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: egg attending: chief complaint: gi bleeding major surgical or invasive procedure: -: esophagogastroduodenoscopy -: colonoscopy -: capsule endoscopy history of present illness: 63 yo m with h/o colonic avm, nash cirrhosis, esophageal varices s/p banding; who p/w dark stools and dizziness. . yesterday patient had 5-6 episodes of dark brown loose stools. also felt dizzy when standing. denies any associated abdom pain, brbpr, also denies coughing or vomiting up blood. this morning he had more dark loose stools and made appt to see pcp. pcp office he was orthostatic. denied cp, palpitations, diaphoresis, sob, exertional dyspnea, orthopnea, pnd, and syncope. has not taken asa yet today but is on plavix for cabg/stent. last egd/ was in and showed both grade i varices and gave on egd and colonic avms on . seen at ed 3 weeks ago for 'observation' admission for similar symptoms. at that time he had a self-limited gib requiring blood transfusion of 2 units. once again only noted dark brown stools denies melena or brbpr. no scope was done at that time. pt sent to ed by pcp. . in the ed, vs 132/54, 100 sitting; 122/50 standing with symptoms of dizziness. ng lavage was performed and was negative. he had maroon stool in ed that was grossly guaiac positive. hct was 25 (last check in system was 33). two 18g pivs were placed and he received 2l ns, 2 units prbc, and 1 unit platelets. also given 1g ceftriaxone. vs at the time of transfer were 98 132/53 100/ra. hepatology was consulted. he was started on ppi and octreotide drip. . on arrival to the micu, the pt was hemodynamically stable, alert and oriented in no acute distress. past medical history: cad: cabg , stenting in , ? cards dr nebh. per him needs plavix for life nash cirrhosis: followed by dr , c/w distant h/o ascites., encephalopathy, esophogeal varices (no prior bleeding), s/p banding dm ii on insulin with frequent episodes of hypoglycemia in the past. tia followed by dr squamous cell carcinoma htn hl social history: he works as a plumber for . he was a heavy smoker, but quit many years ago. he has not drunk in many years. he says he was a heavy drinker as a teenager, but not since that time. no illicit drug use. he is married and his wife is present with him today. family history: he has got a brother with asthma. mom with diabetes and breast cancer, sister who had a heart attack in stroke in her 50s and father who died of stomach cancer at age 63. physical exam: vitals: t:98.8 bp:147/61 p: 94 r:16 o2:100 ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops,old sterotomy scar from prior cabg lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly, no masses palpated ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema, no ulcers or sores on feet b/l neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred . discharge physical exam: vitals: 98.1, 66, 135/52, 18, 96%ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated (8cm at 30deg), no lad cv: regular rate and rhythm, normal s1 + s2, faint 2/6 systolic murmur at rus border, no rubs or gallops, sternotomy scar from prior cabg lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly, no masses palpated ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema, no ulcers or sores on feet b/l neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally pertinent results: admission labs: 03:50pm blood wbc-5.7 rbc-2.60* hgb-7.9* hct-24.5*# mcv-94 mch-30.3 mchc-32.2 rdw-14.7 plt ct-156 03:50pm blood neuts-76.7* lymphs-10.8* monos-7.3 eos-4.5* baso-0.6 03:50pm blood pt-12.6* ptt-26.9 inr(pt)-1.2* 03:50pm blood glucose-143* urean-25* creat-1.1 na-131* k-4.4 cl-105 hco3-19* angap-11 03:50pm blood alt-46* ast-46* alkphos-81 totbili-0.4 03:50pm blood albumin-3.4* 01:05am blood calcium-7.3* phos-4.1 mg-1.8 05:55am blood caltibc-238* vitb12-562 ferritn-55 trf-183* . discharge labs: 06:30am blood wbc-3.9* rbc-3.17* hgb-9.8* hct-29.8* mcv-94 mch-30.9 mchc-32.9 rdw-15.5 plt ct-148* 06:30am blood glucose-95 urean-16 creat-1.1 na-135 k-4.5 cl-107 hco3-20* angap-13 06:30am blood calcium-7.9* phos-3.6 mg-1.8 . microbiology: 1:05 am mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated . imaging: . - egd: impression: tortuous esophagus. varices at the middle third of the esophagus and lower third of the esophagus gave of moderate severity was noted in gastric antrum. no fresh blood was present. otherwise normal egd to third part of the duodenum . - colonoscopy: impression: diverticulosis of the sigmoid colon one (1) of small non bleeding rectal varices was identified grade 1 internal hemorrhoids normal terminal ileum no evidence of polyps, masses or active bleeding otherwise normal colonoscopy to cecum and terminal ileum recommendations: 1. resume diet as tolerated 2. high fiber diet 3. follow up hepatology recs 4. repeat colonoscopy in 10 years 5. check hct q12 hrs . - capsule endoscopy: results pending brief hospital course: 63 yo m cad s/p cabg and stent x 2 (' and '), nash cirrhosis c/b esophageal varices s/p banding, htn, hld, tia presenting to ed with gi bleeding; he was in the micu where he received cscopy and egd, and then was called out to the floor. at time of d/c, there is no particular identified bleeding source. . active issues: . # gi bleeding: pt remained hemodynamically stable, but as yet uncertain source of bleeding - pt has h/o of esophageal varices, gave, and colonic avms. hepatology completed an egd that showed varices but no active bleeding sources and a colonoscopy that did not reveal any obvious bleeding sources. given these results a capsule endoscopy study was completed, whose results are pending at time of discharge. given his gi bleeding we held his aspirin and plavix on initial presentation to the micu. these were resumed prior to discharge. he was on a ppi gtt and octreotide gtt which were d/c'd upon transfer to the medical floor. the pt remained hd stable and had stable hct's in the high 20's upon discharge; diet was well-tolerated after