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: history of present illness: the patient is a year old woman with multiple medical problems as listed below including recurrent pancreatitis attributed to microlithiasis who was in her usual state of health until the day prior to presentation when she developed abdominal pain, radiating to her back and side and had some nausea. she was brought to the emergency department where she was found to have laboratory values consistent with pancreatitis (as summarized below). nasogastric lavage was also performed and occult blood was present in the form of coffee ground. in the emergency department, the patient received pantoprazole 40 mg intravenously 1.5 liters of normal saline bolus, nitroglycerin 0.3 mg sublingually and ondansetron 12 mg intravenously. the patient was initially slated for admission to the medical service, however, the presence of upper gastrointestinal bleeding prompted admission to the medical intensive care unit. evaluation of cardiac markers in the emergency room also were suggestive of acute myocardial infarction. the patient was seen by the cardiology service and reiterated her desire to not undergo coronary angiography as described in her previous discharge summary. she received intravenous heparin, aspirin and clopidogrel. shortly thereafter she had an episode of coffee ground emesis with nasogastric lavage as described above. allergies: penicillin as documented previously. outpatient medications: 1. aricept 10 mg daily 2. aspirin 81 mg daily 3. glipizide 20 mg twice a day 4. furosemide 60 mg daily 5. levothyroxine 75 mcg daily 6. atorvastatin 10 mg daily 7. lisinopril 10 mg daily 8. nitroglycerin 0.6 mg as needed 9. pepcid 20 mg daily 10. clopidogrel 75 mg daily 11. pantoprazole 40 mg daily past medical history: 1. pancreatitis, she has had several episodes since . she was initially scheduled for outpatient endoscopic retrograde cholangiopancreatography through the clinic, however, she failed to meet her appointment and as described below has refused to have further evaluations. 2. coronary artery disease, the patient had a myocardial infarction in , however, she and her family declined angiographic evaluation. her last echocardiogram showed a systolic congestive heart failure with a left ventricular ejection fraction of 35 to 40% with apical left ventricular aneurysm and diffuse wall motion abnormality. the left ventricle was 1+ aortic insufficiency. 3. type 2 diabetes controlled with oral sulfonylurea as described above. 4. mild alzheimer's disease for which she received aricept as described above and quatiapine for sleep. 5. hypothyroidism, stable regimen with replacement as described above. 6. hypertension, well controlled with an ace inhibitor. 7. recurrent urinary tract infection. 8. symptomatic bradycardia necessitating a ddd cardiac pacemaker placement. 9. colon cancer at age 78, status post surgical resection, there no radiation or chemotherapy performed. 10. previous right-sided stroke. 11. hysterectomy. family history: non-contributory, her daughter is involved in her care. social history: she lives with her daughter. she does not smoke, drink alcohol or abuse drugs. physical examination: temperature 98.7, heartrate 81, blood pressure 137/91, respiratory rate 22, pulse oxygen saturation 99% on 2 liters of nasal cannula. general: she is a pale-appearing elderly woman lying in moderate distress. head, eyes, ears, nose and throat: normocephalic, atraumatic, anicteric, normal conjunctiva. pupils equal, round and reactive to light. extraocular movements intact without nystagmus. clear oropharynx. dry mucous membranes. neck: supple, full range of motion. jugulovenous pressure is inappreciable. no carotid bruit. no thyromegaly. nodes: no anterior cervical, posterior cervical, supraclavicular or infraclavicular, axillary or inguinal adenopathy. heart: point of maximal impulse is in the fifth rib space in the midclavicular line. heartrate is regular with normal s1 and s2, there is no s3 or s4, murmurs, rubs or gallops. lungs: good effort, normal excursions. clear to auscultation and percussion bilaterally. abdomen: protuberant, normal bowel sounds, soft, nontender or nondistended. scars as noted previously. back: there is no costovertebral angle tenderness. vascular examination: carotid, femoral, dorsalis pedis pulses are brisk and equal. extremities: there is no rash, cyanosis, clubbing or edema. neurological examination: mental status is alert, oriented to person, place and time. normal grossly full visual fields. writing sample was not obtained. detailed assessment of tension was not performed. cranial nerves: i, not tested formally; ii, iii, iv and vi, pupils equal, round and reactive