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: penicillins / aspirin attending: chief complaint: polyuria/polydypsia major surgical or invasive procedure: r femoral line placement history of present illness: briefly, patient is a 52 yo lady with dm1, graves' disease, htn, chronic migraines, hep c, asthma, transfered from the micu with dka in setting of medication non compliance. patient self d/ced all her meds over a week ago due to polyuria and fatigue, stating she just "didn't feel like taking them" and wanted to lie still. patient had been having a typical urti with cough, rhinorrhea, also with n/v/d x 3-4 days prior to admission. patient then developed shortness of breath which prompted her to come to the hospital. in the ed, fs was critically high, ag of 37-->admitted to micu for dka, given 10 u regular insulin iv and started on insulin drip. she was hydrated with 3l ns in the ed. . in the micu, gap closed with nph/humalog ss, continued ns->d51/2ns x 1l, now taking pos, consult placed. . on the floor, patient has multiple complaints, ros positive for chronic headaches, +migraine history, a "pulling" sensation in her chest x several months, localized to the left, diffuse in nature, radiates to her neck, left arm with tingling/numbness on occasion with these episodes, also radiating down her left leg. she says that these episodes occur mostly with exertion when she is cleaning the house or walking. patient also c/o crampy abdominal pain periumbilical and pelvic in location, similar to when she had her babies, these are no associated with menses. she says that she always has this pain but that it is currently worse. she also c/o burning and sharp pains in ther legs b/l which is also chronic in nature. patient is taking pos but often gets nauseous and vomits. patient also says that she has intermittent fresh blood in her stools, on the toilet paper and in the bowel which she thinks is associated with straining, also with occasional dark black stools x several months. past medical history: 1. type 1 diabetes mellitus diagnosed in . 2. hypertension. 3. disease. 4. asthma. 5. hepatitis c. 6. gerd. 7. obesity. 8. rheumatoid arthritis. 9. recent bilateral knee arthroscopy in . 10. migraines. 11. status post tah and pelvic floor surgery with bladder lift. social history: the patient denies tobacco or alcohol use. lives with a 22-year-old daughter. currently has home vna. family history: non contributory physical exam: vs: 98.4 bp 126/74 hr 84 r 18 o2 sat 100% ra fs 86 194 lbs gen: middle aged lady, nad, talkative heent: moist, edentulous, anicteric, eom full neck: supple, jvp flat chest: cta b/l, no wheezing or rales cvs: nl s1 s2, split s2, no m/r/g appreciated abd: soft, mildly tender diffusely, no rebound or guarding, bs present but trace, no hsm ext: warm, dry, 1+ dp pulses b/l, no chronic skin changes/rashes, r fem line in place, clean/dry/intact, no swelling, non tender, full range of motion of le b/l; deformity of fingers b/l, slightly contracted/curled inward neuro: a&o pertinent results: 11:00pm type- po2-73* pco2-20* ph-7.10* total co2-7* base xs--21 11:00pm glucose-528* 10:30pm glucose-535* urea n-25* creat-1.3* sodium-130* potassium-5.0 chloride-96 total co2-6* anion gap-33* 07:50pm glucose-817* urea n-30* creat-1.6* sodium-127* potassium-6.4* chloride-85* total co2-<5 verifie 07:50pm asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 07:50pm urine hours-random 07:50pm urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg 07:50pm wbc-15.4*# rbc-5.11# hgb-15.3# hct-46.9# mcv-92# mch-29.9 mchc-32.6 rdw-12.2 07:50pm neuts-86.2* lymphs-10.5* monos-3.1 eos-0.1 basos-0.1 07:50pm hypochrom-1+ 07:50pm plt count-359 07:50pm urine color-straw appear-clear sp -1.025 07:50pm urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-150 bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:30pm urine hours-random 07:30pm urine gr hold-hold 06:41pm glucose-767* . chest single portable: comparison is made to . heart size is normal. the mediastinal and hilar contours are unremarkable. the lungs are clear. there are no pleural effusions or pneumothorax. visualized osseous structures are unremarkable. . impression: no evidence of acute cardiopulmonary process brief hospital course: ms. is a 52 yr old female with type 1 dm, htn, asthma, chronic migraines, ra, htn admitted with dka in setting of med non compliance. # dka: patient reports not taking her meds depression, recent illness and simply not wanting to continue taking medication. no clear source of infection, neg ua, clear cxr. ? abd source given localized abd pain radiation to back. other possible exacerbating factors include cad, hyperthyroidism. cardiac enzymes were negative x 3 however patient with evidence of lateral ischemia with twi on ekg associated with tachycardia, noted in lateral leads i, avl, v5-6. patient also with vague complaints of ?angina, chest discomfort with exertion. patient likely needs an outpatient stress test in the near future for further work up. patient was initially managed in the micu with insulin gtt, fs q 1 hr and aggressive ivf hydration with closure of the anion gap. after one night in the unit, patient was transfered to the floor with good control. patient followed by who managed the patient with nph insulin and humanlog sliding scale. at the time of discharge, she was achieving decent sugar control on her consistent carbohydrate diet. she will follow up with as an outpatient. at the time of discharge, the patient voiced understanding that she really needed to maintain good sugar control to prevent another occurrence of the events leading to this hospitalization. . # chest pain - patient with new ekg changes, twi in lateral leads i, avl, v5-6, ?demand ischemia in setting of tachycardia vs. new ischemic event precipitating dka. ce negative x 1 on admission. patient relays symptoms somewhat suggestive of angina, chest tightness on exertion with sob, diaphoresis, radiation to arm. ?difficult to interpret in setting of dm, as well as the patient's inconsistent reports. repeat enzymes remained flat. the patient will need to follow up as an outpatient for stress testing and coronary risk stratification. . # abd pain: ongoing complaints x many months, crampy pain, periumbilical and pelvic, likely fibroids vs. pancreatitis vs. pud. lipase elevated on admission to 245, trending down to normal likely in setting of