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: tramadol attending: chief complaint: brbpr major surgical or invasive procedure: colonoscopy egd capsule endoscopy history of present illness: patient is 77 male with h/o htn who p/w brbpr yesterday morning, multiple episodes. had black stool for 3d prior to presenting with emesis on day of admission per ed, but denied this upon admission to ccu. pt denied abd pain, nor recent abdominal pain after eating. was lightheaded with multiple episodes of brbpr, no chest pressure or sob. never had bleeding prior. had a colonoscopy about 4 months ago at and remembers that this was negative. it was reported that ems felt the patient was suicidal, but pt denied this on admission. . in the , pt was noted to be tachycardic, with hr in 100s, which decreased to 90s with 500cc ivf. hct was 19. pt underwent ng lavage, which was negative. transferred to micu for further management. . past medical history: htn anxiety social history: wife just died last week, has not had chance to bury her yet. concerned about cat in appartment. unable to read or write - wife took care of all finances, etc. pt denies tobacco, h/o etoh but quit. family history: noncontributory physical exam: vs: 97.9, 134/66, 74, 20, 96% ra, los 5l positive gen: well appearing, nad heent: perrl, eomi, mmm, op clear cv: rrr, nl s1/s2, no m/r/g pulm: ctab abd: soft, nt/nd, +bs, no masses ext: 2+ le edema to knees neuro: a&o x 3, mae pertinent results: 09:30am pt-12.5 ptt-25.4 inr(pt)-1.1 09:30am plt count-275 09:30am hypochrom-2+ 09:30am neuts-81.9* lymphs-13.6* monos-3.4 eos-0.4 basos-0.5 09:30am wbc-9.3 rbc-2.10* hgb-6.3* hct-19.1* mcv-91 mch-30.0 mchc-32.9 rdw-14.3 09:30am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 09:30am estgfr-using this 09:30am glucose-146* urea n-23* creat-1.0 sodium-140 potassium-4.2 chloride-107 total co2-27 anion gap-10 02:09pm hct-21.2* 10:09pm hct-25.0* . head ct: 1. no evidence of hemorrhage. 2. hypodensity of the cerebral periventricular white matter, particularly adjacent to the occipital of the right lateral ventricle. this could represent chronic microvascular ischemia. . head mri: focal area of t2 hyperintense signal involving the right posterior periventricular white matter suggestive of chronic microvascular ischemic or gliotic changes. correlation with gadolinium-enhanced images would be recommended for further evaluation. it should be noted that the patient refused the administration of gadolinium near the termination of the exam and requested to leave the radiology department. there are no acute territorial infarcts seen on diffusion images. followup is suggested. . colonoscopy: polyps in the ascending colon (polypectomy) diverticulosis of the ascending colon, transverse colon and descending colon grade 1 internal hemorrhoids otherwise normal colonoscopy to cecum. should have routine capsule study & repeat colonoscopy in 3 years pending histology. bright blood probably diverticular bleed. . egd: esophagus: normal esophagus. stomach: normal stomach. duodenum: normal duodenum. . echo: ef>55%. mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. borderline pulmonary artery systolic hypertension. mildly dilated aortic arch. . rle usn: nonocclusive, probably subacute right popliteal dvt. brief hospital course: a/p: 77m with h/o htn who p/w gi bleed found to be unsafe to d/c home so awaiting guardianship. . # cognitive status- the patient presented with poor baseline cognitive ability. his wife had been the primary caretaker. as she had recently passed away, there was concern that the patient would not be able to successfully manage independant living. a psych consult was requested for evaluation of the patient's ability to take care of himself. neuropsych testing documented cognitive impairment nos. the examiner was concerned that mr. cognitive limitations would limit his ability to live independantly. he was seen again on by psychiatry who felt the patient had significant problems with learning and shifting cognitive sets, and based on this since his wife was the primary caretaker, it was felt mr. would not be able to safely function independently on his own. the primary doctor for the patient was also contact and felt the patient would have trouble caring for himself. both social work and legal services were involved in obtaining guardianship for this patient and placement for this patient. . # gi bleed - the patient was admitted to the micu with a hct 19 where he was transfused a total of 6 units. his hct was stable at 31. the patient underwent egd and colonoscopy by gi. the egd ruled out an upper gi bleed, while the colonoscopy demonstrated 3 polyps (nonbleeding) which were removed, diverticulosis, and grade i internal hemorrhoids. therefore, the brbpr was attributed to diverticulosis. the pathology on the excised polyps came back as adenoma. a repeat colonoscopy was recommended in three years. a capsule study