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: bright red blood per rectum major surgical or invasive procedure: colonoscopy hemorhoidectomy history of present illness: this is a 53yo woman with history of barrett's esophagus followed by serial egds and prior h/o internal hemorrhoids on a ' colonoscopy who presented with bright red blood per rectum x 6 wks. she also complained of worsening shortness of breath and fatigue. upon evaluation in ed, she was found to have guaiac positive bright red blood per rectum. her initial vitals were as follows: 99.4, 87, 100/75, 16, 97% ra. she had no abdominal tenderness. she had a hct drop to 19.7 (from prior baseline of 28 to 37). inr was 1.0. platelets were 325. she refused ng lavage. she was typed/crossed for red cell transfusion. two lg bore peripheral ivs were placed. the gi fellow was made aware. she remained hemodynamically stable throughout her ed stay with bp of (99 - 119)/(47 - 70). she was transfused 2units in total of prbc. also got seroquel 200mg, trazadone 200mg, morphine 2mg. the patient was transferred to the micu for further workup. on interview on admission to the icu, she confirmed that she has had an ongoing history of blood per rectum over the past six weeks. she reported ongoing rectal pain as well. she saw her provider at , who prescribed topical lidocaine. she had some relief with her rectal pain, but described ongoing bloody bowel movements on near daily basis. over this time period, she also describes symptoms of lightheadedness with no frank loss of consciousness and exertional dyspnea. denies any chest pain. otherwise, ros negative. she specifically denied any n/v or hematemesis. she denied any active etoh abuse; she reports having been abstinent x 8wks. she denied any nsaid use. past medical history: 1. etoh abuse - 20+ years history of drinking. pt denies hx of withdrawal seizures, however as per previous medical records she has had episodes of seizures. 2. depression 3. ? esophageal/gastric varices 4. grade 2 internal hemorrhoids on colonoscopy 5. psychiatric condition - currently not fully diagnosed per omr notes 6. history of a left breast mast excision (which was diagnosed as metaplasia and fibrosis. social history: the pt is a former elementry school teacher. etoh: more than of vodka per day for over 20+ years tobacco: 1ppd x 7+ years continuing to smoke illicit drugs: as per prior d/c summaries, the pt has a histor of cocaine abuse x 15 years (snorting only; no injection). she is reported to have quit 10 years ago. she currently denies any hx of cocaine use. ivdu: none. family history: m: died of anaplastic thyroid cancer at 65y/o maternal aunt: died of lung cancer physical exam: vs: af, 72, 112/52, 20, 98% ra gen a/o, nad heent moist mucous membranes, anicteric neck no jvd cv rrr, no m/r/g resp cta bilaterally with no rales abd soft, nt, nd, rectal (in ed) with guiaiac pos mucous extr no c/c/e pertinent results: 10:32pm hgb-5.4* calchct-16 05:25pm glucose-95 urea n-17 creat-0.9 sodium-139 potassium-3.8 chloride-103 total co2-24 anion gap-16 05:25pm wbc-7.5 rbc-2.82*# hgb-6.2*# hct-19.7*# mcv-70* mch-22.1* mchc-31.6 rdw-16.5* 05:25pm neuts-67.5 lymphs-25.6 monos-3.8 eos-1.8 basos-1.3 05:25pm hypochrom-3+ anisocyt-1+ poikilocy-1+ microcyt-3+ 05:25pm pt-11.5 ptt-19.0* inr(pt)-1.0 colonoscopy - internal hemorrhoids 02:29pm blood hct-30.6* 04:35am blood wbc-5.8 rbc-3.44* hgb-9.2* hct-27.0* mcv-79* mch-26.8* mchc-34.0 rdw-20.0* plt ct-271 upon discharge: 04:35am blood glucose-91 urean-15 creat-0.9 na-141 k-3.9 cl-106 hco3-28 angap-11 brief hospital course: this is a 53yo woman with h/o barrett's esophagus and internal/external hemorrhoids who presented with progressive symptomatic bright red blood per rectum x 6 wks and a hct drop from 28 to 19.7. . 1. lower gi bleed- the patient was transferred to the micu and a total of three units of blood was transfused during her hospitalization. she had a colonoscopy that showed large grade 2 internal hemorrhoids or possible rectal varix with recent stigmata of bleeding. the patient refused an ng lavage and egd as she had an egd recently that did not show any signs of pud or source of bleeding. therefore, the source of her bleeding was presumed to be her hemorrhoids. the patient hct had stabilized after the blood transfusions and she was transferred to the floor. a surgical consult was called and the patient underwent a hemorhoidectomy. she was discharge after the procedure as her hct had been stable for > 48hrs. she was advised to return to the er if her bleeding recurred. she was also advised to follow up with her surgeon, dr. upon discharge and to have a cbc checked in one week and sent to her pcp . 2. depression/anxiety: the patient was continued on her home regimen. . 3. h/o etoh abuse: the patient was continued on antabuse. medications on admission: antabuse 250 mg--1 tablet(s) by mouth po qd protonix 40 mg--one tablet(s) by mouth qday seroquel 200 mg--1 tablet(s) by mouth po tid trazodone 100 mg--4 tablet(s) by mouth po qhs discharge medications: 1. disulfiram 250 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 3. quetiapine 200 mg tablet sig: one (1) tablet po tid (3 times a day). 4. trazodone 100 mg tablet sig: four (4) tablet po hs (at bedtime). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 6. outpatient lab work please have a cbc checked in one week. please send results to dr. , fax #(. discharge disposition: home discharge diagnosis: hemorrhoidal lower gib discharge condition: good. discharge instructions: please return to the er or call your physician if you experience red blood per rectum, lightheadedness, shortness of breath, or any symptoms that concern you. . please follow up with dr. . . dr. recommends warm water soaks to the surgical area. . please get your blood drawn in one week. have the results sent to your pcp at fax # (. followup instructions: please follow up with your pcp, . , upon discharge. . provider: . phone: date/time: 12:10 . please follow up with dr. on at 1pm at , , building, . . . provider: , m.d. date/time: 12:10 procedure: colonoscopy other procedures on hemorrhoids diagnoses: acute posthemorrhagic anemia internal hemorrhoids with other complication internal thrombosed hemorrhoids 

Answer: The patient is high likely exposed to