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: no known allergies / adverse drug reactions attending: chief complaint: hematemesis major surgical or invasive procedure: egd history of present illness: 58 yo f with h/o alcohol abuse, hepatitis c presents with episode of hematemesis this morning. patient was at hotel and had been drinking alcohol with a friend. she had one episode of emesis, whoch was brown in color, she thought it was the beer she had been drinking. she then because nauseous and dizzy and had episode of bright red hematemesis. she may have lost conciousness. her friend called ems and she was brought to the ed. on route ems noted her systolic blood pressure to be in the 50s. . on arrival to the ed, her bp was 68/58. she was boluesed 2l ns and repeat vs hr 70, bp 78/41, rr 16, spo2 99%/2l. access was obtained with 22g, 18g x 3. initial hct was 28. she was bolused a total of 3l and given 2u prbc. she was started on a pantoprazole drip at 8mg/hr and a octreotide drip at 50. ng lavage was performed which demonstrated dark blood. gi was consulted, and planned for egd in the icu. . on arrival, patient is awake and mentating well, and complaining of no symptoms. past medical history: - hepatitis c, diagnosed ~ 8 years ago, never treated. unknown how she got it, denies ivdu, transfusions. never had liver bx. - alcohol abuse: has been using about 1 pint brandy per day for more than a year. she had tried detox once. denies withdrawal seizures. - hypertension social history: lives in . long history of alcohol abuse, over 10 years. current smoker. denies other drug use. has been in alcohol detox once - relaped shortly thereafter. drinks to 1 pint brandy per day. family history: sister with diabetes. physical exam: vs: temp: 96.5 bp: 90/44 hr: 86 rr: 13 o2sat 100% ra gen: nad, ng tube in place heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: cta b/l with good air movement throughout cv: rr, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt ext: no c/c/e skin: no rashes/no jaundice/no splinters neuro: aaox3. cn ii-xii intact. 5/5 strength throughout. no sensory deficits to light touch appreciated. no pass-pointing on finger to nose. 2+dtr's-patellar and biceps . on discharge: bp 120s/80s; hr 80s. no n/v, no further hematemesis. pertinent results: on admission: 04:00pm blood wbc-6.2 rbc-2.76* hgb-9.3* hct-28.3* mcv-103*# mch-33.9* mchc-33.0 rdw-18.6* plt ct-89* 06:57pm blood hct-31.7* 12:16am blood hct-28.6* 04:26am blood wbc-6.1 rbc-3.12* hgb-10.6* hct-30.2* mcv-97 mch-34.0* mchc-35.0 rdw-19.2* plt ct-81* 12:01pm blood hct-27.9* 04:00pm blood pt-19.5* ptt-31.4 inr(pt)-1.8* 04:26am blood pt-19.2* ptt-31.6 inr(pt)-1.7* 04:00pm blood glucose-143* urean-17 creat-1.2* na-137 k-4.3 cl-105 hco3-19* angap-17 04:26am blood glucose-129* urean-16 creat-0.9 na-138 k-4.4 cl-109* hco3-22 angap-11 04:00pm blood alt-31 ast-111* alkphos-107* totbili-1.4 04:26am blood alt-28 ast-92* alkphos-99 totbili-1.8* 04:00pm blood albumin-2.5* calcium-8.2* phos-3.7 mg-1.7 04:26am blood albumin-2.5* calcium-7.4* phos-3.4 mg-1.3* 04:09pm blood glucose-139* lactate-5.1* k-4.1 12:21am blood lactate-2.7* . egd: impression: varices at the lower third of the esophagus - tear blood in the stomach body mosaic appearance in the stomach body compatible with mild portal hypertensive gastropathy normal mucosa in the whole duodenum otherwise normal egd to third part of the duodenum additional notes: 1. estimated blood loss: 10 cc 2. specimens: none 3. final diagnosis: 3 columns of grade varices non-bleeding, - tear which was likely cause of bleeding . on discharge: 04:35am blood wbc-4.5 rbc-2.88* hgb-9.6* hct-27.8* mcv-96 mch-33.3* mchc-34.6 rdw-19.4* plt ct-63* 04:26am blood pt-19.2* ptt-31.6 inr(pt)-1.7* 04:35am blood glucose-116* urean-12 creat-0.8 na-138 k-3.6 cl-107 hco3-24 angap-11 04:35am blood alt-29 ast-86* alkphos-93 totbili-2.0* . meld 15 on day of discharge brief hospital course: 58 yo female with h/o hepatitis c, alcohol abuse presents with single episode of hematemesis; egd showed - tear (likely cause of bleed) as well as non-bleeding esophageal varices. . 