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: no known allergies / adverse drug reactions attending: chief complaint: upper gi bleed major surgical or invasive procedure: egd history of present illness: ms. is a f with a history per notes of cryptogenic cirrhosis and submucosal gastric neoplasm (never biopsied, first noted ) who presents to the ed after she was noted to have a hematocrit drop in the setting of dark stool at rehab. of note, she had a mechanical fall on with resulting displaced fracture of the left radius and ulna and underwent surgical correction on . she was discharged to rehab on . hematocrit check on was 36, and repeat check today was 29. patient was noted to have dark/melenotic-appearing stool and was transferred to the ed for further evaluation. per patient, she has been having dark stools daily for about the past 1 week. she denies n/v/d/c, abdominal pain, dyspepsia, rectal pain, dizziness/lh or syncope. . in the ed, initial vs were: t 99.3, hr 89, bp 109/75, rr 16, o2 sat 94% ra. hematocrit on arrival was noted to be 23.8 down from 29 at rehab. she was given 1l ivf with ns. ng lavage was positive for dark, melenotic-appearing fluid; this cleared with 60 cc flush x 4. the patient received 80 mg iv pantoprazole and was started on pantoprazole gtt. the gi team was consulted from the ed (final recs pending) and the liver fellow was alerted given the possibility of variceal bleed with history of cirrhosis and recommended octreotide gtt. lfts were added on to labs. she remained hemodynamically stable and comfortable in the ed. vitals on transfer were hr 80s, bp 111/80, o2 sat 95% on ra. . on the floor, she reports feeling tired and wanting to sleep, but denies pain. she does report feeling a sensation of having to urinate, but after it is explained that she has foley catheter in place she feels this is probably why. . 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 nausea, vomiting, diarrhea, constipation or abdominal pain. no dysuria. denied arthralgias or myalgias. past medical history: - crptogenic cirrhosis: no known complications - gastric tumor: per records, egd notable for 1.5cm submucosal lesion in the proximal stomach c/w gist tumor with associated ulceration/bleeding. bleedings site clipped with endoclips. - myledysplastic syndrome - hyponatremia - s/p cataract surgery - radial/ulnar fracture s/p surgical repair social history: born in . lives at home alone, though son and daughter-in-law live nearby. never smoker. does not drink alcohol. no recreational drug use. family history: not obtained physical exam: physical exam on admission vitals: t: 96.4 bp: 121/98 p: 78 r: 25 o2: 97% on 2l general: alert, oriented x 3 (, date ), no acute distress heent: sclera anicteric, mmm, oropharynx clear, arcus senilius, pupils reactive neck: supple, jvp flat, left ej in place, no lad lungs: diminished bs at right base, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, liver margin palpable ~2 cm below costal margin gu: foley in place ext: warm, well perfused, 2+ pulses, left forearm in cast, mild left upper extremity edema above cast pertinent results: pertinent labs 09:20pm blood wbc-9.3 rbc-2.43*# hgb-8.2*# hct-23.8*# mcv-99* mch-33.3* mchc-33.7 rdw-16.9* plt ct-165 09:20pm blood neuts-77.2* lymphs-14.8* monos-5.8 eos-1.7 baso-0.5 09:20pm blood pt-16.3* ptt-30.7 inr(pt)-1.4* 09:20pm blood glucose-120* urean-69* creat-1.0 na-137 k-4.0 cl-103 hco3-25 angap-13 09:20pm blood alt-13 ast-31 ld(ldh)-248 alkphos-103 totbili-0.9 09:20pm blood albumin-2.6* 05:25am blood wbc-11.4* rbc-3.57*# hgb-11.5*# hct-34.4*# mcv-96 mch-32.2* mchc-33.4 rdw-18.1* plt ct-128* imaging cxr- low lung volumes, mild cardiomegaly and moderate alveolar pulmonary edema, increased compared to . there is a new small-to-moderate right pleural effusion. there is no focal consolidation, and no pneumothorax. brief hospital course: year old woman with a history of gastric carcinoma and recent radial/ulnar fracture s/p surgical repair on lovenox who presented with dark stool x 1 week and hematocrit drop. ng lavage was positive for grossly black/melenotic return. # upper gi bleed: patient presents with hematocrit drop from 35 -> 23 over 3 days in the setting of dark bowel movements daily. melenotic fluid was noted on ng lavage but cleared after ~240cc of saline flush. she has been hemodynamically stable and is otherwise asymptomatic. discharge summary indicates that patient should receive lovenox, but this medication was not on her med list so it is unclear whether she has been anticoagulated or not, though anticoagulation may have