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: iodine / shellfish attending: chief complaint: lightheadedness, abdominal pain major surgical or invasive procedure: endoscopy with biopsy of gastric ulcer octreotide nuclear scan history of present illness: 49yow with h/o peptic ulcers, gerd, s/p gastric fundoplication presenting with lightheadedness and abdominal pain. she was in her normal state of health until about two weeks ago when she developed bilateral lower quadrant abdominal pain and nausea, no vomiting, and melana. she was admitted to and underwent egd with cauterization of 3 gastric ulcerations, and was discharged on a ppi. she presented to the ed with continued bilateral lower quadrant abdominal pain and lightheadedness. she also noted dark stools after discharge, but had not had a bowel movement for 2 days prior to presentation. in the ed, hct noted to be 12, and she was transfused a unit prbc. she was taken for emergent egd, which showed a 25mm gastric ulcer with heaped edges. no interventions were taken. she was then admitted to the micu for further monitoring. . additionally on presentation to the ed she was febrile to 103.2. she defevesced by day two of admission, and no infectious source has been found. cxr, ua, and blood cultures have been nondiagnostic. she was treated with ctx and flagyl and the ed, and continued on broad spectrum antibiotics with levofloxacin and flagyl while in the micu. she denied any history of fevers, chills, sweats, cough, dysuria, skin rashes or ulcerations. past medical history: 1. peptic ulcer disease 2. gerd s/p nissen fundoplication 3. facial and abdominal burns 4. depression social history: lives with her mother; does not work tob: 10yrs x 1ppd etoh: rare illicits: none family history: mother- asthma father- d. prostate ca physical exam: t on initial presentation 103.2 t 98.7 hr 69 rr 12 bp 96/48 gen: lying in bed, shaking legs bilaterally which she states reduces abdominal pain, nad heent: perrl, anicteric, conjunctiva pink, op clear with mmm neck: supple, no lad, no jvp cv: rrr, no mrg, nml s1s2 resp: ctab abd: +bs, soft, ttp diffusely, greatest in upper bilateral quadrants, no rebouding, no guarding, also with burn scar on abdomen ext: no edema, nontender, 2+dp pulses b neuro: a&ox3, cn ii-xii intact, motor and sensation intact grossly pertinent results: ct: impression: status post nissen fundoplication. no evidence of free air or intra- abdominal abscess. ulcer identified by egd not definitely seen on this ct study. findings discussed with the gastrointestinal team. cxr: no acute cardiopulm disease octreotide scan: no octreotide uptake 08:00am pt-12.8 ptt-23.4 inr(pt)-1.0 08:00am plt count-321 08:00am hypochrom-3+ anisocyt-1+ poikilocy-1+ macrocyt-1+ 08:00am neuts-85.0* lymphs-13.3* monos-1.4* eos-0.1 basos-0.2 08:00am wbc-14.9* rbc-1.37*# hgb-4.0*# hct-12.6*# mcv-92 mch-29.2 mchc-31.7 rdw-17.7* 08:00am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 08:00am calcium-8.7 phosphate-3.0 magnesium-1.5* 08:00am ck-mb-notdone ctropnt-<0.01 08:00am lipase-21 08:00am alt(sgpt)-19 ast(sgot)-19 ck(cpk)-30 alk phos-56 amylase-54 tot bili-0.1 08:00am glucose-175* urea n-27* creat-0.5 sodium-135 potassium-3.9 chloride-100 total co2-25 anion gap-14 08:17am lactate-3.1* 09:15am urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 09:15am urine color-straw appear-clear sp -1.009 11:00am hct-15.4* 01:00pm pt-13.1 ptt-25.6 inr(pt)-1.1 01:00pm plt count-197 01:00pm wbc-10.8 rbc-2.22*# hgb-6.6*# hct-19.1* mcv-86 mch-29.9 mchc-34.6 rdw-15.8* 05:47pm hct-33.2*# 09:30pm plt count-161 09:30pm wbc-10.3 rbc-4.10*# hgb-12.4# hct-34.2* mcv-83 mch-30.3 mchc-36.3* rdw-15.7* brief hospital course: 49yo woman with history of gerd, pud, s/p nissen fundoplication presenting with upper gi bleed. during this hospitalization, the following problems were addressed: 1. upper gi bleed: the patient presented with a hematocrit of 12. she was transfused prbc to treat anemia of acute blood loses. gi service performed an urgent egd and repeated it the following day. three large gastric ulcers were seen. biopsy