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: no known allergies / adverse drug reactions attending: chief complaint: hematemesis major surgical or invasive procedure: cordis line placement, endotracheal intubation history of present illness: 66 yom with cad on high dose asa, locally advanced pancreatic cancer s/p gastrojejunostomy (c/b colon perforation s/p right colectomy & ileostomy), hx gi bleed from gj anastamotic site , at which time egd with extensive clipping failed to achieve hemostatsis and eventually underwent successful gda embolization, but rebled in (brbpostomy) with negative ileoscopy, and egd/enteroscopy showing oozing from gj anastomosis but no active bleeding and no intervention, as well as ulcer at the ampulla associated with migrated biliary stent who presents now with reportedly hematemesis and brbpo earlier today without associated symptoms. of note, was recently admitted with obstructive jaundice, ercp showed biliary stent protruding from the ampulla but no blood or ulceration described. en route to became transiently hypotensive (details unknown) and diverted to . hct there 29 (stable from ), given ivf, protonix and morphine, and xfered to . on arrival here bp 102/44, hr 66. ostomy output was heme positive but without gross blood, ngl showed coffee grds that did not clear with 500cc lavage. while in ed became unresponsive and hypotensive to 50's - intubated for airway protection and started on pressors. given ivf but no blood yet. labs here show hct 26, plts 180 (were 46 on ), lactate 3.3, nl bun/cr. received 4u prbcs in icu, initially stable with bp 122/36, hr 100 on minimal levo in ed. ppi ordered but not yet initiated. surgical team involved in ed but not felt to be a surgical candidate given unresectable cancer. evaluated pt as he was arriving in icu. initially sbp 90s, hr 130s sinus tach. shortly after arrival to icu pt became hypotensive to 60s systolic and tachy to 130s on 2 pressors -> converted to vt -> shocked x 1, 3 pressors started at max dose. copious brb per og tube (600cc in past 20 mns per ed transport). past medical history: - hypertension - hyperlipidemia - cad s/p mi s/p des, also s/p cabg x5 - carotid stenosis (70% left carotid) - pancreatic head adenocarcinoma s/p staging lap , s/p gastrojejunostomy, open ccy, open wedge liver bx, pancreatic bx - colon perforation s/p ex-lap, right colectomy, ileostomy, mucous fistula oncologic history: - mr. developed weight loss back in . he had undergone a quadruple bypass at that time and noticed he lost approximately 45-50 pounds despite eating well. - he developed painless jaundice first noted in 04/. he underwent an ercp with stent placement by dr. and dr. subsequently performed endoscopic ultrasound. - he underwent a ct angiography at on and was felt that his disease was generally resectable. he went on to undergo a staging laparoscopy with laparoscopic liver biopsies performed on . - he underwent a side-to-side gastrojejunostomy, open cholecystectomy, open wedge liver biopsy and multiple open pancreatic biopsies on at which time the tumor was found to be unresectable. - his recovery was complicated by a ruptured colon for which he underwent emergency right hemicolectomy and ileostomy, debridement and reclosure of right subcostal excision on . - he was seen again on for a mesenteric bleed. - has been on gemcitabine social history: married with 3 kids. quit smoking and alcohol (former heavy etoh). family history: no known fh of pancreatic cancer. physical exam: no admission physical exam given critical status and code situation. discharge exam: expired. pertinent results: 09:20pm blood wbc-11.3*# rbc-2.28* hgb-8.6* hct-25.5* mcv-112* mch-37.6* mchc-33.6 rdw-20.5* plt ct-180# 09:20pm blood neuts-78.4* lymphs-15.3* monos-5.1 eos-0.2 baso-1.0 09:20pm blood pt-11.9 ptt-26.9 inr(pt)-1.0 09:20pm blood glucose-136* urean-10 creat-0.6 na-133 k-5.8* cl-105 hco3-23 angap-11 10:52pm blood type-central ve tidal v-450 peep-5 fio2-100 po2-114* pco2-45 ph-7.16* caltco2-17* base xs--12 aado2-567 req o2-92 intubat-intubated 10:52pm blood glucose-155* lactate-6.0* na-131* k-5.4* cl-110 10:52pm blood hgb-12.0* calchct-36 10:52pm blood freeca-0.92* cxr: initial images demonstrate the endotracheal tube to be 7.5 cm above the carina, although later images after adjustment showed to be 6 cm above the carina. an endogastric tube courses inferiorly and into the stomach. the right-sided port-a-cath tip sits in the superior right atrium. a right central venous catheter tip sits in the right brachiocephalic vein. clips and coil material are seen in the right upper quadrant. additionally, a stent like structure is seen in the left upper quadrant. the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no large pleural effusion or pneumothorax. impression: 1. lines and tubes as described above. 2. no acute cardiopulmonary process. brief hospital course: 67m with metastatic pancreatic cancer who presented with small volume hematemesis, subsequently became hemodynamically unstable and expired upon transfer to the micu. . hematemesis: the patient was ng lavaged in the ed with bright red blood after 500cc lavage. he subsequently dropped his bp to the 60s systolic and was intubated in the ed, cordis was placed for access, levophed was started he was transfused 4 units prbcs in the ed. gi and surgery were consulted. gi initially planned to perform egd upon transfer to the icu. surgery felt he was not a surgical candidate and suggested getting ir involved for possible embolization. he was transferred to the micu on levophed and dopamine. he had 600cc bright red blood output during transfer from the ed to the micu. massive transfusion protocol was initiated and prbc, plt, ffp transfusion was started with calcium supplementation. the patient went into monomorphic vt soon after transfer to the micu and returned to a sinus rhythm after 1 shock. the ng tube subsequently stopped functioning and he began to extravasate bright red blood per mouth. rapid transfusion protocol was continued while the family was contact. ultimately, he went into pea and then asystolic arrest and the family did not wish to pursue continued aggressive measures. he expired at 0100 on . immediate cause of death was cardiopulmonary arrest, chief cause of death was pancreatic cancer, other cause of death was acute blood loss. significant time was spent with the family and they seemed satisfied with care provided. medications on admission: active medication list as of : lisinopril - (prescribed by other provider) - 2.5 mg tablet - 1 (one) tablet(s) by mouth once a day lorazepam - 0.5 mg tablet - tablet(s) by mouth 30 minutes prior to your cyberknife treatment. metoprolol succinate - (prescribed by other provider) - 25 mg tablet extended release 24 hr - 1 (one) tablet(s) by mouth once a day olanzapine - 2.5 mg tablet - 1 tablet(s) by mouth twice a day as needed for hiccups oxycodone - 5 mg tablet - tablet(s) by mouth q4-6h as needed for pain pantoprazole - (prescribed by other provider) - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth twice a day prochlorperazine maleate - 10 mg tablet - 1 tablet(s) by mouth every six (6) hours as needed for nausea aspirin - (otc) - 325 mg tablet - 1 (one) tablet(s) by mouth once a day docusate sodium - 100 mg capsule - 1 capsule(s) by mouth twice a day as needed for constipation discharge medications: n/a discharge disposition: expired discharge diagnosis: 1. cardiopulmonary arrest 2. acute blood loss 3. pancreatic cancer discharge condition: expired discharge instructions: n/a followup instructions: n/a md procedure: venous catheterization, not elsewhere classified insertion of endotracheal tube other electric countershock of heart diagnoses: unspecified essential hypertension acute posthemorrhagic anemia coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia cardiac arrest malignant neoplasm of head of pancreas old myocardial infarction other postprocedural status hemorrhage of gastrointestinal tract, unspecified shock, unspecified 

Answer: The patient is high likely exposed to