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: abdominal pain major surgical or invasive procedure: mesenteric and celiac angiogram () history of present illness: this is a 78 russian-speaking lady with a history of gist s/p resection in with recurrence with omental metastasis s/p resection who reports sudden onset dull, diffuse abdominal pain starting at 3 am on the day of presentation. she reports 1 episode of emesis near onset of pain. denies chest pain or shortness of breath, no change in bowel habits and had a normal, non-bloody bm the previous day. of note, she was recently admitted as a transfer from an osh for intraperitoneal bleeding from tumor in the setting of an inr of 4.0 on coumadin for atrial fibrillation. she received a total of 2 units of blood and 1 unit of ffp, was stabilized, then dc'd. she has restarted her coumadin in the interim and restarted on her gleevac at 200 mg daily. past medical history: pmh: dm, htn, hld, paroxysmal afib, cva , tia , hypothyroidism, gist (dx in , treated with surgery and multiple intermittent courses of gleevac, doses adjusted due to side effects psh: partial gastrectomy/gist resection, ; incisional hernia repair, ; gist omental met resection, social history: lives alone. has 2 daughters. moved from in . has grandchildren who visit her. -tobacco history: negative -etoh: negative -illicit drugs: negative family history: no family history of cancer, lung disease or heart disease. + for dm. physical exam: vs: 97.6, 71, 116/70, 18, 96% ra gen: alert, russian speaking only, nad cv: irregularly irregular, no m/r/g pulm: mild crackles to bases otherwise ctab abd: obese, soft, non-tender, non-distended, +bs ext: warm, 1+ le edema, 2+dp/pt pertinent results: 07:35am blood wbc-6.2 rbc-3.81* hgb-11.5* hct-33.9* mcv-89 mch-30.1 mchc-33.8 rdw-15.8* plt ct-196 05:46am blood pt-12.6 ptt-23.8 inr(pt)-1.1 07:35am blood glucose-117* urean-20 creat-1.1 na-141 k-3.8 cl-99 hco3-34* angap-12 07:35am blood calcium-9.0 phos-2.0* mg-2.0 brief hospital course: mrs was admitted to the surgical intensive care unit on after presententing to the emergency room with severe abdominal pain. a ct scan was performed on that occasion and revealed marked progression of her gist tumor as compared to and within this tumor an area of central hyperdensity in a blush-like pattern was identified,concerning for active intratumoral extravasation. there was also a moderate amount of hyperdense free fluid consistent with intraperitoneal hemorrhage. the patient was made npo, on ivf and a foley catheter was placed for urine output monitoring. overnight serial hct were obtained and she was given 2u of prbc and 1u ffp. on hd 2 since her inr continued to be high (1.9)she was given 10mg of vit k iv. ir was consulted for possible embolization of bleeding source. a selective angiogram was performed but no bleeding source was identified at that time. between hd2 and 3 the patient's o2 requiremets increased and her cxr showed minimally progressive pulmonary edema. mrs is on lasix at home; she was therefore cautiously diuresed to improve her respiratory status. overnight on hd2 and early morning on hd 3 she received a total of 3 more units os prbc with good hct response. an echo was also performed on hd 3 and showed a mildly dilated l atrium, moderate symmetric l ventricular hyperthrophy and a lvef >50%. it did show some moderate l diastolic dysfunction. the pulmonary artery pressure was higher compared to previous examinations. mrs showed signs of improvement with decreasing o2 requirements and resolved abdominal pain on hd4. her hct had remained stable around 30 on repeated checks and she was therefore advanced to a clear liquid diet, which was well tolerated and transferred to the regular floor later that night. on hd5 the patient was advanced to a regular diet and her home medications were resumed. her foley catheter was discontinued and she was able to void regularly. physical therapy was consulted for evaluation and she was cleared for home. she was noted to desaturate to 86% while ambulating and would quickly recover back to baseline of 96% on ra. she was given an additional 80mg lasix which provided good diuresis. on hd#6 she continued to do well, she was ambulating independently with her walker, tolerating regular diet, and passing flatus. her anticoagulation use was discussed with her cardiologist who recommended aspirin/plavix instead of coumadin. the surgery service feels strongly about no further anticoagulation in this patient, now with her second episode of life threatening intra-abdominal bleeding. the patient was instructed to stop taking her coumadin and follow up with her cardiologist in 1 week to discuss the treatment of her afib at that time. this was explained to the patient with the aid of the russian interpretor and the patient expressed understanding and agreement of this treatment plan. she was discharged home with her regular vna services. medications on admission: gleevac 200', coumadin 3', januvia 25', diltiazem 150', lasix 80', lisinopril 2.4', ambien 10', levothyroxine 200', colace, senna discharge medications: 1. gleevec 100 mg tablet sig: two (2) tablet po once a day. 2. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic daily (daily). 3. januvia 25 mg tablet sig: one (1) tablet po once a day. 4. diltiazem hcl 180 mg capsule, extended release sig: one (1) capsule, extended release po daily (daily) as needed for a fib. 5. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). 6. levothyroxine 200 mcg tablet sig: one (1) tablet po once a day. 7. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily) as needed for htn. 8. ambien 10 mg tablet sig: one (1) tablet po at bedtime as needed for insomnia. 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po 2-3 tabs per day as needed for constipation. 11. bimatoprost 0.03 % drops sig: one (1) drop in left eye ophthalmic nightly (). discharge disposition: home with service facility: family care extended discharge diagnosis: intraabdominal hemorrhage atrial fibrillation pulmonary edema gist diabetes hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted to the surgery service for intra-abdominal bleeding. you were treated with plasma to correct your inr and blood transfusions to keep your blood levels normal. an angiogram was done to indentify any bleeding blood vessel but it did not locate one. do not take coumadin. you should call your cardiologist to make an appointment in 1 week to discuss treatment options for your atrial fibrillation. call your pcp or return to the emergency department for: temperature greater than 101.4, chest pain, increasing shortness of breath, wheezing, increasing leg swelling, weight gain of 3lbs or more, abdominal pain, inability to tolerate food or drink, bloody or black tarry stools, blood in your urine, or any other concerns. weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: call dr. office to make an appointment in 1 week. provider: post clinic phone: date/time: 8:10 provider: , md phone: date/time: 11:20 provider: , md phone: date/time: 2:30 procedure: arteriography of other intra-abdominal arteries diagnoses: abnormal coagulation profile congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atrial fibrillation other and unspecified hyperlipidemia long-term (current) use of anticoagulants acute diastolic heart failure hemoperitoneum (nontraumatic) secondary malignant neoplasm of retroperitoneum and peritoneum personal history of malignant neoplasm of stomach 

Answer: The patient is high likely exposed to