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: codeine attending: chief complaint: dyspnea major surgical or invasive procedure: hemodialysis tunnelled catheter placement hemodialysis cardiac stress test history of present illness: 68 yo female with h/o esrd secondary to ? iga nephropathy not currently on hd (has refused in the past) presents with 1 day h/o dyspnea and sob at rest, which has gotten worse throughout the day prior to admission. pt had prior admission to on for chf in setting of arf but left ama. denies cp, fevers, palpitations, fevers, chills, nausea, n/v, weight gain, increased salt intake. pt was seen in clinic yesterday, with lower weight and clear lungs. normally makes urine. last admission to two weeks ago where pt was admitted for hematuria. past medical history: -hypertension -chronic renal insufficiency secondary to nephrosclerosis and possibly iga nephropathy creat acutely rising since -h/o alcohol abuse -s/p r rotator cuff surgery -h/o squamous cell carcinoma -h/o dvt related to pregnancy, s/p venous stripping -hypothyroidism -chronic low back pain -chronic le edema -h/o pulmonary nodules -ptsd/anxiety -mgus -s/p tah -?chf admitted to for chf (ef >55% with 1-2+mr in ) social history: the pt. lives alone in senior housing and is retired. she smoked 1ppd for 15 yrs and said that her last alcoholic beverage was >1month ago. no illicit substance use. she has 5 children and wants her daughter to be her hcp although has never established this in the past. family history: the pt. has a daughter with sle. father died in his 60's of liver problems, no hx of kidney disease physical exam: 98.4 111 175/81 18 91%ra/99% 5l : ncat, eomi, perrla, trachea midline, dry mm lungs: rhonchi bilaterally with crackles in lower bases cvs: s1s2rrr abd: soft, nt, nd, good bs le: no edema, +1 pedal pulses bilat gross neurological exam normal and symmetric pertinent results: 09:30am urine blood-lg nitrite-neg protein-100 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:30am urine rbc-21-50* wbc-0-2 bacteria-few yeast-none epi-0-2 09:05am glucose-103 urea n-87* creat-5.6* sodium-142 potassium-5.0 chloride-106 total co2-18* anion gap-23* 09:05am ck(cpk)-106 09:05am ctropnt-0.04* 09:05am ck-mb-3 09:05am wbc-11.1* rbc-3.22* hgb-10.5* hct-31.3* mcv-97 mch-32.7* mchc-33.6 rdw-14.4 09:05am neuts-89.5* bands-0 lymphs-7.2* monos-2.4 eos-0.5 basos-0.3 09:05am plt count-280 01:54pm urea n-92* creat-5.2* sodium-145 potassium-4.8 chloride-106 total co2-20* anion gap-24* cxr: lungs well inflated; heart slightly enlarged; interstitial edema and kurly b lines in lower lobes c/w chf; no infiltrate; no comparisons; emphysema brief hospital course: a/p 1. dyspnea: admitted to floors with ongoing diagnosis of chf/pulmonary edema secondary to renal failure. pt given 80 mg iv lasix in the ed. on the floor, the pt became acute dyspnic and tachypnic, with diastolic pressures in the 110-120's and hr in the 120's. cxr showed likely flash pulmonary edema, and pt given lopressor and hydralazine at bedside with little effect. during initial event, pt was satting 88% on nrb, but after being given an additional lasix, came up into the mid 90's on 100%nrb. due to persistent diastolic hypertension and dyspnea, however, pt was transferred to the micu for 1 day for closer monitoring. in the micu, pt had hemodialysis, after which her respiratory status markedly improved. pt was moved back to floor where a tunnelled catheter was placed successfully for hemodialysis. pt very resistant to starting hemodialysis, and was skeptical in her ability to follow the regimen of hd 3 days a week. social work and neurobehavioral psych called to evaluate pt's ability to cope with new diagnosis in addition to waxing/ mental status, mood changes. seen by psych who did not think patient had depression or strange affect, but stated the contrary, that patient appeared to be competent. changes in mood attributed to mild post dialysis delirium. mood improved hd #4 24 hours after last dialysis. 2. hyptothyroid: continued on synthroid, though tsh in-house 10. levothyroxine was increased to 125 mcg per day. pt should be followed up for further evaluation and workup as outpatient. 3. chf: was ruled out for mi by enzymes. had no complaints during hospital visit. 5. anemia: secondary to renal failure; remained on epoetin. should be re-evaluated and possibly started on fe supplementation as outpatient. 6. htn: most likely renal failure, and improved with hemodialysis. 7. cvs: p-mibi done to evaluate possible etiology causing flash pulmonary edema at the beginning of hospital course, which showed fixed lateral defect and ef ~41%. no further cardiac intervention done on this visit. 8. hyponatremia: unclear etiology. some thoughts were low sodium levels secondary to fluid overload from esrd, increased body water/na ratio, serreptitious po intake. levels improved to 128 upon discharge after hd. pt discharged with instructions to limit fluid intake to 4 glasses of water/equivalents per day. na level will be checked at next hd tomorrow am. medications on admission: docusate senna hydralazine atenolol amlodipine lasix epo sevelamer asa levothyroxine atorvostatin folic acid mvi thiamine pantoprazole diazapam discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 6. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 7. hydralazine hcl 10 mg tablet sig: two (2) tablet po q6h (every 6 hours). 8. amlodipine besylate 5 mg tablet sig: two (2) tablet po daily (daily). 9. epoetin alfa 10,000 unit/ml solution sig: one (1) injection asdir (as directed). 10. ipratropium bromide 0.02 % solution sig: one (1) inhalation every six (6) hours. disp:*1 inhaler* refills:*0* 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 12. diazepam 5 mg tablet sig: one (1) tablet po bid (2 times a day). 13. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*0* 14. sevelamer hcl 800 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* 15. levothyroxine sodium 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: renal failure chf hypothyroidism anemia hypertension hyponatremia discharge condition: stable discharge instructions: 1. take all your medications as prescribed 2. do not drink more than 4 8 ounce glasses fluid per day! 3. please go to hemodialysis as instructed on tuesday, thursday and saturdays at noon at dialysis center at . 4. if you find that you are having problems getting to hemodialysis, please call dr. at to discuss the difficulties you may be having. he will also help you follow up with the renal clinic followup instructions: please go to hemodialysis as instructed on tuesday, thursday and saturdays at noon at dialysis center at . you have a follow up appointment with dr. next week. see below for information: , md where: phone: date/time: 11:40 md, procedure: hemodialysis venous catheterization for renal dialysis transfusion of packed cells diagnoses: acidosis anemia in chronic kidney disease mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified hyposmolality and/or hyponatremia unspecified acquired hypothyroidism acute on chronic diastolic heart failure hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure other emphysema 

Answer: The patient is high likely exposed to