to light, extraocular movements intact without nystagmus as described above; v and vii symmetric, she would not cooperate with the sensory assessment; viii not tested formally; ix, x and xii tongue is midline. there is normal gage. clear phonation. , normal shoulder shrug. motor: decreased bulk and tone. upper extremities: moves arms spontaneously but does not follow commands. lower extremities: moves legs spontaneously but does not follow commands. sensory: normal vibration, light touch, proprioception and pinprick. coordination: gait was not assessed, normal rapid alternating hand movement. deep tendon reflexes: biceps, brachioradialis, triceps, quadriceps, femoris and gastrocnemius, deep tendon reflexes +2 bilaterally, plantar reflex flexor bilaterally. laboratory data: on presentation the white blood cell count was 8,100, hemoglobin 12.5, hematocrit 37.7, platelets 293. mean corpuscular volume was 93 semptolitiers. sodium 140, potassium 4.4, chloride 105, blood urea nitrogen 36, bicarbonate 23, creatinine 1.2, glucose 236, calcium 10.6, magnesium 2.0, phosphate 2.4. alt 13, ast 31, alkaline phosphatase 77, total bilirubin 0.2, albumin 4.1, lactate dehydrogenase 180, lipase 2,434 (when assessed 8 hours lipase was 5,335 and amylase was 1315), tsh 6.5, creatinine kinase 50, troponin t 0.06. electrocardiogram showed sinus rhythm of 70 beats/minute with pr interval of 0.2, qrs was 0.15 with old right bundle branch block, qt was 0.4 with an axis of 0 to -30 degrees and early r wave progression. there were unchanged st-t segment elevations in the inferior lead 2, 3 and avf as well as dynamic t wave inversions in that lead, there were stable t wave inversions in anterior and precordial leads v1 through v3. chest x-ray showed no evidence of congestive heart failure or pneumonia. computed tomograph of the abdomen showed fat stranding around the pancreas consistent with a laboratory evaluation described above. there was no evidence of biliary ductal dilation or pericystic fluid collection. hospital course: 1. pancreatitis - following admission to the medical intensive care unit the patient required modest volume resuscitation as she was briefly hemoconcentrated. on hospital day #3 her amylase and lipase dropped precipitously consistent with her previous presentation of transient pancreatitis. since stones had not been identified in her gallbladder it was suspected that her pancreatitis was due to medications or other nonstone causes. in reviewing her medication list, it was decided to ultimately withhold her atorvastatin as her cholesterol panel was well within the normal range and this is a medication known to cause pancreatitis, however, ursodeoxycholic, a medication not listed above, in her outpatient medication that she was discharged with on her last presentation and this medication may have to be withheld in the future as may furosemide. 2. gastrointestinal bleeding - serial evaluations of her hemoglobin and hematocrit showed a stable vascular supply. she received proton pump inhibitor and it was decided to withhold clopidogrel indefinitely owing to her gastrointestinal bleeding. 3. coronary artery disease - following admission to the medical intensive care unit serial evaluation of her cardiac markers supported evidence of myocardial infarction, medical management was pursued exclusively. clopidogrel was held indefinitely. metoprolol was added to her regimen and lisinopril was ultimately restarted. atorvastatin was discontinued as described above. 4. hypothyroidism - her tsh was slightly elevated on admission, however, interval evaluation of her free levothyroxine showed it to be normal. there were no changes made to her outpatient regimen. 5. diabetes - a modest sliding scale of subcutaneous insulin was administered. her sulfonylurea was withheld while she was in the hospital. she achieved good glycemic control throughout. the remainder of the hospital course was significant for one episode of flash pulmonary edema for which she received furosemide, nitroglycerin and nonmechanical ventilation as she and her daughter had stated previously that she does not wish to have mechanical ventilation during this hospitalization. her daughter reiterated her mother's desire to have a do-not-resuscitate, do-not-intubate order written. once her pancreatitis resolved and her cardiac issues were stabilized she was transferred to the medical floor for further titration of her medication. , m.d. dictated by: medquist36 procedure: transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled old myocardial infarction personal history of malignant neoplasm of large intestine cardiac pacemaker in situ hematemesis acute pancreatitis 

Answer: The patient is high likely exposed to