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: egd with variceal banding history of present illness: this is a 62 yo male with a pmh of etoh abuse, htn, and depression who presents with c/o bloody emesis. the pt states that he began to vomit dark red emesis about 8-10 times a day starting 4 days ago. he has also noted dark tarry loose stools occuring 3-4 times a day over the past 3 days. he denies associated abdominal or chest pain. he has been unable to keep down food or water over the past several days due to frequent emesis. he states he normally drinks 3-4 pints of beer 4 days a week, with his last drink being 4 days ago. he takes aleve 3 times a week for arthritis. he has felt lightheaded over the past 3 days, with difficulty ambulating due to weakness. he admits to a syncopal episode today while walking back to his bed. he states he fell to the ground with no warning signs, and passed out for only seconds. he did not feel confused after this episode, and he denies loss of stool or urine. he denies any recent f/c/s, weight changes, h/o etoh withdrawl, h/o etoh withdrawl seizures, chest pain, palpitations. in the ed, the pts vitals were: tm 98.0, hr 99-122, bp 84-161/30-68, r 19-26, sat 96-100% 4lnc. he was found to have 500 cc of bright red blood from an ngt that was placed, melena which turned into brbpr. he received 2 units of prbc, 4 l of ns, and 1 unit of ffp. he also received protonix 40 mg iv x1, cipro 400 mg iv x1, octreotide 100 mcg bolus and then 25 mcg/hr, and zofran 4 mg ivx1. . on ros, the pt admits to sob with walking up 2 flights of stairs over the past several months. . on admission to the icu, the pt underwent egd where grade ii non-bleeding varices were visuallized, and a clot in the antrum was visualized. he had no evidence of active bleeding, and 4 varices were banded past medical history: -recent motor vehicle accident -history of ethanol abuse -hypertension -depression social history: social history: the pt does not smoke cigarettes, but he smokes 10 cigars a month. he drinks reports recently 14 beers/week but none 7d prior to admit. he notes remote mj use (40 years ago) but no other illicit drug use. he is a retired seller of printing presses. he lives alone. family history: family history: mother 98, h/o some type of cancer resected 30 years ago, 1 brother 68 s/p mi x2, brother 70 healthy. physical exam: vs: temp: 98.2 bp 129/68 p 97 r 25 sat 99% on 4 l nc gen: pleasant, pale, fatigued, mildly yellow skin heent: perrl, eomi, +icteric sclerae, dry mm, op without lesions neck: no supraclavicular or cervical lymphadenopathy, no jvd, no carotid bruits, no thyromegaly or thyroid nodules resp: cta b/l with good air movement throughout cv: rr, s1 and s2 wnl, no m/r/g abd: nd, hypoactive bs, soft, nontender, liver percussed at 5 cm below costal margin, no splenomegaly on exam ext: no c/c/e, warm, good pulses skin: no rashes, mild jaundice neuro: oriented x3, no asterixis. rectal: red blood in ed . pertinent results: hematology 04:40pm blood wbc-14.5*# rbc-2.56*# hgb-9.8*# hct-29.4*# mcv-115*# mch-38.2* mchc-33.2 rdw-14.1 plt ct-174# 10:00pm blood wbc-7.3 rbc-2.49* hgb-8.5* hct-25.6* mcv-103*# mch-34.3*# mchc-33.3 rdw-22.7* plt ct-69*# 04:00am blood wbc-3.4* rbc-2.60* hgb-9.0* hct-25.7* mcv-99* mch-34.6* mchc-35.1* rdw-20.5* plt ct-61* 04:20am blood wbc-3.7* rbc-2.71* hgb-9.3* hct-27.0* mcv-100* mch-34.4* mchc-34.5 rdw-20.4* plt ct-60* coagulation 04:20am blood pt-17.0* ptt-36.0* inr(pt)-1.5* 04:40pm blood pt-20.4* ptt-36.1* inr(pt)-1.9* 10:00pm blood pt-18.9* ptt-34.6 inr(pt)-1.7* 08:00am blood pt-18.7* ptt-37.5* inr(pt)-1.7* chemistries glucose-170* urean-54* creat-2.7*# na-147* k-3.2* cl-92* hco3-26 glucose-176* urean-54* creat-2.7* na-146* k-3.4 cl-100 hco3-31 glucose-150* urean-61* creat-2.5* na-143 k-3.6 cl-102 hco3-35* glucose-112* urean-13 creat-0.8 na-136 k-3.6 cl-104 hco3-24 04:40pm blood alt-35 ast-96* ck(cpk)-107 alkphos-67 totbili-6.5* dirbili-3.8* indbili-2.7 10:00pm blood alt-34 ast-74* ld(ldh)-189 ck(cpk)-89 alkphos-55 totbili-4.7* 04:20am blood alt-72* ast-140* alkphos-82 totbili-2.8* 04:40pm blood albumin-2.9* calcium-8.8 iron-166* iron 04:40pm blood caltibc-185* vitb12-593 folate-5.9 ferritn-614* trf-142* hepatitis serologies/afp 10:00pm blood hbsag-negative hbsab-positive hbcab-negative 04:00am blood afp-3.4 10:00pm blood hcv ab-negative tox 04:40pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg ecg: nsr (92), left axis (-24), nl intervals, no st abnormalities. . egd varices at the distal esophagus, band ligation was successfully performed blood clot in the gastric fundus no active source of bleeding was noted . cxr : in comparison with the study of , there is little overall change. again there is somewhat low lung volumes with bibasilar atelectatic change. the possibility of a more focal consolidation at the base cannot be excluded. . ruq us : 1. the liver shows no textural or focal abnormality. small amount of ascites is present. 