dka, tolerating pos but with relatively poor intake. continued on ppi. her intake improved somewhat leading up to discharge. she expressed awareness that she needed to keep her po intake consistent to prevent problems with her glucose management. she was instructed to follow up her abdominal pain as an outpatient with egd/colonoscopy, and possible pelvic ultrasound. patient experienced some improvement with reglan during her stay. . # neuropathic pain/neuropathy - patient c/p burning/tingling/numbness in legs, also ?gastroparesis given history of vomiting. continued on tramadol, started neurontin . this medication will likely take time to work, and effectiveness of this regimen can be evaluated and titrated as an outpatient. . #. graves' disease: patient taking methimazole as outpatient, although there is concern regarding her medication compliance. this could account for her elevated free t4 on screening in house. will continue current methimazole dose for now, will need to recheck as outpatient. . #. gerd: will continue ppi for now. this may help her abdominal pain as well. giving nsaids (tramadol) currently. . #. asthma: continuing with current outpatient regimen. no evidence for asthma exacerbation at this time. . #. htn: patient on antihypertensives as an outpatient. have been holding these since admission for her dka. currently bp has been running wnl, so will continue to hold. with resumption of outpatient dietary habits may creep back up. will need to follow up as outpatient. . #. seronegative polyarthritis: continue sulfasalazine, nsaid prn for now. patient has been followed by dr. in clinic for this problem. . #. hepatitis c: patient is not taking any antiviral therapy. seen by dr. in hepatology. genotype is 1a, biopsy revealed grade i inflammmation. decision was made not to pursue antiviral therapy. . #. migraine headaches: the patient experienced several headaches that fit her usual migraine pattern during her stay. these headaches were responsive to sumatriptan in house, along with oxycodone. her headaches had improved by the time of discharge. she was sent home with a small amount of sumatriptan for any additional headaches prior to her next outpatient visit. medications on admission: * methimazole 10 mg tid * cyclobenzaprine 10 mg * pantoprazole 40 mg qd * diazepam 5 mg * montelukast 10 mg qd * salmeterol q12 * fluticasone 110 mcg, 2 puffs * hyoscyamine sulfate 0.375 mg * albuterol 1-2 puffs q6hrs prn * losartan 100mg qd * hydrochlorothiazide 25 mg qd * aspirin 81 mg qd * sulfasalazine 1500 mg * 70-30 unit/ml 80u qam * 70-30 unit/ml 90u qhs discharge medications: 1. methimazole 10 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 inhaler* refills:*2* 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 6. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 inhaler* refills:*2* 9. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). disp:*1 inhaler* refills:*2* 10. sulfasalazine 500 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 11. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). disp:*1 small bottle* refills:*2* 12. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 14. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*2* 15. metoclopramide 10 mg tablet sig: one (1) tablet po qid prn as needed for nausea. disp:*10 tablet(s)* refills:*0* 16. imitrex 100 mg tablet sig: one (1) tablet po once a day as needed for migraine. disp:*10 tablet(s)* refills:*0* 17. insulin nph human recomb 100 unit/ml suspension sig: thirty six (36) units subcutaneous qam with breakfast. disp:*qs qs* refills:*2* 18. insulin nph human recomb 100 unit/ml suspension sig: twenty six (26) units subcutaneous qpm with dinner. disp:*qs qs* refills:*2* 19. humalog 100 unit/ml solution sig: per sliding scale units subcutaneous four times a day. disp:*qs qs* refills:*2* 20. lancets misc sig: one (1) lancet miscell. four times a day. disp:*qs qs* refills:*2* 21. test strips sig: one (1) glucometer test strip four times a day. disp:*qs qs* refills:*2* discharge disposition: home with service facility: discharge diagnosis: diabetic ketoacidosis type 1 diabetes mellitus . secondary: hypertension hepatitis c virus infection chronic arthritis migraine headaches chronic abdominal pain discharge condition: stable, tolerating po and ambulating without assistance. discharge instructions: please continue to take all medications as prescribed. it is extremely important that you continue to take your diabetes medications and check your blood sugars with every meal and before bedtime. you should call dr. at if your blood sugars are above 300 at any time. if you experience new chest pain, shortness of breath, fevers, chills, nausea, vomiting, or any other concerning symptoms, contact your physician or return to the emergency room. followup instructions: provider: , md phone: date/time: 4:00 (rheumatology) . provider: phone: date/time: 9:40 (liver doctor) . please call your primary care doctor to make an appointment within the next 2-4 weeks. you need to schedule an outpatient exercise mibi stress test for your heart. your physician will make this appointment for you. . if you would like outpatient psychiatric follow up, you can call dr. , who you have seen before, at ( to set up an appointment. . you should contact dr. at ( to arrange an outpatient colonoscopy and discuss a possible outpatient upper endoscopy. . you have an appointment at with dr. on , at 9:00 am to discuss your diabetes management. please make every effort to keep this appointment. procedure: venous catheterization, not elsewhere classified diagnoses: anemia, unspecified esophageal reflux unspecified essential hypertension acute kidney failure, unspecified unspecified viral hepatitis c without hepatic coma asthma, unspecified type, unspecified polyneuropathy in diabetes diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled personal history of noncompliance with medical treatment, presenting hazards to health obesity, unspecified toxic diffuse goiter without mention of thyrotoxic crisis or storm migraine, unspecified, without mention of intractable migraine without mention of status migrainosus other specified disease of white blood cells volume depletion, unspecified diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled abdominal pain, periumbilic other specified arthropathy, site unspecified 

Answer: The patient is high likely exposed to