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 / tetracycline attending: chief complaint: gi bleed major surgical or invasive procedure: egd () sigmoidoscopy () colonoscopy () meckel's scan () triple lumen central venous line. history of present illness: 58 with history of recent mi in and placement of stent (unclear what type) on asa and plavix presenting to osh with brbpr. patient reports that at 4pm began to have large volume blood from rectum. went to osh where crit had fallen to mid 20's from baseline in the 40's. patient received 4u prbcs, ffp and ddavp. she continued to have brbpr and and got up to go to bathroom and had syncopal episode. was transferred here for gi evaluations. . in the ed, initial vs were: 98 70 100/60 20 100% . she was not activly bleeding and a stat hct was 35. rectal exam was notable for brb no stool. ng lavage was negative. . on arrival to the micu, she is pain free and mildly anxious. . review of systems: per hpi past medical history: - multifocal bilateral papillary thyroid carcinoma s/p total - thyroidectomy followed by rai treatment in . - hypercalcemia. - insulin-requiring type 2 diabetes followed by dr. at - hyperlipidemia - fatty liver - diverticulosis/recurrent diverticulitis - nephrolithiasis s/p surgery in - right renal cancer s/p partial nephrectomy xrt in - fibroid surgery in - anxiety/depression - fibromyalgia - migraine headaches - menopause in social history: - tobacco: no - alcohol: denies - illicits: denies . family history: non contributory physical exam: admission exam general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: gorssly intact. discharge physical exam: vs - 96.9, 115/63, 67, 20, 97%ra fs 224 general - elderly woman in nad, comfortable, appropriate heent - nc/at, perrl, eomi, sclerae anicteric, mmm, op clear neck - supple, no jvd, no cervical lad; cvl place lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - nabs, soft/nd, mild tenderness over left abdomen, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, +slr on l. pertinent results: admission labs 12:00am blood wbc-6.5 rbc-4.24 hgb-13.2 hct-35.9* mcv-85 mch-31.3 mchc-36.9* rdw-12.8 plt ct-184 12:00am blood neuts-70.0 lymphs-24.9 monos-3.7 eos-0.7 baso-0.8 12:00am blood pt-12.0 ptt-22.2 inr(pt)-1.0 12:00am blood glucose-230* urean-20 creat-0.5 na-139 k-4.2 cl-105 hco3-25 angap-13 05:40am blood calcium-8.3* phos-3.3 mg-1.4* 12:00am blood ck-mb-2 ctropnt-<0.01 12:00am blood ck(cpk)-49 12:09am blood lactate-1.4 . egd () -normal mucosa in the esophagus -erythema in the antrum compatible with gastritis -erythema in the duodenal bulb compatible with duodenitis -otherwise normal egd to third part of the duodenum . sigmoidoscopy () -diverticulosis of the sigmoid and descending colon -clotted blood consistent with recent gi bleed was noted throughout the colon up to the splenic flexure -external hemorrhoids -otherwise normal sigmoidoscopy to splenic flexure . colonoscopy () -diverticulosis of the whole colon. no blood was seen in the colon. -some diverticula had blood in them that could be washed away; no active bleeding was seen. -despite multiple attempts the terminal ileum could not be intubated. -otherwise normal colonoscopy to cecum . meckel's scan () -normal study, no evidence of ectopic gastric mucosa to suggest a gastric mucosa containing meckel's diverticulum as a source of gi bleeding. . cxr () -no acute cardiopulmonary findings. no displaced rib fracture. ij catheter tip in the upper right atrium. brief hospital course: 58 yo woman with history of mi on asa and plavix presenting with acute painless gi bleed of likely lower gi source. active issues # gi bleed, diverticular bleed: pt was initially directly admitted to micu where she had a negative ng lavage and was initially hemodynamically stable with an appropriate response to transfusions. pt had a known history of diverticulosis and her presentation was though to be likely secondary to a diverticular bleed. she was transferred to the general medical floor and gi was consulted. a colonoscopy was planned, however the patient started to have more episodes brbpr with the colonoscopy prep. her blood pressure also dropped to systolic of 78 and the patient was transferred back to the micu. over the course of her second micu stay, she underwent cta which did not identify a bleeding source. interventional radiology performed an angiography to continue to look for source of bleeding given her persistent brbpr and borderline hypotension that transiently required pressors. they unfortunately were also unable to find a source of her bleeding. gi performed egd and sigmoidoscopy on which showed gastritis and clots in the sigmoid colon with multiple diverticulae, however again no source of her bleeding was identified. subsequently, she underwent a colonoscopy on after 1 day of stable hematocrit. she was noted to have diverticulae throughout her entire colon all the way to the cecum and no active bleeding was seen. at the end of micu, she received a total of 7 units of prbc, 2 