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: aspirin / percocet / doxycycline / penicillins / latex / banana attending: chief complaint: dark red blood per rectum major surgical or invasive procedure: cauterization of gi bleed blood transfusions. history of present illness: this is a 58 year-old female with a history of chronic pancreatitis who presents with dark red blood per rectum 2 days s/p . she had her first episode of pancreatitis in . at that time, endoscopic ultrasound revealed biliary sludge. no stones were noted. she is not a drinker. she underwent cholecystectomy in . in , she developed similar pain to her first episode of pancreatitis but even more severe. she was hospitalized at an osh for this. two weeks later, she suffered a third episode, but chose to get herself through it at home. since then she continued to have mild abdominal discomfort. she was evaluated by dr. (pancreas) approximately 4 weeks ago and he recommended that she undergo for sphincterotomy. pt had on which was only notable for mimimal diffuse dilation of the common bile duct suggestive of ampullary stenosis. sphincterotomy was performed and she was admitted for overnight observation. pt reports that she developed severe nausea after receiving dilaudid for pain and vomited 6-7 times that evening. by the following day, she was tolerating clears and was discharged to home. at home, she ate chicken for dinner and then developed severe ruq pain with radiation to her r chest. she subsequently had a large, loose, dark-colored stool and reports that the abdominal pain resolved. on the morning of admission she had 2 more loose, dark bowel movements. after the third, she reports that she realized the stool was grossly bloody and called dr. . dr. recommended that she come to the ed for evaluation. in the ed, her bp was initially 82/60 at triage and she had a witnessed syncopal episode. her bp subsequently improved to 115/70 by the time she got back to her room without any intervention. otherwise vitals remained within normal limits. bedside ultrasound revealed no free fluid in the abdomen. cxr was clear. hct was noted to be 31.5 from 38.5 prior to the procedure. received 3l ivf. two large bore iv's were placed. she was admitted to the for close monitoring. on arrival to the , the patient complains of headache and lightheadedness. denies chest pain or sob. no further episodes of bleeding per rectum. ros: the patient denies any fevers, chills, weight change, nausea, vomiting, constipation, chest pain, shortness of breath, orthopnea, pnd, lower extremity oedema, cough, urinary frequency, urgency, dysuria, gait unsteadiness, focal weakness, vision changes, headache, rash or skin changes. past medical history: chronic pancreatitis pancreatic serous cyst h/o mgus fibromyalgia social history: formerly worked in a dermatologist's office, now takes care of her grandchildren a few days per week. denies tobacco or etoh use. family history: no history of pancreatitis. physical exam: vitals: t: 97.5 bp: 109/64 hr: 62 rr: 12 o2sat: 98% ra gen: pale middle-aged female, no acute distress heent: eomi, perrl, sclera anicteric, no epistaxis or rhinorrhea, mmm, op clear neck: no jvd, no cervical lymphadenopathy, trachea midline cor: rrr, no m/g/r, normal s1 s2, radial pulses +2 pulm: lungs ctab, no w/r/r abd: soft, nt, nd, +bs, no hsm, no masses ext: no c/c/e, no palpable cords neuro: alert, oriented to person, place, and time. cn ii ?????? xii grossly intact. moves all 4 extremities. strength 5/5 in upper and lower extremities. skin: no jaundice, cyanosis, or gross dermatitis. no ecchymoses. pertinent results: 04:45pm glucose-124* urea n-20 creat-0.7 sodium-138 potassium-4.0 chloride-105 total co2-25 anion gap-12 04:45pm alt(sgpt)-87* ast(sgot)-66* alk phos-98 tot bili-0.3 04:45pm lipase-85* . 04:45pm wbc-8.4 rbc-3.55* hgb-11.0* hct-31.5* mcv-89 mch-31.0 mchc-34.9 rdw-12.6 04:45pm neuts-55.8 lymphs-38.9 monos-3.9 eos-0.9 basos-0.5 04:45pm plt count-254 . 11:00pm hct-25.8* . 