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: penicillins attending: chief complaint: vaginal bleeding major surgical or invasive procedure: dilation and curretage transfusion of 6 units of packed red blood cells history of present illness: the patient is a 50 y/o f with no significant pmhx who is being admitted for profuse vaginal bleeding. . the patient began to note vaginal bleeding at home last night, which was the 3rd day of her period, though she was two weeks late this month. bleeding was significant enough at home that she had to change pads every 20 minutes and ultimately had a syncopal episode at home this morning. she initially presented to the ed at bidn, where she was noted to have a hct of 26 (from baseline in the 40's). systolic blood pressures there were 80s-90s. she complained of lightheadedness and mild vaginal cramping. she denied any injuries associated with her syncope. she was transferred here for gyn evaluation. . of note, patient reports that her periods are normally every 30 days with moderate to heavy flow. over the past two months, she has been irregular with intermittent spotting. no prior history of gyn problems or excessive vaginal bleeding. . on arrival to the ed here, her vs were 82 120/70 100%. at that time, she complained of worsened lightheadedness. on examination, she was noted to have a large amount of blood in the vaginal canal, comprised of clots as well as brb. +orthostatics. ob/gyn was consulted and evaluated the patient as well. a large clot as well as ~ 100 cc of brb was removed on pelvic exam. labwork revealed a hematocrit of 21. while in the emergency department, she became pale and lightheaded, with blood pressure drop to 70/40. she was rapidly transfused 2 units of prbcs (in addition to 4l ns already given), with improved in her sbp's to the 100's. she was given 30 mg of provera. vs prior to admission were 70 110/60 18 98%ra. . on the floor, the patient's initial vs were 98.3 113/67 82 99%ra. she reports that she feels better after the 2 units of prbcs in the ed. denies any abdominal pain. denies any recent fevers or chills. no history of bleeding problems. reports that she did fall to the ground this morning when she passed out but does not believe that she hit her head. does not know how long she was unconscious. past medical history: hypertension depression s/p 3 uncomplicated vaginal deliveries, the second of which required pitocin for postpartum bleeding. social history: denies tobacco. drinks 3-4 glasses of wine a day. no illicit drug use. works as a first grade teacher. family history: no family history of gyn problems. family history of bleeding problems. positive family history of htn and tia. physical exam: general: alert, oriented, no acute distress, slightly pale appearing heent: sclera anicteric, perrl, eomi, conjunctival pale, mmm, oropharynx clear. no petechiae or ecchymoses on mucous membranes. neck: supple, jvp not elevated lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: borderline tachycardia, regular rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: pads and panty on, but draining bright red blood. ext: warm, well perfused, 2+ dp pulses, no clubbing, cyanosis or edema, no calf tenderness neuro: cn 2 - 12 grossly intact. sensation intact. upper extremity strength 5/5. pertinent results: 1. labs on admission: 04:00pm blood wbc-9.5 rbc-2.75* hgb-7.1* hct-21.6* mcv-79* mch-25.9* mchc-32.9 rdw-16.4* plt ct-204 04:00pm blood pt-13.4 ptt-20.3* inr(pt)-1.1 01:10am blood fibrino-141* 04:00pm blood glucose-97 urean-15 creat-0.6 na-137 k-4.0 cl-105 hco3-21* angap-15 01:10am blood calcium-6.7* phos-2.9 mg-1.8 01:10am blood tsh-4.5* 04:00pm blood hcg-<5 . 2. labs on discharge: 06:42am blood wbc-7.6 rbc-3.20* hgb-9.1* hct-26.7* mcv-84 mch-28.5 mchc-34.1 rdw-15.6* plt ct-131* 12:19pm blood wbc-8.2 rbc-3.26* hgb-9.4* hct-26.8* mcv-82 mch-28.7 mchc-35.0 rdw-15.7* plt ct-123* 06:42am blood pt-12.8 ptt-23.3 inr(pt)-1.1 03:35pm blood pt-13.1 ptt-25.2 inr(pt)-1.1 12:19pm blood glucose-114* urean-11 creat-0.6 na-138 k-3.4 cl-109* hco3-23 angap-9 12:19pm blood calcium-7.1* phos-2.0* mg-1.7 . 3. imaging/diagnostics: - abdominal ultrasound (): 1. large likely clot demonstrated in dilated vaginal vault. recommend gyn consultation and follow-up ultrasound to resolution and possible tissue sampling to exclude a component of carcinoma. 2. small posterior uterine fibroid. 3. normal ovaries. brief hospital course: 50 y/o f with no significant pmhx who is being admitted to the for profuse vaginal bleeding with hypotension. in this perimenopausal woman with no trauma history or bleeding disorder, the etiology is most likely anovulatory/perimenopausal bleeding from unopposed estrogen. ultrasound showed blood/clot in the vagina vault with a posterior fibroid. hct down to 21 in the ed from baseline line of 40s. currently hemodynamically stable with sbp in the 110s, but was as low as 70s in the ed with orthostatic symptoms. received 2 units of prbc as well as 30 mg po medroxyprogestrerone acetate. gynecology was consulted, evaluated the patient and recommended stabilizing her hemodynamically before considering d&c. she continued to be transfused overnight, for a total of 6 units prbcs. she was kept npo for possible operative intervention. her laboratory studies were carefully followed to evaluate for dic. the following morning, her blood pressure remained stable and inr was 1.2. she was taken to the or afor a d&c. please see operative note for details. theprocedure was uncompliacted. post-operatively, her vaginal bleeding ceased. her pain was controlled, her vital signs stable, hematocrit stable, she ambulated and urinated without difficulty. she was discharged to home in stable condition with follow-up. medications on admission: - aspirin delayed release 81 mg po qd (recently started) - hctz 12.5 mg po qd (recently started) - zoloft 100 mg po qd discharge medications: 1. ibuprofen 600 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 2. iron (ferrous sulfate) 325 mg (65 mg iron) tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: anovulatory bleeding acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for heavy vaginal bleeding thought to be due to anovulatory cycles. you required blood transfusion and admission to the icu due to low blood pressure. a d&c was performed to help control the bleeding. you are now ready to go home. please take your medications as prescribed. please follow-up as directed for the pathology results from your d&c. you will also need to monitor your bleeding carefully and call if you fill more than 1 pad in an hour. followup instructions: please call your obgyn for a follow-up appointment within the next month. call to follow up in with dr. or dr. . dr. did your surgery and her office number is . dr. saw you after your surgery and her office in is . if you wish to follow up with dr. in , the office number is . procedure: other dilation and curettage diagnoses: unspecified essential hypertension acute posthemorrhagic anemia depressive disorder, not elsewhere classified personal history of other malignant neoplasm of skin other specified noninflammatory disorders of vagina orthostatic hypotension premenopausal menorrhagia 

Answer: The patient is high likely exposed to