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 drug allergy information on file attending: chief complaint: syncope, gi bleed major surgical or invasive procedure: egd history of present illness: 50m with htn, hypercholesterolemia, osa who presented to the ed after 3 syncopal episodes on the day of admission. his symptoms began when he awoke on the morning of admission drenched in sweat with chills and mild nausea. he went to the bathroom and had a bm that was normal, no melena/hematochezia. he then stood up and tried to induce vomiting, thinking that would make him feel better; the next thing he remembers, he was waking up on his bathroom floor, no pre-syncopal prodrome, feeling groggy and confused. he crawled into bed and went to sleep, waking later to get the phone, walking into his kitchen, and again waking up on the floor groggy. it happened one more time, and he called ems. in the ed he passed a large dark stool in the ed that was guaiac positive. an ng lavage attempted and during the attempt he vomited a large amount of coffee grounds. bp remained stable (orthostatics negative after one liter ivfs), but he was tachycardic to the 130s. in ed, given 5 liters ivfs. . patient denies etoh use, only rare nsaid use. he denied chest pain, palpitations, dizziness, or other prodrome prior to the syncopal episodes. . also, foley placed in ed. patient w/ gross hematuria upon arrival in icu. past medical history: htn hyperchol osa depression social history: lives with his dog, works as a real-estate broker, has 2 kids, one at vanderbilt, pre-med. fairly active, golfs, no limitations to physical activity. no tobacco, but exposed to heavy tobacco as a child. rare etoh. family history: mother, heavy , died mi at 61, sister, heavy , died of pe at 54, father died of sepsis post-op at 79. physical exam: t 99.6, bp 126/64, hr 109-13 rr 18, o2sat 96%ra gen- pleasant, well-appearing male, nad heent- anicteric, perrl, op clear, dry mm, right forehead hematoma, small scratch under right eye neck- no jvd/lad/thyromegaly cv- tachycardic, regular, normal s1 s2, no m/r/g pulm- ctab/l abd- soft, nt, nd, nabs +bs, guiaic pos black stool per ed back- no cva/vert tenderness ext- no cyanosis/edema, warm/dry neuro- a&ox3, no focal cn/motor/sensory deficits pertinent results: . 141 / 107 / 30 gluc 116 --------------- 4.4 / 23 / 1.0 . wbc 12.9 hct 44.4 --> 38.5 plt 352 n:88.9 l:7.3 m:3.3 e:0.3 bas:0.2 . pt: 12.6 ptt: 22.4 inr: 1.1 . d-dimer: 112 . trop-*t*: <0.01 . ck: 69 mb: notdone . sinus ct: no fx, fluid r maxillary sinus, soft tissue promn over r frontal . mibi : normal, done for screening purposes . colonoscopy : grade 3 internal hemorrhoids. otherwise normal colonoscopy to cecum and terminal ileum. . ecg: nsr at 94, nml axis, intervals, qwave ii, ii, avf (old), no change from prior . egd: medium hiatal hernia grade 3 esophagitis in the lower third of the esophagus erythema in the antrum brief hospital course: 1) upper gi bleed: patients hct went from 44 on admission to a low of 32. he was given 1 unit of prbcs during his hospital course. he remained hemodynamically stable throughout although he was tachycardic initially to 110. on the morning of hospital day #2, he underwent egd. egd revealed a hiatal hernia, grade 3 esophagitis in the lower third of the esophagus, and erythema in the antrum. there was no active bleeding. gi recommended proton pump inhibitor (ppi) and sucralfate. they felt the esophagitis was due to gerd. a h-pylori serology was sent. his aspirin was held and will need to be restarted as an outpatient when deemed appropriate by his pcp. remained stable with stable hematocrits. his diet was advanced. his anti-hypertensives were restarted. he was discharged on hospital day # 3 with gi and pcp . . 2) syncope: felt to be hypovolemia due to gi bleed and hypovolemia. he was ruled out for mi with serial enzymes and was watched on telemetry without any events. he has had a recent stress mibi that was normal. . 3) hematuria: patient with gross hematuria following foley placement in ed. it is lkely due to foley trauma. it cleared quickly and the foley was discontinued. he will need a follow-up ua as an outpatient. . 4) depression: sertraline, buproprion were held initially and restarted at time of discharge. medications on admission: lisinopril 20mg daily sertraline 50mg daily bupropion xl 300mg daily atorvastatin 10mg daily asa 81mg daily discharge medications: 1. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 2. 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:*6* 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 4. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 5. bupropion 300 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po qam (once a day (in the morning)). 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: upper gi bleed anemia, blood loss esophagitis gerd syncope discharge condition: good, tolerating pos, hct stable discharge instructions: you will start on 2 new medications, protonix and sucralfate. you need to follow up with your pcp and gi physician. stools, black stools, abdominal pain, nausea, vomiting, fever, lightheadedness, or further episodes of passing out. please do not take aspirin until your pcp or gi physician tell you to restart it. followup instructions: follow up with your gastroenterologist, within 4 weeks of discharge. call ( to schedule an appointment. . please follow up with dr within 1-2 weeks md procedure: other endoscopy of small intestine diagnoses: esophageal reflux pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia unspecified sleep apnea injury to bladder and urethra, without mention of open wound into cavity urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hemorrhage of gastrointestinal tract, unspecified hypovolemia syncope and collapse 

Answer: The patient is high likely exposed to