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: haldol attending: chief complaint: right shoulder pain major surgical or invasive procedure: closed reduction right shoulder with manipulation under anesthesia history of present illness: this is an yof who was at her pcp today, to be evaluated for nausea, vomiting and constipation. when trying to transfer from car to wheelchair she suffered a fall. she was taken to hospital where she was found to have a right anterior, inferior shoulder dislocation as well as superior and inferior pubic rami fractures. while in the ed at , she also had a large melanotic stool. reduction was attempted of her shoulder by ortho/ed at cc, but was unsuccessful, it was felt that the humeral head is stuck in between the clavicle and the 1st rib. patient poor historian secondary to demenita. additional history obtained from her daughter via phone. past medical history: past medical history: hyperlipidemia, hypercholesterolemia, htn, arthritis, cva, diabetes, multiple shoulder dislocations social history: lives with daughter , no etoh, no tobacco family history: non contributory physical exam: temp: 98.6 hr: 67 bp: 125/63 resp: 20 o(2)sat: 100 normal constitutional: comfortable heent: normocephalic, atraumatic oropharynx within normal limits chest: clear to auscultation cardiovascular: regular rate and rhythm abdominal: soft, nontender, nondistended rectal: heme positive per resident extr/back: right shoulder clearly dislocated skin: no lacerations or ecchymosis neuro: speech fluent, neurovascularly intact pertinent results: 02:50am wbc-10.6 rbc-2.19* hgb-6.4* hct-19.1* mcv-87 mch-29.1 mchc-33.4 rdw-14.7 02:50am neuts-78.4* lymphs-15.8* monos-5.1 eos-0.6 basos-0.1 02:50am plt count-649* 02:50am pt-12.2 ptt-24.1 inr(pt)-1.0 02:50am glucose-171* urea n-28* creat-1.7* sodium-130* potassium-4.8 chloride-97 total co2-18* anion gap-20 kub : frontal view of the abdomen shows nasogastric tube well into a nondistended stomach. mildly air-filled bowel loops clustering in the mid abdomen raise the possibility of intraperitoneal fluid. there is insufficient dilatation to raise concern about obstruction. incidental note is made that reference study performed at an outside hospital on shows multiple pelvic fractures in various stages of healing, some of which may not be fused. egd ; ulcers in the lower third of the esophagus erythema and congestion in the whole stomach compatible with gastritis ulcer in the duodenal bulb otherwise normal egd to third part of the duodenum brief hospital course: mrs was admitted to the acs service on after sustaining a fall while stepping out of the car. she was transferred to from an osh. her injuries at presentation were: -bilateral superior pubic rami fractures -r anteroinferior glenohumeral dislocation s/p attempted reduction at osh, unsuccessful. the patient also reported constipation and melanotic stool for 1 week. she was admitted to the trauma icu for close monitoring. the patient was transfused a total of 3u of prbc and her hct increased appropriately. her ua was positive on admission and she was started on iv cipro. she was taken to the operating room by orthopedics on hd2 to attempt close reduction of her r shoulder dislocation but this second attempt was unsuccessful as well. an egd was performed by the gi service while the patient was under sedation for the shoulder reduction and a duodenal bulb ulcer was found. no bleeding vessel was identified. recommendations were made to continue the ppi drip for 48 hours and monitor hct. and check an h pylori. the patient was stable to be transferred to the surgical floor on . following transfer she remained with a stable hematocrit in the 30-33 range. her oral intake was modest but she was able to tolerate a regular diabetic diet. she also had a swallowing evaluation for clearance. unfortunately she is right handed and needs help with meals. she has not had any more melanotic stools. the physical therapy service evaluated her on many occasions to try to increase her mobility but she is well below her baseline and will therefore need rehab prior to returning home. her weight bearing status is weight bearing as tolerated for both lower extremities and her right arm is non weight bearing. her iv cipro was discontinued after her urine culture grew > 100k yeast and the treatment was foley catheter removal. she remains afebrile with a normal wbc. her pre admission medications were resumed with the exception of aspirin and her atenolol was started on half her normal dose as her heart rate and blood pressure were well controlled. as she is beginning to progress she will be transferred to rehab with the hopes of eventually increasing her mobility so that she may return home. medications on admission: asa 325', celexa 20', atenolol 100', protonix 40', amlodipine 10', cozaar 100'', metformin 500'', atenolol 100', tylenol #3 q 4 hrs prn discharge medications: 1. sucralfate 1 gram tablet : two (2) tablet po bid (2 times a day). 2. insulin regular human 100 unit/ml solution : 0-10 units injection asdir (as directed). 3. atenolol 25 mg tablet : two (2) tablet po daily (daily). 4. losartan 100 mg tablet : one (1) tablet po bid (2 times a day). 5. metformin 500 mg tablet : one (1) tablet po bid (2 times a day). 6. citalopram 20 mg tablet : one (1) tablet po daily (daily). 7. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day). 8. amlodipine 5 mg tablet : two (2) tablet po daily (daily). 9. senna 8.6 mg tablet : two (2) tablet po hs (at bedtime) as needed for constipation. 10. codeine sulfate 30 mg tablet : 0.5 tablet po q4h (every 4 hours) as needed for pain. 11. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr po bid (2 times a day). 12. tramadol 50 mg tablet : 0.5 tablet po q6h (every 6 hours) as needed for pain. 13. acetaminophen 325 mg tablet : two (2) tablet po tid (3 times a day). 14. heparin, porcine (pf) 5,000 unit/0.5 ml solution : 5000 (5000) units injection tid (3 times a day). discharge disposition: extended care facility: bay nursing and rehabilitation center discharge diagnosis: s/p fall 1. right shoulder dislocation. 2. bilateral superior rami fractures 3. duodenal ulcer 4. acute blood loss anemia discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: * you were admitted to the hospital after falling and you sustained a dislocated right shoulder and a fractured pelvis. unfortunately these injuries and be both painful and limit your ability to get around. for that reason we are sending you to rehab to help increase your strength and mobility. * you can wear a sling on your right arm for comfort and you should elevate your right arm on pillows when in bed to help decrease the swelling. * your pelvic bones will heal in time. you can stand and bear weight as long as the pain is bearable. the physical therapist will get you up and walking as soon as you can tolerate it. take enough pain medication to be comfortable. * you also had a duodenal ulcer which is healing. do not take any ibuprofen, motrin, advil, aleve or any other non steroidal anti inflammatory drugs. do not resume your aspirin. * continue to try to eat more and take protein shakes to help heal your broken bones. * if you have any increased pain or any new symptoms that concern you please call your doctor to the emergency room. followup instructions: call the clinic at for a follow up appointment in 2 weeks. call dr. after you return home from rehab for a full evaluation procedure: other endoscopy of small intestine arterial catheterization closed reduction of dislocation of shoulder central venous catheter placement with guidance diagnoses: anemia, unspecified pure hypercholesterolemia urinary tract infection, site not specified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other constipation personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits do not resuscitate status chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction unspecified gastritis and gastroduodenitis, without mention of hemorrhage disorder of bone and cartilage, unspecified ulcer of esophagus without bleeding closed fracture of pubis noncollision motor vehicle traffic accident while boarding or alighting injuring passenger in motor vehicle other than motorcycle dementia, unspecified, without behavioral disturbance closed anterior dislocation of humerus 

Answer: The patient is high likely exposed to