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: cipro cystitis / levaquin / macrobid / ampicillin attending: chief complaint: cc: major surgical or invasive procedure: esophagogastroduodenoscopy which showed esophagitis and an old healed ulcer but no sign of bleeding. history of present illness: -year-old female with past medical history of diverticulitis, peptic ulcer disease, anemia who presents with "hemoptysis". . the patient was in her usual state of health until 1 week prior to admission. at that time she developed severe epigastric pain which she attributed to acid-reflux. she also noted nausea which was intermittent and a sour taste. the day prior to admission she "coughed up" a half-dollar sized blood clot. she went to bed without any more symptoms. she awoke with lightheadedness. she denies any chest pain, palpitations, shortness of breath, abdominal pain, fevers, chills, cough, changes in bowel habits, blood in stool (notes dark stool but no different than baseline given takes oral iron). she presented to ew for further evaluation. . upon presentation to ew, initial vitals were: t 98.7, hr 56, bp 200/70, rr 17, sao2 100% ra. cxr was normal. hct 20 (unsure of baseline). coags with inr 1. ngl with coffee ground emesis. cleared after 60cc ns. rectal with brown, heme positive stool. gi was consulted and the patient was admitted to micu for further work up. . currently, she feels well and is without complaints. . ros: per hpi. lost weight since . . past medical history: - diverticulitis - peptic ulcer disease - glaucoma - cataract - hyperlipidemia - hypertension - anemia - in required 2u prbc - anxiety - gerd social history: lives at home by self. denies etoh, tobacco, illicits. family history: brother with pud physical exam: on admission: vs: temp: 98, bp: 233/67, hr: 74, rr: 17, o2sat: 100% ra gen: pleasant, comfortable, nad heent: perrl, eomi, dry mm, op without lesions resp: ctab, with good air movement throughout cv: rr, nl rate, ii/vi rusb abd: epigastric tenderness, llq tenderness, nondistended +b/s, soft, no masses or hepatosplenomegaly ext: no c/c/e skin: warm neuro: aaox3. cn ii-xii intact. on discharge: vs: temp: 98.3, bp: 187/74 (120s-180s/50s-70s), 71 (60s-80s), 18 o2sat: 100% ra gen: pleasant, comfortable, nad, a&ox3 heent: perrl, eomi, dry mm, op without lesions resp: ctab, with good air movement throughout cv: rr, nl rate, 2/6 sem at rusb abd: soft, non-tender, non-distended, bowel sounds present, no masses, no hepatosplenomegaly ext: no c/c/e skin: warm neuro: aaox3. cn ii-xii intact. pertinent results: admission labs: 06:10pm blood wbc-4.9 rbc-2.17* hgb-7.0* hct-20.5* mcv-95 mch-32.3* mchc-34.2 rdw-16.2* plt ct-278 04:15pm blood glucose-118* urean-65* creat-2.4* na-134 k-5.4* cl-106 hco3-20* angap-13 04:46am blood calcium-9.0 phos-4.7* mg-2.3 discharge labs: 05:30am blood wbc-6.7 rbc-3.06* hgb-9.6* hct-28.0* mcv-92 mch-31.5 mchc-34.3 rdw-17.0* plt ct-303 01:05pm blood na-134 k-5.2* cl-108 05:30am blood glucose-96 urean-52* creat-2.5* na-138 k-5.6* cl-110* hco3-21* angap-13 05:30am blood calcium-9.0 phos-4.1 mg-2.0 chest x-ray: findings: no consolidation or edema is evident. the mediastinum is unremarkable. the cardiac silhouette is borderline enlarged. no effusion or pneumothorax is noted. a marked levoconcave scoliosis of the thoracolumbar spine is evident. impression: no acute pulmonary process. borderline cardiomegaly. scoliosis. egd: mild esophagitis in the lower third of the esophagus hiatal hernia otherwise normal egd to third part of the duodenum brief hospital course: -year-old female with past medical history of diverticulitis, peptic ulcer disease who presents with upper gi bleed. 1. upper gi bleed: based on low hct, +ngl the patient likely has ugib. no evidence of varices or liver pathology. concern was for tear or peptic ulcer disease as patient has known h/o esophagitis and gastritis from prior egd. unclear of how brisk bleed it as unsure of time course but remained hemodynamically stable in icu. transfused 2 units prbc with subsequent stable hcts. she did not have any further evidence of active bleeding. she was continued on ppi drip in icu. patient remained stable and was called out to medicine floor. she was continued on iv ppi . she underwent upper endoscopy and was found to have mild esophagitis in the lower third of the esophagus and a hiatal hernia. the egd was otherwise normal to the third part of the duodenum. gi recommended that as part of the complete anemia work-up the patient should have a virtual colonoscopy or barium enema done as an outpatient. this is in light of the incomplete colonoscopy done at that outside hospital due to colonic stricture. ms. will follow-up with her gi doctor as an outpatient. she was discharged home on a po ppi. vna will draw patient's cbc and fax it to her pcp prior to pcp visit. 