advancement to regular foods and bm's did not have gross blood. . # nash cirrhosis: we held lasix and spironolactone in setting of volume depletion on initial admission the micu, but cont rifaximin 550mg . chronic issues: . # cad: held asa and plavix in setting of gi bleeding but restarted upon d/c home. . # htn: restarted lasix, lisinopril upon d/c home. . # hld: continued lipitor . # dm2: maintained on iss while in house. . transitional issues: . the following changes were made to his medications: new: -nadolol 10mg po daily (for varices in esophagus) -benzonatate, 1 week's worth (for cough) . -: capsule endoscopy results are pending as of time of discharge; pt has f/u with dr. on . . recs upon d/c home: the anemia should be further worked up depending on the results of the capsule endoscopy. if the study demonstrates avm's in the small bowel, then the patient should have an entersocopy. if the study is normal, then i would recommend a repeat egd with apc ablation of mild gave found in the stomach. medications on admission: medications confirmed: rifaximin 550mg atorvastatin - 20 mg tablet - 1 tablet(s) by mouth po daily clopidogrel - 75 mg tablet - 1 tablet(s) by mouth daily ezetimibe - (prescribed by other provider: ) - 10 mg tablet - 1 tablet(s) by mouth daily folic acid - 1 mg tablet - 1 tablet(s) by mouth daily furosemide - 20 mg tablet - 1 tablet(s) by mouth daily insulin asp prt-insulin aspart - 100 unit/ml (70-30) insulin pen - inject 24-30 units sq twice a day 26 units qam, 24 units with dinner lactulose - (on hold from to unknown for diarrhea) - 10 gram/15 ml solution - 15 ml by mouth three times a day as needed titrate to bowel movements daily lisinopril - 2.5 mg tablet - 1 tablet(s) by mouth dailiy loperamide - 2 mg capsule - 1 capsule(s) by mouth every four (4) hours as needed for diarrhea nitroglycerin - (prescribed by other provider: md) - 0.1 mg/hour patch 24 hr - daily pantoprazole - 40 mg tablet, delayed release (e.c.) - one tablet(s) by mouth twice a day spironolactone - 50 mg tablet - one tablet(s) by mouth daily medications - otc aspirin - (otc) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth daily blood sugar diagnostic - strip - use to test blood glucose up to five times daily as directed coenzyme q10 - (prescribed by other provider) - 50 mg capsule - 1 capsule(s) by mouth once a day cyanocobalamin (vitamin b-12) - (otc) - 500 mcg tablet - 1 tablet(s) by mouth daily ferrous sulfate - (otc) - 325 mg (65 mg iron) tablet - 1 tablet(s) by mouth once a day discharge medications: 1. rifaximin 550 mg tablet sig: one (1) tablet po bid (2 times a day). 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. ezetimibe 10 mg tablet sig: one (1) tablet po once a day. 5. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 7. insulin aspart 100 unit/ml insulin pen sig: one (1) subcutaneous twice a day: inject 24-30 units twice a day: 26 units every morning, 24 units with dinner . 8. lactulose 10 gram/15 ml solution sig: fifteen (15) ml po three times a day: titrate to bowel movements daily. 9. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. 10. loperamide 2 mg capsule sig: one (1) capsule po every four (4) hours as needed for diarrhea. 11. nitroglycerin 0.1 mg/hr patch 24 hr sig: one (1) transdermal once a day. 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 13. spironolactone 50 mg tablet sig: one (1) tablet po once a day. 14. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 15. coenzyme q10 50 mg capsule sig: one (1) capsule po once a day. 16. cyanocobalamin (vitamin b-12) 500 mcg tablet sig: one (1) tablet po once a day. 17. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po once a day. 18. benzonatate 100 mg capsule sig: one (1) capsule po three times a day as needed for cough for 1 weeks. disp:*21 capsule(s)* refills:*0* 19. nadolol 20 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: gastrointestinal bleeding secondary diagnosis: cirrhosis secondary to non-alcoholic steatohepatitis coronary artery disease diabetes hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a privilege to provide care for you here at the hospital. you were admitted because you had dizziness and gastrointestinal bleeding. you were initially in the intensive care unit, where you were given blood transfusions and received camera studies of your esophagus, stomach, and colon which did not find a clear source of bleeding. you were transferred to the regular medical floor, where you received the capsule endoscopy study. the results of this study will be followed up at your upcoming appointment with dr. . your condition has improved and you can be discharged to home. the following changes were made to your medications: new: -nadolol (for varices in esophagus) -benzonatate (for cough) changed: none stopped: none please keep your follow-up appointments as scheduled below. followup instructions: department: liver center when: thursday at 11:45 am with: , md building: lm campus: west best parking: garage department: when: tuesday at 2:15 pm with: , md building: sc clinical ctr campus: east best parking: garage department: liver center when: tuesday at 9:30 am with: , md building: lm campus: west best parking: garage md procedure: other endoscopy of small intestine colonoscopy other diagnostic procedures on small intestine diagnoses: unspecified essential hypertension cirrhosis of liver without mention of alcohol diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled portal hypertension coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia long-term (current) use of insulin hemorrhage of gastrointestinal tract, unspecified esophageal varices in diseases classified elsewhere, without mention of bleeding diverticulosis of colon (without mention of hemorrhage) angiodysplasia of stomach and duodenum without mention of hemorrhage other chronic nonalcoholic liver disease volume depletion, unspecified internal hemorrhoids without mention of complication 

Answer: The patient is high likely exposed to