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: amoxicillin / penicillins / ampicillin attending: chief complaint: stomach hurts major surgical or invasive procedure: central line placements cvvh history of present illness: the patient is a 24 y/o female complainging of 2 days abdominal pain that is diffuse but greater in the right upper quadrant. the pain radiates to the right shoulder and the lower back. she has had nausea and non-bloody / non-bilious vomiting. her last bowel movement was 2 days ago and was normal and nonbloody. she continues to pass flatus. the patient has had no fevers. the patient was initially seen at an outside facility and noted to have acute hepatic failure by labs. on arrival to the patient was mildly hypotesive and anuric. after 8 liters of fluid her hypotension improved but her anuria did not. on questioning, the patient reports 3 to 4 drinks per night 4 days per week. she has been taking 3 tylenol twice daily for a tooth ache. the last time she took any tylenol was two days ago. the patient denies overdosing on tylenol. she denies any current or recent suicidal ideation. past medical history: lymes disease, d&e social history: alcoholic drinks 4 days per week smokes 1 pack cigs per day no drugs lives with boyfriend family history: non contributory physical exam: alert and oriented x 3; no acute distress severe conjuctival injection/hemorrhage extremely poor dentition heart regular rate and rhythm chest clear to auscultation bilaterally with no crackles, wheezes, or rhonchi abdomen soft, non-distended, globally tender with guarding greateds in ruq no hernias trace lower extremity edema pertinent results: imaging: cxr 2 view: findings: comparison is made with prior radiograph from . the tracheostomy tube has been removed. the lungs are clear without pneumonia or chf. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal. the bones are unremarkable. impression: no acute intrathoracic process. ruq u/s: impression: 1. small gallstones and sludge are seen in the gallbladder. no evidence of cholecystitis. 2. the liver is diffusely hyperechoic. these findings may represent fatty infiltration, however, more significant forms of liver disease such as hepatic fibrosis and cirrhosis cannot be entirely excluded. kub:there is no free air below the diaphragms. there is no evidence of bowel dilatation worrisome for a small or large bowel obstruction. the percutaneous gastrostomy is unremarkable. ct sinus/maxillary: persistent polypoid mucosal thickening with rim calcification in the sphenoid sinuses, which may be related to inspissated secretions or fungal colonization. resolution of circuferential mucosal thickening in the remainder of the sphenoid sinuses. unchanged mild mucosal thickening in the maxillary sinuses. tte: the left atrium is normal in size. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. no masses or vegetations are seen on the aortic valve. the mitral valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: no valvular vegetations seen, but study quality is insufficient to exclude a small vegetation. moderate tricuspid regurgitation. ========================= microbiology: hcv viral load: 1,870,000 iu/ml : urine cx negative : bal: gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. respiratory culture (final ): oropharyngeal flora absent. yeast. 10,000-100,000 organisms/ml.. immunoflourescent test for pneumocystis jirovecii (carinii) (final ): negative for pneumocystis jirovecii (carinii).. fungal culture (final ): yeast. acid fast smear (final ): no acid fast bacilli seen on concentrated smear. acid fast culture (final ): no mycobacteria isolated. : bld culture x 2 negative : bld culture: blood culture, routine (final ): enterococcus faecium. identification and sensitivities performed on culture # . : bld culture: enterococcus faecium. final sensitivities. daptomycin sensitivity testing performed by etest. daptomycin = sensitive ( 0.25 mcg/ml ). high level gentamicin screen: susceptible to 500 mcg/ml of gentamicin. screen predicts possible synergy with selected penicillins or vancomycin. consult id for details. high level streptomycin