of the ulcer wall and the gastroesophageal junction showed no evidence of malignancy. records were obtained from showing a gastrin level of >1300, findings concerning for a gastrinoma/zollinger- syndrome. in the setting of ppi use, gastrin level may be elevated, but per gi, it should not be >800. a level >1000 is suggestive of gastrinoma even while on ppi. however, repeat of the gastrin level here at was 734. additionally, she had an octreotide scan that showed no octreotide uptaking areas that would be consistent with a gastrinoma. ulcers may therefore be severe pud due to h.pylori or nsaid use. she will follow-up with gi outpatient for further work-up. surgery was also consulted and recommended gastrectomy. this was deferred until further diagnostic work-up and medical interventions could be explored. she was treated with high dose ppi protonic 80mg , and h2 blocker, pepcid 40mg . pain was controlled in house with morphine prn and changed to oxycodone prn prior to discharge. she had no subsequent episodes of gi bleeding after day one, and hct remained stable at 39-40. 2. fever: patient itinially presented to ed with fever of 103.2. she defervesced by day two. work-up for an infectious source including chest x-ray, urinalysis and blood cultures was nondiagnostic. she was treated with levofloxacin and flagyl initially, but this was stopped on day three as no infectious source was found. it was thought this fever was due to the gi bleed. she had no further fevers. 3. hypotension: the patient was hypotensive on the floor with sbp in the 80s-100s. she continued to mentate well. it was thought the low bp might be due to her many antidepressant meds, benzodiazepines, and pain meds. the klonipin dose was reduced, and the zyprexa was discontinued. bp was stable. mood and anxiety level were also stable. 4. dispo: she was discharged to home with plans to follow-up with clinic and primary care clinic. she is a full code. medications on admission: meds on admission: fluoxetine 10mg daily clonazepan 0.5mg tid olanzapine 30mg qhs mirtazapine 4.5mg qhs protonix 40mg meds on transfer: protonix 40mg iv bid flagyl 500mg tid levofloxacin 500mg daily tylenol prn oxycodone 5mg prn fluoxetine 10mg daily clonazepan 0.5mg tid olanzapine 30mg qhs mirtazapine 4.5mg qhs discharge medications: 1. fluoxetine hcl 10 mg capsule sig: one (1) capsule po daily (daily). 2. mirtazapine 15 mg tablet sig: three (3) tablet po hs (at bedtime). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. senna 8.6 mg tablet sig: two (2) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 5. clonazepam 0.5 mg tablet sig: 0.5 tablet po tid (3 times a day). 6. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po every twelve (12) hours. disp:*120 tablet, delayed release (e.c.)(s)* refills:*2* 7. famotidine 20 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. oxycodone hcl 5 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed for pain. disp:*100 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary: upper gi bleed gastric ulcers secondary: depression gerd s/p nissen fundoplication facial and abdominal burns discharge condition: stable discharge instructions: if you develop any further episodes of bloody or black stool, if you feel dizzy or lightheaded, or if you develop fever >101.3, worsening abdominal pain, or any other concerning symptom, please call your primary care physician /or return to the emergency room. followup instructions: provider: , md where: phone: date/time: 2:00 -primary care clinic provider: where: medical specialties phone: date/time: 2:00 clinic please follow-up with dr. in general surgery at 1:30pm. you will need to call dr. office prior to this appointment to update your contact and insurance information. you can call . procedure: esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells diagnoses: other iatrogenic hypotension acute posthemorrhagic anemia depressive disorder, not elsewhere classified chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction antidepressants causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to