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: ativan / compazine attending: chief complaint: gi bleeding major surgical or invasive procedure: egd history of present illness: 82 y/o female wtih pmh signficant for gastric ulcers s/p partial gastrectomy who was admitted with a gi bleed. pt developed arthritis only about 6 mo ago, and joint pain had exacerbated over the last few days before admission. at 5am on the morning of admission, the pt developed nausea and had voluminous bloody emesis x 2. after a few hrs, she had voluminous "black" diarrhea x2 associated with diaphoresis, palpitations, and lightheadedness. she had taken two aleve the night prior to admission for her joint pain. . pt has had 2 prior similar episodes of hematemesis in her life, one 50 yrs ago, one 9 yrs ago. the episode 50 yrs ago was due to ulcers, and pt had gastrectomy performed. she drank heavily as an alcoholic for 3 yrs, from the time period of 36 to 33 yrs ago. 9 yrs ago, she had a similar episode of gi bleeding, and at that time, etiology was unknown. . for the current episode, pt was brought to the ed for further evaluation. pt states that she does not take regular nsaid or asa for her joint pain. . in th ed, ng lavage was grossly positive and did not clear with 1000cc of ns. stool was maroon and guaiac positive. initially, pt's bp dropped to 60/30 but after 2l of ns it increased to 138/69. hct returned at 27.6 (no known baseline) and she was transfused one unit of prbcs. the pt was admitted to the micu for further care, gi consult, egd, and colonoscopy. . in the micu, the pt underwent an egd on . this showed a normal esophagus; evidence of a bilroth ii in the stomach body; a single acute cratered non-bleeding 10 mm ulcer in the gastric side of anastomosis; and a normal duodenum. there was no stigmata of recent bleeding associated with the ulcer. over the first hospital day, the pt required two units of prbc. since that time, the pt has not had any further bleeding and has not required any more prbc. she will need a repeat egd in weeks with dr. . she will now be transferred to the floor for further care. past medical history: 1. bleeding gastric ulcer s/p partial gastrectomy in . 2. hematemesis 6-7 years ago. no source was found on egd. 3. lap cholecystetomy in complicated by liver laceration and pe 4. post-op pe requiring brief intubation and s/ filter in 5. s/p appendectomy 6. htn 7. hypercholesterolemia 8. iron deficiency anemia 9. oa of left knee requiring knee replacement social history: pt has a history of alcoholism. she has been sober x 33yrs. denies tobacco and drug use. family history: father died of renal cancer; brother with lung cancer; no hx of cad; no hx of colon cancer. physical exam: vitals: 99.6 (afebrile in micu) / hr 70-80 / rr 21 / 106-143/40-60 / 96% ra gen: nad, appears active, in bed heent: perrl, no jvd, no lad, nl thyroid size lungs: cta b cardiac: rrr, clear s1/s2, no m/r/g abdomen: soft, appy scar, gastrectomy scar, small rlq hernia surgery scar, +bs, nd, nt extr: enlarged, prominent mcp joints b/l, heberden nodes on l hand at dip joints, normal appearing toes, no pain on palpation of joints, no erythema, no edema in joints. no c/c/e. neuro: motor throughout, sensation normal b/l, pertinent results: 10:35am plt count-322 10:35am neuts-87.0* lymphs-9.0* monos-3.8 eos-0.1 basos-0.1 10:35am neuts-87.0* lymphs-9.0* monos-3.8 eos-0.1 basos-0.1 10:35am ck-mb-8 ctropnt-<0.01 10:35am ck(cpk)-192* 10:35am glucose-180* urea n-54* creat-1.1 sodium-135 potassium-5.0 chloride-98 total co2-23 anion gap-19 12:54pm pt-12.1 ptt-22.9 inr(pt)-1.0 08:34pm lactate-1.0 . egd: ulcer in the gastric side of anastomosis previous billroth ii of the stomach body otherwise normal egd to third part of the duodenum . ecg ()- sinus rhythem at 67 beats per minute. borderline first degree av delay. modest, diffuse nonspecific low amplitude t waves. . ct chest ()- no pulmonary embolism identified. bibasilar patchy atelectasis. no focal consolidation or pleural effusions. heart is upper limits of normal in size. great vessels are unremarkable for aneurysmal dilatation or dissection. no mediastinal, axillary, or hilar lymph node enlargement. no pneumothorax. images through the upper abdomen showed no abnormalities. . cxr ()- cardiomediastinal silhouette is within normal limits. minimal linear atelectasis is present at the left costophrenic angle. lungs were other wise clear. left convexity scoliosis centered at the upper lumbar spine. inferior vena cava filter is present. no free air. brief hospital course: 82 y/o female wtih pmh signficant for gastric ulcers s/p partial gastrectomy who was admitted with a gi bleed. egd showed a single acute cratered non-bleeding 10 mm ulcer in the gastric side of the pt's anastamosis. pt will be maintained on ppi until repeat egd in weeks with dr. . pt will also be maintained on carafate 1g po tid for more weeks. . the gi bleeding was attributed to the ulcer and recent nsaid use for arthritis. the pt had black formed stool, and vomiting but no blood, during her admission. her home regimen of anti-hypertensives was slowly returned, and the pt was discharged once bp was controlled in the normal range. . pt's arthritis is most likely osteoarthritis, and is associated with heberden nodes. the arthritis is of recent onset (several months), but not associated with worsening stiffness/pain with use, or late in the day. it is not associated with rashes, pleuritic chest pain, no temporal/scalp/jaw sensitivity/pain. arthritis is not associated with fatigue, weakness, back pain. thus, questioning bears negative for polymyalgia rheumatica and temporal arteritis. medications on admission: medications on transfer: 1. docusate 100 mg 2. pantoprazole 40 mg 3. pravastatin 40 mg daily 4. sucralfate 1 gm tid 5. venlafaxine 75 mg prns- trazadone tylenol dolasetron mesylate senna . allergies: 1. compazine 2. ativan--> causes violence and severe agitation. discharge medications: 1. venlafaxine 75 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. pravastatin sodium 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. sucralfate 1 g tablet sig: one (1) tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. pantoprazole sodium 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* discharge disposition: home discharge diagnosis: primary diagnosis: gi bleed secondary diagnosis: arthritis hypertension hypercholesterolemia discharge condition: stable discharge instructions: 1. please take all medications as prescribed. 2. please keep all follow up appointments. 3. seek medical attention for fevers, chills, chest pain, shortness of breath, abdominal pain, vomiting blood, flood in the stool, or any other concerns. followup instructions: please follow up with your primary care physician within one week of discharge. procedure: other endoscopy of small intestine endoscopic control of gastric or duodenal bleeding endoscopic polypectomy of large intestine transfusion of packed cells diagnoses: pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia benign neoplasm of colon diverticulosis of colon with hemorrhage chronic or unspecified gastrojejunal ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to