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: nausea major surgical or invasive procedure: mrcp history of present illness: 46 m s/p crush injury (pinned between 2 trucks), no mvmt or sensation below umbilicus in ed. s/p ex-lap, sb resection, near sb enterectomy w/ r colectomy/trach/lumbar fusion. prlonged icu course, d/c'd to rehab , returns for persistent nausea x several days, generalized weakness. past medical history: cad, dm2, s/p cabg social history: supportive and involved family network. worked as a foreman in construction family history: noncontributory. physical exam: pe: vss, afebrile gen: nad, lying in bed, avoiding motion, ngt in place with tf going cv: rrr, no m/r/g lungs: ctab, no w/r/r abd: soft, ntnd, +bs ext: no c/c/e neuro exam mental status: alert and oriented to person, place, date. cooperative and pleasant affect. speech is fluent, coherent, appropriate, with good comprehension, repitition and naming. good concentration: able to spell world forward and backward, and no errors on serial subtractions. able to follow multistep commands. registers and recall at 1 and 5 minutes. aware of current events. cranial nerves: pupils round. l pupil dilated at 7mm and non-reactive. r pupil normal, reactive to light. eomi with no nystagmus. peripheral vision intact. v1-v3 sensation intact and equal bilaterally. facial movement symmetric. hearing intact to finger rub bilaterally. tongue midline. neck and shoulder strength 5/5. strength: good bulk and tone throughout, no abnormal movements, no clonus. pertinent results: 04:45pm glucose-93 urea n-26* creat-1.1 sodium-130* potassium-4.4 chloride-97 total co2-25 anion gap-12 04:45pm alt(sgpt)-172* ast(sgot)-90* alk phos-353* amylase-347* tot bili-2.7* 04:45pm lipase-248* 04:45pm calcium-8.2* phosphate-3.5 magnesium-1.7 04:45pm wbc-11.3* rbc-2.49* hgb-7.8* hct-21.5* mcv-86 mch-31.2 mchc-36.1* rdw-15.4 04:45pm plt count-458* 04:45pm pt-14.8* ptt-28.4 inr(pt)-1.3* cardiology report echo study date of conclusions: the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. regional left ventricular wall motion is normal. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is normal (lvef 60-70%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). transmitral doppler and tissue velocity imaging are consistent with normal lv diastolic function. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated athe sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. compared with the findings of the prior study (images reviewed) of , no major change is evident. cardiology report ecg study date of 1:33:38 pm atrial flutter since previous tracing of , ventricular rate slower intervals axes rate pr qrs qt/qtc p qrs t 89 0 92 370/416.57 0 45 21 cta chest w&w/o c&recons, non- comparison: ct torso . impression: 1. no evidence for pulmonary embolus. 2. interval improvement in bibasilar subsegmental atelectasis and lingular atelectasis/scarring. 3. unchanged paratracheal and precarinal enlarged lymph nodes measuring up to 10 mm. mr head w & w/o contrast impression: no intracranial abnormalities. since , resolution of scalp hematoma and paranasal sinus disease. improving bilateral mastoid air cell changes. mrcp (mr abd w&w/oc); mr 3d rendering w/post process impression: 1. unremarkable pancreatic duct. small amount of fluid around the head of the pancreas without evidence for injury to the pancreatic parenchyma. 2. subcapsular hematoma posterior to the posterior lobe of the right liver. no intrahepatic biliary dilatation. no parenchymal hepatic lesions appreciated. 3. stable right lower pole renal infarction. simple left hepatic cyst. 4. subcapsular splenic hematoma. mr orbit w &w/o contrast 12:01 am impression: 1. no findings to explain patient's symptoms involving the right eye. 2. questionable short-segment enhancement of the left optic nerve sheath as described above. this finding has been described in meningioma, orbital pseudotumor, perioptic neuritis, sarcoidosis, leukemia, lymphoma, metastases, perioptic hemorrhage, and erdheim- disease. however, the validity of the observation is questionable, in that it is only seen on one axial and no coronal images, and particularly as it has no correlation with right sided optic nerve symptoms. finally, i cannot detect the questionable left sided hyperintense finding in the left optic nerve, noted by dr. , the nighthawk radiologist, who acknowledged that his observation may be artifactual, as well, again if the clinical findings do not correlate with it. brief hospital course: #) nausea/vomiting: for the first week of pt's admission, pt. had very poor po intake nausea, so dobhoff was placed and tf started. additionally, tpn was initiated. on hd 18, pt was taking improved po calories, so dobhoff was pulled and pt transitioned to tpn and po's only. on hd 15, neurology was consulted to evaluate for a possible central source for the patient's nausea, which they felt was unlikely. recommended mri of brain for further evaluation which was