screen: susceptible to 1000mcg/ml of streptomycin. screen predicts possible synergy with selected penicillins or vancomycin. consult id for details.. sensitivities: mic expressed in mcg/ml _________________________________________________________ enterococcus faecium | ampicillin------------ <=2 s daptomycin------------ s penicillin g---------- 0.5 s vancomycin------------ <=1 s : bld culture klebsiella oxytoca. final sensitivities. sensitivities: mic expressed in mcg/ml _________________________________________________________ klebsiella oxytoca | ampicillin/sulbactam-- =>32 r cefazolin------------- =>64 r cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- 2 s cefuroxime------------ =>64 r ciprofloxacin--------- =>4 r gentamicin------------ <=1 s meropenem-------------<=0.25 s piperacillin/tazo----- =>128 r tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s labs: 07:40am blood wbc-7.0 rbc-2.84* hgb-8.8* hct-25.7* mcv-90 mch-31.0 mchc-34.4 rdw-16.9* plt ct-202 07:30am blood wbc-6.4 rbc-2.81* hgb-8.9* hct-25.3* mcv-90 mch-31.6 mchc-35.1* rdw-16.9* plt ct-220 06:20am blood wbc-7.5 rbc-2.80* hgb-8.4* hct-25.4* mcv-91 mch-30.1 mchc-33.1 rdw-16.9* plt ct-251 06:50am blood wbc-6.3 rbc-2.91* hgb-8.8* hct-26.3* mcv-90 mch-30.3 mchc-33.6 rdw-17.0* plt ct-270 06:20am blood wbc-6.2 rbc-2.85* hgb-8.9* hct-25.5* mcv-90 mch-31.4 mchc-35.1* rdw-17.3* plt ct-289 06:24pm blood wbc-19.5* rbc-2.37* hgb-8.1* hct-23.9* mcv-101* mch-34.1* mchc-33.8 rdw-19.5* plt ct-201 01:43am blood wbc-23.7* rbc-2.26* hgb-7.8* hct-23.2* mcv-102* mch-34.3* mchc-33.5 rdw-19.9* plt ct-236 02:14am blood wbc-21.9* rbc-2.25* hgb-7.9* hct-22.6* mcv-100* mch-34.8* mchc-34.7 rdw-20.2* plt ct-189 02:14am blood wbc-25.4* rbc-2.42* hgb-8.1* hct-24.1* mcv-100* mch-33.5* mchc-33.6 rdw-19.8* plt ct-184 04:06am blood wbc-24.7* rbc-2.46* hgb-8.5* hct-24.2* mcv-98 mch-34.4* mchc-35.0 rdw-19.4* plt ct-146* 12:51am blood wbc-31.8* rbc-2.95* hgb-10.1* hct-28.8* mcv-98 mch-34.1* mchc-35.0 rdw-19.6* plt ct-218 02:24am blood wbc-24.2* rbc-2.90* hgb-9.8* hct-27.4* mcv-95 mch-33.7* mchc-35.6* rdw-19.4* plt ct-214 05:50pm blood wbc-24.8* rbc-2.85* hgb-9.9* hct-26.9* mcv-94 mch-34.9* mchc-36.9* rdw-19.1* plt ct-216 03:14am blood wbc-19.4* rbc-2.39* hgb-8.4* hct-24.2* mcv-101* mch-35.2* mchc-34.8 rdw-21.2* plt ct-139* 04:04am blood wbc-18.8* rbc-2.50* hgb-8.5* hct-25.2* mcv-101* mch-34.1* mchc-33.8 rdw-21.6* plt ct-123* 02:23am blood wbc-34.9* rbc-2.96* hgb-10.0* hct-27.7* mcv-94 mch-33.8* mchc-36.1* rdw-23.8* plt ct-57* 12:47pm blood wbc-38.9* rbc-2.97* hgb-10.0* hct-28.3* mcv-95# mch-33.8* mchc-35.4* rdw-23.4* plt ct-80*# 03:19pm blood wbc-56.5* hct-22.6* plt ct-48* 02:22am blood wbc-40.5* rbc-2.11* hgb-8.2* hct-24.1* mcv-114* mch-38.8* mchc-34.0 rdw-16.6* plt ct-48* 06:31pm blood wbc-30.2* plt ct-42* 06:02pm blood wbc-12.9* rbc-2.81* hgb-11.0* hct-31.2* mcv-111* mch-39.1* mchc-35.3* rdw-14.4 plt ct-210 02:10pm blood wbc-15.5* rbc-2.78* hgb-10.5* hct-29.8* mcv-107* mch-37.8* mchc-35.2* rdw-15.0 plt ct-245 09:15am blood pt-14.9* inr(pt)-1.3* 02:29pm blood pt-21.1* ptt-44.2* inr(pt)-2.0* 03:17am blood pt-23.1* ptt-44.8* inr(pt)-2.2* 02:47pm blood pt-26.2* ptt-43.1* inr(pt)-2.6* 06:02pm blood pt-27.0* ptt-47.7* inr(pt)-2.7* 02:10pm blood pt-38.0* ptt-58.5* inr(pt)-4.1* 05:42pm blood fibrino-327# 05:16pm blood fdp-160-320* 02:27am blood fibrino-639*# 01:43am blood fibrino-462*# 02:00am blood fibrino-280# 03:15am blood fibrino-318 07:40am blood glucose-102 urean-5* creat-1.0 na-137 k-4.3 cl-103 hco3-25 angap-13 07:30am blood glucose-97 urean-4* creat-1.0 na-137 k-3.9 cl-104 hco3-25 angap-12 06:20am blood glucose-89 urean-6 creat-1.0 na-140 k-4.4 cl-106 hco3-24 angap-14 06:50am blood glucose-91 urean-10 creat-1.2* na-137 k-4.2 cl-102 hco3-26 angap-13 11:00pm blood glucose-113* urean-25* creat-3.8* na-129* k-6.0* cl-99 hco3-17* angap-19 06:02pm blood glucose-81 urean-24* creat-3.4* na-131* k-5.6* cl-103 hco3-15* angap-19 02:10pm blood glucose-57* urean-24* creat-3.6* na-130* k-5.2* cl-101 hco3-17* angap-17 07:40am blood alt-149* ast-120* alkphos-193* 07:30am blood alt-135* ast-98* alkphos-182* 06:20am blood alt-138* ast-119* alkphos-179* totbili-0.6 