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: percodan attending: chief complaint: headache, black stool major surgical or invasive procedure: colonoscopy upper endoscopy history of present illness: 83m with pmh of afib on coumadin, ileostomy for unknown reason, who presented from home for headache, nausea, and dark stools. pt's vna called , reporting headache, nausea, and dark stools for three days, with inability to tolerate po intake. vna bp 180/80, without postural hypotension. concern by pcp for gib given pt on coumadin, referred to ed. other issues as outpt have been increasing assymetric leg edema and decrease in uop (with plan for ct scan to r/o ivc obstruction). other ros+ nonspecific, fevers, and chills, with headache, ?weeks to months. . in ed, vss, 97.1, 75, 181/77, 14, 100%ra, guaiac+ stool from ostomy, +bilious vomit in ed, hct stable at 35. given 1l ns. ct head showed large b/l subdurals with shift. neurosurgery evaluated, felt no immediate surgery, with plan on burr hole in a few days. ng lavage not tolerated by patient, not attempted again. inr 2.3, received 1 vial recombinant factor 9, 2ffp (in prep for possible or), 10mg iv vitamin k. hr 90, 166/73, rr20, 99%ra, access - 1piv. . while in the micu the patient was evaluated by gi. he did not require transfusion and hct remained stable in the low 30s. gi felt that scope was not urgent and could be postponed until after nsurg procedure. in the icu the patient complained of intermittant headache, serial neurologic exam remained stable. inr was reversed and coumadin held given large bleed. nsurg following patient and feel that will need surgical decompression electively. patient was started on keppra for sz ppx. currently the patient complains of feeling tired. denies pain, sob, headache, other complaints. past medical history: 1. atrial fibrillation 2. anxiety 3. gerd 4. benign prostatic hypertrophy 5. congestive heart failure 6. "redundant" colon - ileostomy social history: the patient is married and lives with hiswife. he was a department store buyer until he retired at the age of 65. he quit pipe and cigar smoking approximately 40 years ago and does not smoke cigarettes. he denies alcohol use. family history: brother died at 61 of coronary artery disease. father died at 78 of stomach ulcers. mother died at age of natural cause. physical exam: discharge physical: t: 96.4 bp:124/60 hr:59 rr:16 97% on ra gen: nad, pleasant heent: eomi, perrl, no op lesions cv: irregularly irregular, 2/6 sem at rusb pulm: ctab abd: +bs, soft, ntnd, ostomy draining brown-yellow fluid, site non tender, no erythema ext: no lle, 2+ distal pulses neuro: a/o x3 (intermittantly not oriented to place), cn 2-12 intact, ue/le strength bilaterally psych: appropriate pertinent results: imaging: non-con ct head : findings: bilateral subdural collections are noted along the cerebral hemispheres. the left sided collection is mostly hypodense and chronic appearing though a small amount of hyperdensity is noted along the posterior and inferior aspect, suggesting an acute component. this collection measures up to 2.1 cm in thickness. there is diffuse left sulcal effacement and subfalcine herniation with 10- mm righward shift of midline structures (2:16). a chronic appearing right-sided subdural collection is also noted measuring approximately 11 mm in maximal thickness. a few areas of linear high attenuation are noted within this collection which may represent subdural membranes or a small component of acute bleeding. associated mass effect is noted with diffuse right sulcal effacement. slightly hyperdense appearance of the tentorium may be due to calcification, less likely trace layering sdh. there is no evidence of transtentorial herniation with patent basilar cisterns. . the - white matter differentiation is preserved, and there is no hydrocephalus. calcification of the cavernous portions of the carotid arteries and the vertebral arteries bilaterally is noted. the visualized paranasal sinuses and mastoid air cells appear well aerated aside from a small amount of mucosal thickening within the left maxillary sinus. the soft tissues and osseous structures are intact. . impression: bilateral chronic subdural hematomas, left greater than right, with small acute component (more evident on the left). associated mass effect with rightward shift of midline structures and diffuse sulcal effacement. . . ct abdomen/pelvis with contrast : abdomen: there is bibasilar, dependent atelectasis. there is a small hiatal hernia. the liver, gallbladder, spleen, adrenal glands, and right kidney are unremarkable. a 2-cm low-attenuation lesion at the upper pole of the left kidney is compatible with a simple cyst. a smaller 3-mm low-attenuation lesion at the lower pole of the left kidney is too small to characterize but most likely represents a simple cyst (2:35). a prominent calcification along the left renal artery is noted. there is diffuse atherosclerotic disease of the abdominal aorta. note is made of a right lower quadrant ileostomy. there is no evidence of obstruction, free air or fluid within the abdomen. there are scattered mesenteric and retroperitoneal lymph nodes, none of which meet criteria for pathology by ct. a large volume of stool is noted within the cecum. . ct of the pelvis with iv contrast: a large volume of stool is noted within the rectum. the prostate, bladder, distal ureters, and sigmoid colon are unremarkable. there is no free fluid within the pelvis. no pathologically enlarged inguinal or pelvic lymph nodes. . osseous structures: there is fusion of the l1 through l3 vertebral bodies and the l4 through l5 vertebral bodies. there is associated degenerative change including vacuum disc phenomena at the l3-4 and l5-s1 levels. endplate sclerosis is also evident at the t12-l1 and l3-l4 levels. there is no associated spondylolisthesis. . impression: 1. right lower quadrant diverting ileostomy without evidence of obstruction. no acute intra-abdominal or pelvic findings. 