2. gallbladder contains sludge and stones. no evidence of acute cholecystitis. . tte : the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). there is no left ventricular outflow obstruction at rest or with valsalva. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. . cxr: bibasilar atelectasis brief hospital course: variceal bleed in the ed, he was transfussed 2uprbc's, 1 uffp, and given 4l ns. he was started on octreotide and iv ppi. he had ngt placement with 500cc bloody return and melena->brbpr. he was then transferred to micu for egd which showed grade ii non-bleeding varices, clot in stomach, and had 4 varices banded. he remained hd stable (sbp 120-140, hr 80's, sat mid 90's on 2-3l nc) and hct remained stable: 26-27. the octreotide drip was stopped. he will need to return for repeat banding procedure by egd on . he was placed on nadolol for secondary prevention. he was placed on levofloxacin and carafate for a 10 day course, to stop . cirrhosis the patient will need to follow-up with a hepatologist, dr. , here at . baseline afp was checked and was 3.4. fevers pt experienced low grade fevers when transferred to the floor. cultures of urine and blood were negative for growth, and cxr showed atelectasis but no infiltrate. he was treated with ciprofloxacin initially with the gib and this was switched to levofloxacin to complete a 10d course on . his fevers are presumed to be due to atelectasis as all cultures remain negative and his only localizing symptom is a cough. acute renal failure most consistent with pre-renal azotemia as cr improved to 0.8 on discharge. thrombocytopenia the patient dropped his platelet count during this admission, most likely due to heavy consumption. alcohol abuse patient met with social work, and has agreed for inpatient rehab. he was directed that he must never drink alcohol again. medications on admission: aleve 3 times/week for arthritis, no supplements or mvi discharge medications: 1. sucralfate 1 gram tablet sig: one (1) tablet po qid (4 times a day) for 6 days. 2. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed: limit = 2gm/day. 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 5. hexavitamin tablet sig: one (1) cap po daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 7. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily (daily). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 9. nadolol 20 mg tablet sig: two (2) tablet po daily (daily). 10. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 5 days. tablet(s) discharge disposition: extended care facility: hospital - discharge diagnosis: primary: esophageal variceal bleeding portal hypertension secondary: cirrhosis acute renal failure discharge condition: hemodynamically stable, pain free. discharge instructions: you were admitted for an upper gi bleed caused by varices, enlarged veins around the esophagus. you were transfused blood, and treated with a banding procedure. you will need to return for this procedure again. this bleed is a result of cirrhosis, a scarring condition of the liver caused by excessive alcohol use. as such, you must never drink alcohol again. you were placed on several medicines to manage your cirrhosis, as well as several vitamins. please continue taking these as prescribed. please call your pcp or return to the nearest er if you have fever >101, chills, shortness of breath, worsening cough, vomiting blood, nausea, vomiting, black stools >1 week, abdominal pain, or any other worrisome symptoms. followup instructions: repeat egd provider: , md phone: date/time: 12:30 provider: west,room one gi rooms date/time: 12:30 * npo past midnight the day prior. * report to 8 at 11:30 am. * must be accompanied and have ride home provider: , call to schedule appointment please also follow-up with your pcp upon discharge as your fingersticks (glucose level) have been elevated during your admission. you may have diabetes and this ought to be addressed by your pcp. md procedure: diagnostic ultrasound of heart insertion of other (naso-)gastric tube endoscopic excision or destruction of lesion or tissue of esophagus esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells transfusion of other serum diagnoses: thrombocytopenia, unspecified tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia alcoholic cirrhosis of liver acute kidney failure, unspecified portal hypertension depressive disorder, not elsewhere classified pulmonary collapse family history of ischemic heart disease esophageal varices in diseases classified elsewhere, with bleeding hyperosmolality and/or hypernatremia other and unspecified alcohol dependence, unspecified acute alcoholic hepatitis family history of unspecified malignant neoplasm 

Answer: The patient is high likely exposed to