06:50am blood alt-129* ast-116* alkphos-187* totbili-0.7 06:20am blood alt-113* ast-107* alkphos-189* 03:25pm blood alt-99* ast-91* alkphos-195* 08:45am blood alt-79* ast-76* alkphos-179* 03:00pm blood alt-74* ast-86* alkphos-185* 06:10am blood alt-60* ast-64* alkphos-188* 04:25pm blood alt-54* ast-53* alkphos-185* 09:45am blood alt-46* ast-46* alkphos-176* totbili-0.6 09:15am blood alt-45* ast-51* alkphos-170* totbili-0.6 03:51am blood alt-20 ast-35 ck(cpk)-30 alkphos-155* totbili-0.7 07:53pm blood alt-709* ast-* alkphos-142* amylase-188* totbili-10.8* 02:47pm blood alt-738* ast-2329* ld(ldh)-821* alkphos-120* amylase-202* totbili-9.7* dirbili-7.3* indbili-2.4 03:01am blood alt-873* ast-4376* ld(ldh)-2790* alkphos-98 amylase-300* totbili-7.8* dirbili-6.0* indbili-1.8 11:00pm blood alt-1043* ast-5935* ld(ldh)-4250* alkphos-101 amylase-380* totbili-7.1* dirbili-4.8* indbili-2.3 06:02pm blood alt-1135* ast-8252* ld(ldh)-5493* alkphos-109 amylase-375* totbili-6.0* dirbili-4.4* indbili-1.6 02:10pm blood alt-1282* ast-8748* ck(cpk)-1501* alkphos-104 totbili-5.4* 09:15am blood lipase-47 07:56pm blood lipase-38 02:47pm blood lipase-858* 03:01am blood lipase-1518* 11:00pm blood lipase-2449* 06:02pm blood lipase-2596* 02:10pm blood lipase-3423* 07:40am blood calcium-10.4* phos-4.0 mg-1.7 07:30am blood calcium-10.5* phos-3.1 mg-1.4* 06:20am blood calcium-9.9 phos-3.3 mg-1.5* 06:50am blood calcium-10.6* phos-4.3 mg-1.7 06:20am blood albumin-3.8 calcium-10.9* phos-5.0* mg-1.7 03:25pm blood calcium-10.7* phos-5.5* mg-1.8 04:15am blood caltibc-212* ferritn-899* trf-163* 11:22am blood triglyc-165* 06:50am blood free t4-1.3 09:55am blood pth-<6* 06:02pm blood hbsag-negative hbcab-negative igm hbc-negative igm hav-negative 03:42am blood pep-no specifi igg-1649* iga-272 igm-234* ife-no monoclo 06:02pm blood hiv ab-negative 02:10pm blood asa-neg ethanol-neg acetmnp-52.0* bnzodzp-neg barbitr-neg tricycl-neg 06:50am blood parathyroid hormone related protein-test 06:50am blood vitamin d 25 hydroxy-test 06:50am blood vitamin d dihydroxy-test name 01:57pm blood vitamin b1-test 04:12pm blood heparin dependent antibodies- 04:21pm blood b-glucan-test 12:00am blood heparin dependent antibodies- 06:02pm blood copper (serum)-test 06:02pm blood herpes simplex (hsv) 2, igg-test name 06:02pm blood herpes simplex (hsv) 1, igg-zetest 06:02pm blood ceruloplasmin-test 06:02pm blood herpes simplex virus 1 and 2 antibody igm-test name brief hospital course: the patient was initially admitted to the transplant surgical service with pancreatitits, acute liver failure, and acute renal failure. all of unclear origin. hepatology, renal, and infectious disease consults were obtained. over the first 48 hrs of admission the patient developed encephalopathy and respiratory failure due to congestive heart failure and was therefore intubated. serial head ct's were performed ruling out hemorrhage and swelling negating the need for cranial bolt placement. serial abdominal ct's were performed showing non-necrotizing pancreatititis. liver ultrasound showed patent hepatic vasculature. the patient was begun on cvvh for anuric acute renal failure with respiratory failure due to congestive heart failure. the patient was pan cultured on admission. blood and urine were negative. she underwent bronchoscopy producing black sputum which grew yeast. the patient had postitive hepatitis c serologies. the patient had labs showing ebv and cmv exposure but no current infection. she was hiv negative. stool cultures were negative. the patient was seen by omfs and underwent facial ct showing no sinusitis and no tooth abscesses. despite the patient's liver failure, she was not listed for transplantation as she retained synthetic function. it was believed that the patient's liver failure was secondary to a septic response rather than hep c, tylenol, or alcohol. without a clear etiology however, it was presumed to be due to her pancreatitis. her renal function gradually improved and her cvvh or hd sessions were discontinued. the patient was treated with broad spectrum antibiotics including vancomycin, meropenem, flagyl, fluconazole, and caspofungin at various