nl. #) orthostasis/dizziness: pt. had been feeling somewhat dizzy when upright and on hd 20, pt. had apparent vasovagal episode upon standing. vital signs showed orthostatic changes. this improved somewhat with more aggressive hydration, then resolved with initiation of steroids for adrenal insufficiency as above. #) atrial flutter/fibrillation: on , pt. had near-syncopal episode and was found to be somewhat hypotensive (sbp 80's) and tachycardic (120's) and on ekg/monitor appeared to be in a.flutter interspersed with a.fib. rate control was achieved with iv diltiazem and pt was briefly transitioned to diltiazem drip. cardiac enzymes were cycled and were negative. pt. was changed from prophylactic to therapeutic lovenox dose at this time and maintained on this dose throughout rest of hospitalization. cardiology was consulted and on , cardioverted pt with successful return to nsr, which pt maintained until time of discharge. #) blurry vision: on approx hd 14, pt. c/o of some blurriness in r eye. ophthalmology was consulted and found that l eye had persistent pallor of disc (pt. has had no l eye vision since accident), but that r eye was nl. pt. had persistence of this symptom on hd38, so was evaluated formally by ophthalmology again (at ) and again was found to have nl exam of r eye. #) diarrhea: pt. had persistent diarrhea throughout hospitalization, secondary to his short gut s/p resection. this improved slightly with use of loperamide, psyllium, kaopectate, and opium tincture as well as dietary changes. cholestyramine was also tried, but did not seem helpful so was discontinued. pt. was given extensive education on short gut/dietary changes by nutrition. unfortunately, at time of d/c patient was still having diarrhea after most meals, albeit at lower volumes than previously. #)depression: psychiatry followed patient while in-house, recommended lexapro, felt pt. was somewhat dispirited but not suicidal or acutely psychiatrically ill. discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for sob. disp:*1 * refills:*1* 2. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation q4-6h (every 4 to 6 hours) as needed for sob. disp:*1 * refills:*1* 3. bismuth subsalicylate 262 mg/15 ml suspension sig: sixty (60) ml's po four times a day. 4. escitalopram 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. zolpidem 5 mg tablet sig: 1-2 tablets po hs (at bedtime) as needed for insomnia. disp:*30 tablet(s)* refills:*0* 6. psyllium 1.7 g wafer sig: two (2) wafer po tid (3 times a day). disp:*qs wafer(s)* refills:*2* 7. loperamide 2 mg capsule sig: two (2) capsule po four times a day. disp:*qs capsule(s)* refills:*0* 8. fludrocortisone 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. prednisone 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*qs tablet(s)* refills:*2* 10. lorazepam 0.5 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for anxiety. disp:*30 tablet(s)* refills:*0* 11. vitamin b-12 1,000 mcg/ml solution sig: one (1) ml injection once a week. disp:*qs * refills:*2* 12. enoxaparin 80 mg/0.8 ml syringe sig: one (1) inj subcutaneous q12h (every 12 hours) for 4 weeks. disp:*56 inj* refills:*0* 13. hospital bed please provide patient with hospital bed 14. bedside commode please provide patient with bedside commode 15. shower chair please provide patient with shower chair 16. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 17. opium tincture 10 mg/ml tincture sig: twenty (20) drop po q 8h (every 8 hours). disp:*qs * refills:*2* 18. picc picc line care per protocol discharge disposition: home with service facility: home health care discharge diagnosis: left adrenal hemorrhage adrenal insufficiency discharge condition: stable discharge instructions: you may experience intermittent dizziness and nausea as you have while hospitalized. return to the emergency room for persistent fevers, persistent nausea, persistent dizziness, persistent nausea, vomiting, diarrhea and/or any other symptoms that are concerning to you. take your medications as they have been prescribed. followup instructions: follow up with dr. in his clinic by calling for an appointment to be seen in weeks. follow up with caridology in weeks. dr. (. follow up with endocrinology in weeks. dr. . (. opthomolgy - provider: , md phone: date/time: 1:30 you have a follow up appointment that was previously scheduled with dr. , orhtopedic spine surgery. phone: appointment scheduled date/time: 2:30; , . md, procedure: parenteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances other electric countershock of heart esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells diagnoses: intestinal bypass or anastomosis status diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortocoronary bypass status other specified visual disturbances other and unspecified postsurgical nonabsorption unspecified gastritis and gastroduodenitis, without mention of hemorrhage arthrodesis status orthostatic hypotension 

Answer: The patient is high likely exposed to