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: patient recorded as having no known allergies to drugs attending: chief complaint: fatigue, dyspnea major surgical or invasive procedure: none history of present illness: mrs. is a 79 yo f with pmh cad (lad/rca stents), gastric and duodenal ulcers, + h pylori on gastric biopsy treated with prevpac x14days now presenting to the ed with dyspnea and fatigue. she reports that for the last couple of months she has not been feeling well. she endorses fatigue as well as lower extremity edema. in additon she reports nausea ever since taking the prevpac for her recent diagnosis of h.pylori and pud. for the past one month she also endorses llq pain that is intermittent. she denies any association with eating and has not had any change in her bowels. she does edorse straining but this is not new. she denies any fevers. she also denies chest pain or dyspnea. she does endorse one dark black but well formed bowel movement two days ago but denies any loose stools. she has occasional blood tinged stool she attributes this to hemorrhoids and denies any significant blood in her stool. she denies orthopnea or pnd and reports that she is not very acitve but is able to carry her laundry down the stairs to the basement on her own without chest pain or dyspnea. . in the ed, initial vs were: t 98.6 p 70 bp 127/48 r 22 o2 sat 97% ra. she was found to be severely anemic with hematocrit of 20 down from 29 on . she was given 40mg iv protonix and transfused 2 units prbc. ng lavage of 500cc was clear with no signs of active bleeding. gi was consulted and saw her in the ed who did not feel there was any indication for emergent scope and recommended serial hct monitoring. she was guiac positive dark green stool per gi. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied vomiting, diarrhea. no recent change in bowel or bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: 1. atrial fibrillation 2. coronary artery disease s/p stent rca, lad (last cath w/no interenable obstructions) 3. hypertension 4. mitral regurgitation 5. hyperlipidemia 6. previous smoking history 7. gastric and duodenal ulcer by egd 8. h.pylori gastric biopsy, treated with prevpac x14 days 9. chf - last echo ef >55%, mod lvh, +mr social history: she lives in with her husband. she ambulates independently without assitive device. she denies any falls. she is independent with adl's and takes care of her home. she smoked 2 packs per day for approximately 20 years but stopped many years ago. she endorses drinking one per night with dinner, occasionally two per night. family history: brother and sisters with probable heart disease. physical exam: vitals: t:96.5 bp:124/71 p:75 r:20 o2: 100% 3l nc general: alert, oriented, slightly anxious, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp visible 5cm above the clavicle at 45 degrees, no lad lungs: decreased breath sounds at the bases bilaterally, no wheezing or rales, decreased air movement cv: irregularly irregular, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, palpable dp pulses, trace pedal edema bilaterally rectal: deferred, per gi guaiac positive green stool pertinent results: 02:25pm blood wbc-9.0 rbc-2.58* hgb-6.0*# hct-20.8*# mcv-81* mch-23.1* mchc-28.6* rdw-18.5* plt ct-417 02:25pm blood neuts-78.7* lymphs-11.7* monos-8.2 eos-1.0 baso-0.4 02:25pm blood pt-25.8* ptt-32.6 inr(pt)-2.5* 02:25pm blood glucose-108* urean-55* creat-1.6* na-138 k-3.2* cl-100 hco3-27 angap-14 02:25pm blood alt-94* ast-100* ld(ldh)-292* ck(cpk)-46 alkphos-108 totbili-0.5 02:25pm blood albumin-3.5 iron-9* 11:37pm blood calcium-9.0 phos-4.0 mg-2.2 02:25pm blood caltibc-382 ferritn-14 trf-294 02:25pm blood tsh-3.5 imaging: : ct abd/pelvis: impression: 1. abdominal and pelvic free fluid, inhomogeneous enhancement of the liver and enlarged right atrium consistent with fluid overload, potentially contributing to patient's symptoms of anorexia as well as pain. 2. moderate right-sided and small left-sided pleural effusions. 3. left lower lobe pulmonary nodule. based on the guidelines, initial followup in a low-risk patient would include a ct scan at six to 12 months. in a high-risk patient, ct followup would be conducted in three to six months. . : cxr: mild congestive heart failure. probable bibasilar atelectasis. minimal, if any, right pleural effusion. . : ruq us: normal right upper quadrant ultrasound, with no intra- or extra- hepatic biliary ductal dilatation. there is no cholelithiasis or son evidence of cholecystitis. brief hospital course: mrs. is a 79 yo f with pmh cad (lad/rca stents), gastric and duodenal ulcers, recently treated h pylori presenting with anemia (hct 29->20) likely due to upper gi bleed, no evidence of active bleeding at this time. #anemia - was