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: hematemesis major surgical or invasive procedure: upper endoscopy history of present illness: ms. is an 88-year-old woman with a history of diabetes, hypertension, prior episode of ugib in distant past, who presents with hematemesis. she was in usoh until this evening when, after having an uneventful dinner, she awoke in the middle of the night and had one episode of approximately 500 cc of hematemesis. she denied abdominal pain, diarrhea, or blood in her stool, but she did have a single brown, nonbloody bowel movement per her daughter. she was transported to the e.d. for further evaluation. her recent history is negative for alcohol, aspirin, or other nsaid use. . in the ed, vital signs were initially: 95.4 112 156/94 16 98. labs were notable for a hct of 32 down from a baseline of 35-40, and an ngl was positive for blood and coffee grounds and remained pink in color after lavage with ~1l. she was guaiac negative per rectum. gi was consulted and felt that she was hemodynamically stable with a plan for egd in the a.m. she was started on pantoprazole and given 2l ivf and admitted to the for further management. . review of systems: no fevers, chills, weight loss, diaphoresis, headache, visual changes, sore throat, chest pain, shortness of breath, diarrhea, melena, pruritis, easy bruising, dysuria, skin changes, pruritis. past medical history: - diabetes, diet controlled. - choledocholithiasis status post sphincterotomy in - distant history of hepatic abscess s/p drainage - ugib in in distant past, no work-up performed - hypertension - hypercholesterolemia social history: no tobacco or alcohol. she splits her time between this country, living with her granddaughter, and . family history: no history of bleeding disorders. physical exam: vs: 94 154/71 20 100% gen: the patient is in no distress and appears comfortable skin: no rashes or skin changes noted heent: no jvd, neck supple, no lymphadenopathy in cervical, posterior, or supraclavicular chains noted. chest: lungs are clear without wheeze, rales, or rhonchi. cardiac: regular rhythm; no murmurs, rubs, or gallops. abdomen: no apparent scars. non-distended, and soft without tenderness extremities: trace peripheral edema, warm without cyanosis neurologic: alert and appropriate. cn ii-xii grossly intact. bue , and ble both proximally and distally. no pronator drift. reflexes were symmetric. downward going toes. . pertinent results: studies: upper endoscopy : erythema in the antrum compatible with gastritis angioectasia in the fundus (endoclip) abnormal mucosa in the stomach otherwise normal egd to third part of the duodenum . . labs: 09:55pm blood wbc-9.5 rbc-3.66* hgb-10.4* hct-32.9* mcv-90 mch-28.5 mchc-31.7 rdw-14.1 plt ct-248 12:59am blood wbc-8.6 rbc-3.51* hgb-10.3* hct-31.0* mcv-88 mch-29.5 mchc-33.3 rdw-13.4 plt ct-229 05:04am blood hct-28.4* 02:48pm blood hct-31.0* 11:45pm blood wbc-8.5 rbc-3.58* hgb-10.4* hct-30.4* mcv-85 mch-29.0 mchc-34.2 rdw-14.4 plt ct-181 06:55am blood wbc-7.5 rbc-3.41* hgb-10.0* hct-29.7* mcv-87 mch-29.2 mchc-33.5 rdw-14.7 plt ct-170 04:10pm blood wbc-7.7 rbc-3.45* hgb-10.2* hct-30.2* mcv-88 mch-29.7 mchc-33.9 rdw-14.5 plt ct-174 09:55pm blood neuts-47.0* lymphs-43.1* monos-4.1 eos-5.0* baso-0.8 04:10pm blood plt ct-174 09:55pm blood pt-12.5 ptt-18.9* inr(pt)-1.1 09:55pm blood glucose-202* urean-32* creat-1.2* na-140 k-4.3 cl-102 hco3-28 angap-14 12:59am blood glucose-206* urean-30* creat-1.1 na-138 k-4.4 cl-102 hco3-27 angap-13 06:55am blood glucose-126* urean-22* creat-1.1 na-141 k-4.1 cl-107 hco3-26 angap-12 06:55am blood calcium-8.4 phos-3.0 mg-2.0 micro: time taken not noted log-in date/time: 10:03 am serology/blood chem # 00229f . helicobacter pylori antibody test (negative): brief hospital course: ms. is an 88-year-old woman with a history of diabetes, hypertension, prior episode of ugib in distant past, who presents with hematemesis. . # hematemesis: hct 33 from baseline of 35-40. upper endoscopy showed angioectasia in the fundus, which was clipped. she was initially treated with iv pantoprazole . she was transferred to the medical floor, where her ppi was switched to an oral preparation . her hct remained stable without additional transfusion. her diet was advanced without difficulty. . an h pylori antibody was negative. she was instructed to avoid nsaids or aspirin until seeing her primary care physician 2-3 weeks. she was instructed to arrange for a follow-up appointment within 2-3 weeks. . # hypertension: her home regimen was initially held due to acute bleeding, but were restarted upon arrival to the medical floor without difficulty (hctz, lisinopril). . # diabetes, type 2 - diet controlled as an outpatient. pt was covered with sliding scale insulin, this was discontinued upon discharge. . # disposition - pt was evaluated by physical therapy due to deconditioning and weakness. she walks with a walker at home at baseline, but lives with her daughter only. she was felt to benefit from 24 hour supervision, which her daughter was initially unable to provide. additional family members ultimately arrived, and she was discharged into their care with 24 hour supervision. medications on admission: hydrochlorothiazide - 12.5 mg tablet - 1 tablet(s) by mouth daily lisinopril - 40 mg tablet - 1 tablet(s) by mouth daily omeprazole - 40 mg capsule - 1 capsule(s)by mouth daily discharge medications: 1. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 3. 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* discharge disposition: home discharge diagnosis: primary: hemetemesis gastric av malformation, s/p clipping. discharge condition: tolerating oral diet. discharge instructions: you were admitted to the hospital because you were vomiting blood. you were found to have an artery-vein malformation in you stomach, which was the source of the bleeding, and was clipped to stop the bleeding. the following changes were made in your medication regimen: 1. you were started on a regimen of protonix 40mg by mouth twice daily. followup instructions: upon arriving home, please arrange to be seen by your primary care physician, . , within 2-3 weeks. , j. procedure: endoscopic control of gastric or duodenal bleeding diagnoses: pure hypercholesterolemia acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled alzheimer's disease dementia in conditions classified elsewhere without behavioral disturbance unspecified gastritis and gastroduodenitis, without mention of hemorrhage angiodysplasia of stomach and duodenum with hemorrhage benign essential hypertension 

Answer: The patient is high likely exposed to