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: abdominal pain major surgical or invasive procedure: none history of present illness: 59 year-old m with pmhx of htn, iddm, anxiety, and chronic abdominal pain (likely gastritis or gastroparesis) with 11 hospital admissions in the last 12 months, with multiple ed visits in between, who presents for recurrence of his same abdominal pain symptoms. in ed: vs: 93 171/110 18 100% ra found to be in afib 112, which reverted to nsr; found to have leukocytosis with no bandemia; cxr unremarkable, kub unremarkable meds received in ed: morphine 4 mg iv x 2 vs prior to transfer to floor: 176/90 65 12 97%ra on floor, patient reports his abdominal pain "comes and goes". he also endorses constipation, but last bowel movement was yesterday (brown). he also reports nausea without vomitting. he denies cough, sneezing, diarrhea, skin problems, headache, chest pain or dysuria. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies visual changes, headache, sinus tenderness, rhinorrhea, congestion or sore throat. denies chest pain or tightness, palpitations, orthopnea, dyspnea on exertion. denies cough, shortness of breath, wheezes or pleuritic pain. denies nausea, vomiting, diarrhea, brbpr or melena. no dysuria, urinary frequency. denies arthralgias or myalgias. denies rashes. no numbness/tingling or muscle weakness in extremities. no feelings of depression or anxiety. all other review of systems negative. past medical history: htn diabetes mellitus type ii, insulin-dependent chronic abdominal pain anxiety nos hx of etoh abuse: reports no alcohol for past yrs. s/p bilateral cataract surgery right knee trauma in ped v truck accident at work social history: lives with wife and children. former smoker 60 pack-years, and heavy etoh use (for 45 years), quit 4-5 years ago. denies drugs. former worker in shipping and receiving on ssi disability after injury to right knee when hit by truck. (confirmed) family history: mother alive in 80s with htn, and dm father - died in his 50s of unknown causes sister with htn four kids, all well (confirmed) physical exam: vs: 97.5 179/104 74 18 100%ra gen: alert and oriented to person, place and situation; no apperent distress heent: no trauma, pupils round and reactive to light and accomodation, no lad, oropharynx clear, no exudates cv: regular rate and rhythm, no murmurs/gallops/rubs pulm: clear to auscultation bilaterally, no rales/crackles/rhonchi gi: soft, non-tender, non-distended; no guarding/rebound ext: no clubbing/cyanosis/edema; 2+ distal pulses; peripheral iv present neuro: cn ii-xii intact, motor function globally derm: no lesions appreciated pertinent results: 03:05pm wbc-12.8*# rbc-4.89 hgb-14.1 hct-43.2 mcv-88 mch-28.8 mchc-32.6 rdw-15.3 03:05pm neuts-78.3* lymphs-14.6* monos-5.2 eos-1.3 basos-0.6 03:05pm plt count-292 04:45pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 03:50pm urine hours-random 03:50pm urine hours-random 03:50pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 03:50pm urine color-straw appear-clear sp -1.007 03:50pm urine blood-neg nitrite-neg protein-75 glucose-tr ketone-15 bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 03:50pm urine rbc-0 wbc-0-2 bacteria-none yeast-none epi-0 03:12pm ph-7.49* comments-green top 03:12pm glucose-146* lactate-2.6* na+-143 k+-3.8 cl--101 tco2-23 03:12pm freeca-1.08* 03:05pm urea n-10 creat-0.8 cxr pa/lat: frontal and lateral views of the chest: lungs are clear with no pneumonia or congestive heart failure. there is no pneumothorax or pleural effusion. heart, mediastinum, hila, and pleural surfaces are normal. there is no evidence of free air. impression: no acute intrathoracic abnormality. the study and the report were reviewed by the staff radiologist. kub: supine and upright views of the abdomen: there is no evidence of free air or bowel obstruction. nonspecific bowel gas pattern is noted. imaged osseous structures are grossly unremarkable. vascular calcifications in the pelvis are noted. impression: no free air or bowel obstruction. the study and the report were reviewed by the staff radiologist. . 