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: coffee-ground emesis major surgical or invasive procedure: endoscopy history of present illness: mr. is a 42yo m w/hx of alcohol abuse, hcv cirrhosis, esophageal varices, dm2 and multiple admissions for variceal banding who presents with coffee-ground emesis. he was recently admitted for an upper gi bleed and had grade iii varices banded on . on discharge he was given prescriptions and money for his medications but did not pick them up. he reports that he left the hospital and was on the street. he drinks > 10 beers per day. he was scheduled to see dr. on the day of admission for repeat banding which he did not show for. he was admitted to hospital yesterday after being in a fight and discharged today. he reports drinking alcohol starting at 2pm today, then having 4 episodes of coffe-ground emesis. he went to an osh ed where ng lavage showed 100ml of coffee-ground emesis. at the osh ed, he was given morphine 2mg iv x 2 protonix 40mg iv x 1 and started on an octreotide gtt, then sent here. hct was reportedly 45 at hospital. . in the ed, initial vs were: t99.2 106 138/90 16 96%. he was put on an octreotide and protonix drips. attempt was made to repeat the ng lavage but this failed. his hct was 38. . on the floor, he complains of epigastric pain radiating to the back. he states that it feels like someone is punching him in the stomach. it is similar to prior episodes of abdominal pain. he reports nausea. denies melena or brbpr. otherwise ros is negative. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, or changes in bowel habits. denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. past medical history: etoh abuse cirrhosis hepatitis c: no prior treatment diabetes mellitus 2 - 20 + years tobacco use depression hypertension gerd pancreatitis diverticulitis hemorrhoids atypical chest pain social history: - tobacco: 1 ppd x 20+ years - alcohol: 6-12 beers daily (none x 3 days) - illicits: none family history: no history of bleeding disorders or abdominal bleeding. both parents still living. physical exam: vitals: t: 98.5 bp: p: r: 18 o2: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, bruising over right eye, ng tube in place neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, epigastric tenderness without rebound, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: labs on admission: 06:45pm pt-14.8* ptt-31.1 inr(pt)-1.3* 06:45pm plt count-157# 06:45pm neuts-44.4* lymphs-49.2* monos-4.7 eos-0.7 basos-1.0 06:45pm wbc-7.3# rbc-4.65 hgb-13.3* hct-38.8* mcv-83 mch-28.6 mchc-34.3 rdw-14.6 06:45pm asa-neg ethanol-147* acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 06:45pm lipase-31 06:45pm alt(sgpt)-175* ast(sgot)-249* ld(ldh)-227 alk phos-127 tot bili-0.9 06:45pm estgfr-using this 06:45pm glucose-117* urea n-9 creat-0.6 sodium-143 potassium-3.8 chloride-104 total co2-27 anion gap-16 10:05pm hct-37.3* labs on discharge: 06:20am blood wbc-5.2# rbc-4.58* hgb-13.2* hct-38.6* mcv-84 mch-28.8 mchc-34.3 rdw-14.4 plt ct-107* 06:20am blood glucose-181* urean-6 creat-0.7 na-135 k-3.7 cl-99 hco3-27 angap-13 06:20am blood alt-160* ast-244* studies: endoscopy : 3 cords of grade ii varices with ulcerations were seen in the distal esophagus; one with intact band. other blood clot in the stomach, no gastric varices. otherwise normal egd to pylorus brief hospital course: mr. is a 42yo m w/hx of alcohol abuse, hcv cirrhosis, dm2 who presented with coffee-ground emesis in the context of etoh intoxication. . # acute blood loss anemia due to esophageal varices with bleeding: the patient presented with ugib likely from bleeding varices as this patient has a known history of esophageal varices and multiple banding procedures. no active varices seen on egd, but evidence of ulceration in the area of previous banding was noted. the egd also noted 250cc of blood in the stomach, so further episodes of hematemesis were expected but did not occur. the patient was maintained on an octreotide drip as well as a protonix drip while in the micu. serial hematocrits were monitored and reached a nadir of 34 from an admission hematocrit of 38. his hemodynamics were monitored closely without any instability. the patient was also treated with ciprofloxacin for prophylaxis for gut translocation after egd. his hct remained stable thereafter and he did not require any blood