times. a repeat abdominal ct showed diffuse colonic inflammation presumed to be infectious. she was treated with po vancomycin and iv flagyl for presumed c. diff, although no c. diff samples returned positive. the patient also had a drop in platelets, so a hit panel was sent which returned negative. over the weekend of , she continued to make incremental progress with battling ards. her tpn was discontinued as she was tolerating goal tube feeds. she required pressor support with norepinephrine. over the dates of , she continued to improve neurologically and her midazolam drip was weaned off. she tolerated cpap/psv well on . patient spiked fever and became septic again on . she was found to have klebsiella oxytoca growing out of her blood on and . etiology of the blood culture was not identified. patient was trasnfered to medicine intensive care unit for futher care of her ventilator dependence and altered mental status. she underwent diagnostic left thoracentesis and lumbar puncture (altered mental status) both of which were negative for infection. infectious disease specialists were following her. all of her lines including hd line were pulled. she was treated with 14 day course of meropenem (completed on ) given the klebsiella was resistant to multiple organsisms as above. she grew enterococcus faecium on and . another a-line was removed. her transthoracic and transesophageal echocardiograms did not show any vegetations. she underwent another abdominal/pelvis ct which did not show any new changes. patient was initially treated with ampicillin which was broadened to vancomycin and meropenem given concern for vap. patient compeleted 6 week course of fluconazole on for multiple fungal infections including sputum, urine, skin and maxillary sinus tissue. patient was also found to have a right sphenoid lesion and ent was reconsulted. they felt that the lesion is improving and recommended followup in two weeks. neurology and psychiatry were following the patient for altered mental status. no clear etiologies were found after extensive workup including eeg, mri and lumbar puncture. she had nonspecific finding of ventriculitis on mri however this would not explain her presentation per neurology service. a lumbar puncture was unrevealing. patient was weaned off of standing methadone and lorazepam. she was started on standing haldol with as needed haldol to treat her agitation. endocrinology was consulted due to mild hypercalcemia and abnormal thyroid funciton. she was diagnosed with sick euthyroid syndrome and does not need thryoid supplementation. patient received hydration and hypercalcemia resolved. she also had episodes of hypernatremia which resolved with free water repletion. patient underwent therpeutic thoracentesis by interventional pulmonologist with pigtail placement on in order to facilitiate weaning off of the vent. this was complicated by small pneumothorax. pig tail was eventually removed on . patient also received diuretics including prn furosemide iv and transient furosemide drip for removal of excess fluids. furosemide drip was discontinued as she experienced contraction alkalosis. patient transiently tolerated trach mask for approximately 18 hours however had to be placed back on pressure support due to rapid shallow breathing and stressed appearance. the patient developed fevers in the first week of and despite a through investigation, no infectious cause was identified; the fevers resolved with the termination of ampicillin treatment for enterococcal bacteremia. the patient had renal failure, requiring hd, which eventually resolved. she weaned off the ventilator to trach mask and was fitted for a p-m valve. she worked with physical therapy and was transferred to the floor afebrile to await placement at rehab. following transition to the floor: ##. ruq tenderness: pt was noted to have ruq tenderness on deep palpation as well as an increased alk phos. an u/s was obtained which was equivocal for cholecystitis. surgery were consulted an recommended a hida scan, unfortunately pt did not tolerate the scan. given lack of leukocytosis and fevers pt was monitored with serial