1. ugi bleed/ tear: received egd on admission after she had hypotension in the ed. after 2 u prbcs and fluid resuscitation, her bps improved. the scope showed tear without active bleeding but with blood in the stomach. egd also revealed 3 columns of grade varices that were not bleeding. bleeding was thought to be - tear. she remained hemodynamically stable thereafter. she was treated with octreotide gtt for one day, iv ppi, carafate and zofran. she started nadolol once her bps were stable. she was transferred to the floor where hct and bp was stable. she was discharged on nadolol and to complete 5-days of ciprofloxacin. she was also discharged on ppi. . 2. esophageal varices: discharged to complete 5-days of ciprofloxacin. also started on ppi to continue as an outpatient. patient was counseled about the importance of alcohol cessation. she was started on nadolol 20 mg qday. she was scheduled with hepatology follow-up. aspirin was held until further conversation with pcp. was stopped. . 3. hepatitis c: per report, hepatitis c for 8 years. no history of treatment. patient was scheduled with hepatology follow-up and counseled about the importance of alcohol cessation. . 4. alcohol abuse: long history of alcohol abuse, no known seizures from withdrawal. social work was consulted. the patient was encouraged to attend aa meetings and to follow up with her primary md about her substance abuse issues. . 5. hypertension: started nadolol on discharge and discontinued atenolol. . transitional issues: - hepatitis c and cirrhosis f/u - htn management - substance abuse issues medications on admission: atenolol fioricet asa discharge medications: 1. ciprofloxacin 500 mg tablet sig: one (1) tablet po twice a day for 3 days. disp:*6 tablet(s)* refills:*0* 2. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 7. zofran 4 mg tablet sig: one (1) tablet po every 6-8 hours as needed for nausea. disp:*30 tablet(s)* refills:*0* 8. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch transdermal once a day for 3 weeks: pcp can write rx for step-down patch dose. disp:*21 patches* refills:*0* discharge disposition: home discharge diagnosis: primary: hematemesis esophageal varices - tear alcohol abuse . secondary: hepatitis c discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it was a pleasure caring for you at the . you were admitted after you vomited blood (hematemesis). the gi doctors performed and found that you had a tear near your stomach from vomiting that was causing the bleeding. they also saw that you have esophageal varices (enlarged veins in your esophagus) - this is a result of chronic liver disease - from hepatitis c and alcohol. you will need to follow-up with a liver doctor for this problem (info below). the best way to be sure this problem does not worsen is to stop drinking alcohol. if you continue to drink alcohol, these veins could bleed and you could become very sick or even die. we encourage you to attend aa meetings to help you stop drinking. . we made the following changes to your medications: we started nadolol (to help improve pressure causing the enlarged veins) we started multivitamin we started folic acid we started thiamine we started ciprofloxacin (antibiotic) to be taken for 3 more days we stopped atenolol we stopped aspirin (discuss restarting this medicine with your primary md) we stopped /ibuprofen/advil (these medicines can worsen bleeding) you should take fioricet carefully because it contains tylenol. take no more than 2g tylenol per day. . your follow-up information is listed below. followup instructions: department: health center when: thursday at 2:00 pm with: , md building: (, ma) campus: off campus best parking: free parking on site department: liver center when: thursday at 11:45 am with: , md building: lm campus: west best parking: garage procedure: other endoscopy of small intestine insertion of other (naso-)gastric tube diagnoses: unspecified essential hypertension chronic hepatitis c without mention of hepatic coma portal hypertension esophageal varices in diseases classified elsewhere, without mention of bleeding gastroesophageal laceration-hemorrhage syndrome other and unspecified alcohol dependence, continuous 

Answer: The patient is high likely exposed to