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: iodine-iodine containing / codeine / zoloft attending: chief complaint: abdominal pain, hematemesis, diverticulitis, tremor/myoclonus major surgical or invasive procedure: intubation central line intubation history of present illness: 74 year old female who initially presented with abdominal pain, and an abdominal ct in the ed was significant for concern for diverticulitis/colitis at the splenic flexure with some concern for chronic mesenteric ischemia. she was occult blood positive on rectal exam. she was started on ciprofloxacina and metronidazole in the ed. she also notes that the day prior to admission she had nasuea and vomitting after drinking some water. she was also noted with a whole body coarse tremor, with occaisional myoclonic jerking motions. the family notes this has begun within the last 3 months, with initiation of steroids for her ild, but markedly worsened over the last several weeks. this has also been accompanied with some cognative decline and some delerium. a neurology consult was obtained. the morning after admission however during rounds she proceeded to have frank hematemesis. nasogastric lavage was performed with return of approximately 500ml of blood. the patient has been undergoing workup and treatment for interstitial lung disease of unknown etiology. she also has a history of supraventricular tachycardia, and has been on antyarrythmics for over 10 years. past medical history: cad - 40% mid lad on cath in , stress echo hyperlipidemia tobacco dependence gastritis copd - pfts fvc 75% fev1 89% fvc/fev1 118% interstitial lung disease - uip vs nsip on prednisone svt on flecainide since 's aaa, <4cm followed by dr. at restless leg syndrome low back pain social history: she is a widow. her two children currently reside in . previously worked as a cafeteria manager in the school system. no etoh or drug use. active smoker: cigarettes/day, max history 10/day. requires helps for adls. walks with walker at baseline. family history: mother - stroke; father - stroke; brother - cad at age 65 physical exam: ros: gen: - fevers, - chills, - weight loss eyes: - photophobia, - visual changes heent: - oral/gum bleeding cardiac: - chest pain, - palpitations, - edema gi: + nausea, + vomitting, + diarhea, + abdominal pain, - constipation, - hematochezia, + hematemasis pulm: - dyspnea, + cough, - hemoptysis heme: + bleeding, - lymphadenopathy gu: - dysuria, - hematuria, - incontinence skin: - rash endo: - heat/cold intolerance msk: - myalgia, - arthralgia, - back pain neuro: - numbness, - weakness, - vertigo, - headache physical exam: vss: tmax 101.2, t 101.2, 118/60, 75, 18, 96%2l gen: nad pain: 0/10 heent: eomi, mmm, - op lesions pul: fine crackles bibasilar cor: rrr, s1/s2, - mrg abd: obese, nt, nd, +bs, - cvat, - rebound, - guarding ext: - cce neuro: caox2, coarse motor tremor, worse in le, myoclonic jerks every 1-2 minutes involving all extremities, motor ue/le/finger spread pertinent results: 07:00am blood wbc-10.1 rbc-3.31* hgb-11.2* hct-33.2* mcv-100* mch-33.7* mchc-33.7 rdw-13.6 plt ct-218 08:00pm blood wbc-17.0*# rbc-3.86* hgb-13.0 hct-38.7 mcv-100* mch-33.6* mchc-33.5 rdw-13.7 plt ct-238 07:00am blood neuts-80.4* lymphs-17.2* monos-1.9* eos-0.1 baso-0.5 08:00pm blood pt-12.8 ptt-20.0* inr(pt)-1.1 07:00am blood glucose-96 urean-33* creat-1.8* na-135 k-4.8 cl-101 hco3-26 angap-13 08:00pm blood glucose-109* urean-34* creat-2.0* na-136 k-5.0 cl-97 hco3-24 angap-20 07:00am blood ld(ldh)-210 08:00pm blood alt-33 ast-40 ck(cpk)-32 alkphos-105 totbili-0.3 07:00am blood albumin-3.2* calcium-8.4 phos-5.1* mg-1.7 ct head w/o contrast study date of 2:35 am impression: 1. no acute intracranial abnormality. 2. chronic microangiopathic ischemic disease and age-related involutional changes. ct abd & pelvis w/o contrast study date of 9:39 pm wet read audit # 3 mlhh wed 10:22 pm ltd w/o iv contrast. fat stranding around dist tv colon and splenic flexure suggests acute colitis or diverticulitis. fluid-filled large and small bowel loops suggesting reactive ileus or superimposed gastroenteritis. relatively featureless bowel could be seen in chronic mesenteric ischemia. mod hiatal hernia. severe emphysema. roughly stable infrarenal aaa msr 3.3 cm. brief hospital course: #. hypoxic resipratory failure: the patient was transferred to the floor after her gi bleed was explored and treated with an endoscopy done by the gi service as described below. two days after she was transferred to the floor, the patient was ambulating with physical therapy. afterwards she developed hypoxic respiratory failure becoming tachypneic, with low oxygen saturations. she was triggered on the floor also for her hypotension. she was transferred back to the icu. the patient was placed on non-rebreather mask and continued to have oxygen saturations in the low 90s. she developed fatigue and stated that she was tired. she also started having changes in her mental status becoming more somnolent. the patient's family as well as the patient had discussion about code status. it was determined that she was okay to be resucitated and intubated however the patient did not want prolong intubation. she was intubated for airway protection. a central line was also placed for cvp monitoring as well as pressor administration. she was kept on pressors. the patient was maintained on the ventilator and was given diuresis as well as antibiotics with limited clinical improvement. on the second day after intubation, the decision was made to