abdominal exams which showed improvement and eventual resolution of her abdominal pain. given her hepatic shock on admission her ruq likely was resolving inflammation of her liver. ##. sinus tachycardia: ms. was also noted to be intermittently in the low 100s likely due to decompensation from her prolonged hospital course. following increased activity with pt pt's sinus tachycardia became less frequent. ##. tracheostomy: following transition to the floor pt was successfully transitioned to a pmv and then decanulation with interventional pulmonary team. prior to discharge the site of her tracheostomy was noted to be healing well with no signs of infection. pt was discharged on a regimen of albuterol inhalers. ##. anxiety: during entire hospital course pt was noted to be agitated at times, understandable given the severity of her condition as well as prolonged hospital course. psychiatry were consulted and followed patient whilst on the floor. pt was discharged on clonidine per psych recs as well as close psych follow-up. ##. tremors: during her course on the floor ms. was noted to have tremors likely from myopathy given her prolonged icu course. pt and ot was consulted and followed pt during her hospitalization course. pt was recommended to have home pt and ot, unfortunately due to her insurance satus she was unable to qualify for prolonged pt and ot. pt was advised to obtain a prescription for physical and occupational therapy from her primary care provider. ##. insomnia: pt was noted to have difficulty with sleeping during hospital course and was discharged on a prn regimen of trazadone 50mg-100mg at bedtime. ##. shock liver: upon review of her admission data pt's shock liver presentation was noted to be multifactoral. she was followed in house by the liver team who, in discussion, believed her presentation to be due to her necrotizing pancreatitis in addition to her excessive etoh intake and tylenol toxicity. during her hospitalization course pt's transaminases were trended and noted to be improving along with her synthetic function. pt was discharged with follow up with a hepatologist (dr. . pt was advised to stop her alcohol intake and be cautious with acetaminophen use (limiting to <2grams per 24 hour period). ##. hepatitis c: pt noted to be positive for hepatitis c, upon discussion with the pt she likely acquired it several years ago when she was using iv drug use. discussed with pt and her boyfriend that there is a risk the her hepatitis c may be sexually transmitted. as mentioned above she was also advised to follow up with the hepatologist. ##. hypercalcemia: pt was also noted to be mildly hypercalcemic, asymptomatic prior to discharge likely due to the length of her immobilization. pt was worked up for her hypercalcemia with a pthrp, vit d 1-25oh, vit d 25oh, which were pending at time of discharge, results will be followed up by pt's pcp. medications on admission: none discharge medications: 1. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). 2. miconazole nitrate 2 % powder sig: one (1) appl topical prn (as needed). 3. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 4. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 5. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: six (6) puff inhalation q4h (every 4 hours) as needed for wheezing. 6. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). 7. benztropine 0.5 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for with haldol: please give with haldol. 8. docusate sodium 50 mg/5 ml liquid sig: one (1) po bid (2 times a day) as needed for constipation. 9. oxycodone 5 mg/5 ml solution sig: five (5) mg po q6h (every 6 hours) as needed for pain. 10. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 11. haloperidol 5 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for severe agitation. 12. lorazepam 1 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. 13. acetaminophen 160 mg/5 ml solution sig: three y five (325) mg po q6h (every 6 hours) as needed for fever or pain. 14. