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: gi bleed major surgical or invasive procedure: egd on 1. hemigastrectomy with billroth ii reconstruction. 2. feeding jejunostomy history of present illness: 53m with a pmhx of htn, dmii, copd, developed dizzyness with nausea, stomach pain, and vomitting 3-4 days prior to admission. emesis was dark black. melanotic stools began on saturday and continued for three days until admission. this morning dizzyness and weakness progressed, he called 911 and was brought to ed by ems. in the ambulance, was noted to have inferior st elevations (got asa 325 by ems). these resolved on the ed 12-lead and were attributed to machine calibration; he does not have a cardiac hx and had no chest pain. trop on arrival 0.05, ck=28 (cr at 1.6, baseline unknown). . in the ed, initial vs were: t=96.8 p=99 bp=90/29 r=20 o2 sat 95%. patient was pale and diaphoretic at presentation c/o weakness. his initial hct was 23.7 (unknown baseline) with wbc of 20, normal plts, normal coags. his pants were stained with melanotic stool. ng drainage was drak red and did not clear with lavage. he was given 4l ns (1 prior to hct, 3 post) and erythromycin for motility prior to egd. pressure transiently as low as 81/28 in the ed, at time of transfer (post 4l), hr=86, bp=105/60, r=20, 96%ra. one unit of blood given in transit and second unit given over one hour in micu. . egd in micu showed clot in fundus with no active bleeding. currently feels weak but significatly better than earlier today. denies ever having had chest pain. denies gib hx, ulcer hx, etoh abuse, denies excess nsaid use. never had stomach pain before 4 days pta. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. no dysuria. denied arthralgias or myalgias. pcp informed of admission; has not seen him in one year. past medical history: chronic pain on home opiates s/p mva with femur fx 20+ years ago r knee oa htn copd/asthma hypercholesterolemia hospitalization for ptx s/p bleb rupture several years ago. social history: the patient is married, has two children. denies alcohol or drug use. he currently smokes 2 packs of cigarettes per day. he works and owns a pizza shop in . wife is travelling in and has been updated. family history: non-contributory, no cad hx, no oncologic hx physical exam: vitals: t:97.4 bp:109/58 p:95 r:22 o2:98ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, distant bs, no wheezes, rales, ronchi cv: regular rate and rhythm, distant s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema brief hospital course: # upper gi bleed - in the emergency department, the patient received two peripheral 16 gauge iv's. overall, he received 5 liters of normal saline and 3 units of blood. after receiving these fluids, his tachycardia resolved and his blood pressure returned to the low-normal range. after the patient was transferred to the emergency department, an egd was performed. when he received sedation for his egd, he did have an episode of hypotension that required a saline bolus. the egd showing significant clot in stomach with no active bleeding. the patient had no additional melena or emesis. hematocrits were followed throughout the night and remained stable around 25 (up from his initial hematocrit of 23.7). he was also maintained on an iv ppi. overnight, he remained normotensive. the day after his admission, he was transferred out of the micu to the floor with plans for a repeat egd after 48 hours. pt had repeat egd on which showed a fungating, ulcerated and infiltrative 5-7cm mass with stigmata of recent bleeding of malignant appearance at the stomach body, with a ventral vessel. surgery was consulted and the decision was made to go to the or on with dr. . a hemigastrectomy with billroth ii reconstruction was performed along with a feeding jejunostomy. metastatic gastric adenocarcinoma was diagnosed on biopsy. the patient recovered from his surgery in the unit before being transferred to the floor. he was discharged on post-operative day 5 and hospital day 9. medications on admission: hctz 25',lisinopril 20', atenolol 50', simvastatin 10', oxycontin 20", advair diskus 250/50, spiriva, fenofibrate cap 200mg (1 cap po daily with meals), metformin 500" discharge medications: 1. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 2. atenolol 50 mg tablet sig: 0.5 tablet po daily (daily). 3. famotidine 20 mg tablet sig: one (1) tablet po bid (2 times a day). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation for 1 months: take with pain meds. disp:*60 capsule(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 2 weeks: maximum of 4gm of apap daily. . disp:*45 tablet(s)* refills:*0* 6. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 7. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 8. advair diskus 250-50 mcg/dose disk with device sig: one (1) inhalation once a day. 9. metformin 500 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home with service facility: homecare discharge diagnosis: primary: upper gastrointestinal hemorrhage with gastric mass. adenocarcinoma of the stomach discharge condition: stable. tolerating regular diet. pain well controlled with oral medications. discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. *avoid lifting objects > 5lbs until your follow-up appointment with the surgeon. *avoid driving or operating heavy machinery while taking pain medications. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to ambulate several times per day. . incision care: -your staples will be removed at your follow up appointment. -steri-strips will be applied and will fall off on their own. please remove any remaining strips 7-10 days after application. -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. . j-tube: please continue to flush j-tube with 30-60 cc of water daily. please continue to change dressing daily and as needed. please continue to assess site for s/s of infection. followup instructions: 1. please call dr. office, , to make a follow up appointment in 1 week. md, procedure: other enterostomy other endoscopy of small intestine esophagogastroduodenoscopy [egd] with closed biopsy partial gastrectomy with anastomosis to jejunum transfusion of packed cells diagnoses: pneumonia, organism unspecified acidosis other chronic pain pure hypercholesterolemia tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified hypotension, unspecified other acute pain hemorrhage of gastrointestinal tract, unspecified osteoarthrosis, unspecified whether generalized or localized, lower leg secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes other esophagitis other dependence on machines, supplemental oxygen malignant neoplasm of stomach, unspecified site 

Answer: The patient is high likely exposed to