05:30am blood wbc-6.7 rbc-4.35* hgb-12.6* hct-38.4* mcv-88 mch-28.9 mchc-32.8 rdw-15.1 plt ct-299 05:30am blood glucose-69* urean-17 creat-0.9 na-137 k-3.7 cl-98 hco3-31 angap-12 07:05am blood alt-15 ast-18 ld(ldh)-202 ck(cpk)-164 alkphos-80 totbili-0.7 07:05am blood ck-mb-3 ctropnt-<0.01 11:59am blood ck(cpk)-148 11:59am blood ck-mb-3 ctropnt-<0.01 07:33pm blood ck(cpk)-175 07:33pm blood ck-mb-3 ctropnt-less than 10:18am blood alt-19 ast-21 ck(cpk)-215 alkphos-78 totbili-0.7 10:18am blood ck-mb-3 ctropnt-<0.01 . serial ekgs showed nsr with lvh consistent with baseline, otherwise no acute st changes. . ct head : impression: no acute intracranial hemorrhage. brief hospital course: pt was admitted with abd pain/n/v and elevated blood pressures. on the morning of , a code blue was called for his roomate and during the commotion he started complaining of severe chest pain. pt was diaphoretic and grabbing his chest with bps of 220/120. ekgs showed lvh without acute st changes and pt was endorsing confusion. he was taken for stat head ct that did not show any acute hemorrhage. bp came down to 180/100 (bilaterally) with nitropaste, iv metoprolol and 10mg iv morphine. pt was transferred to the icu for concern of hypertensive emergency and he had a picc placed prior to being started on a nitro gtt. pt had four sets of negative cardiac enzymes, stable creatinine and ekgs. on further examination, he was not endorsing any confusion and was transitioned to his home regimen of valsartan, diltiazem with low dose labetalol. pt was examined serially in the icu and was inconsistent in describing his symptoms. it was unclear whether the acute pain episode was actually consistent with his recurrent epigastric pain, chest pain or an acute anxiety attack. given his history of anxiety/stress precipitating his symptoms, he was seen by social work after transfer back to the medicine floor. he reported a number of stressors at home that he felt were contributing to his symptoms. pt did report some ongoing epigastric pain but was tolerating po and denied any chest pain or shortness of breath. after speaking with social work, pt was feeling better and asking to return home. he reported that he had run out of his blood pressure medications and he was given refills for valsartan, diltiazem and vna referral. he was scheduled to have a home visiting nurse with social work consult on monday, . they will assist in getting him close follow up with dr. (pcp) and help with blood sugar management at home. . there were no changes made to his diabetes, atrial fib or anti-hypertensive regimen. by the time of discharge, his blood pressure was well controlled on his home regimen of /dilt and he was tolerating po well. medications on admission: 1. metoclopramide 10 mg 1 tablet po qidachs. 2. simethicone 80 mg 1 tablet po tid. 3. omeprazole 20 mg (e.c.) 1 capsule po bid. 4. sucralfate 1 gram 1 tablet po four times a day. 5. valsartan 160 mg 1 tablet po daily. 6. diltiazem hcl 120 mg capsule, sustained release 2 capsules po daily. 7. acetaminophen 500 mg 1-2 tablets po three times a day as needed for pain. 8. insulin glargine 20 units subcutaneous at bedtime. discharge medications: 1. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 3. simethicone 80 mg tablet sig: one (1) tablet po three times a day. 4. sucralfate 1 gram tablet sig: one (1) tablet po four times a day. 5. valsartan 160 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. diltiazem hcl 240 mg capsule, sustained release sig: one (1) capsule, sustained release po once a day. disp:*30 capsule, sustained release(s)* refills:*2* 7. tylenol 325 mg tablet sig: one (1) tablet po three times a day as needed for pain. 8. insulin glargine 100 unit/ml cartridge sig: twenty (20) units subcutaneous once a day. discharge disposition: home with service facility: city psych vna discharge diagnosis: primary: abdominal pain hypertensive urgency chest pain anxiety . secondary: diabetes hypertension discharge condition: mental status: clear level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with abdominal pain and elevated blood pressure. there has been no evidence of damage to the heart muscle. you have been treated for the abdominal pain and have been seen by the social worker. we have requested a home visiting nurse to come and help you at home with medications and blood sugar management. . please continue to take your medications as prescribed and call dr. office on monday morning. the visiting nurse will help you schedule a follow up appointment next week. followup instructions: please call dr at on monday morning to schedule a follow up appointment. procedure: central venous catheter placement with guidance diagnoses: unspecified essential hypertension atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled anxiety state, unspecified long-term (current) use of insulin chest pain, unspecified gastroparesis 

Answer: The patient is high likely exposed to