2. small hiatal hernia. . . discharge labs: brief hospital course: 83 m with pmh of a-fib on coumadin, and ileostomy for unknown reason who presented from home with report of black stool from ostomy, ha for several weeks and nausea. found to have bilateral subdural hematomas and guaiac positive stool, hct stable at baseline of low-mid 30's. inr therapeutic on admission at 2.3. initially admitted to micu for close neurological monitoring with neurosurgery and gi consults. was transfered to the floor where he had a colonoscopy and egd that were normal, showing no evidence of bleeding. patient was discharged home in stable condition. he is scheduled for follow up ct on . neurosurgery will contact patient regarding time of appointment that day. . # gib/anemia: admitted to icu with report of melanotic stool from ostomy. patient also on coumadin for a-fib, was therapeutic on admission at 2.3 inr was reversed on admission and coumadin held. hct was stable throughout hospitalization. per patient, has ostomy for 'redundant colon' though explanation was non-descript. no hx of gib or upper gi pathology or gerd to explain gib. ct abd showed no mass or other pathology. patient underwent colonoscopy and egd on which showed no abnormalities. coumadin was stopped given gib and subdurals. hct stable at 32 upon discharge. . # subdural hematomas: found on ct scan, appear chronic in nature on imaging. coumadin reversed on admission and held as above. patient intially monitored in icu for frequent neuro checks. he had no change in mental status and his neuro exam remained non-focal throughout his hospitalization. unclear duration of bleed, no hxistory of trauma and inr not supratherapeutic, appear chronic on ct with smoothing of brain surface. hematomas also appear heterogenous in texture suggesting a more chronic bleed rather than acute. seven mm midline shift. patient likely not signifcantly affected by hematoma given age and probably lower brain volume, larger intracrainial space and chronicity of bleed. per neurosurgery, no intervention necessary as neuro status is unchanged from baseline and is stable. will follow up with dr. on as out patient with ct scan. patient continued on keppra 500mg for seizure ppx, treatment duration to be determined by neurosurgery outpatient. . # lower extremity edema: none this morning, pending work up by pcp, hx of cirrhosis, renal disease or chf. outpatient lasix held while hospitalized give gib. restarted on discharge. deferred workup to outpatient. . # atrial fibrillation: rate controlled throughout hospitalization. bb intially held given gib and restarted before discharge. continued on digoxin. coumadin stopped as above given gib andsubdural hematoma, which will be permanently stopped. . # urinary urgency/hesitancy: noted by pcp, drawn in ed, with occasional bacteria, with no other evidence of infection. tamsulosin intitially held in setting of gib and restarted before discharge. . # code status: full code medications on admission: digoxin - 125mcg qd furosemide - 20mg qd metoprolol succinate - 150mg qd omeprazole - 40 mg qd tamsulosin - 0.4 mg qhs trazodone - 50-100mg qhs:prn warfarin - 2 mg qhs aspirin - 81mg avodart 0.5mg qd discharge medications: 1. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 2. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 3. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 5. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. toprol xl 100 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day. discharge disposition: home with service facility: vna discharge diagnosis: primary: chronic subdural hematomas gi bleed . secondary: hypertension discharge condition: good, vital sign stable, alter and oriented x3. discharge instructions: you were admitted with dark stool and a headache and found to have blood in your stool and bleeding around your brain. it appears that the bleeding around the brain is chronic and has likely been there for a long time. you had a repeat head scan before you left that showed that the bleeding was improving and you did not need surgery while in the hospital. you will need to have a follow-up head ct in 1 week as below. dr. office will be in contact with you to definitively schedule a f/u appointment with them next week. . the gastroenterologists did a colonoscopy and an upper endoscopy to look for a bleed in your gi tract and found no source of bleeding. your blood count remained stable while you were in the hospital. . the following medication changes were made: ***stopped: coumadin and aspirin. you should stop taking these. you had bleeding inside your head and in your colon so you cannot be on coumadin ever again. you will need to discuss as an outpatient whether or not you can be restarted eventually on a full dose aspirin for your irregular heartbeat. please have this conversation with your primary care physician and the neurosurgeons. ***added: keprra. this is to prevent seizures. you have blood around your brain which can cause seizures. you should continue taking this medication at home until the neurosurgeons tell you to stop. ***stopped: lasix. you did not have problems with leg swelling or problems breathing while in the hospital and this medicine was stopped. . no other medication changes were made. you should resume all your other home medications as directed. . if you have shortness of breath, chest pain, severe headache, confusion, dizziness or lightheadedness, fever higher than 100.5 or any other concerning symptom, please seek medical care immediately. . it was a pleasure meeting you and participating in your care. followup instructions: please f/u with your pcp, . , within 1-2 weeks of discharge. his phone number is . radiology: you are scheduled for a repeat ct scan of your head on wednesday, at 8:30 am at the , , . neurosurgery: you will be contact by dr. office for a follow-up appointment next week. please call if you do not hear from them in the next 1-2 days. . general medicine: provider: , medical unit phone: date/time: 11:00 . psychiatry: we have called dr. and dr. to try to set up an outpatient psychiatric appointment for you per your vna services. unfortunately, we have been unable to get ahold of either physician. will need to call to set up an appointment with dr. or call to set up an appointment with dr. . procedure: other endoscopy of small intestine insertion of other (naso-)gastric tube transfusion of other serum diagnoses: esophageal reflux acute posthemorrhagic anemia iron deficiency anemia secondary to blood loss (chronic) atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene paroxysmal ventricular tachycardia hypertrophy (benign) of prostate with urinary obstruction and other lower urinary tract symptoms (luts) anxiety state, unspecified blood in stool long-term (current) use of anticoagulants subdural hemorrhage ileostomy status benign essential hypertension urgency of urination 

Answer: The patient is high likely exposed to