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: hematemesis major surgical or invasive procedure: upper endoscopy history of present illness: 79 y/om with pmh htn, hld, dm, pvd p/w copious hemetemesis x 45min. per wife, patient complained of nausea and vomited 2-3x this afternoon. initially, there were food particles in the emesis but then wife noticed bright red blood and coffee ground material. she collected approx 200cc of bloody emesis. patient complained of chest pain accompanied by sob beginning after vomiting episode. no lightheadedness, syncope, black tarry stools, etc. no hx of nsaid use or prior episodes of hemetemesis. . on arrival to ed, initial vs: 72 146/80 18 98% ra. initial labs remarkable for hct at baseline of 39.4. several attempts were made to perform ng lavage without success. 2 18 guage pivs were inserted, volume resuscitated with 2 l ns and protonix gtt started. gi saw patient and thought that an emergent scope was not indicated. . ros: pertinent +: complains of persistent fatigue, b/l le pain dm pertinent -: denies any significant weight change, fever, cough, hematuria, dark/ tarry stool past medical history: - type 2 diabetes mellitus - hypertension - hyperlipemia - legal blindness (can see shapes but blurry) - history of atypical chest pain - dementia - pvd social history: he quit alcohol in , but history of heavy alcohol use, quit tobacco in , but a former 2-1/2 pack per day smoker. no other drug use. he lives with his second wife and has 7 children. his twin brother was killed during the war and he was therefore discharged from the service. family history: unable to obtain physical exam: vs: temp: afebrile bp: 146/80 hr: 72 rr: 18 o2sat 98%ra gen: comfortable, nad, affect disconjugate with heent: perrl, eomi, anicteric, mmm neck: no jvp resp: cta anteriorly with good air movement throughout cv: rrr, s1 and s2 wnl, grade ii/vi sem abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: no c/c/e skin: no rashes/no jaundice/no splinters neuro: aao x 1 (knows in hospital). cn ii-xii intact. strength throughout. no pass-pointing on finger to nose. rectal: deferred pertinent results: admission labs: 03:45pm blood wbc-4.2 rbc-4.41* hgb-13.5* hct-39.4* mcv-89 mch-30.6 mchc-34.2 rdw-13.0 plt ct-209 03:45pm blood neuts-80.0* lymphs-14.3* monos-4.8 eos-0.6 baso-0.3 03:45pm blood pt-12.9 ptt-20.9* inr(pt)-1.1 03:45pm blood glucose-172* urean-16 creat-1.3* na-143 k-3.9 cl-104 hco3-27 angap-16 03:45pm blood alt-8 ast-14 alkphos-58 totbili-0.5 03:45pm blood ctropnt-<0.01 12:46am blood ctropnt-<0.01 studies: cxr: findings: the lungs are well expanded and clear. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are grossly unremarkable. impression: no acute pulmonary process. upper endoscopy: - tear. otherwise normal egd to third part of the duodenum. brief hospital course: 79 y/om with pmh htn, hld, dm, pvd p/w hemetemesis x 45min. . 1. acute blood loss anemia due to hematemesis: upper gi bleed of unclear etiology, though upper endoscopy revealed likely - tear at gastroesophageal junction. he was initially placed on ppi iv, but this was changed to oral dosing after the endoscopy. he was allowed to eat soft solids after his endoscopy, per gi recommendations. 2. chest pain: pt presented with episode of chest pain insetting of gib concerning for demand ischemia. he was symptom free upon arrival to the micu, with ekg at baseline and no elevation in ce. his aspirin was held in setting of bleed, but statin was continued. 3. dementia/delirium: the patient was likely delirious in addition to his baseline dementia, during the first night of his admission, when he was attacking nursing staff and pulling at his own iv lines. a code purple was called on the patient and he received haldol and olanzapine for agitation. he was calm and not agitated, during the remainder of his stay in the micu and medical floor. 4. benign hypertension: his lisinopril- hctz was initially held, in the setting of his acute bleed. restarted prior to discharge 5. type 2 dm uncontrolled without complications: the patient's oral hypoglycemics (metformin, actos, glipizide) were held during his stay in the micu. his blood sugars were monitored with fingersticks. . code: full code (confirmed with hcp) medications on admission: - donepezil 10 mg tablet - glipizide 10 mg tablet - lisinopril-hctz 10 mg-12.5 mg tablet daily - memantine 10 mg tablet - metformin 1,000 mg tablet - pioglitazone 30 mg tablet daily - simvastatin 40 mg tablet daily - aspirin 81 mg tablet daily - cholecalciferol (vitamin d3) discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 3. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. memantine 5 mg tablet sig: two (2) tablet po bid (). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. senna 8.6 mg tablet sig: one (1) tablet po bid prn as needed for constipation. 7. polyethylene glycol 3350 17 gram/dose powder sig: one (1) po qhs (once a day (at bedtime)). 8. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). 9. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 10. pioglitazone 30 mg tablet sig: one (1) tablet po once a day. 11. aspirin low dose 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 12. glipizide 10 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home with service facility: homecare discharge diagnosis: tear discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. : it was a pleasure taking care of you at . you were admitted to because you had a gastrointestinal bleed caused by a tear in the space between your esophagus and stomach, called tear. this was caused by your vomiting. you were stabilized and given two units of blood in the medical intensive care unit. you were transferred to the internal medicine floors, and the gerontologists evaluated you to adjust your dementia and delerium medications. your blood tests stabilized and you were well enough to go home. please make the following changes to your home medication regimen: 1. stop taking the combination hydrochlorothiazide/lisinopril pill 2. start lisinopril 10mg by mouth daily 3. take memantine to 10mg by mouth twice per day 4. decrease your donepezil to 5mg by mouth once per day 5. continue your diabtetes medications, including metformin 100mg twice per day and pioglitazone 30mg daily and glipizide 10 mg 6. continue your low dose aspirin 81mg daily 7. take colace/cocusate 100mg twice per day for constipation (over the counter) 8. take senna 1 tab twice per day as needed for constipation (over the counter) 9. take miralax 1 packet every night before bedtime as needed for constipation (over the counter) followup instructions: you have the following appointments at : department: when: tuesday at 9:00 am with: , : address: , , ma building: campus: east best parking: garage department: gastroenterology when: wednesday at 11:00 am with: , md phone: address: , , ma building: lm campus: west best parking: garage department: cognitive neurology unit when: wednesday at 8:30 am with: , md building: ks building (/ complex) campus: east best parking: main garage department: when: tuesday at 9:00 am with: , : address: , , ma building: campus: east best parking: garage department: gastroenterology when: wednesday at 11:00 am with: , md phone: address: , , ma building: lm campus: west best parking: garage procedure: other endoscopy of small intestine diagnoses: acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified peripheral vascular disease, unspecified other persistent mental disorders due to conditions classified elsewhere other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) chest pain, unspecified gastroesophageal laceration-hemorrhage syndrome legal blindness, as defined in u.s.a. dizziness and giddiness diabetes with unspecified complication, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to