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: the patient has no known drug allergies. past medical history: 1. in gi bleed (suspected avm, although nothing seen on upper endoscopy or colonoscopy). 2. fibrocystic changes of the breast. 3. thyroglossal cyst in . 4. raynaud's syndrome. past surgical history: status post tubal ligation. social history: tobacco, ethanol, and drugs: the patient denied tobacco, social drinker, less than 12 beers per month, no drug use. she lives with her husband and two sons in . family history: father with coronary artery disease with three stents, type 2 diabetes, currently 78 years old. mother with breast cancer, aunt with breast cancer. physical examination on admission: vital signs: temperature 97.7, blood pressure 120/54, heart rate 60, respiratory rate 9, oxygen saturation 100% on room air. general: the patient was lying in bed in no apparent distress. heent: normocephalic, atraumatic. perrla. eomi. neck: no lymphadenopathy or jvd. heart: regular rate and rhythm, normal s1, s2, no s3 or s4, no murmurs, rubs, or gallops. lungs: clear to auscultation bilaterally. no wheezes, rales, or rhonchi. abdomen: nontender, nondistended, positive bowel sounds in all four quadrants. extremities: no clubbing, cyanosis or edema. neurologic: alert and oriented times three, otherwise nonfocal. laboratory/radiologic data: 36.6 on transfer to . chem-7 revealed a sodium of 141, potassium 3.7, chloride 115, bicarbonate 21, bun 5, creatinine 0.5, glucose 103. normal lfts. egd as noted previously on , blood in stomach body and fundus, - tear. on , no overt signs of bleeding or source of bleed. hospital course: in the micu, her vitals were a temperature of 97.7, blood pressure 120/54, heart rate 60, respiratory rate 9, oxygen saturation 100% on room air. the patient went to the nicu where two large boar ivs were placed for immediate intravascular volume repletion. she was transfused 4 units of packed red cells over her micu stay and 4 liters normal saline, bringing her pressure back to baseline (90s/40s). on , she underwent endoscopy which found - tears at the gastroduodenal junction. she was hemodynamically stable, with her increasing to 34 following her transfusions. over that evening, she experienced one episode of bradycardia; however, she awoke and reported that her heart rate tends to be slow at night. otherwise, her vital signs were stable and her increased to 36.6 following her transfer to the floor. she was admitted to for further workup. on her first day of admission to , she underwent repeat upper endoscopy, which was notable for no overt etiology of her gi bleed. her vital signs remained stable and her remained in the mid 30s. the gi service recommended that the patient follow-up in three to four days with dr. for a repeat guaiac and check, and she will follow-up with gi for scheduling an for further diagnostic possibilities. on the morning of discharge, the patient reported mild nausea and lightheadedness following her first meal in five days. orthostatics were taken and were negative for orthostasis. the patient felt comfortable with the plan of being discharged home for a follow-up with dr. later in the week. following repeat egd, the patient was stable and considered ready for discharge home and outpatient follow-up. discharge medications: 1. protonix 40 mg iv q. 12 hours. 2. lorazepam 0.5 to 1 mg iv q. four to six hours. condition on discharge: stable and vital signs, no signs or symptoms of continued bleeding. discharge status: the patient was discharged to home. discharge diagnosis: 1. gastrointestinal bleed. 2. - tear. 3. blood loss anemia. discharge instructions: the patient was instructed to go to the emergency department if she experiences signs or symptoms of another gi bleed. she was also instructed to follow-up with dr. in three to four days for a repeat and stool occult blood test. she was also instructed to follow-up with dr. of gi for consideration of diagnostic possibilities. discharge medications: no medications. note: this dictation should replace the dictation dictated previously by myself, dr. , on . , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine diagnoses: acute posthemorrhagic anemia hypopotassemia other specified cardiac dysrhythmias nonspecific abnormal findings in stool contents angiodysplasia of stomach and duodenum with hemorrhage cervical spondylosis without myelopathy orthostatic hypotension 

Answer: The patient is high likely exposed to