sent to the icu given that her hct down to 20 from 29 one month prior. patient was hemodynamically stable. she did have recent colonoscopy that showed diverticulosis but she has not had any blood per rectum so this is unlikely cause. patient received 2u prbc in the ed, and hct bumped appropriately. she was started on protonix and asa and coumadin were held. egd did not reveal source for her bleeding and she was discharged with a stable hct. 2 days prior to discharge her asa was restarted after discussion with her pmd. she was discharged with home vna to check her hematocrit twice a week. she also has follow up for a capsule endoscopy on friday after discharge. #acute heart failure - with right sided volume overload on recent ct scan as evidenced by ra dilation/hepatic congestion and abdominal fluid. most likely cardiac dysfunction in the setting of severe anemia in setting of known cad. no evidence of active myocaridal infarction, ce's were negative x3. tte showed moderate symmetric lvh with hyperdynamic lv systolic function, mild mitral regurgitation and moderate tricuspid regurgitation and pulmonary hypertension. she was started on lasix 20mg daily and potassium 8meq daily. she will have her electrolytes checked at home after initiation of lasix to ensure her potassium is stable. #acute renal failure - most likely decreased renal perfusion in the setting of severe anemia and acute heart failure resulting in prerenal state. no evidence of uti on ua. creatinine returned to baseline on volume repletion and blood transfusion. #cad - patient has h/o lad and rca stents several years ago, not on plavix. no evidence of active ischemia. ekg without evidence of acute ischemia and cardiac enzymes were negative x3. aspirin, coumadin and metoprolol were held given gi bleed. on the floor, her asa was restarted and hct was stable. #atrial fibrillation - patient was well rate controlled. her metoprolol and diltiazem were held given concern of ugib. diltiazem was restarted on the day of transfer from icu to the floor. she had an episode of af with rvr, but this responded well to metoprolol 2.5mg iv x 1. her metoprolol was restarted and her hr remained stable. with ambulation her hr remained in the 70s. on discharge, she was on nifedipine 120mg sr daily and metoprolol 25mg . her asa was restarted (as above), but coumadin held given recent gi bleed. #hyperlipidemia - home dose atorvastatin was continued. #hypertension - home bb and hctz were held in the setting of ugib, but both were restarted on the floor with good bp control. dispo: home with vna services. medications on admission: atorvastatin 40 mg daily diltiazem hcl - 120 mg sr daily hydrochlorothiazide - 25 mg qday metoprolol tartrate - 25 mg daily omeprazole - 20 mg warfarin 4 mg daily zolpidem - 12.5 mg qhs aspirin - (otc) - 81 mg daily mtv daily discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. diltiazem hcl 120 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po once a day. 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 7. potassium chloride 8 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day. disp:*30 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: gi bleed atrial fibrillation hypertension cad discharge condition: stable discharge instructions: you were admitted with a gi bleed and needed red blood cell transfusion. an egd was performed but a source of the bleeding was not found. you also recently had a colonoscopy which did not show a source either. you will need to follow up in the gi suite for a capsule endoscopy in order to find the source of the bleed. your aspirin and coumadin were stopped in the hospital but your aspirin was restarted two days before discharge. you hematocrits were stable after the aspirin was started. you will need to have your hematocrits checked by the visiting nurse. you were also started on a new medication called lasix and potassium supplementation, which will replace your hydrochlorathiazide. please stop the hydrochlorathiazide after discharge. you will need to make a follow up appoinment with your primary care doctor within 1-2 weeks after discharge. followup instructions: provider: (st-3) gi rooms date/time: 8:00 provider: , md phone: date/time: 8:00 provider: 2 (st-4) gi rooms date/time: 8:00 you will also need to follow up with your primary care doctor within 2 weeks of discharge. please make this appointment for that time period. procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified atrial fibrillation acute on chronic diastolic heart failure coronary atherosclerosis of unspecified type of vessel, native or graft diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction hemorrhage of gastrointestinal tract, unspecified duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to