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: this is a 16 year old male transferred from outside hospital for further management of gallstone pancreatitis and thyrotoxicosis. this is a 16 year old male who presented to outside hospital complaining of about two days of intermittent abdominal pain. the patient states that he has had a two year history of periodic midline/epigastric abdominal pain associated with eating that usually lasts about forty-five minutes and resolves spontaneously. on the two days prior to admission, the patient had five out of ten pain after intake of a fatty meal. the pain subsided with mylanta and riopan. the second day he felt nauseous and had emesis, however, on the day of admission, the patient felt better, ate some pancakes followed by two cheeseburgers which led to the onset of ten out of ten abdominal pain followed by emesis. review of systems is significant for dark green urine and lighter stools at this time. at the outside hospital emergency department, the patient had a pulse of 120, blood pressure 166/90 and was found to be afebrile. his physical examination was notable for an abdominal examination with decreased bowel sounds, tenderness in the right upper quadrant, left upper quadrant, epigastrium, no masses, no rebound. laboratory data at that time significant for an elevated ast of 322 and alt 596, alkaline phosphatase 208, serum lipase 7500, total bilirubin 5.3. chemistries notable for a glucose of 164. white blood cell count was 20.6, hematocrit 49.6 and platelet count 254,000. the patient had right upper quadrant ultrasound that noted common bile duct dilation, 8 millimeters with cholelithiasis, however, no evidence of cholecystitis. the patient was admitted to the outside hospital and treated for pancreatitis. he had thyroid function tests done after a persistent tachycardia and was noted to be profoundly hyperthyroid with a t4 of 17.0 and t3 of 2.43, free t4 of 3.07 and undetectable tsh. the hospital course was complicated by hypotension which led to an intensive care unit transfer. subsequent to his diagnosis of hyperthyroidism, he was seen by the endocrine service who noted asymmetric and large thyroid consistent with graves' disease and he was started on ptu iodine drops p.o. and propranolol with noted improvement in his heart rate. he had an echocardiogram with an ejection fraction of approximately 57%, trace mitral regurgitation and tricuspid regurgitation but no wall motion abnormalities. the patient was started on antibiotics for a temperature of 101 in association with his pancreatitis. the patient was complicated by a drop in his hematocrit and brown stool that was guaiac positive. no further workup was done at that time. he also had an episode of volume overload likely secondary to the fluid resuscitation which responded to lasix and supplemental oxygen therapy. there was further concern for possible pulmonary embolism. the patient also had a positive d-dimer, however, spiral ct was inadequate study and the patient had negative lower extremity ultrasound. physical examination: subsequently, the patient was transferred to the sicu for one night at the . the patient's physical examination at showed a large male in no apparent distress, height six feet four inches, weight 155 kilograms, temperature 100.8, pulse 96, blood pressure 142/76, respiratory rate 21, oxygen saturation 93% in room air. his physical examination was significant for morbid obesity. pulmonary examination with decreased breath sounds throughout. mild left lower quadrant tenderness on abdominal examination. past medical history: 1. status post left knee arthroscopy , for knee injury. 2. history of ear infections and sinus infections past one to two years, followed at the outside hospital by ent, diagnosed with allergies and large adenoids requiring surgical removal. 3. history of toenail infection. 4. overweight since , per family and pediatrician has had significant weight gain since the age of eight or nine. last weighed by primary care physician in , at 304 pounds. 5. no routine medical care, only episodic visits with the pediatrician when ill and no prior laboratory results available. family history: notable for thyroid disease in both sides of the family. father with deep vein thrombosis post motor vehicle accident. social history: the patient has a complex social history. currently, he lives with grandmother who is his health care decision maker. father is currently incarcerated and has been so since the year . the patient's mother is also involved in his care and has custody of all his other siblings. the patient has poor dietary habits, does not exercise, is not sexually active, and does not consume alcohol, use intravenous drugs or smoke tobacco. medications on admission: the patient was on no medications at home. at the time of transfer, the patient was on: 1. pepcid. 