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: percocet attending: chief complaint: hematemesis major surgical or invasive procedure: esophogastroduodoscopy history of present illness: ms. is a 59 year old woman with h/o htn, depression, anxiety, who presents with hematemsis x1 and melena x2. . the patient notes having indigestion this afternoon while at the mall. she then had 2 episodes of diarrhea, dark tarry stool. when she got home, she wasn't feeling like herself. she felt lightheaded and sweaty, then had an episode of hematemesis (dark red). no prior episodes of this. she has taken 3 extra strength ibuprofen in the past 2 days for a musculoskeletal pain in her side, but otherwise no nsaid use. drinks about 3 glasses of wine on the weekends, but notes having 4 glasses last night. no recent vomiting, abdominal pain. she has otherwise been well until today. . of note, the patient saw her pcp week ago. she had her blood re-drawn yesterday to re-check the potassium and the cbc (prior diff had 1 band and 1 atypical cell). hct on was 39.5. . in the ed, initial vs were: 97.5 93 127/84 20 100% 3l. hct down to 29.5 from 39.5 yesterday. rectal exam notable for guaiac positive tarry stool. ngl was done with 500cc, put out dark red-brown/coffee ground material. patient was given 2l ivf, protonix bolus and gtt. gi is aware and will likely scope in the am if patient remains hd stable. vitals prior to transfer: 97.4 90 130/69 14 98%. . on the floor, the patient is currently comfortable. her only complaint is the ngt that is in place. no dizziness/lightheadedness, sob, chest pain, palpitations, indigestion, nausea, abdominal pain. . review of sytems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. denied constipation or abdominal pain. no recent change in bladder habits. no dysuria. denied arthralgias or myalgias. past medical history: - htn - depression - anxiety - b12 deficiency - h/o colonic polyps - due for colonoscopy - diverticulosis - deviated nasal septum, s/p septoplasty social history: lives with husband. 2 children. tobacco: prior smoker (<1ppd for 10 years), quit 27 years ago etoh: drinks 3-4 glasses of wine 3x/week drugs: none family history: mother with "leaky valve". no family h/o gi disease. physical exam: on admission: vitals: t: 97.8 bp: 144/81 p: 102 r: 29 o2: 100% ra general: alert, oriented, no acute distress heent: sclera anicteric, dry mm, oropharynx clear, ngt in place with dark red material in tube neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: tachycardic, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: a&ox3, cnii-xii intact, sensation and strength grossly intact in all extremities discharge pex: vitals: 99.0 90 120/68 19 95%ra general: alert, oriented, no acute distress heent: sclera anicteric, dry mm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: ctab, no wheezes, rales, rhonchi cv: rrr, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: a&ox3, cnii-xii intact, sensation and strength grossly intact in all extremities pertinent results: on admission: 12:40pm blood wbc-4.5 rbc-4.27 hgb-13.2 hct-39.5 mcv-93 mch-30.9 mchc-33.4 rdw-12.8 plt ct-257 12:40pm blood neuts-57.3 lymphs-31.4 monos-8.0 eos-2.6 baso-0.7 09:30pm blood pt-13.6* ptt-20.4* inr(pt)-1.2* 09:30pm blood glucose-124* urean-43* creat-0.6 na-136 k-3.8 cl-102 hco3-22 angap-16 09:30pm blood alt-16 ast-15 alkphos-46 totbili-0.5 06:23am blood calcium-8.3* phos-2.9 mg-1.9 other relevant labs: hct trend: 31.3 31.5 27.4 29.5 39.5 cxr : no acute cardiopulmonary process. egd : impression: mucosa suggestive of barrett's esophagus esophageal ulcer abnormal mucosa in the esophagus esophagitis medium hiatal hernia blood in the stomach otherwise normal egd to third part of the duodenum . recommendations: bleeding from severe reflux esophagitis with ulceration. suggest egd in weeks with biopsies of ?barrett's. stop nsaids. protonix 40mg po bid. would watch for 24 hourds prior to discharge, with serial hcts. can advance diet. avoid ng tube or other esophageal trauma. brief hospital course: ms. is a 59 year old woman with h/o htn, depression/anxiety, who presents with hematemesis x1, and melena x2, s/p 2 units transfusion, hct stable, found to have esophagitis and ulcer on egd. . #. ugib: patient with upper gi bleed - most likely chronic gastric reflux disease as patient reports h/o indigestion. also, may be exacerbated by recent etoh and nsaid use. no recent vomiting to suggest - tear. does have h/o colonic polyps and diverticulosis, but much less likely lower gi bleed given tarry stools, hematemesis, and +ngl. she was transfused a total of 2units of prbcs with appropriate crit bump. egd was performed and showed: mucosa suggestive of barrett's esophagus with an esophageal ulcer and esophagitis, likely the cause of her bleeding. nsaids werer held and she was continued on protonix. diet was advanced and serial crits were stable. she will require egd in wks with biopsy for evaluation for barrett's. . #. htn: home amlodipine was held in the setting of gib and restarted upon discharge. . # depression/anxiety: restarting citalopram, oxazepam as per outpatient regimen . . . transitional issues: patient to follow up with pcp 1 week and gi in 2 weeks for rpt egd/biopsy. patient discharged on ppi. medications on admission: - htn - depression - anxiety - b12 deficiency - h/o colonic polyps - due for colonoscopy - diverticulosis - deviated nasal septum, s/p septoplasty discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours): should your insurance not cover this, you may take over the counter prilosec until you meet with your pcp during follow up. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 2. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 3. citalopram 40 mg tablet sig: one (1) tablet po once a day. 4. vitamin d 1,000 unit tablet sig: one (1) tablet po once a day. 5. vitamin b12 intranasal sig: five hundred (500) mcg once a week. 6. oxazepam 15 mg capsule sig: capsules po three times a day as needed for anxiety. discharge disposition: home discharge diagnosis: upper gi bleed esophageal ulcer reflux esophagitis secondary: hypertension, depression 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 the . you were admitted for an upper gastrointestinal bleed and were found to have an ulcer as well as inflammation in your esophagus. these are likely related to your previous symptoms of indigestion, and are likely result of chronic gastric reflux disease. you have have been treated with pantoprazole, which decreases the amount of acid production in your stomach and should help with your symptoms and future sequelae. please follow up with your primary care physician 1 week and the gastroenterology team in two weeks for a repeat upper endoscopy. you may restart all of your previous medications upon going home. --please start pantoprazole 40mg twice daily (should your insurance not cover this, you may take over the counter prilosec until you meet with your pcp during follow up.) followup instructions: due to your discharge over the weekend, we were unable to make you your follow up appointments. please call your pcp for an appointment within 1 week of discharge: , s. . please call the gastroenterology office and let them know that you will need a repeat upper endoscopy 2 weeks from now as well as a follow up appointment. digestive disease center , procedure: other endoscopy of small intestine diagnoses: unspecified essential hypertension acute posthemorrhagic anemia depressive disorder, not elsewhere classified diaphragmatic hernia without mention of obstruction or gangrene esophageal hemorrhage ulcer of esophagus with bleeding dysphagia, unspecified reflux esophagitis 

Answer: The patient is high likely exposed to