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 / valsartan / ace inhibitors attending: chief complaint: bright red blood per rectum major surgical or invasive procedure: endogastric duodenoscopy colonoscopy history of present illness: ms. is an 84 year old woman with a past medical history significant for left femur fracture, repaired and on coumadin until , found with bright red blood per rectum at . there was also a report of a ? vaginal bleeding. the patient denies presyncope or hematemesis. she refuses to participate in the rest of the interview because she is very nervous. of note, in a conversation with her daughter, it appears that ms. had a hysterectomy about 1 year ago. past medical history: left femur fracture, repaired and on coumadin until htn cad dm-2 parkinson's hypothyroid hyperlipidemia pancreatitis h/o syncope h/o hysterectomy social history: tob-denies ivda-denies etoh-denies family history: noncontributory physical exam: vitals: t 98.7 bp 119/70 hr 87 rr 18 o2 sat 100% on ra gen: anxious appearing awake lying in bed heent: dry mm, eomi, pupils reactive cv: rrr pulm: ctab no crackles abd: soft nt nd + bs no guarding no rebound obese ext: wwp dp 2+ bilaterally skin: ecchymosis throughout pertinent results: 01:30pm hct-28.0* 07:48am glucose-258* urea n-37* creat-0.7 sodium-139 potassium-4.8 chloride-104 total co2-27 anion gap-13 07:48am alt(sgpt)-7 ast(sgot)-18 alk phos-66 amylase-77 tot bili-0.4 07:48am lipase-40 07:48am neuts-79.5* bands-0 lymphs-15.4* monos-3.9 eos-0.8 basos-0.4 07:48am plt smr-normal plt count-395# 07:48am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 07:48am urine color-straw appear-clear sp -1.023 brief hospital course: # gib - patient was noted to have maroon stool, observed in the ed. the patient underwent egd which revealed a duodenal ulcer in bulb, erythema in the antrum compatible with gastritis, erythema and erosions in the second part of the duodenum compatible with duodenitis, small hiatal hernia. a colonoscopy was prematurely terminated due to inadequate preparation. she was started on protonix. she then experienced an episode of hypotension and tachycardia with passage of bloody stool. her hematocrit was noted to drop from 33 to 23 and she was transferred to the micu for further observation and transfusion of prbcs. a repeat egd revealed ulcers in the distal bulb and first part of the duodenum, one with a stigmata of bleeding (thermal therapy), and an ulcer in the distal stomach body on the greater curvature. this area was successfully cauterized. her hct remained stable over the next 72 hours and she tolerated a po diet upon discharge. the daughter and rehab center reported vaginal bleeding. a speculum exam was performed revealing no stigmata of bleeding in her vagina. gynecology was curbsided and recommended no further intervention since she has had a prior tah/bso. # parkinsons- stable and continues on current medications. # urinary tract infection- urinalysis revealed a urinary tract infection, >100k gnr and was started on a 7d course of levofloxacin. medications on admission: aspirin atenolol 12.5 qd iron levoxyl 150 qd senna zocor 80 mg mirapex 0.125 qd sinemet 25/100 qid lasix 60 qd glipizide xl 10 discharge medications: 1. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po qid (4 times a day). 2. levothyroxine sodium 150 mcg tablet sig: one (1) tablet po daily (daily). 3. pramipexole dihydrochloride 0.125 mg tablet sig: one (1) tablet po qd (). 4. insulin regular human 100 unit/ml solution sig: one (1) injection asdir (as directed). 5. trazodone hcl 50 mg tablet sig: 0.25 tablet po hs (at bedtime) as needed. 6. acetaminophen 500 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed. 7. atenolol 25 mg tablet sig: 0.5 tablet po daily (daily). 8. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours) for 2 weeks: after 2 weeks, you may go to once per day. ask your doctor. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 6 days. 11. simethicone 80 mg tablet, chewable sig: 0.5-1 tablet, chewable po qid (4 times a day) as needed. 12. glipizide 10 mg tab, sust release osmotic push sig: one (1) tab, sust release osmotic push po once a day. 13. lasix 20 mg tablet sig: three (3) tablet po once a day. 14. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po four times a day. 15. vitamin d 400 unit capsule sig: one (1) capsule po once a day. 16. morphine sulfate 2 mg/ml syringe sig: one (1) injection q4h (every 4 hours) as needed for 5 days: hold for sedation. 17. vitamin c 1,000 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: for the aged - ltc discharge diagnosis: peptic ulcer disease parkinson's disease urinary tract infection, complicated hypertension diabetes mellitus hyperlipidemia discharge condition: good discharge instructions: please continue your home medications. call your doctor if you feel short of breath, dizzy, or if you have dark stool. you should also call if you vomit blood or feel weak. do not take aspirin until after your appointment with dr. who will decide when you can start taking it. followup instructions: please call your pcp: , . for an appointment in the next 2 weeks. your pcp should look up the results of your h. pylori serologies. provider: , md where: lm phone: date/time: 2:15 procedure: endoscopic control of gastric or duodenal bleeding endoscopic polypectomy of large intestine esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells diagnoses: urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism aortic valve disorders hypopotassemia paralysis agitans long-term (current) use of anticoagulants chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction hyperosmolality and/or hypernatremia benign neoplasm of colon hip joint replacement 

Answer: The patient is high likely exposed to