04:45pm pt-14.7* ptt-27.5 inr(pt)-1.3* . ekg: sinus rhythm. non-diagnostic inferior q waves. non-diagnostic q waves are also in leads v5-v6. non-specific t wave flattening in lead avl with t wave inversion in lead v1 and biphasic t wave in lead v2. compared to the previous tracing of the t wave changes in leads v1 and v2 are new. . cxr: mild borderline cardiomegaly as above. no acute pulmonary process. . 12/5 blood clot at the apex of the prior sphincterotomy site. successful hemostasis with bicap probe at apex of sphincterotomy. the common bile duct, common hepatic duct, right and left hepatic ducts, biliary radicles and cystic duct were filled with contrast and well visualized. successful placement of a 10fr x 5cm double pigtail stent into the right hepatic system to protect against biliary obstruction s/p bicap. brief hospital course: . # gastrointestinal bleed with acute blood loss anemia: she was admitted with blood per rectum 2 days s/p sphincterotomy for chronic pancreatitis, and underwent repeat with cauterization of oozing sphincterotomy site and stent placement. she required 2 units of blood. she continued to have maroon stools throughout the day after her , but subsequently had no further bleeding. she was transferred out of the on the day prior to discharge. her hematocrit remained overall stable after transfusion, and was 31.5 at the time of discharge. she will require repeat in 4 weeks for stent removal. she will also follow up with dr. as needed. . # hypotension/syncope: transient event likely acute blood loss. with transfusion and fluids, this resolvedd. she did have an ekg that showed a tw inversion in v1, and biphasic t wave in v2, but had no cardiac symptoms. . # transaminitis: ast and alt were mildly elevated on admission after her recent , but trended down. these should be rechecked by her pcp weeks to verify resolution. . medications on admission: flonase multivitamin vitamin d glucosamine-chondroitin calcitrate prn restasis eye gtts discharge medications: 1. fluticasone 50 mcg/actuation spray, suspension sig: one (1) spray nasal (2 times a day). 2. acetaminophen 500 mg tablet sig: 1-2 tablets po once (once) as needed for pain: up to 4 g/day. 3. multivitamin tablet sig: one (1) tablet po once a day. 4. glucosamine-chondroitin oral 5. restasis 0.05 % dropperette sig: one (1) drop ophthalmic twice a day. 6. 180 mg tablet sig: one (1) tablet po twice a day. 7. calcitrate-vitamin d 315-200 mg-unit tablet sig: two (2) tablet po three times a day. discharge disposition: home discharge diagnosis: acute blood loss anemia gastrointestinal bleed chronic pancreatitis fibromyalgia discharge condition: stable, tolerating liquids, no further bleeding. discharge instructions: you were admitted after an with bleeding. the bleeding stopped after dr. was able to find the source and stop it. you received 2 units of blood, and your blood count is stable this morning. . continue to take in liquids today, and then try a bland diet in the next few days, low fat preferably. . please return to the ed for continued bright red blood per rectum or syncope. please return for fevers, chest pain, shortness of breath, night sweats, dizziness, vertigo, burning on urination, unresolving cough, or any other concerning symptom. . please follow-up with your providors below. you have 3 (three) appointments, each of which is critical to your post-hospital course. you will need to return to have your stent removed in 4 weeks; dr. office will contact you to set this up. . we have not made any changes to your medications. . it has been a pleasure caring for you and we wish you the best in the future. followup instructions: provider: scan phone: date/time: 9:45 provider: 2 (st-4) gi rooms date/time: 11:30 provider: , md phone: date/time: 11:30 . call dr. , pcp, an appointment in weeks. procedure: endoscopic insertion of stent (tube) into bile duct transfusion of packed cells endoscopic excision or destruction of lesion of biliary ducts or sphincter of oddi diagnoses: other iatrogenic hypotension acute posthemorrhagic anemia hemorrhage complicating a procedure blood in stool other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation dehydration chronic pancreatitis syncope and collapse myalgia and myositis, unspecified cyst and pseudocyst of pancreas nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] 

Answer: The patient is high likely exposed to