units of plt, 2 units of ffp on . her hct remained stable between 27-29 for 1 day prior to transfer to the floor. on the medical floor, the patient remained hemodynamically stable and her hematocrit ranged from 26-30. she had one additional episode of brbpr without significant hematocrit drop or hd compromise. her additional bm were significant for brown stools that remained guaiac positive. she then under went a meckel's scan which did not reveal a meckel's diverticulum. # history of cad: due to recent placement of des in , it was felt that the patient should continue to receive her aspirin and plavix when ever possible. they were both held transiently in the setting of her active bleed and hypotension. they were restarted when the patient remained more stable. her home metoprolol was also held transiently due to her active bleeding. chronic issues # dm: iss # hypothyroidism: continued home thyroid meds # depression/anxiety; continued cymbalta and adderal. it was held on the day of her acute bleeding on , and she was given ativan for anxiety. she was transitioned back to her home meds prior to transfer to the floor on . medications on admission: amphetamine-dextroamphetamine - (prescribed by other provider) - 20 mg capsule, ext release 24 hr - 1 (one) capsule(s) by mouth twice a day clopidogrel - (prescribed by other provider; 75 mg) - dosage uncertain duloxetine - (prescribed by other provider) - 60 mg capsule, delayed release(e.c.) - 1 (one) capsule(s) by mouth at bedtime fenofibrate nanocrystallized - (prescribed by other provider) - 145 mg tablet - 1 (one) tablet(s) by mouth once a day insulin 75/25 - (prescribed by other provider) - - 24 units sq before breakfast and before dinner. lamotrigine - (prescribed by other provider) - 150 mg tablet - 1 (one) tablet(s) by mouth once a day levothyroxine - 175 mcg tablet - 1 (one) tablet(s) by mouth daily for 6 days weekly and tablet daily for one day weekly. fasting with water only - no substitution metformin - (prescribed by other provider) - 500 mg tablet extended release 24 hr - one tablet(s) by mouth twice a day. metoprolol succinate - (prescribed by other provider; 50 mg) - dosage uncertain omega-3 acid ethyl esters - (prescribed by other provider) - dosage uncertain discharge medications: 1. amphetamine-dextroamphetamine 20 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po bid (2 times a day). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. duloxetine 30 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po at bedtime. 4. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). 5. synthroid 175 mcg tablet sig: one (1) tablet po once a day: please take 1 tablet for 6 days weekly, and tablet daily for one day weekly. no substitutions. 6. insulin lispro protam & lispro 100 unit/ml (75-25) suspension sig: twenty four (24) unit subcutaneous twice a day: before breakfast and dinner. 7. metformin 500 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po twice a day. 8. lamotrigine 150 mg tablet sig: one (1) tablet po once a day. 9. lovaza 1 gram capsule sig: one (1) capsule po once a day. 10. aspirin 325 mg tablet sig: one (1) tablet po once a day. 11. outpatient lab work please check a hematocrit on thursday and fax results to dr. office phone:( office fax:( discharge disposition: home discharge diagnosis: primary diagnosis: diverticulosis secondary diagnosis: coronary artery disease, hypertension, anxiety, depression, type ii diabetes mellitus discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking part in your care. we hope you continue to feel better. you were admitted for gi bleeding which required multiple blood transfusions. you underwent an endoscopy, sigmoidoscopy, and colonscopy which revealed many divertiuli but no active bleeding. no changes were made to your medications. please continue taking all of your medications as prescribed. it is very important that you have your blood checked when you see dr. on thursday . a prescription has been provided. please call your doctors if develop any bloody stool, and call 911 if it is a large volume or if you feel weak/dizzy. please be sure to follow up with your physicians. followup instructions: department: div. of gastroenterology when: thursday at 1:20 pm with: , md building: ra (/ complex) campus: east best parking: main garage name: , r. location: medical associates address: , , phone: appt: at 1:30pm md procedure: other endoscopy of small intestine colonoscopy arteriography of other intra-abdominal arteries flexible sigmoidoscopy diagnoses: acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia anxiety state, unspecified hypotension, unspecified long-term (current) use of insulin old myocardial infarction long-term (current) use of anticoagulants diverticulosis of colon with hemorrhage myalgia and myositis, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus other chronic nonalcoholic liver disease postsurgical hypothyroidism personal history of malignant neoplasm of thyroid 

Answer: The patient is high likely exposed to