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: colchicine / atorvastatin / cinacalcet attending: chief complaint: bright red blood per rectum major surgical or invasive procedure: picc line placement () sigmoidoscopy () colonoscopy () history of present illness: 76 year-old woman with type 2 dm complicated by esrd on hd, hypertension/hyperlipidemia chf (ef 30-40% in ), sarcoidosis who presents with bright red blood per rectum. the patient was in her usual state of health this morning when she had two bowel movements ~9:30 am which were soft, slightly loose and the toilet bowl was filled with blood. the patient denies chest pain, shortness of breath, lethargy with these two episodes although she did endorse some mild abdominal crampiness and lightheadedness. of note, the patient had a normal colonoscopy in when she was also evaluated for brbpr. she had been guaiac negative x3 last week, per report. she was brought from to the ed where her initial hct 31.3 (baseline low 30s) and her creatinine slightly elevated from priors but no significant electrolyte abnormalities. she reports her last hd session was last tuesday. her initial vitals were t98.2, bp185/72, hr80, rr20 and 99% on ra. the patient had two more bowel movements in the ed which were maroon colored, with streaks of blood also on soft stools so she was admitted to the . she denied any symptoms, including crampy abdominal pain, with these two bowel movements. she received 2l ivf. ros (+) per hpi (-) denies fever, chills. denies headache, cough, shortness of breath. denies chest pain or tightness, palpitations. denies nausea, vomiting, diarrhea. has baseline numbness/tingling of bilateral lower extremities x1-2 months. past medical history: * dyslipidemia/hypertension - coronary artery disease on aspirin/plavix * hypertension * complicated proximal humerus fracture (): followed by orthopedics, currently advised to avoid l arm weight bearing * stroke, per family 2, one about 4-5 years prior and one >20 yrs ago family is unsure of deficit * post polypectomy bleed admitted on for brbpr * esrd on hd: tues, thurs, sat at . * chf: echo : ef 30-40%. lvh (moderate, and diastolic dysfunction) * type 2 dm: diagnosed >40 years ago, complicated by esrd, controlled on insulin * sarcoidosis with ocular involvement: seen every 3 months for eye exam - not biopsy proven * gout: last flair ; usually occurs in r toes * knee surgery s/p fall * obstructive sleep apnea: sleep study shows moderate obstructive sleep apnea consisting mainly of hypopneas that produced substantial drops in oxygen saturation. social history: currently resides at long term care. no smoking history, rare alcohol intake. denies illicit drugs. currently resides at after l arm fracture, previously lived with her daughter. ambulatory with cane at baseline. family history: type 2 diabetes mellitus, hypertension. physical exam: admission: vs: temp: 98.4 bp:116/59 hr:78 rr:16 o2sat100% on ra gen: pleasant, comfortable, nad heent: perrl, eomi, mmm, oro/nasopharynx clear, no jvd or hepatojugular reflux currently, neck soft and supple without lymphadenopathy. resp: cta b/l with good air movement throughout, no wheezing/rhonchi/rales cv: rrr, s1 and s2 wnl, no r/g, rusb --> apex holosystolic blowing murmur, right sided hd catheter c/d/i w/o ttp or erythema abd: nd, +b/s, soft, nt, no palpable masses ext: no c/c/e, rue av fistula c/d/i skin: no rashes/lesions neuro: aaox3. cn ii-xii intact. strength and sensation grossly intact. rectal: grossly maroon, soft stools, no palpable hemorrhoids pertinent results: 01:10pm blood wbc-7.1 rbc-3.21* hgb-10.0* hct-31.3* mcv-97 mch-31.2 mchc-32.0 rdw-17.0* plt ct-206 06:00am blood wbc-7.6 rbc-2.89* hgb-8.8* hct-26.1* mcv-90 mch-30.3 mchc-33.6 rdw-16.5* plt ct-197 01:10pm blood glucose-90 urean-76* creat-7.5*# na-138 k-6.4* cl-96 hco3-24 angap-24* 06:00am blood glucose-128* urean-31* creat-7.7*# na-143 k-4.1 cl-94* hco3-35* angap-18 06:00am blood calcium-9.5 phos-5.7* mg-2.2 . ekg (): sinus rhythm. left bundle-branch block. left ventricular hypertrophy. compared to the previous tracing of no diagnostic interim change. . cxr (): left picc ends at level of mid to low svc. no pneumothorax. . sigmoidoscopy (): findings: contents: old blood was seen in the rectum, sigmoid and descending colon, and splenic flexure. blood was washed off at multiple sites and normal appearing mucosa was noted beneath. mucosa: normal mucosa was noted in the rectum, sigmoid colon, descending colon and splenic flexure. protruding lesions two non-bleeding polyps of benign appearance and ranging in size from 2 mm to 3 mm were found in the rectum. excavated lesions multiple non-bleeding diverticula were seen in the sigmoid colon and descending colon. impression: blood in the rectum, sigmoid colon and descending colon. diverticulosis of the sigmoid colon and descending colon. polyps in the rectum. normal mucosa in the rectum, sigmoid colon, descending colon and splenic flexure. otherwise normal sigmoidoscopy to splenic flexure. recommendations: return to hospital floor. follow hcts and transfuse prn. will need full colonoscopy at some point. if brisk bleeding would proceed to tagged-rbc scan. . colonoscopy () impression: grade 1 internal hemorrhoids diverticulosis of the sigmoid colon otherwise normal colonoscopy to cecum . procedures and appointments can be scheduled by calling or by email . likely resolved diverticuli bleeding. brief hospital course: 76 year-old woman with esrd, chf (ef 30-40%), was initially admitted with lgib to . in the icu she received 3 units of prbcs over the course of 3 days. she was transferred to the floor where she received a 4th unit of prbc (). 