terminally extubate the patient and make the patient cmo with all family members present. the patient was extubated and in 2 hours because asystolic with no pulses or respirations. the patient's family declined autopsy. neob was notified. the patient was transferred to the morgue. . #. acute blood loss anemia due to gi bleeding. high risk for gib given long term prednisone, aspirin, and aspirin containing medications. patient was found to have reddish-brown coffee ground hematemesis. hct was noted to have dropped about 5 points but also in the setting of getting maintenance fluid since admission. ngt was placed with continuous brown-red aspirate of about 500cc as gi was called to evaluate patient for likely upper gib, such as - tear, given recent retching, nausea, and vomiting prior to admission. no bm since admission. she has active type and screen until , and a second iv was placed (18g, 20g). aspirin containing medications were stopped. she received bolus of pantoprazole then transitioned to drip. micu was called to evaluate for patient given active bleeding and need for urgent endoscopy by gi with anesthesiology for possible need for mac. plan to have at least q8h hct check with 2 units of crossmatched prbc standby. she was transferred to the micu and underwent endoscopy, which showed + erosive esophagitis. she was kept on high dose ppi with the plan to have repeat endoscopy in 8 weeks. . #. ischemic colitis. history is somewhat difficult to obtain from patient. initial read of ct abd/pelvis suggested diverticulitis and then later read as colitis. she was placed on ciprofloxacin and metronidazole empirically, and kept npo initially. she was noted to have diffuse tenderness in her abdomen during round with + guarding. surgery was consulted prior to her transfer to the micu. she was transferred back on unasyn and flagyl, with unclear reason to the change from and flagyl, ? concern for c. diff, but c. diff was negative. mra/mri showed suggestive of acute on chronic ischemic colitis. the patient was evaluated by the surgical service previous to be a poor operative candidate and would unlikely be able to tolerate the procedure. it was felt likely that the gi bleed which was the original chief complaint was caused by the ischemic colitis. #. acute renal failure. likely in the setting of acute bleeding. iv hydration. renally dose medications. held lisinopril. avoid nephrotoxins. # spastic movement- per daughter, new over past few days. strength intact, and left lower extremity weakness at baseline after spine surgery per patient. no confusion. given spastic movements, recent falls will pursue ct head to rule-out subacute process such as subdural. general weakness worsened while on prednisone, concerning for steroid induced myopathy. ck nl. neurology was consulted and was unclear to the cause of her myoclonus because her symptoms reportedly resolved prior to the discontinuation of her prednisone. her prednisone was discontinued by micu team after their discussion with her primary pulmonologist. pt consult. #. interstitial lung disease. continue on steroid initially. however, given the tremor and myoclonus, there was a concern that these involuntary movements were induced/exacerbated by the steroid. given the concern and after discussion between micu and primary pulmonologist, her prednisone was stopped. she continued on home inhalers and was kept on supplemental o2 while in house. #. copd. continue albuterol nebs, spiriva, symbicort #. cad native vessle. holding aspirin given acute gib. once stabilized, can restart aspirin. continue statin and betablocker. hold ace inhibitor given arf. nitroglycerin prn. #. supraventricular tachycardia. continue flecainide. check ecg for prolonged qtc. #. mental health. continue citalopram. # fen: ns at 125cc/h overnight / replete lytes prn / npo # ppx: heparin sq, bowel regimen # access: piv # code: presumed full # contact: patient, daughter . r . medications on admission: - symbicort (nedsonide-formoterol) 1 puff daily - firoicet daily prn headache - citalopram 40 mg qhs - flecainide 100 mg q8h - neurontin 800 mg - lisinopril 5 mg daily - metoprolol tartrate 100 mg - nitrospray prn - oxycodone 5 mg tid-qid prn breakthrough pain - oxycodone/acetaminophen 2 tabs qid for pain - prednisone 10 mg daily - rosuvastatin 40 mg daily - bactrim ds 1 tab qmwf - spiriva 18mcg 1 puff daily - asa 81 mg daily - calcium 600 + vitamin d 200 daily - colace 100 mg daily prn constiptation - multivitamin daily discharge disposition: expired discharge diagnosis: na discharge condition: na discharge instructions: na followup instructions: na md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified other endoscopy of small intestine insertion of endotracheal tube other electric countershock of heart arterial catheterization closed [endoscopic] biopsy of bronchus diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery tobacco use disorder toxic encephalopathy acute posthemorrhagic anemia acute kidney failure, unspecified unspecified septicemia severe sepsis chronic airway obstruction, not elsewhere classified atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia acute respiratory failure other specified cardiac dysrhythmias septic shock postinflammatory pulmonary fibrosis do not resuscitate status hematemesis abdominal aneurysm without mention of rupture chronic vascular insufficiency of intestine other esophagitis diverticulitis of colon (without mention of hemorrhage) other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to