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: clindamycin attending: chief complaint: chief complaint: epigastric pain, vomiting. reason for micu admission: hypotension and severe hypokalemia major surgical or invasive procedure: picc line placement () and removal ( history of present illness: patient is a 24-year-old woman with long-standing history of severe bulimia anorexia, anxiety, history of polysubstance abuse, - tears, seizures, and hypoglycemia. she presents from home for lethargy and worsening abdominal pain. three weeks ago patient was discharged from anorexia program weighing 80 lbs. she now presents after 2 days of forceful vomiting with worsening epigastric pain and lethargy. on the night of admission she was noted by her mother to be more somnolent than usual. ems was called and they checked her blood glucose (which was 60), after which they administered dextrose. she was initially taken to hospital where she was complaining of mild diffuse abdominal pain, per report. there was no hematemesis, blood in stool or melena. no fevers, chills, urinary symptoms, chest pain, shortness of breath or cough. she was found to have potassium of 1.7. she was given 80 iv k+, 40 mg iv pantoprazole, 1l normal saline, and transferred to for further evalaution. at ed, her initial vitals were t 96.8, bp 84/54, hr 56, rr 12, 100% ra. ekg showed nsr 60, na/ni, twf in all leads, qtc 430. labs were remarkable for potassium of 2.4, phos 2.5, with normal lfts, amylase of 176. cbc showed white count 3.8 with lymphocytic predominance, hematocrit 31.9, and platelets of 168. bmp showed creatinine of 1.4, k of 2.4 and bicarb of 42. cxr was clear and kub unremarkable (per report). patient was given 4l ns, 80 meq k+, 2g mg, 100 mg thiamine and admitted to the micu for persistant hypotension. blood pressure at time of admission is 84/60. she has three peripheral ivs for access. past medical history: - bulimia anorexia - anxiety - history of polysubstance abuse - history of - tears - history of seizures - history of hypoglycemia - hypotension (per osh report, baseline sbp in the 80s) social history: lives with mother in . not currently working. h/o alcohol abuse with blackouts in past, no withdrawal complications. daily marijuana, no other drugs. ? takes excess rx meds (klonopin). family history: mother and sister have bipolar disorder. physical exam: vital signs - t hypothermic, hr 78, bp 66/30, rr 12, sat 99% ra general - cachectic young woman, tired but rousable, alert and oriented, no distress heent - pale conjunctiva neck - supple, no lad lungs - clear bilaterally posterior fields heart - rrr, normal s1/s2, no murmurs abdomen - mild epigastric pain without rebound or guarding; hypoactive bowel sounds extremities - thin, pale, well-perfused and non-edematous. neurologic: moving all extremities discharge physical exam: vs: temp 96.7 hr 71-100 bp 85/55-102/60 general: awake, alert, nad, oriented x3. affect slightly blunted but appropriate. heent: ncat. sclera anicteric. conjunctiva were pink. adentulous. neck: supple cardiac: rrr, normal s1, s2. no m/r/g. lungs: ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. 2+ peripheral pulses skin: no rashes pertinent results: labs at admission: 04:20am blood wbc-3.8* rbc-3.91* hgb-10.8* hct-31.9* mcv-82 mch-27.7 mchc-33.9 rdw-16.8* plt ct-168 04:20am blood hypochr-normal anisocy-1+ poiklo-1+ macrocy-normal microcy-1+ polychr-normal ovalocy-1+ schisto-occasional tear dr1+ bite-occasional 04:20am blood pt-11.4 ptt-27.7 inr(pt)-0.9 04:20am blood glucose-201* urean-26* creat-1.4* na-135 k-2.4* cl-88* hco3-42* angap-7* 04:20am blood alt-9 ast-16 alkphos-66 amylase-176* totbili-0.4 04:20am blood albumin-3.6 calcium-8.5 phos-2.5* mg-2.0 iron-43 04:20am blood caltibc-333 vitb12-648 folate-greater th ferritn-9.4* trf-256 04:20am blood tsh-1.7 04:20am blood free t4-1.0 04:20am blood cortsol-7.5 04:40am blood k-2.3* 08:33am blood lactate-2.0 micro data: urine urine culture- negative mrsa screen mrsa screen-pending inpatient blood culture blood culture, routine- negative cxr (): no evidence of pneumomediastinum to indicate esophageal perforation. no pneumonia. kub (): 1. paucity of right hemiabdomen gas, could represent decompressed bowel or mass. correlate with us if needed ct. 2. borderline dilated loops of small bowel, d/d includes early or partial obstruction or ileus. ecg : sinus rhythm with borderline sinus tachycardia. normal tracing. since the previous tracing of no significant change. shoulder xray : three views of the right shoulder are normal. no fracture, dislocation, bone destruction, periarticular soft tissue calcifications, or diminution in the acromiohumeral soft tissues. no joint space narrowing and the visualized adjacent right lung is clear. incidentally noted is a right central line apparently extending into the right atrium. brief hospital course: a 24-year-old woman with past medical history of bulemia nervosa, presents after several days of vomiting with lethargy, dehydration, and hypotension. labs were remarkable for severe hypokalemia and metabolic alkalosis. she was originally admitted to the icu and then transferred to the medical floor. #. hypokalemia, elevated bicarbonate, hypotension: her electrolyte abnormalities were consistent with contraction alkalosis and hypovolemia from prolonged vomiting and dehydration. thyroid and cortisol levels were normal. blood and urine cultures were negative. patient was hydrated aggressively, with particular attention to k+ and phos. her blood pressure and electrolyte abnormalities had resolved by the second hospital day. she was felt to