1st attempt at bowel prep resulted in pulmonary edema after 1l golytely. tried tap water enema instead for flex sig. flex sig showed old blood. pt still with intermittent blood per rectum, so a reattempt at bowel prep was made. slow prep with golytely over 36 hours was successful. she underwent colonoscopy which showed diverticulosis, but no blood. it was suspected that her episode of bleeding was likely due to a diverticular bleed. due to this episode, it is recommended that patient remain off of bisacodyl, as it may predispose her to future episodes of bleeding. # anemia acute blood loss from lgib: patient recieved 4 units of prbc transfusion. # esrd: patient continued hd, and required dialysis for management of acute chf. # htn, benign: on losartan, helding coreg during gi bleed, but this was resumed prior to discharge. # systolic chf, ef 30-40% pt developed pulmonary edema from golytely prep during the admission, for which she received dialysis. on , she felt somewhat short of breath and had pulmonary rales on exam. she underwent hd with 1 liter fluid removal, and she now appears euvolemic. her avapro (non-formulary) was replaced with losartan during the admission, which she tolerated well. coreg was resumed prior to discharge. # cad, native vessel: her aspirin and plavix were initially held due to her gi bleeding. her hct appeared stable, without any evidence of ongoing bleed, so she was resumed on her aspirin 81 mg po q day on . her plavix remains held for now, and recommend resuming on . # diabetes type ii, controlled: continued insulin sliding scale # gout, chronic: continued allopurinol # sarcoidosis: no active issues. # code: full code # emergency contact: (hcp), medications on admission: * carvedilol 12.5mg twice daily m/w/f/sun * carvedilol 6.25mg twice daily t/th * renvela 1600mg three times daily w/ food, omit noon dose on hd days * senna 8.6mg two tablets three times daily, omit noon dose on hd days * lumigan 0.03% eye drops instill one drop in boths eye qhs * novolin sliding scale * tylenol 650mg q6h prn pain * bisacodyl 10mg pr qday prn constipation * enulose 30ml by mouth daily prn constipation * -tussin 10mls q4h prn cough * fleets enema pr qday prn constipation * avapro 150mg qhs * claritin 10mg daily * allopurinol 100mg every other day * plavix 75mg daily * aspirin 81mg daily * omeprazole 20mg daily * nephrocaps q5pm discharge medications: 1. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day): mon, wed, fri. 2. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day): tue, thurs. 3. senna 8.6 mg tablet sig: two (2) tablet po three times a day: omit noon dose on hd days. 4. lumigan 0.03 % drops sig: one (1) gtt both eyes ophthalmic at bedtime. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 6. miralax 17 gram powder in packet sig: one (1) packet po once a day. 7. avapro 150 mg tablet sig: one (1) tablet po at bedtime. 8. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. plavix 75 mg tablet sig: one (1) tablet po once a day: please hold until , at which time you may resume. 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 12. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 13. claritin 10 mg tablet sig: one (1) tablet po once a day. 14. renvela 800 mg tablet sig: two (2) tablet po three times a day: with meals. omit noon dose on hd days. 15. insulin regular human 100 unit/ml solution sig: as per sliding scale units injection qachs. discharge disposition: extended care facility: - discharge diagnosis: primary diagnoses: - gastrointestinal bleeding - anemia from acute blood loss - diverticulosis secondary diagnoses: - end stage kidney disease on hemodialysis - hypertension - coronary artery disease - systolic heart failure - gout - sarcoidosis - diabetes mellitus, type ii discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the hospital for evaluation of bleeding from the gastrointestinal tract. multiple units of red blood cells were transfused as needed to keep your blood count adequate. you underwent both a sigmoidoscopy and a colonoscopy to evaluate for a source of bleeding. you were found to have diverticulosis, which was the likely source of bleed. followup instructions: department: radiology when: friday at 10:30 am with: ultrasound building: cc clinical center campus: west best parking: . garage department: medical specialties when: friday at 11:00 am with: mala , md building: sc clinical ctr campus: east best parking: garage procedure: hemodialysis colonoscopy rigid proctosigmoidoscopy central venous catheter placement with guidance diagnoses: end stage renal disease renal dialysis status coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute posthemorrhagic anemia gout, unspecified sarcoidosis hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia long-term (current) use of insulin personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits acute on chronic systolic heart failure diverticulosis of colon with hemorrhage diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled internal hemorrhoids without mention of complication benign neoplasm of rectum and anal canal 

Answer: The patient is high likely exposed to