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: history of present illness: patient is a 72-year-old female with a history of depression, breast cancer, and hypertension, who was in her usual state of health until the evening of , when she presented to the emergency department after two episodes of presyncope with complaints of fatigue and lightheadedness. in the emergency room she was found to have a hematocrit of 25 from a baseline of 38. nasogastric lavage showed a large amount of bright red blood and clots. she was given 1 unit of blood and 1 liter of normal saline in the emergency room, and admitted to the micu. egd the day after admission showed a small hiatal hernia, erosions in the antrum, and erythema in the bulb consistent with duodenitis, however, no evidence of recent bleed. there was no fresh blood noted. there were no lesions adequate to explain her bleed. at this point, it was recommended that she be monitored and arranged for outpatient colonoscopy. she received a total of 3 units packed red cells in the intensive care unit, and was stable from there on out. she denies any use of nsaids, and reports that she has been taking aspirin, however, has not taken it in the last month. she has no history of gi bleeding and no family history of gi bleeds. she denies any significant coffee or alcohol intake. she denies any fevers, chills, nausea, vomiting, weight loss, or weight gain. she denies any history of bright red stools, melena, or hematemesis. past medical history: 1. depression. 2. hypertension. 3. constipation. 4. breast cancer status post lumpectomy and xrt in . 5. status post vaginal hysterectomy. social history: she lives with her husband in . she smokes cigarettes a day and denies any alcohol or other drug use. family history: there is no family history of colon cancer or gi bleeding. allergies: she has no known drug allergies. medications on admission: 1. seroquel. 2. atenolol. 3. paxil. 4. remeron. 5. miralax. 6. aspirin 81 mg q.d. physical exam: vitals revealed a temperature of 97, heart rate of 93, and blood pressure 115/42, respirations 24, and oxygen saturation of 98% on room air. in general, she is alert and oriented times three in no acute distress. she is not chronically ill appearing. heent exam revealed pupils are equal, round, and reactive to light and extraocular muscles were intact. her conjunctivae were not pale. her heart was regular with no murmurs, rubs, or gallops. she had normal s1, s2. her lungs were clear bilaterally. her abdomen was soft, nontender, and nondistended, and she had normal bowel sounds. her extremities were without clubbing, cyanosis, or edema. she had 1+ pulses. laboratories on admission: the day she is transferred out of the intensive care unit she had a hematocrit of 29.9 after 3 units of red cells. she had a pt of 13.1, ptt of 24.2, and inr of 1.1. serum chemistries revealed a sodium of 141, potassium 4, chloride of 112, bicarb 22, bun of 32 down from 71 on admission, and creatinine of 0.7. hospital course: 1. gi: she was transferred from the intensive care unit to the floor on . as mentioned above, she had an upper gi bleed based on nasogastric lavage in the emergency department, however, endoscopy on did not reveal any obvious source of bleeding. she was monitored with b.i.d. hematocrits and her hematocrit was stable, and she was hemodynamically stable throughout admission. she received protonix 40 mg q.d. she was advised never to take aspirin or nsaids again. she was scheduled for colonoscopy as an outpatient, and will follow up with the division of gastroenterology. 2. cardiovascular: she has a history of hypertension, and was initially taken off her atenolol due to concern of gi bleed, however, it was restarted prior to discharge. 3. psychiatry: she was continued on all of her outpatient psychiatric medications. discharge diagnoses: 1. upper gastrointestinal bleed. 2. depression. 3. hypertension. discharge medications: 1. seroquel 50 mg b.i.d. 2. remeron 45 mg q.h.s. 3. protonix 40 mg q.d. 4. atenolol 50 mg q.d. 5. paxil 10 mg q.i.d. condition on discharge: she was without complaints. her hematocrit was stable and she was hemodynamically stable. discharge status: she will be discharged to home with followup with her primary care physician in two weeks to have her hematocrit checked. she will also have followup on for colonoscopy at . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine gastric lavage transfusion of packed cells diagnoses: tobacco use disorder unspecified essential hypertension personal history of malignant neoplasm of breast other chest pain hemorrhage of gastrointestinal tract, unspecified syncope and collapse 

Answer: The patient is high likely exposed to