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). discharge disposition: home discharge diagnosis: primary: acute liver failure, acute kidney injury, acute respiratory failure, necrotizing pancreatitis, colitis, encephalopathy, maxillary infection, klebsiella oxytoca bacteremia, hepatitis c, anemia. discharge condition: stable, afebrile discharge instructions: you were transferred to this hospital with multiorgan failure. whilst in the hospital you were very sick and in the icu where you needed you have a breathing machine. you had a difficulty time coming of the ventilator so you had a tracheostomy performed and a feeding tube to help with your nutrition. you finished a course of antibiotics and antifungal treatment for a jaw and blood infection. you had teeth removed. you were then monitored on the floor where your breathing improved and we were able to remove your tracheostomy as well as your feeding tube. the physical therapists saw you in the hospital and noted that you were strong enough to go home with physical therapy. you do need occupational therapy to help regain your function. please do all the occupational therapy exercises provided to you while you were in the hospital. we have started you on 3 new medications. 1. please take albuterol inhaler, please take 1-2 puffs every 4 hours as needed for wheezing. 2. please take clonidine 0.1mg twice a day for your anxiety. 3. you take can an additional 0.1mg clonidine once a day as needed for your anxiety top of your twice a day dose. 4. please take trazadone 50mg-100mg at bedtime only as needed for insomnia. do not take this medication if you do not need to. this medication may cause drowsiness do not operate any heavy machinery or operate a vehicle on this. you should not drink any alcohol as it can further damage your liver. alcohol can also interact dangerously with your medications. we have set you up with a new doctor's appointment, it is important that you attend this. we also set you up to see a liver specialist at . your home services can start as soon as you are able to pay for them or your insurance will cover them. please let your new doctor know that you will need physical therapy, occupational therapy, visiting nursing services at home. if you have any increased difficulty breathing, fevers, chills, please return to the ed. followup instructions: you have a appointment with your new doctor dr. . her office is located at , , . the phone number is . your appointment is scheduled for , it is very important that you keep this appointment. you also have an appointment with the liver specialist, dr. . his clinic is in the liver on the of the at . your appointment is on at 1000. his clinic phone number is: . you will need to have your blood drawn on to check your calcium level as it has been high whilst you were in the hospital. please have the results faxed over to dr. , fax number . dr. can contact dr. at regarding vitamin d testing pending at time of discharge by emailing . you are strongly encouraged to follow-up with mental health. you will be contact by nurse with an appointment. you can contact at (. procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more spinal tap incision of lung parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart insertion of endotracheal tube enteral infusion of concentrated nutritional substances enteral infusion of concentrated nutritional substances hemodialysis percutaneous abdominal drainage other bronchoscopy temporary tracheostomy bronchoscopy through artificial stoma percutaneous (endoscopic) jejunostomy [pej] revision of tracheostomy replacement of tracheostomy tube other surgical extraction of tooth diagnoses: unspecified pleural effusion acute and subacute necrosis of liver acute kidney failure, unspecified hepatorenal syndrome unspecified septicemia severe sepsis acute respiratory failure septic shock ventilator associated pneumonia poisoning by aromatic analgesics, not elsewhere classified acute pancreatitis toxic effect of unspecified alcohol other diseases of spleen other tracheostomy complications accidental poisoning by aromatic analgesics, not elsewhere classified other specified diseases of the jaws accidental poisoning by unspecified alcohol 

Answer: The patient is high likely exposed to