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: gi bleed, likely lower gib major surgical or invasive procedure: , colonoscopy egd history of present illness: this is a 22yo f with no significant pmh now here with brbpr x1 day. yesterday morning, pt had a bm with bright red blood mixed with stool and water. states stool was looser and darker than normal. had 3 more similar bms over the course of the day (the last one was in the ed). has never had this before. denies n/v, abdominal pain, fevers, chills. states after dinner the night prior, she felt as though she needed to have a bowel movement, but did not. takes no medications, denies nsaid use. denies feeling lightheaded, having changes in vision (floaters), shortness of breath, or doe. denies weight loss, decreased appetite, rectal pain, h/o hemorrhoids or fissures. now only having gas. recent travel significant for going to for thankgiving. . in the ed, initial vs were t 97.1 hr 88 bp 126/72 rr 18 o2 sat 100% ra. anoscopy showed no source of bleeding or active bleeding, but there was dark red blood noted. pt was given about 500cc ns. labs revealed a hct of 29 (basline not known). gi was consulted who recommended iron studies, stool studies, esr/crp and likely prep for colonoscopy tomorrow. on transfer, vs were hr 84 bp 124/76 rr 16 o2 sat 100% ra. . this morning, patient is without complaints. no further bms. denies fevers, chills, n/v. denies fatigue, dizziness, syncope. states she has begun menstruating. . review of systems: denies headache, vision changes, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, hematochezia, dysuria, hematuria. past medical history: mild seasonal asthma social history: studying psychology at . denies tobacco, admits to occ etoh (wine), denies drugs. family history: mother with and kidney stones, father healthy, no siblings. denies fh of ibd. physical exam: admission exam: vs - temp 97.8/97.8 f, bp 101/66 (101-108/64-70), hr 81 (75-81), r 16, o2-sat 99% ra general - well-appearing in nad, comfortable, appropriate heent - nc/at, perrla, eomi, sclerae anicteric, pale conjunctiva, mmm, op clear lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - rrr, no mrg, nl s1-s2 abdomen - +bs, soft/nt to deep palpation/nd, no masses or hsm, no rebound/guarding. anus without tags, fissures, hemorrhoids, tnederness. extremities - wwp, no c/c/e, 2+ peripheral pulses skin - no rashes or lesions neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout discharge exam: vs tm 97.7, tc 97.7, bp 100/56, hr 84, rr 16, 100%ra general - well-appearing in nad, comfortable, appropriate heent - sclerae anicteric, pale conjunctiva, mmm, op clear lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - rrr, 1/6 systolic murmur, nl s1-s2 abdomen - +bs, soft/nt to deep palpation/nd, no masses or hsm, no rebound/guarding. extremities - wwp, no c/c/e, 2+ peripheral pulses neuro - awake, a&ox3 pertinent results: admission labs: 09:05pm blood wbc-7.2 rbc-3.25* hgb-9.9* hct-29.6* mcv-91 mch-30.4 mchc-33.3 rdw-12.9 plt ct-316 09:05pm blood neuts-45.1* lymphs-41.3 monos-3.6 eos-9.3* baso-0.6 09:05pm blood glucose-101* urean-18 creat-0.7 na-141 k-3.8 cl-108 hco3-28 angap-9 08:15am blood albumin-3.2* calcium-7.6* phos-3.3 mg-1.8 09:05pm blood caltibc-234* ferritn-65 trf-180* 09:05pm blood crp-0.2 hct trend: 09:05pm blood wbc-7.2 rbc-3.25* hgb-9.9* hct-29.6* mcv-91 mch-30.4 mchc-33.3 rdw-12.9 plt ct-316 08:15am blood wbc-6.6 rbc-2.71* hgb-8.4* hct-24.7* mcv-91 mch-30.8 mchc-33.9 rdw-13.4 plt ct-257 03:20pm blood hct-26.9* 04:12am blood wbc-5.7 rbc-2.45* hgb-7.3* hct-22.4* mcv-92 mch-29.8 mchc-32.5 rdw-13.4 plt ct-232 02:16pm blood hgb-9.0* hct-26.4* 05:32pm blood wbc-8.5 rbc-2.63* hgb-8.5* hct-25.0* mcv-95 mch-32.2* mchc-33.9 rdw-13.0 plt ct-249 03:55am blood wbc-8.7 rbc-3.20* hgb-9.7* hct-28.5* mcv-89 mch-30.4 mchc-34.1 rdw-14.4 plt ct-232 01:54pm blood hgb-8.1* hct-23.3* 09:15pm blood hgb-8.4* hct-25.1* 08:35am blood wbc-9.1 rbc-3.05* hgb-9.3* hct-27.5* mcv-90 mch-30.5 mchc-33.7 rdw-14.4 plt ct-224 12:40pm blood hgb-10.2* hct-30.8* 07:10pm blood hgb-9.8* hct-29.0* 03:49am blood wbc-7.2 rbc-2.88* hgb-8.7* hct-26.0* mcv-90 mch-30.3 mchc-33.6 rdw-14.9 plt ct-239 06:25am blood wbc-6.9 rbc-2.65* hgb-8.1* hct-23.6* mcv-89 mch-30.5 mchc-34.3 rdw-15.8* plt ct-207 03:40pm blood hgb-9.3* hct-27.1* 09:33am blood hct-29.3* 03:20pm blood hct-30.8* 09:40pm blood hct-33.7* 03:11am blood wbc-7.1 rbc-3.19* hgb-9.5* hct-28.7* mcv-90 mch-29.8 mchc-33.2 rdw-15.2 plt ct-253 05:10am blood wbc-6.7 rbc-3.33* hgb-10.2* hct-28.8* mcv-87 mch-30.7 mchc-35.5* rdw-15.8* plt ct-231 11:00am blood hct-28.7* 05:40pm blood hct-29.1* 11:54pm blood hct-28.5* 07:15am blood wbc-5.8 rbc-3.40* hgb-10.2* hct-29.9* mcv-88 mch-30.1 mchc-34.1 rdw-15.5 plt ct-265 07:25pm blood hct-29.4* 08:00am blood wbc-6.8 rbc-3.63* hgb-10.8* hct-32.3* mcv-89 mch-29.7 mchc-33.4 rdw-15.2 plt ct-340 11:10am blood hgb-10.7* hct-31.8* discharge labs: 11:10am blood hgb-10.7* hct-31.8* 08:00am blood wbc-6.8 rbc-3.63* hgb-10.8* hct-32.3* mcv-89 mch-29.7 mchc-33.4 rdw-15.2 plt ct-340 08:00am blood glucose-97 urean-8 creat-0.7 na-137 k-4.0 cl-104 hco3-26 angap-11 08:00am blood calcium-8.7 phos-3.6 mg-1.9 imaging: colonoscopy: blood was seen throughout the whole colon. there was blood into the terminal ileum to 10cm. diverticulosis of the right and left colon. otherwise normal colonoscopy to cecum. egd: normal mucosa in the esophagus. normal mucosa in the stomach. normal mucosa in the duodenum. otherwise normal egd to third part of the duodenum. colonoscopy: blood in the whole colon. diverticulosis of the cecum and right colon. normal mucosa in the terminal ileum. otherwise normal colonoscopy to cecum. meckel's scan: negative cta abdomen/pelvis: 1. no acute hemorrhage identified. 