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: weakness, black stool major surgical or invasive procedure: egd, capsule endoscopy history of present illness: 73yo m with cad s/p cabg and pci, diastolic hf, af, mechanical avr, who is transferred from for low hct from gib. patient had been feeling week for about 2 weeks and woke up feeling unsteady on the day of admission. he called his pcp and was prompted to go to . vital signs were stable. his labs there were: hct 14.1, guiac pos, pt42.8 inr 4.7, nml ce, bnp 285. he was given protonix and 2 u of prbc and 5mg vit k and 2uffp. on arrival to ed, his vital signs were t98 p71 bp113/74 r20 100% on ra. he again received 5mg vit k and 4u ffp. patient refused ng lavage. gi evaluated the patient. on review of system, patient noted dark brown stool for the past 2 weeks but no brbpr/hemetemesis. patien denies nsaid use. patient claims that he had inr checked 2 weeks ago and it was 4. he had shingles 6 weeks ago, had been on abx for several days and also had been using propoxyfene. no change in dietary habits. had not had abdominal pain, nausea or diarrhea. he currently denies cp, palpitation, dizziness, urinary problems, . reports doe today. past medical history: # cad s/p cabg (lima>>>lad, svg>>>/om/d1/rca) ; recently stented 3des # diastolic heart failure with hypertension and hyperlipidemia # gib -1/06egd / colonoscopy:erosive gastritis, while colonoscopy showed diverticulosis, ectasias in rectum, mild radiation proctitis, and grade one hemorrhoids. 2nd episode: egd showed gastritis and ulcers with unremarkable biopsy. 3rd episode: egd show gastritis. patient suppose to get capsule study but never followed up. # st. mechanical avr in # atrial fibrillation noted 1 month ago, cardioverted # prostate ca s/p lupron tx # gout # 4.4 cm aaa, last imaged # prior etoh abuse (a case of beer a day). he stopped drinking heavily about 8-9 years ago gib after drinking an excess amount of alcohol, endoscopy revealing several stomach ulcers, s/p 6 units prbc. # cataracts, s/p surgery bilaterally # borderline glaucoma # hematuria approximately 6-7 months ago (currently consulting with a urologist and oncologist). patient reports having a cystoscopy that was unremarkable.) # hx of cellulitis of right leg # hx of mild hepatitis # recent shingles social history: retired worker at where he was exposed to microwaves and various heavy metals. smoked 3 packs/day x 10-12 years, quit approximately 35 years ago. etoh (as above). no drug use. family history: father died of cad at age 65. physical exam: t97.6 p72 bp142/72 r18 100% on 2l gen- nad, pleasant heent- anicteric, perrla, eomi, mmm, neck supple, jvd up to angle of mandible cv- rrr, sem at lusb, mechanical valve click, no rubs resp- crackles l>r, no accessory muscle use - soft, nontender, nondistended ext- no edema pertinent results: 06:45am blood wbc-7.0 rbc-3.93* hgb-9.7* hct-31.3* mcv-80* mch-24.7* mchc-31.1 rdw-18.2* plt ct-265 06:10am blood wbc-7.9 rbc-3.80* hgb-10.0* hct-31.4* mcv-83 mch-26.4* mchc-31.9 rdw-18.5* plt ct-226 04:30pm blood wbc-7.1 rbc-2.40*# hgb-5.8*# hct-17.9*# mcv-75* mch-24.2* mchc-32.4 rdw-18.3* plt ct-244 08:00am blood pt-25.3* ptt-72.0* inr(pt)-2.6* 10:31pm blood pt-21.3* ptt-100.0* inr(pt)-2.1* 04:00pm blood pt-18.2* ptt-117.6* inr(pt)-1.7* 08:44pm blood pt-25.1* ptt-32.0 inr(pt)-2.5* 07:00am blood glucose-126* urean-12 na-137 k-3.3 cl-98 hco3-29 angap-13 08:44pm blood glucose-114* urean-30* creat-0.9 na-144 k-3.8 cl-108 hco3-27 angap-13 07:50am blood calcium-8.5 phos-3.1 mg-1.9 cardiology report ecg study date of 3:48:26 pm sinus rhythm with first degree atrio-ventricular conduction delay and flat p waves. non-diagnostic repolarization abnormalities. compared to the previous tracing of no major change. read by: , intervals axes rate pr qrs qt/qtc p qrs t 71 240 88 444/466.14 59 31 16 ap chest xr: heart size is at upper limits of normal. median sternotomy wires and surgical clips are again noted. pulmonary vasculature is unremarkable. there is elevation of the left hemidiaphragm with associated left basilar atelectasis. no definite pleural effusions are identified. osseous and soft tissue structures are unremarkable. impression: no overt chf. capsule endoscopy report patient name: id: birth date: gender: male referred by: test date: reason for referral: this patient is referred by dr. and dr. for evaluation of gi bleeding procedure data: height: 68.0 inches. weight: 150 lbs. waist: 34.0 inches. build: normal. gastric passage time: 0h 10m. small bowel passage time: 6h 7m. procedure info & findings: 1. poor preparation in the majority of the small bowel summary & recommendations: summary: 1. poor preparation in the small bowel precluded a complete evaluation of the small bowel 2. otherwise normal small bowel capsule endoscopy recommendations: 1. follow hct/hgb. 2. follow up with referring physician small bowel enteroscopy: findings: esophagus: mucosa: normal mucosa was noted. stomach: mucosa: normal mucosa was noted. duodenum: mucosa: normal mucosa was