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: admitted to micu for gib, originally c/o dizziness and dark stool major surgical or invasive procedure: egd with epinephrine injection and bicap cautery history of present illness: 54 y/o f with h/o ocd and anemia p/w progressive dizziness, dark stool over past week. she reported having falls at home, no loc but fell and hit head with head laceration 4 days prior to admission. she also had been vomiting coffee grounds last 2 days prior to admission. she reports taking "a lot" of excedrin over past week for lbp. she reported no h/o gi bleed. in ed, her initial bp 80/50s and the pt was a&o x3 able to give hx but sleepy. after 20 min pt. became unresponsive and brady'd down to 30-40s. the patient was then intubated, given epinephrine and atropine, with iv access difficult to obtain with bilateral unsuccessful groin sticks (possibly a sticks)placed 2 pivs and 14g r ej. hct returned at 14%, k was 6.7, abg 7.09/34/326 on 100% intubated. given ca, bicarb, 5 u prbcs and 2l ivf with improved bp 120/70s and hr 70s. gi came to do emergent egd and found gastric ulcer and duodenal bulb ulcers c/w nsaid toxicity, thought to be source. ct head negative. abd ct showed ? gall bladder sludge with edema otherwise negative. she was admitted then to the micu for further monitoring and management. past medical history: anemia ocd depression gerd (but thought actonel was for gerd) history of "high white blood cell count" social history: lives alone in , moved from in and feels that she left "her city." works as administrative assistant at temp firm. sister lives in , no children, single. denies etoh and ivda. family history: father died at 75 of mi mother died at 74 of colon cancer sister had ulcers, otherwise healthy physical exam: on admission: t 98.2/ 74// 120/80// 19// 100% on nrb gen: sedated and intubated heent: mmm, no jvd neck: suple, jvp 4 cm heart : rrr, no m/g/r lungs: b/l exp wheezes abs: s/nt, slight distension, +bs ext: no edema, 2+ pulses on transfer from micu to floor : af/96// 168/88/ rr22-29// spo2 100% on 4l nc gen: pleasant, a7ox3, nad, somewhat disheveled middle-aged female sitting in chair, conversant heent: mmm, anicteric sclerae, right eyelid erythematous and slightly swollen neck: suple, r ej in place, no jvd heart : rrr, no m/g/r lungs: ctab abs: s/nt, slight distension, no hsm, negative sign, +bs ext: 1+ b/l le edema, 2+ dps b/l pertinent results: cbc: 02:00pm blood wbc-27.4*# rbc-1.55*# hgb-4.6*# hct-14.6*# mcv-94 mch-30.0 mchc-31.9 rdw-18.1* plt ct-367 04:32am blood wbc-18.3* rbc-3.51* hgb-10.6* hct-30.1* mcv-86 mch-30.2 mchc-35.3* rdw-16.7* plt ct-167 02:00pm blood neuts-86* bands-4 lymphs-9* monos-1* eos-0 baso-0 atyps-0 metas-0 myelos-0 04:00am blood neuts-85.2* bands-0 lymphs-11.1* monos-3.3 eos-0.2 baso-0.1 chemistries: 02:00pm blood glucose-86 urean-67* creat-1.6* na-134 k-6.7* cl-95* hco3-14* angap-32* 04:32am blood glucose-85 urean-14 creat-0.4 na-142 k-4.0 cl-114* hco3-22 angap-10 lfts: 05:33pm blood alt-399* ast-647* ld(ldh)-1358* alkphos-77 amylase-37 totbili-0.9 04:00am blood alt-454* ast-966* ld(ldh)-968* ck(cpk)-1050* alkphos-78 amylase-37 totbili-0.8 cardiac enzymes: 04:00am blood ctropnt-<0.01 05:33pm blood ctropnt-<0.01 02:00pm blood ck-mb-33* mb indx-1.9 ctropnt-<0.01 initial toxin screen: 04:00am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-pos brief hospital course: 54 y/o f with massive gi blead and bradycardic arrest in ed, with evidence of active bleeding at gastric and duodenal ulcers. patient's admission comprised of 2 day micu stay with continued hemodynamic stability, followed by several days on the medicine for monitoring, physical therapy, treatment for hypoxia and neurologic evaluation. 1. upper gi bleed: pud likely nsaids. pt was continued on ppi, initially iv and transitioned to oral. her hematocrit was monitored twice daily initially, and then daily. all nsaids and actonel were held, with a recommendation to continue to avoid these medications after discharge. gastrin level was elevated, but believed secondary to ppi therapy. pt will require outpatient gi follow-up. finally, concern regarding the level of insight underlying the patient's large doses of nsaids, coupled with her family's concerns about her psychiatric history, prompted psychiatric and neurologic evaluations. both of these services followed the patient through her admission. 2) question of cholescystitis: ruq u/s for ? sludge and gb wall thickening on ct. u/s equivocal. hida scan negative. consulted but ascertained that there were no further surgical needs. cultures and hepatitis serologies were unrevealing, and exam and lfts normalized. increased lfts were likely hypotension on presentation. 3) elevated lfts: ddx includes cholecytitis, effect of hypotension, muscle damage. likely dignosis was hypotension on presentation given negative work-up delineated above. held lipitor given transaminitis for outpatient review. 4) bradycardia: possibly due to massive gi bleed, or elev k and acidosis, resolved in icu 5) metabolic acidosis: -likely lactic acidosis from hypotention and hypovolemic shock, although lactate mildly elevated (but checked after resucitation), aspirin negative, resolved in icu. 6) leukocytosis: some evidence of pna on ct with 4+ gpcs on gs, also ? gallbladder wall edema on ct. evidence lacking for cholecytitis, micu team hypothesis was that elevation demargination under stress. continue to monitor, f/u cultures, d/w pcp. was on vanco/unasyn in the icu, narrowed to levofloxacin as she had suggestion of pneumonia but no other infection. 