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: penicillins / percocet attending: chief complaint: melena major surgical or invasive procedure: esophagoduodenoscopy with cauterization and injection duodenal ulcer. history of present illness: the patient is a 59 yo woman s/p gastric bypass c/b bowel obstruction and ventral hernia repairs who presents with black tarry stools for one day. the patient was in her usual state of health until the afternoon of , when she started to have crampy abdominal pain and the urge to defecate while driving home from work. she subsequently had 4-5 episodes of large volume, dark brown, tarry, malodorous stool over several hours. these bowel movements also contained small streaks of maroon colored blood. she had some transient lightheadedness after her first bowel movement, but no loc, palpiations, or cp. she also denies any nausea, vomiting, or retching. she had no changes in her stool color, consistency, or caliper prior to the onset of melena, and s/p gastric bypass had no symptoms dumping syndrome. she has had no known sick contacts, or recent weight loss, fevers or chills. she has a recent history of starting an nsaid, voltaren, for oa pain several months ago. she has had egd in the distant past, but has not ever had a colonoscopy. . ed course: on arrival to the e.d., the patient had no abominal pain, and was no longer having large-volume stools. she did have several additional small volume black stools over the day on . she was tachycardic to the 110s, sbp to 140s, which improved with ivf. her hct was found to be 31, down from a baseline of 39 by patient report. she was found to have brown stool, guaiac positive. she had a negative ng lavage. she was started on an iv ppi and transferred to the floor. past medical history: pmh/psh: -s/p l salpingoophorectomy -s/p cholecystectomy, hernia repair -s/p gastric bypass c/b bowel obstruction, ventral hernia requiring mesh repair, and wound infection requiring 3 reoperations in post-operative period. gerd s/p bypass. -oa in feet and knees social history: sh: smokes occasionally, several cigarettes/week, cut down from approx ?????? ppd for 40 years. very occasional etoh. no illicit drugs. lives at home by herself, with sister nearby. for home infusion company. family history: fh: breast ca in mother and aunts. stomach ca in maternal gm. brother s/p colectomy for ? diverticulitis. distant relatives with dm2. known fh of colon ca. physical exam: pe: vitals: t 99.3, hr 98, bp 96/50, repeat 120/80, rr 20, 98% ra gen: pleasant woman in nad heent: mmm, no blood in oropharynx, sclera anicteric neck: supple, no lad chest: ctab cor: regular rate, normal s1, s2, no m/r/g abd: obese with many well-healed scars, soft, ntnd, +bs in all quadrants, no hsm, no palpable masses, rectal: guaiac positive dark brown stool, no palpable masses. extr: wwp, 2+ dps, no c/c/e neuro: a+o, appropriately interactive pertinent results: 03:00pm blood wbc-12.3* rbc-3.63* hgb-10.4* hct-31.0* mcv-85 mch-28.6 mchc-33.5 rdw-14.8 plt ct-267 09:21pm blood hct-25.0* 04:13am blood wbc-9.4 rbc-3.32* hgb-9.9* hct-28.9* mcv-87 mch-29.6 mchc-34.1 rdw-15.1 plt ct-196 09:30am blood hct-30.3* 03:00pm blood hct-28.7* . 03:00pm blood pt-11.6 ptt-23.6 inr(pt)-1.0 . 03:00pm blood glucose-102 urean-19 creat-0.7 na-142 k-4.3 cl-106 hco3-25 angap-15 04:13am blood glucose-85 urean-16 creat-0.6 na-143 k-3.4 cl-109* hco3-28 angap-9 . 03:00pm blood alt-22 ast-27 ck(cpk)-68 alkphos-49 totbili-0.5 brief hospital course: gi: on transfer to the floor, the patient had initially had a sbp of 100 down from 140 in the ed, but repeat was 120/80, and she remained hemodynamically stable. however, hct trended down from 31 to 25, and she was transferred to the icu for closer monitoring and egd. she recieved 2 units prbcs, with hct bump to 28.9. egd was remarkable for a single cratered 15mm ulcer with oozing from the edges just distal to the gastrojejunal anastomosis, which was injected with epinephrine and cauterized successfully for hemostasis. post-procedure, she was hemodynamically stable, her hct was 30.3, and she was transferred back to the floor. once back on the floor, she did very well, and remained hemodynamically stable. she had no abdominal pain, nausesa or vomiting. her hct at discharge was stable at 32.2, and her diet was advanced to regular. she had not yet had a bowel movement post-procedure, but was passing gas. she was discharged on hige dose ppi to follow-up with her pcp 2 weeks and gi for repeat egd and biopsy in 1 month. medications on admission: protonix wellbutrin volataren 100mg (unclear on doses) discharge medications: 1. wellbutrin oral 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: jejunal ulcer discharge condition: the patient is hemodynamically stable with stable hematocrit. she is tolerating a regular diet. discharge instructions: you came to the hospital because of blood in your stools. your stomach was examined with a camera, and you were found to have an ulcer in the beginning of your small intestine that was bleeding. the bleeding was stopped. . please call your doctor or come to the emergency room if you have continued blood in your stools, vomiting, blood in your vomit, abdominal pain, fever>101, chills, dizziness, fainting, chest pain, shortness of breath, or any other concerns. followup instructions: please schedule follow-up with gastroenterology for repeat egd in 1 month with dr. . the number to call is . please also follow-up with your pcp . in 2 weeks. the number to call is . procedure: other endoscopy of small intestine control of hemorrhage, not otherwise specified transfusion of packed cells diagnoses: acute posthemorrhagic anemia bariatric surgery status unspecified analgesic and antipyretic causing adverse effects in therapeutic use chronic or unspecified gastrojejunal ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to