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: lipitor attending: chief complaint: melena major surgical or invasive procedure: endoscopy history of present illness: 83f w/ cad s/p cabg, anemia, who reports "fainting and waking up incontinent of black liquid stool". she got up, cleaned up in bathtub, but continued to have a couple more episodes of small liquid, black stool yesterday. her last bm was this day of adm. she also notes some lightheadedness, + nausea and diaphoresis. she does take aspirin and aleve 4 pills daily x 4-5 days for back pain. . in ed, 98.4, 102, 166/78. she was in nad, abd benign, euvolemic, melena on rectal. ng lavage negative. ekg unchanged. . in the unit, she reports feeling well with no chest pain, sob, lhd, dizzyness, abd pain. per daughter, pt has never had seizure like activity, syncope, gib bleed before. she has never had a colonoscopy. she received 2 u prbc so far. past medical history: 1. venous insufficiency. 2. cad status post acute mi . 3. hypertension. 4. cataract os. 5. hyperlipidemia. 6. dysfunctional uterine bleeding. 7. cystocele complicated by mixed incontinence. 8. anemia. 9. djd, right knee. past surgical history: 1. status post cataract extraction, os. 2. status post excision of cyst, right knee. 3. status post cabg, four vessels. . gynecologic history: gravida 3, para 2, two vaginal deliveries. menarche in her teens. menopause at age 53. last pap smear 5/. last mammogram 2/. . social history: she grew up in . she is widowed. she worked as a stitcher but was mostly a housewife. no tobacco use. she did smoke but quit many years ago. social alcohol use, no drug use. family history: positive for diabetes in her sister. positive for cad in her brother, questionable malignancy in an aunt. family history of hypertension. physical exam: vitals: 98.7 115/78 85 16 100% 2lnc heent: perrl, eom intact, mm moist pulm: ctab heart: well-healed midline scar, rrr, hsm lpsa abd: soft, nt/nd, normoactive bs ext: no edema, +dp blaterally; hypersensitive to light touch neuro: aaox3 rectal: guaiac positive, black stool in rectal vault pertinent results: labs on discharge: wbc-11.8* hct-29.4* plt ct-221 . pt-12.3 ptt-21.2* inr(pt)-1.0 . glucose-139* urean-15 creat-0.8 na-146* k-3.9 cl-114* hco3-25 . . endoscopy: esophagus: mucosa: normal mucosa was noted in the whole esophagus. stomach: excavated lesions there were 3 ulcers found in the pre-pyloric area ranging from 3mm to 1cm. all ulcers had clear bases. there was no active bleeding noted. duodenum: mucosa: normal mucosa was noted in the first part of the duodenum and second part of the duodenum. impression: normal mucosa in the whole esophagus; ulcer in the pre-pylorus normal mucosa in the first part of the duodenum and second part of the duodenum; otherwise normal egd to second part of the duodenum brief hospital course: 83 y/o f hx cad s/p cabg now with 10 point hct drop and melanotic stools concerning for gib . # gib: she presented with likely ugi source in the settig of taking aspirin, plavix, and nsaids. she received 2uprbcs and hct remained stable in 28-30 without need for further transfusions. endoscopy showed three well healed pre-pyloric ulcers with no active bleeding. h pylori was checked and pending at discharge. she was advised to stop all nsaid use. aspirin was restarted at discharge. she will need repeat endoscopy 6 weeks after discharge. . # syncope: suspect hypovolemia and orthostasis in setting of blood loss although in the micu, pt was not orthostatic (after reciving fluids and blood in ed). pt was ruled out with 2 sets of cardiac enzymes and was monitored on tele. on the morning after admission to micu, pt developed svt (aflutter) to 140-150s which slowed with 3 doses of metoprolol 5mg iv. ekg after iv metoprolol was sinus with pvcs and apcs. pt was started on metoprolol 12.5mg tid which will need uptitration (pt was on atenolol 75mg daily at home) . # cad: s/p cabg. patient was still taking plavix although her cabg was 1.5 years ago. her primary cardiologist, dr. , confirmed that she should no longer be on plavix any more. this was clarified with patient. she can still continue aspirin. . # arf: baseline 0.9, now 1.2. suspect prerenal azotemia and improved with fluids/blood . # htn: bp meds intially held in setting of gib. by day of discharge, she restarted bb and acei. . # hypersensitivity in le: unclear etiology; ?rsd or restless leg, but not an active issue during this admission. . # fen: diet was advanced after endoscopy. . # ppx: pneumoboots, ppi . # access: piv x 2 . # code: full, discussed with patient and hcp medications on admission: - aspirin 81 mg once daily - atenolol 75 mg once daily - enalapril 5 mg once daily - furosemide 20 mg once daily - plavix 75 mg once daily (per daughter, not sure of taking) - simvastatin 80 mg once daily, - nitroglycerin p.r.n. - calcium with vitamin d t.i.d. - mvi - aleve and tylenol prn discharge medications: 1. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 2. aspirin 81 mg tablet sig: one (1) tablet po once a day: please start taking this on thursday, . 3. atenolol 25 mg tablet sig: three (3) tablet po once a day. 4. enalapril maleate 5 mg tablet sig: one (1) tablet po once a day. 5. lasix 20 mg tablet sig: one (1) tablet po once a day. 6. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 7. hexavitamin tablet sig: one (1) cap po daily (daily). 8. calcium + vitamin d 600-200 mg-unit tablet sig: one (1) tablet po once a day. 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po at bedtime for 1 doses. discharge disposition: home discharge diagnosis: primary: - duodenal ulcers - atrial flutter - anemia: gi bleed - htn secondary: - cad s/p mi - hyperlipidemia - djd discharge condition: well discharge instructions: you came in with blood in your stool and a fainting episode. you received two units of blood in the emergency department and were admitted to the icu. your blood levels stabilized. you underwent an egd which showed three ulcers in your duodenum. these were not bleeding. please continue to hold your plavix. you can restart your aspirin on thursday, . we also are starting prilosec 20mg twice daily. please take this at least until your repeat egd and colonoscopy in weeks. we restarted all your other medications (except the plavix). . please monitor for any dizziness, bloody or black stools, or abdominal pain. if so, please stop your aspirin and return to the emergency department. please contact your pcp if you experience chest pain, shortness of breath, constipation/diarrhea. . please followup with your pcp to see if you have h. pylori. . please do not take advil, motrin, aleve, or other nsaids. . please take metoprolol 25mg x1 tonight at 7pm. then you can resume your atenolol normally in the morning. followup instructions: please followup with gi: dr. on monday, . please arrive at 9:30am. plan for a pickup at around 12:30. your appointment is on the : entrance, . you will receive information by mail regarding your preparation for the egd and colonoscopy. number: . please followup with your pcp, . on tuesday, at 11:15am. . provider: , md date/time: 11:30 provider: , : date/time: 11:15 procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) coronary atherosclerosis of unspecified type of vessel, native or graft atrial flutter chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction hypovolemia accidents occurring in unspecified place unspecified analgesic and antipyretic causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to