be stable for transfer to the general medicine floors, as her systolic blood pressure was back to baseline mid-80s. throughout the remainder of her hospital course, her baseline blood pressure remained 80-90s systolic (asymptomatic). initially, she required agressive electrolyte repletion, but after patient began to cooperate with eating disorder protocol her electrolytes stabilized and she did not require further repletion. #. eating disorder. nutrition, psychiatry, and social services were involved in her care. they recommended that the patient initially start on an eating disorder protocol in order to achieve 75% of her ideal body weight. multidisciplinary team meetings were held weekly in order to track the patient's progress. per psychiatry recommendations, the patient's anxiety was treated with seroquel, ativan and fluoxetine; these were gradually uptitrated. at the time of discharge, she remained eating on her own per the eating disorder protocol and had acheived around 75% of her ideal body weight. she did occasionally have vomiting, and had had one episode in the 3 days prior to discharge. weight at discharge was 41.0 kg (75.36% ideal body weight). patient had normal ecg at the time of discharge. #. epigastric pain. patient with history of - tear, although no free air noted on kub and no pneumomediastinum on cxr on admission. she was treated initially with pantoprazole drip and transitioned to oral ppi upon discharge from the medical icu. she had no further issues. #. lethargy. likely secondary to dehydration and hypokalemia. this resolved with treatment of her dehydration and metabolic disturbances. #. anemia. she has a borderline microcytic anemia likely secondary to nutritional deficiencies. iron studies were consistent with deficiency, and her hematocrit remained stable throughout her hospitalization. #. acute kidney injury. urinalysis on admission was normal. her renal failure resolved with intravenous hydration and remained stable prior to discharge. #. headache: she developed headaches during this admission, which she described as associated with nausea and tension/pressure in her forehead. she was managed with tylenol, ibuprofen and compazine as needed. #. disposition: it was recommended that she have a legal guardian given her multiple recent admissions for her eating disorder. she eventually underwent court proceedings where she was court ordered to agree to attend inpatient eating disorder treatment after discharge but was not appointed a guardian. she is required to give 72 hour notice prior to leaving the facility in order to allow emergency guardianship proceedings to occur. #. communication: mother #. code status: full code medications on admission: (per patient) - percocet - klonopin discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. lorazepam 1 mg tablet sig: 1-2 tablets po three times a day as needed for 60 min prior to meals. 5. lorazepam 0.5 mg tablet sig: 1-2 tablets po at bedtime as needed for insomnia. 6. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 7. alum-mag hydroxide-simeth 200-200-20 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for abdominal pain. 8. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for nausea/ha. 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. quetiapine 200 mg tablet sig: 2.5 tablets po qhs (once a day (at bedtime)) as needed for sleep. 11. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 13. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for headache. 14. quetiapine 25 mg tablet sig: five (5) tablet po tid (3 times a day) as needed for with meals. 15. fluoxetine 40 mg capsule sig: one (1) capsule po once a day. discharge disposition: extended care facility: behavioral care - discharge diagnosis: primary diagnoses: hypokalemia hypotension secondary to dehydration anxiety bulemia nervosa discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with severe dehydration, low blood pressure, and low potassium levels in the blood due to your eating disorder. you were treated with intravenous fluids and your electrolytes were replaced. you were placed on the eating disorder protocol. you were followed by psychiatry during this admission, and several changes were made to your medications. the following adjustments were made to your medications: stopped clonazepam and percocet started tylenol and ibuprofen as needed for headache started thiamine 100mg by mouth daily started folic acid 1mg by mouth daily started lorazepam 1-2mg by mouth three times daily 60 minutes prior to meals, and 0.5-1mg at bedtime as needed for sleep started multivitamin 1 tab by mouth daily started maalox 15-30ml by mouth four times daily as needed for abdominal pain started compazine 10mg by mouth every 6 hours as needed for nausea started pantoprazole 40mg by mouth daily started seroquel 500mg by mouth at bedtime as needed for sleep started seroquel 125mg by mouth three times daily as needed with meals started nicotine patch started docusate 100mg by mouth twice daily as needed for constipation started fluoxetine 40mg by mouth daily followup instructions: you are being discharged to an eating disorder facility. procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified acute kidney failure, unspecified other, mixed, or unspecified drug abuse, unspecified hypopotassemia constipation, unspecified dysthymic disorder alkalosis disorders of phosphorus metabolism headache dehydration hypovolemia abdominal pain, epigastric nutritional marasmus cannabis abuse, continuous body mass index less than 19, adult bulimia nervosa 

Answer: The patient is high likely exposed to