contributed to her current presentation. she has a reported history of gastric neoplasm though details are unknown as the lesion has never been biopsied; this may be the source of her bleed. in addition, she has a history of cryptogenic cirrhosis, which raises the possibility of variceal bleed. however, she has ng lavage that cleared with saline flush is reassuring that this is not brisk/active bleed and bps have been stable in ed. patient had egd on which showed 3 cord grade 1 esophageal varices, a 2 cm submucosal mass in the stomach, and superficial non-bleeding ulcers at the duodenum. octreotide was discontinued. she was kept on ceftriaxone and transitioned from pantoprazole gtt to pantoprazole 40 mg po bid. 2 large bore piv were maintained throughout. # s/p surgical repair of radial/ulnar fracture: patient had mechanical fall with resulting displaced fracture of left radius/ulna, s/p surgical repair on . discharge summary instructions state to continue lovenox for 4 weeks; however, lovenox is not on the discharge medication list. it was later confirmed with ortho that patient did not need to be on lovenox for fracture of her arm. she continued with calcium and vitamin d. # cryptogenic cirrhosis: meld was 15 during prior admission (lfts pending). she has no known history of variceal bleed but records may be incomplete. lft was wnl. octreotide was discontinued after egd. # gastric neoplasm: details unknown; per records, this was a submucosal mass noted on egd in but in a difficult position for biopsy, so none was undertaken. per patient and family, it seems she has no history of severe gib, but egd report does make note of overlying ulceration with bleeding treated with clips. no further work up of mass has been undertaken and patient has been asymptomatic. egd confirmed a 2 cm submucosal mass. pcp/gi needs to f/u gastrin level (lab sent on ). # increased pulmonary interstitial marking. ? baseline lv function. minimal to no symptoms. bnp was negative. she had echocardiogram in the inpatient setting with pending results. she was discharged on oxygen. . contact: and daughter-in-law live nearby; she has no official hcp. records, son . medications on admission: per pcp, if patient is taking all of her medications. - furosemide 20 mg tab oral 1 tablet(s) once daily - oxycodone 5 mg tab oral 0.5 tablet(s) every 4 hrs, as needed - senna 8.6 mg cap oral 1 capsule(s) twice daily - colace 100 mg cap oral 1 capsule(s) twice daily - mapap (acetaminophen) 325 mg tab oral 2 tablet(s) every hrs, as needed - caltrate 600 + d 600 mg (1,500 mg)-400 unit chewable tab oral 1 tablet, chewable(s) twice daily - vhc supplement 60ml twice daily between meds discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: three (3) tablet, chewable po once a day. 3. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po once a day. 4. 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* 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 4 days. disp:*4 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 7. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 8. docusate sodium 100 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: - discharge diagnosis: gastrointestinal bleeding gastric ulcer discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted because of gastrointestinal bleeding and you had endoscopy and we found an ulcer. you will be on a high dose acid reducer and you have to follow up with our gastrointestinal doctors followup instructions: department: orthopedics when: thursday at 1:20 pm with: ortho xray (scc 2) building: sc clinical ctr campus: east best parking: garage department: orthopedics when: thursday at 1:40 pm with: , np building: campus: east best parking: garage department: div. of gastroenterology when: thursday at 2:00 pm with: , md building: ra (/ complex) campus: east best parking: main garage procedure: other endoscopy of small intestine open reduction of fracture with internal fixation, radius and ulna diagnoses: thrombocytopenia, unspecified cirrhosis of liver without mention of alcohol acute posthemorrhagic anemia hyposmolality and/or hyponatremia unspecified fall myelodysplastic syndrome, unspecified chronic kidney disease, stage iii (moderate) blood in stool gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction home accidents esophageal varices without mention of bleeding closed fracture of lower end of radius with ulna other fluid overload duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction neoplasm of unspecified nature of digestive system 

Answer: The patient is high likely exposed to