2. propranolol 60 mg p.o. four times a day. 3. ptu 20 mg p.o. q8hours. 4. clindamycin 600 mg q8hours. 5. exacta two grams q8hours. 6. lugol iodine solution 10 drops three times a day. 7. milk of magnesia. 8. sleep enemas. 9. zofran p.r.n. 10. morphine p.r.n. 11. benadryl p.r.n. allergies: unasyn which causes a rash consistent with erythroderma. demerol causes severe nausea. hospital course: 1. gastrointestinal - gallstone pancreatitis - on admission to our hospital, the patient had a hematocrit of 32.0, normal coagulation studies, and alt, ast, alkaline phosphatase, amylase and lipase and total bilirubin had all normalized. he underwent endoscopic retrograde cholangiopancreatography which showed positive biliary sludge in the common bile duct. the patient had a sphincterotomy. the patient then proceeded to cholecystectomy by the surgical service and was discharged on postoperative day number two. 2. pulmonary - the patient was easily weaned off minimal oxygen. he had intermittent pleuritic chest pain without hypoxia or tachycardia even in the setting of being on a beta blocker. since the patient's family history is notable for deep vein thrombosis, the patient had had decreased mobility, the patient had an inconclusive ct angiogram at the outside hospital, a repeat ct angiogram was done to evaluate for pulmonary embolus. this was negative although slightly limited given the patient's body habitus. the patient was noted to have small left sided pleural effusion consistent with his known pancreatitis and history of volume overload. 3. endocrine - the patient was followed by the endocrine service for his initial hyperglycemia and hyperthyroidism. hyperglycemia rapidly resolved with resolution of gallstone pancreatitis. his hemoglobin a1c was 5.1%. his hyperthyroidism was followed by the endocrine service. he had thyroid function tests that demonstrated on the day prior to discharge a tsh of 8.3, total t4 of 4.3, free t4 of 0.7 and t3 of 77. the patient was noted to have a goiter, however, no other signs or symptoms of hyperthyroidism. he had a hcg that was negative for evidence of gonadal or other tumor as etiology of his hyperthyroidism. his thyroglobulin level was low and his thyroglobulin antibodies were elevated which can be consistent with hashimoto's thyroiditis but is inconsistent with the patient's graves' disease. anti-tsh receptor antibody was pending at the time of discharge. the patient's medications were titrated given his laboratory data and the patient was discharged on propranolol 40 mg p.o. four times a day and ptu 50 mg two tablets p.o. three times a day. 4. gastrointestinal - anemia - the patient had iron studies that were consistent with an iron deficiency anemia without any evidence of hemolysis. given his history of guaiac positive stools, the patient may have had an occult gastrointestinal bleed or he may have had colitis given his episode of significant diarrhea. gastroenterology service recommended outpatient colonoscopy and esophagogastroduodenoscopy to further evaluate this as well as follow-up of his hematocrit. the hospital course was complicated by initial profuse diarrhea which was only noted once the patient was hospitalized. the patient had two negative clostridium difficile toxin assays. discharge diagnoses: 1. hyperthyroidism. 2. pancreatitis. 3. cholelithiasis. 4. iron deficiency anemia. 5. atypical chest pain. 6. status post laparoscopy cholecystectomy. follow-up: 1. the patient should follow-up with clinic and dr. office, , and schedule a follow-up appointment in the next two weeks. 2. the patient is to call pediatrician, dr. , for follow-up or establish a new primary care physician. 3. the patient should call dr. office, , to schedule follow-up with surgery within the next two weeks. medications on discharge: 1. protonix 40 mg p.o. once daily. 2. percocet one to two tablets q4-6hours p.r.n. pain, total 40 tablets given. 3. ptu 100 mg p.o. three times a day. 4. propranolol 40 mg p.o. four times a day. , m.d. dictated by: medquist36 d: 19:26 t: 20:08 job#: procedure: venous catheterization, not elsewhere classified endoscopic removal of stone(s) from biliary tract endoscopic sphincterotomy and papillotomy laparoscopic cholecystectomy diagnoses: hypotension, unspecified blood in stool morbid obesity iron deficiency anemia, unspecified diarrhea acute pancreatitis calculus of gallbladder and bile duct without cholecystitis, with obstruction thyrotoxicosis without mention of goiter or other cause, with mention of thyrotoxic crisis or storm 

Answer: The patient is high likely exposed to