noted. jejunum: mucosa: normal mucosa was noted. ileum: not examined. impression: normal mucosa in the esophagus normal mucosa in the stomach normal mucosa in the duodenum normal mucosa in the jejunum additional notes: no source of bleeding found in upper gi tract to mid jejunum. all sites well visualized. will procede with inpatient capsule study at this point. continue ppi. brief hospital course: 1) acute blood loss anemia / gi bleed: admission hct 16. he was admitted to the icu and transfused prbc and ffp. egd done in icu identified no source of bleeding. colonoscopy done in showed diverticulosis, rectal angioectasia, and grade i hemorr. capsule endoscopy was the performed. though the prep was fair, no bleeding lesions were identified. the hemoglobin remained stable and at that time anti-coagulation was restarted with iv heparin drip and warfarin. (for mechanical valve). the bleed was presumed to be precipitated by asa, plavix, and a supra-therapeutic inr. after discussion between dr , hospitalist attending and the patient's cardiologist, plavix was stopped as the stents were placed in . asa and warfarin continued. . 2) avr/st. jude's valve: - careful anticoagulation was started and inr goal of 2.5-3.5 was achieved. iv heparin coverage was maintained during this time. no signs of bleeding noticed and hematocrit remained stable. 3) cad s/p stent: after, initially holding the meds, all meds were restarted slowly and titrated to the hoem dose. on asa. plavix stopped (refer above) dr. agreed that plavix should be d/c'd for now given s/p 6 mos stenting (cypher, drug-eluting) and life-threatening gi bleed. . 4) diastolic chf (ef 60% 1/06): remained stable, medications continued. . 5) h/o afib: currently in sinus rhythm; continue beta-blocker and amiodarone. on anticoagulation. . 6) postherpetic neuralgia: left neck; oxycodone prn, lidocaine patch . 7) h/o aaa: stable aaa without any evidence of rupture / compromise on cta . no abdmonial pain or any other symptoms. bp well controlled. . 8) gout: no active issues; continued allopurinol. medications on admission: atorvastatin 40 mg furosemide 40 mg toprol xl 50 mg amiodarone 200 mg qd ferrous sulfate 325 clopidogrel 75 mg protonix 40 mg quinapril 20 mg zolpidem 5 mg sucralfate 1 g qid allopurinol 200 mg aspirin 81 mg warfarin 4 mg gabapentin stopped last night discharge medications: 1. atorvastatin 20 mg tablet sig: two (2) tablet po daily (daily). 2. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 3. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 4. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 5. sucralfate 1 g tablet sig: one (1) tablet po qid (4 times a day). disp:*120 tablet(s)* refills:*2* 6. allopurinol 100 mg tablet sig: two (2) tablet po daily (daily). 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 8. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 9. oxycodone 5 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 12. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 13. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 14. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 15. quinapril 20 mg tablet sig: one (1) tablet po daily (daily). 16. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 17. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: acute blood loss anemia coronary artery disease s/p stenting congestive heart failure atrial fibrillation post-herpetic neuralgia gout h/o abdominal aortic aneurysm discharge condition: stable discharge instructions: 1. take all your medications that you were taking before coming to the hospital , except plavix. plavix has been stopped after discussion with your cardiologist because of the risk of bleeding. 2. the dose of warfarin had been increased and you should take 5 mg once daily. the inr goal is 2.5-3.5. 3. please get blood tests for inr and cbc done on monday . (instructions provided). please contact your doctor to get the results checked. 4. return to the emergency room or call your doctor if you notice any bleeding, black stool, chest pain, shortness of breath. 5. make an appointment with your primary doctor in the next 1 week. 6. also make an appointment with your cardiologist in the next 2-4 weeks. the appointment with your gastroentrologist has been made for you. followup instructions: provider: . phone: date/time: 1:00 gastroentrology: dr , l () at 1pm primary care - dr - your doctor is on vacation but will return on . please make an appointmet to see him next week for follow up of your blood tests. cardiology - make an appointment with your cardiologist in the next 2 weeks. procedure: other endoscopy of small intestine diagnoses: abnormal coagulation profile congestive heart failure, unspecified acute posthemorrhagic anemia atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status heart valve replaced by other means hemorrhage of gastrointestinal tract, unspecified diastolic heart failure, unspecified herpes zoster with other nervous system complications 

Answer: The patient is high likely exposed to