2. bilateral ovarian cysts, likely physiologic. 3. small hypodensity in the left lobe, too small to characterize. tagged rbc scan: no evidence of gi bleed during the time of study. repeat cta: no acute hemorrhage or source of bleeding identified. brief hospital course: 23yo f with no significant pmh admitted for brbpr of unclear etiology, likely lower gi bleed. active issues: # brbpr: patient presented with bright red blood per rectum as well as dark stools x1 day. she continued to have several bloody bowel movements during the hospitalization. gi was consulted, and she was made npo for a colonoscopy the day after admission. stool studies negative. hematocrits were trended. her hct on admission was 29.6 (baseline unknown) but fell to 22.4 with some associated dizziness and she was transfused 1 unit of blood. colonoscopy showed blood throughout the colon and 10cm into the terminal ileum. diverticulosis was seen in the right and left colon, but the colon was otherwise normal, no active bleeding identified. patient was transferred to the micu for oversedation and active gi bleed of unknown source, with a plan for egd. in the micu, she gradually came out of sedated state and was then monitored by anesthesia for her egd, which did not show any source of bleeding. the upper gi tract was clear of blood. for further work-up, a meckel's scan was done to rule out a meckel's diverticulum which did not show any ectopic gastric tissue. cta abdomen was performed but was not able to locate bleed. given her stability, she was transferred back to the floor after one day in the micu. hct continued to trend down with daily bloody bowel movements for the first 5 days of admission and she required interval tranfusions (6 transfusions total on admission). she bumped appropriately with each transfusion. hemolysis labs were normal. surgery was consulted and felt bleed should be localized prior to considering surgery. tagged rbc scan and repeat cta abdomen was negative. on day 6 of admission, patient's hct stabilized and pt stopped having bloody bowel movements. hct trended and stable x 3 days, patient was given a diet and discharged with specific instructions of warning signs. she has gi follow up as well. # anemia: iron studies (iron normal, ferritin normal, tibc low) and clinical scenario makes anemia more likely from acute blood loss in the setting of brbpr. also have component of anemia of chronic disease given normal mcv and normal rdw. patient received 6 units prbcs total on admission. hct stable and should start to increase given resolution of gi bleed. patient should have baseline rechecked after sometime has passed. transitional issues: patient has gi follow up at the end of this month. she is aware of the signs and symptoms to look out for and when to seek medical attention. she has an appointment with clinic and has been set up with dr. as her primary care provider, she will see in . medications on admission: albuterol inhaler in the summer occasionally discharge medications: none (can continue albuterol inhaler in the summer occasionally) discharge disposition: home discharge diagnosis: gastrointestinal bleed discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you at . you were admitted for a gastrointestinal bleed. a colonoscopy was done and showed diverticula (outpouchings of the large intestine) and blood in the large intestine and lower gastrointestinal tract. a upper endoscopy looking at your stomach and upper gastrointestinal tract was clear of blood. several other radiology scans were preformed, which could not localize the site of bleeding. your bleeding appears to have stopped and you are okay to be discharged home, however it is important that you return to the hospital if you experience any signs of further bleeding (see below). followup instructions: department: when: wednesday at 10:20 am with: dr. address: , location: post clinic building: sc clinical ctr south campus: east best parking: garage this appointment is with a hospital-based doctor as part of your transition from the hospital back to your primary care provider. this visit, you will see your regular primary care doctor in follow up. department: div. of gastroenterology when: wednesday at 4:00 pm with: , md building: ra (/ complex) campus: east best parking: main garage department: when: wednesday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage *this will be your new primary care physician. procedure: other endoscopy of small intestine colonoscopy colonoscopy diagnoses: acute posthemorrhagic anemia asthma, unspecified type, unspecified diverticulosis of colon with hemorrhage 

Answer: The patient is high likely exposed to