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 attending: chief complaint: gi bleed major surgical or invasive procedure: upper endoscopy history of present illness: 78m w/ history of a. fib, htn, hyperlipidemia, and bph presents with one week of intermittent upper abdominal "mild heartburn" and progressive weakness, and black stool. he reports that he normally walks mile walk several times a week and has been more tired at the end of these walks during the days pta. furthermore, upon returning from his walk on , he noted "black tarry stool". he denies any episodes like this previously nor does he endorse a history of bright red blood in his stool. he further denies prior ulcers or stomach problems of any kind. he takes asa daily, but denies use of other nsaids. . following the above episode on , the pt. went to see his primary doctor who did a rectal exam. he was found to be guaiac positive and he was sent to the ed. in the ed labs revealed initial hematocrit of 40.1 and an inr of 2.4. he received 2u ffp and had another black bm in the ed. a repeat hct was 34.6. at that time, the patient had an sbp in the mid 90s that responded to ivf and was in the 110s upon transfer to the . . upon admission, ng lavage revealed coffee grounds. gi was consulted and an egd was performed. the egd revealed no active bleeding, but old blood in the stomach. an esophageal mass was noted and was biopsied. he received 2u prbcs, 2u ffp on and hct has been stable since that time. . ros: negative for f/c/n/v, no cp, no sob, no ha, no visual changes, no hearing changes, no diarrhea prior to day of presentation, no cough, ? slight weight loss over last week. past medical history: - bph - htn - a. fib, on coumadin, but not on meds for rate control - hypercholesterolemia **never had a colonoscopy** . all: penicillin-hives social history: lives at home with his wife of "52ish" years. three children and 7 grandchildren all live near by. no tobacco. drinks per week. family history: non-contributory physical exam: vitals: 97.3 130/60 84 18 97% ra general: wd, wn, nad, pleasant man heent: op clear, mmm neck: supple, no lad car: s1, s2, rrr, +ii/vi systolic murmur at rusb resp: ctab, no w/c/r abd: soft, nontender, non-distended, well healed rlq scars ext: no pretibial edema, dp 2+ bilaterally neuro: a+ox3, cn grossly intact pertinent results: 12:50am blood wbc-9.3 rbc-3.22*# hgb-10.6*# hct-31.9*# mcv-99* mch-32.8* mchc-33.2 rdw-14.4 plt ct-149* 01:33pm blood hct-25.8* 01:03pm blood hct-33.3* 03:06am blood pt-17.2* ptt-25.2 inr(pt)-1.6* 07:25am blood pt-14.6* ptt-24.4 inr(pt)-1.3* 12:50am blood glucose-130* urean-70* creat-1.5* na-141 k-5.4* cl-112* hco3-21* angap-13 07:25am blood glucose-104 urean-38* creat-1.2 na-141 k-4.1 cl-108 hco3-24 angap-13 12:50am blood alt-32 ast-20 ld(ldh)-158 alkphos-58 totbili-0.4 10:05am blood %hba1c-6.2* . egd: 1. there was heaped up mucosa noted at the ge junction 2. old blood in the stomach body 3. normal mucosa in the first part of the duodenum and second part of the duodenum 4. otherwise normal egd to second part of the duodenum brief hospital course: 78m w/htn and hyperlipidemia presenting with first episode of gi bleed -> hct from 40.1 -> 31.9. . # acute blood loss anemia secondary to acute esophagitis due to nsaids: tarry stool and coffee grounds from ng lavage. his asa and coumadin were stopped. egd revealed esophagitis but no active bleed. patient's hct was closely followed and remained stable after receiving 2 units packed red cells and ffp. he was put on a ppi . at the time he left, his stool was brown and hct stable. on discharge, he was given follow-up with gi and advised to watch for bloody or tarry stools. he also has never had colonoscopy and will need screening colonoscopy as an outpatient. previously normal hct (last normal in and initially normal on presentation to ). thus, is acute and appears to gi blood loss. . # acute renal failure: pt. w/ baseline cr approximately 1.1. creatinine bumped to 1.5 and likely represented prerenal etiology as resolved with ivfs and more significantly after prbc and ffp transfusion. his bun was elevated likely in the setting of gi bleed. at the time of discharge, his cr was back to baseline. . # hypertension - benign: given gi bleed, patient's antihypertensive meds were initially held due to worries of his bleeding. at the time of discharge, his ace inhibitor was restarted. . # atrial fibrillation: patient's chads2 score is 2; in the light of his gastritis with gi bleed, his coumadin was stopped. . # hyperlipidemia: continue statin at home dose. medications on admission: - asa 81 qday - coumadin 5mg qhs - lisinopril 20 qday - zocor 20 qday discharge medications: 1. zocor 20 mg tablet sig: one (1) tablet po once a day. 2. lisinopril 20 mg tablet sig: one (1) tablet po once a day. 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day: please discuss length of treatment with your gi doctor at the follow-up appointment. disp:*60 tablet, delayed release (e.c.)(s)* refills:*1* discharge disposition: home discharge diagnosis: primary diagnosis: gi bleed secondary diagnoses: atrial fibrillation on coumadin, htn discharge condition: improved. patient's hematocrit had been stable for almost 48 hours. he was not tachycardic, and his blood pressure was 110s-130s systolic. he was not dizzy or lightheaded when he stood up. he was no longer bleeding actively from his bowels. discharge instructions: you were admitted with a bleed from your gastrointestinal tract. your aspirin and coumadin were stopped while you were here. you also had an endoscopy done and tissue was sent for pathology. 1. please take all medications as prescribed. do not take aspirin and coumadin until you are instructed to do so by a doctor. 2. please attend all follow up appointments listed below. 3. return to the hospital if you develop bright red bleeding from your rectum, lightheadedness, fevers, or any other concerning symptom. followup instructions: 1. please call gi at and ask for an appointment with dr. in weeks. it will help if you let them know you were seen by him during your admission. 2. please call dr. , your primary dotor, and arrange for an appointment in 2 weeks. procedure: insertion of other (naso-)gastric tube esophagogastroduodenoscopy [egd] with closed biopsy transfusion of platelets diagnoses: pure hypercholesterolemia unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) atrial fibrillation aortocoronary bypass status hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) anticoagulants causing adverse effects in therapeutic use esophageal hemorrhage other esophagitis 

Answer: The patient is high likely exposed to