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: upper gi bleed major surgical or invasive procedure: egd history of present illness: 57yo woman with h/o gastric bypass in comlicated by ventral hernia and ulcer near the anastomotic site presented with coffee ground emesis. she described several episodes of vomiting in the preceding days, followed by bouts of coffee ground emesis, reportedly about cups in total. she also described ongoing "gnawing" pain consistent with the pain previously attributed to her ulcer disease. she denied any melena or hematochezia. of note, she reported having run out of her ppi 2weeks ago. otherwise, review of systems was only positive for resolved lightheadedness. she had no chest pain or dyspnea. . in the , pt was guaiac positive. ng lavage was positive with coffee grounds, turned into bright red blood after 750cc. pt was tachy to 100s, sbp in 120s. gi was consulted. she was admitted to the micu. her hct had trended down from 36 to 27. . in the micu, she received ivf, was started on iv ppi gtt, and underwent endoscopy. this was notable for a near-circumferential ulceration at the gastro-jejunal anastamosis site. there was fresh clot, and further areas of bleeding were cauterized. thereafter, she remained hemodynamically stable, hct remained stable, and she had no further episodes of hematemesis. . on interview now, she confirms no further episodes of hematemesis, denies any chest pain or shortness of breath, and otherwise has no new complaints on review of systems. past medical history: - h/o bleeding gastric ulcer - h/o morbid obesity s/p gastric bypass , c/b ventral hernia and marginal ulcer - dm2 - sleep apnea - on bipap but has not used it for 1 month - diverticulosis - arthritis - gerd - asthma - chronic fatigue syndrome - fibromyalgia - restless leg syndrome social history: lives in with husband. trained as a psychologist, hasn't been working due to chronic fatigue syndrome. recently tried to quit smoking, on nicotine patch, 5 cigarettes within last 2 weeks. no etoh or ivdu. family history: mother had diabetes and mi in 50's physical exam: vs: af, 98.9, 81, 110/69, 17, 97% ra gen: well appearing heent: no scleral icterus though muddy appearing, eomi, mm dry neck: no jvd cv: regular, nl s1/s2, no m/r/g pulm: ctab, no wheezes or crackles abd: soft, ventral hernia at site of old incision which is well healed, no tenderness to palpation, + bs ext: no c/c/e pertinent results: 01:45pm pt-12.0 ptt-21.9* inr(pt)-1.0 01:45pm plt count-537* 01:45pm hypochrom-1+ 01:45pm neuts-73.8* lymphs-18.4 monos-2.6 eos-4.7* basos-0.4 01:45pm wbc-9.6 rbc-3.07*# hgb-8.9*# hct-27.2* mcv-89 mch-28.9 mchc-32.6 rdw-14.4 01:45pm hgb-9.3* calchct-28 01:45pm ck-mb-2 ctropnt-<0.01 01:45pm ck-mb-2 ctropnt-<0.01 01:45pm lipase-20 01:45pm alt(sgpt)-12 ast(sgot)-12 ck(cpk)-132 alk phos-65 amylase-53 tot bili-0.2 01:45pm ck(cpk)-132 01:45pm estgfr-using this 01:45pm glucose-148* urea n-19 creat-1.2* sodium-141 potassium-4.0 chloride-107 total co2-25 anion gap-13 09:21pm hct-24.2* brief hospital course: 57f with h/o gastric bypass c/b marginal ulcer, p/ with hematemesis x3 day secondary to anastamosis site ulceration. called out of micu hemodynamically stable with no further bleeding. . # hematemesis: was secondary to anastamosis site ulcer. pt was hemodynamically stable and did not have further bleeding. we followed serial hcts which were stable. egd showed a 3cm ulcer, with a blood clot (which was not dislodged), and also stigmata of recent bleeding was found in the jejunum, adjacent to the anastomosis. -cap electrocautery was applied for hemostasis on the ulcer at the sites with stigmata of bleeding with apparently successful hemostasis. pt was started on sucralfate and ppi. . # asthma: continued albuterol prn. . # dm2: does not take any meds at home. sliding scale, qid fingersticks . #restless legs: continued amitriptyline, alprazolam . # fen/gi: diabetic diet. . # ppx: protonix. did not need dvt ppx as pt was ambulating . # access: 2 peripheral ivs . # code: full . # dispo - likely home medications on admission: acarbose 100mg before every meal sucralfate 1g 4x/day protonix 40mg before meals 60mg prn amitriptyline 25-50mg qhs prn alprazolam 0.25mg prn mirapex 0.5mg qhs pulmicort 2 puffs albuterol inh prn nasonex 50mcg each nostril daily discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours): no substitutions please. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 2. amitriptyline 25 mg tablet sig: 1-2 tablets po hs (at bedtime) as needed. disp:*30 tablet(s)* refills:*0* 3. alprazolam 0.25 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. disp:*30 tablet(s)* refills:*0* 4. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 1* refills:*2* 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*1 1* refills:*2* 6. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 7. acarbose 50 mg tablet sig: two (2) tablet po tid w/meals (3 times a day with meals). disp:*30 tablet(s)* refills:*2* 8. nicotine 14 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*30 patch 24hr(s)* refills:*2* discharge disposition: home discharge diagnosis: bleeding gastric ulcer . secondary: - h/o morbid obesity s/p gastric bypass , c/b ventral hernia and marginal ulcer - dm2 - sleep apnea - diverticulosis - arthritis - gerd - asthma - chronic fatigue syndrome discharge condition: stable discharge instructions: please take all medications as prescribed. please take the protonix tablet twice daily without fail. if you have chest pain, shortness of breath, nausea, vomitting, diarrhea, blood in vomit, blood in stools please call your doctor or go to the emergency room followup instructions: please make a follow up appoinmtment with your primary care doctor () within 2 weeks of discharge . please make a follow up appointment with your gastroenterologist dr () within 1 weeks of discharge procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled iron deficiency anemia secondary to blood loss (chronic) asthma, unspecified type, unspecified volume depletion, unspecified bariatric surgery status chronic or unspecified gastrojejunal ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to