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: cc: major surgical or invasive procedure: egd history of present illness: hpi: 76 yo man russian speaking only. no russian translator available so history from note: . on day of admission, he c/o he "wasn't feeling well" and he suddenly fell to the floor , hitting his cheek on a table. loc lasted 2 min, after which she noticed he was pale and sweating. pt was found by ems and bp was 90/50. he had one episode of coffee ground emesis before coming to ed. pt denies any weight loss or abdominal pain. he has had black stools over the last 2 weeks. he saw a doctor at an osh which gave him iron which he's been compliant with. he has not been taking any nsaids ,(-) brbpr. . in the , he had an endoscopy that showed gastritis, duodenitis and duodenal uclers, he was x-fused 1 u prbc and did well. pt had asa and plavix held and after d/w family felt to for stroke prevention rather than a cardiac stent. past medical history: pmh: t2 dm htn social history: social pt from , in us fo last 13 years. etoh: 2 drink of vodka per night "occasional" smoke (2 cig /day) family history: fam hx: non contributory physical exam: pe vs:100.0 133/61 76 98 % ra gen: patient in nad, russian speaking, aaox3 heent: perrl, eomi, patient with bruise along lateral aspect of left eye. patient with facial laceration of left cheek. op clear. lungs: cta b/l cardiac: rrr s1/s2 grade ii/vi holosystolic murmur abdomen: soft nt/nd +bs, guaiac positive. ext: no edema, dp +2 pertinent results: 04:10pm blood wbc-8.6 rbc-3.09* hgb-9.9* hct-28.8* mcv-93 mch-32.1* mchc-34.5 rdw-13.5 plt ct-152 04:30am blood wbc-9.3 rbc-2.86* hgb-8.7* hct-25.7* mcv-90 mch-30.3 mchc-33.8 rdw-13.2 plt ct-139* 04:06am blood wbc-6.4 rbc-3.21* hgb-10.4* hct-28.8* mcv-90 mch-32.3* mchc-36.1* rdw-14.9 plt ct-107* 04:10pm blood neuts-75.3* lymphs-18.3 monos-4.9 eos-1.3 baso-0.3 04:10pm blood pt-12.6 ptt-20.4* inr(pt)-1.1 04:10pm blood urean-36* creat-1.5* na-141 k-4.6 cl-106 hco3-23 angap-17 04:30am blood glucose-172* urean-42* creat-1.2 na-142 k-4.2 cl-110* hco3-23 angap-13 04:06am blood glucose-140* urean-21* creat-1.1 na-143 k-3.6 cl-110* hco3-24 angap-13 04:10pm blood alt-11 ast-18 ck(cpk)-43 alkphos-71 amylase-87 totbili-0.2 04:10pm blood lipase-41 04:30am blood ck-mb-2 ctropnt-<0.01 04:10pm blood ctropnt-<0.01 04:06am blood mg-1.4* 04:30am blood albumin-3.7 . egd : brief hospital course: a/p 76 yo man presented with syncopal episode, hypotension found to have (+) ng lavage at ed with coffee ground emesis. . *syncopal episode: thought to be secondary to hypovolemia in setting of gi bleed. ekg was nl and 2 sets cardiac enzymes negative. in the , he had an endoscopy that showed gastritis, duodenitis and duodenal ulcers, he was x-fused 1 u prbc and did well. pt had asa and plavix held and after d/w family felt to for stroke prevention rather than a cardiac stent. . *gi bleed: gastritis/duodenitis and ulcers identified on egd. pt was started on pantoprazole. hcts were followed and stabilized. on day of discharge, hct had been stable for 48 hours. patient was instructed to restart plavix on but not to restart his aspirin. he will follow-up with his pcp 5 days and will be seen by gi for a repeat egd in 6 weeks. . * htn - initially antihypertensives were held in the setting of acute gi bleed. patient was restarted on his home regimen prior to discharge with good blood pressure control. . diabetes: covered with riss initially and then oral hypoglycemics re-started when patient was stable and taking pos. discharged on his home diabetes regimen. . *renal - baseline cr 1.2 notes. slightly elevated cr at admission was thought to be prerenal given gi bleed. patient received ivf hydration and cr was followed. cr was at baseline when he was discharged. . . medications on admission: iron glyburide 5 qd avandia 4 mg metformin 1000 paxil 10 mg qd diltiazem 240 qd hyzaar 100/25 qd asa 325mg discharge medications: 1. pantoprazole 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* 2. diltiazem hcl 240 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 3. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 4. rosiglitazone 2 mg tablet sig: two (2) tablet po bid (2 times a day). 5. glyburide 5 mg tablet sig: one (1) tablet po daily (daily). 6. hyzaar 100-25 mg tablet sig: one (1) tablet po once a day. 7. outpatient lab work please check cbc on discharge disposition: home discharge diagnosis: primary diagnosis 1. upper gi bleed 2. gastritis, duodenitis 3. duodenal ulcer . secondary diagnoses 1. hypertension 2. dm - type 2 discharge condition: good discharge instructions: please take all of your medications as prescribed. * you can restart your paxil when you get home. please restart your plavix on saturday . do not restart the aspirin. . please call your doctor or return to the emergency department if you develop chest pain, shortness of breath, if you vomit up blood or material that looks like coffee grounds, if you have bloody bowel movements or frequent tarry or maroon colored stools, if you past out, if you are unable to eat eat or drink or if you develop any other symptoms that are concerning to you. followup instructions: you will need to have another examination of your stomach in 6 weeks. please call in the egd office to schedule the appointment. . please see your pcp . on - # - you need to call her office for an appointment. you should have your hematocrit at that visit. a lab slip will be given to when you are discharged. procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction duodenitis, without mention of hemorrhage hemorrhage of gastrointestinal tract, unspecified unspecified gastritis and gastroduodenitis, without mention of hemorrhage duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to