was also recommended and was done as an inpatient. the patient was transferred to the floor and his hct remained stable. his capsule study is still pending and should be followed as an outpatient. . # lower extremity edema: the patient has a history of lower extremity edema. he had no history of gout and no evidence of changes. this was followed and remained fairly stable with lasix, teds, low salt diet and leg elevation. . # hypertension - the patient's bp was controlled with lisinopril and metoprolol. . # right popliteal dvt- on the patient chronically edemetous les appeared asymetric. a le usn of the rle showed a subacute dvt, partially re-canalized. he was started on coumadin and bridged with heparin until therapuetic. the patient will need to remain on coumadin for 6 months with weekly inr checks. his last inr was 2.6 on and at that time he was on coumadin 5mg qhs alternating with 2.5 mg (on mon/weds/fri). he had previously been on 5 mg qhs, but was slightly supratherapeutic and has been stable on the 5 mg and 2.5 mg regimen. his next inr should be checked on and needs to be checked weekly. the patient may need a full hypercoagulable work-up in the future by his primary doctor. . # svt: the patient had one episode of symptomatic svt with a p 160, likely avnrt. he complained of "heartburn and mild dyspnea". the svt broke immediately with carotid massage and the patient's symptoms resolved. he was started on metoprolol and this was titrated up to 25mg . he had no recurrent episodes. . # gerd: the patient was started on protonix per his request for heartburn with good symptom control. . # right medial buttock furuncle- the patient was noted to have a right buttock furuncle, and should continue warm compresses, and neosporin with daily dry dressing changes, until his lesion is fully healed. . # weight loss - the patient had mentioned a > 60 lbs weight loss over past year, but no further information was able to be obtained. a full outpatient work-up should be considered, and a cancer screen may be necessary. medications on admission: (pt could not list meds, does not know doses): lisinopril clonidine ultram discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 2. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for heartburn. 3. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). 4. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. furosemide 20 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 7. furosemide 20 mg tablet sig: 0.5 tablet po qpm (once a day (in the evening)). 8. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 10. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed. 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 13. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 14. warfarin 5 mg tablet sig: one (1) tablet po 4x/week (,tu,th,sa). 15. warfarin 2.5 mg tablet sig: one (1) tablet po 3x/week (mo,we,fr). 16. trazodone 100 mg tablet sig: 1.5 tablets po hs (at bedtime). 17. outpatient lab work have pt, ptt, inr checked on and every week. call dr. for problems at ( 18. neomycin-bacitracnzn-polymyxin 3.5-400-5,000 mg-unit-unit/g ointment sig: one (1) appl topical qid (4 times a day): apply over right medial buttock furuncle with guaze dressing. discharge disposition: extended care facility: health care discharge diagnosis: primary: 1) gi bleed with acute blood loss anemia 2) cognitive impairment nos 3) dvt secondary: 1) htn 2) glaucoma 3) weight loss - 60 lbs 4) avnrt 5) chronic lower extremity edema, nos discharge condition: stable, tolerating medications discharge instructions: you presented with a gi bleed and later developed a dvt. you will continue coumadin and will need close monitoring of your inr. . please present to the hospital or call your primary care provider if you have chest pain or shortness of breath, headache or dizziness, fever or chills. . please take all of your medications as directed followup instructions: ***given history of > 60 lbs weight loss over past year, please consider full cancer screening/evaluation***** . follow-up with dr. . call ( for more information. md procedure: other endoscopy of small intestine other incision with drainage of skin and subcutaneous tissue endoscopic polypectomy of large intestine transfusion of packed cells diagnoses: esophageal reflux congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia unspecified glaucoma other persistent mental disorders due to conditions classified elsewhere anxiety state, unspecified other specified cardiac dysrhythmias loss of weight acute venous embolism and thrombosis of deep vessels of proximal lower extremity benign neoplasm of colon diverticulosis of colon with hemorrhage insomnia, unspecified internal hemorrhoids without mention of complication venous (peripheral) insufficiency, unspecified edema other specified adjustment reactions carbuncle and furuncle of buttock heartburn 

Answer: The patient is high likely exposed to