis of native arteries of the extremities, unspecified other respiratory abnormalities cataract extraction status 

Answer: The patient is high likely exposed to