7) wheezing/sob: patient with likely copd as she has smoked ppd x over 30 years. the patient improved with nebulizer treatments, and will be discharged on bronchodilators with outpatient follow-up. 8) neuro/pyschiatric: patient on fluoxetine, clonazepam and anafranil at home, which were originally held in the icu. psychiatry consult was called after discussion with the patient's sister, who was concerned about her inability to work and general lack of ability to care for herself, most clearly manifested financially. the psychiartry consult had no medication recommendations, and her tsh/b12/folate/rpr were all negative or within normal limits as appropriate. they suspected a cognitive problem and were concerned by her lack of judgement however, and also recommended an mri. the read of this mri was notable for multiple t2 high-signal-intensity abnormalities in the periventricular white matter and centrum semiovale. the findings suggested a demyelinating disorder, or potentially a microvascular angiopathy. there was also an area of abnormality in the left periatrial white matter, which could represent one of these demyelinating areas or could represent a small subacute infarct. the neurology team recommended an lp for routine analysis, oligoclonal bands, and ace level to evaluate for multiple sclerosis and sarcoidosis; , anca, crp, and esr levels to evaluate for vasculitis; formal neuropsych evaluation as an outpatient and follow-up in behavioral neurology clinic. the lp was performed prior to discharge, and the bulk of the serologic testing was performed. the patient's pcp will these studies as an outpatient. in addition, the psychiatry team tried to get in touch with her pcp and psychiatrist as an outpatient, but had been thusfar unsucessful at the time of discharge. 9) fen: patient was tolerating a normal house diet at the time of discharge. 10) follow-up: a follow-up appointment was arranged for the patient with her pcp before discharge. she was also given instructions for neurology, behavioral neurology, psychiatry and neuropsychiatric testing follow-up. finally, she was recommended to have her hematocrit checked the week following discahrge to ensure continued stability. medications on admission: fluoxetine 20 mg po qd lipitor 20 mg po qd klonipin 1 mg up to tid prn anafranil 250 mg po qd actonel 5 mg po qd discharge medications: 1. fluoxetine hcl 20 mg capsule sig: one (1) capsule po daily (daily). 2. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 3. clonazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day) as needed for anxiety. 4. clomipramine hcl 50 mg capsule sig: five (5) capsule po daily (daily). 5. pantoprazole sodium 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:*2* 6. salmeterol xinafoate 50 mcg/dose disk with device sig: one (1) inhalation inhalation q12h (every 12 hours). disp:*60 inhalation* refills:*2* 7. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: puffs inhalation four times a day. disp:*1 mdi* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: gastric and duodenal ulcers blood loss anemia depression reactive airway disease obsessive-compulsive disorder discharge condition: stable discharge instructions: * return to er or call dr. for any stomach pain, coffee-ground vomit, bloody or black stools, lightheadedness or any other concerning symptoms. * avoid all nsaids, aspirin, excedrin or any related symptoms. * try to avoid smoking as this slows the healing of ulcers. * take all medications as prescribed. * follow-up with your doctors as recommended. followup instructions: 1) follow-up with dr. within 1 week for a blood test. you also have an appointment with her wednesday at 1:15; the results of your lumbar puncture may be available at that time as well. her office is at one place, and can be reached at (. 2) follow-up with your psychiatrist dr. as soon as possible after discharge, within 1-2 weeks. 3) follow-up with behavioral neurology in weeks: ( 4) neurology: follow-up with dr. in weeks(. 5) neuropsychiatric testing: (. dr. can help you arrange this as well. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified spinal tap incision of lung insertion of endotracheal tube arterial catheterization insertion of other (naso-)gastric tube endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: acidosis acute gastric ulcer with hemorrhage, without mention of obstruction acute posthemorrhagic anemia acute and subacute necrosis of liver depressive disorder, not elsewhere classified open wound of scalp, without mention of complication hypopotassemia acute respiratory failure other specified cardiac dysrhythmias hypotension, unspecified alkalosis chronic obstructive asthma, unspecified other specified disease of white blood cells rhabdomyolysis obsessive-compulsive disorders unspecified analgesic and antipyretic causing adverse effects in therapeutic use duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction nonspecific (abnormal) findings on radiological and other examination of skull and head 

Answer: The patient is high likely exposed to