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: dark stook, lightheadedness major surgical or invasive procedure: upper endoscopy colonoscopy? history of present illness: 72m h/o dm ii, no documented h/o cad xferred from hosp to ed for tx gib in a setting of possible myocardial ischmemia. 2d ago, the patient had a large black bm. didn't worry about it that night, attributed it to blackberry juice that he has been drinking. next morning, +lh and +dizziness when working in the garden especially when standing up. +epigastric pain, non-radiational, no n, no vomiting, +diaphoresis associated with the pain. resolved in mins with rest and drinking some water. told by friend to see pcp, to office, sent directly to the osh ed. . ros negative for fevers, chills, nightsweats, n/vomiting, abd pain. no dysuria, hematuria, melena, brbpr, constipation, diarrhea, rash, recent weight loss. of note, the patient does have chronic back pain and has been taking 400motrin with ultram for breakthrough pain for the past several weeks. . exercise tolerance severely limited by sob. pt cannot walk up 1 flight of stairs w/o sob. usually sleeps on 3 pillows propped up. pt denied usual chest pain with activity except as in hpi. . at osh pt presented to the ed with vs: hr in the 80s, sbp low 90s-100s. afebrile. ekg was concerning for inferior st elevations, so the patient was given asa. due to h/o melanotic stool, hct was checked and was 26.3 (no baseline). ce's drawn at osh, but not reported. pt was given 1 u prbcs. given the possibilty of a stemi in acute gib, the patient was xferred to ed for further care. . . at , pt arrived with hr of 82, bp 97/45, rr 20, cp free, no longer diaphoreteic, no abdominal pain, no sob, feeling well. ce's sent, hct came back at 28.2. pt was given 1u prbcs. not seen by gi or cardiology. dr. , a family friend, has seen the patient in the , and recommended inpt cardiology c/s while on floor. the ed staff thought that the patient's ekg changes were not significant and did not pursue acs pathway. pt admitted to micu for managment of ugib. . upon arrival to the micu, pt feeling well, hd stable, cp free. past medical history: type ii dm on po meds sciatica glaucoma no documented h/o cad s/p r sided hip replacement s/p laminectomy 3 yrs ago asthma ? osa ? "shadow around heart" described by son social history: social hx: non-smoker, quit more than 30 yrs ago. lives with wife and mother. etoh. does not work. form , arrived > 40yrs ago. family history: asthma, non-contributory regarding cad. physical exam: vs: tm 97.3; tc97.3; 126/80 (100-130/70-80) hr 70-82; rr 16-18; 99% on 3l. gen: nad, no chest pain heent: perrla, eomi, sclera anicteric, op clear, mmm, no lad, no carotid bruits. no jvd. plethoric neck cv: regular, nl s1, s2, strong murmur across rusb, radiating upwards. there may be a slight rub pulm: ctab, +expiratory wheezes throughout lung fields abd: obese. soft, , nd, + bs, no hsm. + mild ttp luq. ext: warm, 2+ dp/radial pulses bl, no edema. neuro: alert & oriented x 3, cn ii-xii grossly intact. strength symmetric @ triceps, biceps, delts, hip flexion, dorsoflexion, plantarflexion. sensation grossly intact. pertinent results: 04:28pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.0 leuk-neg 04:40pm blood wbc-13.5* rbc-3.19* hgb-10.1* hct-28.0* mcv-88 mch-31.5 mchc-36.0* rdw-14.5 plt ct-269 04:40pm blood neuts-76.2* lymphs-19.7 monos-2.9 eos-1.1 baso-0.2 04:40pm blood pt-12.4 ptt-26.1 inr(pt)-1.1 04:40pm blood glucose-95 urean-37* creat-0.8 na-139 k-4.5 cl-103 hco3-28 angap-13 11:55pm blood alt-15 ast-16 ld(ldh)-131 ck(cpk)-39 alkphos-46 amylase-36 totbili-0.9 04:40pm blood ck-mb-notdone ctropnt-<0.01 11:55pm blood ck-mb-notdone ctropnt-<0.01 05:56am blood ck-mb-notdone ctropnt-<0.01 11:55pm blood albumin-3.5 calcium-8.4 phos-3.2 mg-2.1 cholest-123 11:55pm blood triglyc-141 hdl-43 chol/hd-2.9 ldlcalc-52 04:28pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-0.2 ph-5.0 leuk-neg . upper endoscopy impression: brief hospital course: 1. gi bleed: patient transfused 1 unit prbcs at osh, 1 unit in er for low hct in osh. patient had one episode of melena, and felt lightheaded and diaphoretic while gardening the next day. patient has a history of motrin use, daily, for arthritis. symptoms resolved when arived to . patient admitted to micu overnight, stable, free of chest pain, lightheadedness. transferred to . no more episodes of melena in hospital. no chest pain in hospital. gi did egd showing significant gastritis and duodenitis. biospies were done, serum h pylori antibody was sent. pt was sent home on ppi. . 2. chest pain patient c/o diaphoresis, chest pain, lightheadedness before admission. ekg: nsr 80; nml axis, normal intervals. pr seg depressions i, ii, ii, avf, v5, v6. patient ruled out ce x3. and ekgs after this were normal. no events on telemetry. patient had no more chest pain in hospital. ruled out for mi. . 3. diabetes stable in hospital medications on admission: glyburide 5mg per day atenolol 25 qd asa 325 qd albuterol inh tramadol for pain prn motrin 400 prn back pain univasc ? dose vit d calcium xalatan eye drops discharge medications: 1. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for dyspnea. 2. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 3. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 4. glyburide 5 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. iron (ferrous sulfate) 325 (65) mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 7. atenolol 25 mg tablet sig: one (1) tablet po once a day. 8. aspirin 325 mg tablet sig: one (1) tablet po once a day. 9. atorvastatin 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnosis: gastritis, duodenitis, gi bleed . seconday diagnosis diabetes hypertension discharge condition: stable. no chest pain, no lightheadedness. discharge instructions: you came into the hospital with an upper gi bleed. you were found to have low blood counts, and were given a blood transfusion. while in the hospital, your blood leves were stable, but we recommend you take iron supplements when you get home. . the gi service did an upper endoscopy to visualize the source of the bleed. you were found to have signigicant gastritis and duodenitis. they took biopsies, and will contact you with the results. they also recommend you take pantoprazole which is a medication that reduces the acid in your stomach twice a day for a month, after which you can take it onces a day, everyday. it is also recommended that you discontinue motrin use, because it causes stomach irritation, and was probably the cause of the bleed you had. you may take tylenol for arthritis. . you also complained of shortness of breath at night. we recommend that you get a sleep study done to evaulate your breathing while you sleep. we have scheduled an appointment with a sleep specialist, the infomation is listed below. . when you see your pcp, discuss scheduling a stress test. . please return to the hospital if you have another episode of dark stool, bright red blood in your stool, or if you vomit blood. also return if you have chest pain, shortness of breath, lightheadedness, or any other concerning symptoms. followup instructions: sleep specialists: dr. & dr. phone: date/time: 10:30 . also, please see your pcp in the next 2-4 weeks. procedure: esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypovolemia duodenitis, with hemorrhage atrophic gastritis, with hemorrhage 

Answer: The patient is high likely exposed to