transfusions. he was transitioned to oral ppi, restarted on home dose nadolol and diet advanced as tolerated. he had no further evidence of gi bleeding during his admission, and he was discharged with a plan for repeat egd to be performed . . # alcohol dependence/withdrawal: pt with active etoh abuse, but would like to stop drinking and would ideally like treatment to maintain his sobriety. the patient was maintained on thiamine, folate, and multivitamin. he was initially treated with diazepam on a ciwa scale, but required minimal dosing of benzodiazepines. his ciwa was discontinued on and he had no evidence of ongoing withdrawal. he was . # type 2 diabetes uncontrolled with complications: the patient was maintained on his home dose of lantus and humalog sliding scale. . # s/p fight: multiple bruises but no evidence of intra-abdominal bleeding. . # abdominal pain: felt to be multifactorial from splenomegaly and gut spasm from bleed. he was treated with tramadol prn for pain, and his gabapentin titrated up. . # cirrhosis due to alcohol, chronic hepaititis: no signs of decompensated cirrhosis during this admission. patient was continued on nadolol as noted above. . # benign hypertension: restarted on home dose lisinopril after hct stabilized. . # tobacco use: active use. pt did not require a nicotine patch during this admission. provided counseling on smoking cessation. . # depression: restarted on prior outpatient doses paroxetine and quetiapine. medications on admission: (from prior d/c summary, but patient not taking) nadolol 20mg po qday thiamine 100mg po qday folic acid 1mg po qday lisinopril 5mg po qday pantoprazole 40mg po q12h sucralfate 1gm po qid gabapentin 300mg po tid quetiapine sr 300mg po qday paroxetine 30mg po qday vitamin d3 400iu po qday lantus 60 units po qam humalog sliding scale discharge medications: 1. lantus 100 unit/ml solution sig: sixty (60) subcutaneous qam. 2. humalog 100 unit/ml solution sig: asdir subcutaneous four times a day: please see sliding scale. 3. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. folic acid 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 8. gabapentin 400 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*2* 9. quetiapine 300 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 10. paroxetine hcl 30 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. vitamin d-3 400 unit tablet sig: one (1) tablet po once a day. 12. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 13. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 1 days. disp:*2 tablet(s)* refills:*0* 14. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnoses: upper gi bleed etoh abuse and intoxication facial contusion . secondary diagnoses: cirrhosis, secondary to etoh and hcv hypertension diabetes mellitus discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you have a diagnosis of cirrhosis, and were admitted to the hospital because of bleeding from your gi tract. this bleeding is most likely related to your alcohol use, and you need to stop drinking alcohol completely. if you do not stop drinking, you will likely have another bleed that could result in death. . we made the following changes to your home medications: -increase gabapentin to 400 mg three times daily -start ciprofloxacin - take twice daily for another 1 day -change pantoprazole to omeprazole 40 mg twice daily please restart your prior home medications. take all medications as prescribed. followup instructions: you have an appointment for repeat banding, detailed below. it is very important that you do not eat or drink from midnight the night before this procedure. department: digestive disease center when: tuesday at 1 pm with: , md building: building (/ complex) campus: east best parking: main garage department: endo suites when: tuesday at 1 pm procedure: other endoscopy of small intestine diagnoses: tobacco use disorder unspecified essential hypertension chronic hepatitis c without mention of hepatic coma acute posthemorrhagic anemia alcoholic cirrhosis of liver portal hypertension depressive disorder, not elsewhere classified diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled esophageal varices in diseases classified elsewhere, with bleeding chronic pancreatitis acute alcoholic intoxication in alcoholism, continuous other specified counseling 

Answer: The patient is high likely exposed to