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: past medical history: 1. hypertension. 2. hiatal hernia. 3. meniere's disease. 4. djd. 5. diverticulitis. 6. chronic renal insufficiency with a baseline creatinine of 2.2. 7. osteoporosis. 8. gerd. 9. glaucoma. 10. hyperlipidemia. 11. status post bilateral total hip replacement. admission medications: 1. aspirin 81 mg p.o. q.d. 2. lasix, dose unknown. 3. metoprolol 50 mg p.o. b.i.d. 4. vioxx 50 mg p.o. q.d., although the patient states that she has only taken a few pills. social history: no tobacco or alcohol use. she was never married and lives alone. she is independent in all activities of daily living. the patient walks with a walker and cane while at home. physical examination on admission: vital signs: blood pressure 187/90, heart rate 64, respiratory rate 18, oxygen saturation 100% on 2 liters nasal cannula. general: the patient is pleasant and conversant. she was in no apparent distress. she was well nourished and well developed. heent: the head was normocephalic, atraumatic. the extraocular muscles were intact. the pupils were equal, round, and reactive. the oropharynx was dry. the sclerae were anicteric and were not pale. neck: supple, no lymphadenopathy. lungs: clear to auscultation bilaterally. cardiovascular: regular rate, no murmurs, rubs, or gallops noted. abdomen: soft, nontender, nondistended, normoactive bowel sounds. extremities: no clubbing, cyanosis or edema. neurologic: she was alert and oriented times three. cranial nerves ii through xii were intact. motor strength was 4+-, symmetrical lower extremities. laboratory values on presentation: white blood cell count 9.7, hematocrit 40.5, mcv 93, platelets 189,000. pt 12.7, ptt 27.1, inr 1.1. sodium 139, potassium 3.4, chloride 99, bicarbonate 26, bun 60, creatinine 3.2, glucose 112, alt 9, ast 14, ldh 201, alkaline phosphatase 105, amylase 107, total bilirubin 0.6, lipase 48, calcium 10.3, albumin 4.3. h. pylori antibody test negative. impression: the patient is a -year-old female with multiple medical problems and no history of gastrointestinal bleed who presents with new onset melena starting on the date of admission. hospital course: 1. gastrointestinal: mrs. was admitted to the intensive care unit for emergent endoscopy. the initial egd showed a single ulcer in the prepyloric region with clotted blood adherent to the ulcer; 4 cc of 1:10,000 epinephrine was injected at the ulcer site with good hemostasis. she was monitored overnight in the intensive care unit with hemodynamic stability and stable crit between 36-40. she was then transferred to the acove service for further observation. on the day after transfer, hospital day number three, she was noted to have a drop in her hematocrit from 37 to 31 and a repeat endoscopy was performed which showed a visible vessel in the prepyloric region suggestive of recent bleeding. again, 1-2 cc of 1:10,000 epinephrine was injected for hemostasis. bicap electrocautery was applied as well. her hematocrit was followed q. six hours thereafter and found to remain stable in the 30-32 range. she continued to have melena throughout the hospitalization. she was started on protonix 40 mg p.o. b.i.d. and instructed to avoid all nsaids, -2 inhibitors, or aspirin. an h. pylori antibody was sent and found to be negative. 2. cardiovascular: once hemodynamic stability was proven, she was restarted on her lopressor 25 mg p.o. b.i.d. with moderate control of blood pressure. she had no episodes of hypotension. her lasix was not restarted at this time secondary to evidence of dehydration. 3. renal: ms. has evidence of chronic renal insufficiency with a baseline creatinine of 2.2. on admission, her creatinine was mildly elevated to 3.2 which responded to intravenous fluids. it was likely that she was dehydrated secondary to blood loss. her creatinine remained stable around baseline for the remainder of the hospitalization. 4. fluids, electrolytes, and nutrition: following second endoscopy, a clear liquid diet was initiated and was advanced as tolerated. she had no difficulties. 5. disposition: physical therapy evaluated the patient while hospitalized and found some evidence of deconditioning and unsteadiness. she was determined safe to be discharged to home with home pt and home safety evaluation. 6. hematology: acute blood loss from gi bleeding as described above. she required no transfusions during this hospitalization. 7. pain control due to osteoarthritis and degenerative joint disease: she was taking nsaids medication namely vioxx while at home. she was instructed to continue taking tylenol only for pain relief. she is to follow-up with dr. for further decisions concerning pain medication. discharge condition: stable and improved. discharge diagnosis: 1. gastrointestinal bleed secondary to prepyloric ulcers thought secondary to nsaid use. 2. deconditioning. 3. hypertension. 4. degenerative joint disease. 5. acute on chronic renal insufficiency, resolved. 6. history of gastroesophageal reflux disease. 7. history of hyperlipidemia. discharge medications: 1. protonix 40 mg p.o. b.i.d. 2. lopressor 50 mg p.o. b.i.d. 3. tylenol 500 mg q. six hours p.r.n. 4. lasix at unknown dose. discharge disposition: ms. is to be discharged home with follow-up with home physical therapy and safety evaluation. she is to follow-up with dr. in one week. additionally, she is to follow-up with in gi for repeat endoscopy in four to six weeks. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine other endoscopy of small intestine diagnoses: esophageal reflux unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia osteoarthrosis, unspecified whether generalized or localized, site unspecified chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction unspecified analgesic and antipyretic causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to