2. hypertension: ms. had sbp to 200s on admission then improved on iv hydralazine in the icu. lisinopril and atenolol was held in the setting of gib and elevated creatinine. per prior dc sumamry from , she was supposed to stop ace but admission note records her as being on lisinopril 40mg po bid. restarted norvasc as bp med that would not affect hr and kidneys. on the floor the patient was continued on norvasc and hydralazine. metoprolol 12.5 mg was started in place of atenolol given that patient had an elevated creatinine. lisinopril was held at discharge given patient's creatinine of 2.5 (at last admission at was 2.) 3. acute on chronic renal failure: patient with baseline creatinine of 1.8 - 2 during recent outside hospital stay, but during this hospitalization ranged 2.3 - 2.6. this is possibly secondary to pre-renal causes given recent gi bleed. lisinopril was held during hospitalization. 4. hyperkalemia: patient had elevated potassium in the 5s (5.2 at discharge). her aci inhibitor was held. ekg did not show evidence of cardiac conduction abnormalities related to hyperkalemia. it is possibly secondary to decreased gfr. vna will draw chemistry as an outpatient and fax results to patient's pcp so hyperkalemia can be followed. 5. gerd: patient was on ppi drip and then iv ppi during hospitalization. she was dishcarged on po ppi. 6. glaucoma: continued outpt eye drops 7. anxiety: continued home tid ativan for anxiety. 8. code: dnr/dni, confirmed with patient. medications on admission: - atenolol 25mg daily - lasix 20mg qod - aspirin 81mg daily - lisinopril 40mg - lipitor 10mg daily - mvi - omega-3 fatty acid - dorzalamide eye drops - ativan 0.5mg tid - iron pill discharge medications: 1. lorazepam 0.5 mg tablet sig: one (1) tablet po three times a day as needed for anxiety. 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 4. dorzolamide 2 % drops sig: one (1) drop ophthalmic (2 times a day). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 7. hydralazine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 8. omega-3 fish oil 1,000 (120-180) mg capsule sig: one (1) capsule po twice a day. 9. multivitamin tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: all care vna of greater discharge diagnosis: primary: acute blood loss anemia from unknown source secondary: hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: it was a pleasure to participate in your care ms. . you were admitted to the hospital with bleeding that caused a low blood count and blood in your stomach. this may have been caused by bleeding in your upper gi tract, but the gastroenterologists did not see any bleeding on your upper endoscopy. you need to follow-up with your gi doctor as an outpatient to have a virtual colonoscopy or a barium enema. please make the following changes to your medications: 1. stop atenolol 2. stop lisinopril until your kidneys recover (your primary care will let you know when it is ok to restart this) 3. stop lasix until your kidneys recover (your primary care will let you know when it is ok to restart this) 4. start metoprolol 12.5 mg po bid 5. start amlodipine 10mg po daily 6. start hydralazine 25 mg by mouth four times daily ( this will take the place of lisinopril until your primary care says it is ok to stop). 7. start pantoprazole 40mg by mouth daily for stomach protection please see below for your follow-up appointments. followup instructions: name: , l. address: , ste 2w, , phone: appt: at 11am name: , md address: 92 , , phone: appt: at 2:30pm md procedure: other endoscopy of small intestine diagnoses: hyperpotassemia anemia of other chronic disease esophageal reflux acute posthemorrhagic anemia acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified unspecified glaucoma diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) anxiety state, unspecified hemorrhage of gastrointestinal tract, unspecified esophagitis, unspecified hemoptysis, unspecified 

Answer: The patient is high likely exposed to