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: gi bleed major surgical or invasive procedure: endoscopy colonoscopy history of present illness: ms. is an 88 year old female with a history of breast cancer, cad s/p cabg, dm2, htn, and diverticulosis on recent colonoscopy (otherwise normal by report) who is being transferred from in the setting of gi bleeding. she initially presented to on with dark maroon stools. she was admitted to the icu and gi was consulted. an egd was performed which showed no evidence of active bleeding but did show a hiatal hernia. slightly irregular mucosa was also noted at the sc juntion; coffee grounds were also noted in the stomach with 1+ duodenitis. initial hb 8 -> 3 units prbcs -> hb 10. however, she has had recurrent episodes of rectal bleeding, now with bright red blood. hb 10 -> 8 after multiple episodes of bloody stools. she has denied chest pain, sob, lightheadedness, nausea, or abdominal pain throughout her admission. she has remained hemodynamically stable throughout. her most recent vitals prior to transfer, she was afebrile, 141/46, 62, 18 98% ra. she has 1 18g piv and 1 20g piv at time of transfer. in the ambulance, bps ranged 120s-170s systolic. her 2nd u prbcs was hanging on transfer. . on arrival to the icu, the patient was evaluated by the surgical consult team. she complains of right shoulder pain. she denies any abdominal pain, chest pain, difficulty breathing, dizziness/lightheadedness, or dysuria. she recalls that she has had dark stools but cannot give a timeline as to their occurrence. past medical history: # breast cancer s/p radical mastectomy ~ 30 years ago # dm2 # cad s/p cabg (~) # chronic renal insufficiency (baseline cr 1.2-1.5) # diverticulitis in # htn # hyperlipidemia # anxiety/depression # glaucoma # h/o pulmonary nodules # s/p cholescystectomy/appendectomy # h/o dysautonomia with postural hypotension # s/p pacemaker (st. ) # h/o tia social history: lives at . denies any current alcohol, tobacco, drugs. smoked many years ago. family history: noncontributory physical exam: t: 98.3 bp: 165/69 hr: 68 rr: 24 o2 99% ra gen: pleasant elderly female in no distress heent: no scleral icterus, pupils small but reactive, eomi, tongue midline and moist neck: thin, no jvp elevation, no lymphadenopathy cv: rrr, no murmurs appreciated lungs: clear bilaterally abd: + bowel sounds, nontender to palpation, nondistended, no rebound ext: warm, well perfused, dp pulses 1+ bilaterally skin: scattered ecchymoses neuro: alert, oriented x 3 but difficult to relate specifics of admission to the hospital, face symmetric, moving all extremities without difficulty pertinent results: from osh: , 0500 wbc 6.3 hgb 8.3 / hct 24.6 plt 169 na 141, k 3.1, cl 110, bicarb 25, bun 24, cr 1.1, glucose 101 ca 8.3 . 02:33pm pt-13.2 ptt-26.6 inr(pt)-1.1 02:33pm plt count-209 02:33pm neuts-70.5* lymphs-17.9* monos-6.2 eos-4.6* basos-0.7 02:33pm wbc-7.9 rbc-3.82* hgb-12.0 hct-33.7* mcv-88 mch-31.3 mchc-35.5* rdw-14.8 02:33pm calcium-9.1 phosphate-2.8 magnesium-2.0 02:33pm estgfr-using this 02:33pm glucose-90 urea n-18 creat-1.0 sodium-144 potassium-4.0 chloride-110* total co2-26 anion gap-12 10:58pm hct-32.8* 05:30am blood wbc-7.6 rbc-3.80* hgb-11.9* hct-34.6* mcv-91 mch-31.2 mchc-34.2 rdw-14.7 plt ct-171 05:30am blood plt ct-171 06:20am blood wbc-7.5 rbc-3.49* hgb-11.0* hct-31.6* mcv-91 mch-31.6 mchc-35.0 rdw-14.8 plt ct-190 . gi bleeding study (): blood flow images show expected distribution of tracer. dynamic blood pool images show a brief linear horizontal focus of activity superior to bladder at 9 - 11 minutes, but no continued abnormal activity, and no site of bleed identified. impression: no site of bleed identified. . egd (): patient unable to cooperate, procedure aborted when the pharynx was reached. . colonoscopy (): diverticulosis of the sigmoid colon. diverticulosis of the ascending colon. polyp in the hepatic flexure. no signs of active bleeding. brief hospital course: the patient was transferred from an osh where she had melanotic stools and received 5u of prbc's for unstable hct of 24. egd at that hospital was described with findings of gastritis, duodenitis and coffee grounds.the patient was started on twice daily proton pump inhibitor. she was transferred to the micu where she had serial hct's that were stable. bleeding scan did not reveal a source of bleeding. gi consult team followed the patient. endoscopy was attempted and failed due to patient being unable to tolerate the procedure. colonoscopy was completed and revealed diverticulosis of the ascending and sigmoid colon with a polyp in the region of the hepatic flexure and no identifiable source of bleeding. it is possible that this represented divertular bleeding though another explanation cannot be excluded. her stooling changed to brown. the patient was discharged on once daily proton pump inhibitor (lansoprazole as patient requires meds that can be crushed). she requires repeat hct check weekly and these results should be discussed with a doctor if the value is less than 25. she was counselled to be seen as an outpatient by gastroenterology for consideration of capsule endoscopy. for recurrent bleeding, the patient should undergo repeat bleeding scan. on admission, the patient's home aggrenox, beta-blocker and diuretic were held. these should not be restarted until the patient discusses restarting these with her primary care doctor. aggrenox should be held for a minimum of 2 weeks. the patient had poorly controlled hypertension on admission to the osh. she was restarted on her home medications including acei with good effect. her home beta-blocker and diuretic was held in the setting of acute bleeding. renal insufficiency. cr was at or below baseline throughout admission. diabetes. the patient had hypoglycemia on a diabetic diet. her home glucotrol should be held. she should have twice daily fingerstick glucose and this can be restarted for any 2 or more consecutive values >150. cad s/p cabg. the patient continued on acei and statin throughout her hospitalization. aggrenox and beta-blocker were held in the setting of acute bleeding as described above. history of tia. as above, aggrenox was held. depression/anxiety/dementia. continued home celexa and aricept. code. while in the icu, the medical team discussed goals of care with the patient and her family. in accordance with her wishes, she was dnr/dni. the patient's daughter and hcp, was involved in the discussion. medications on admission: meds at nursing home: colace 100 mg daily lasix 20 mg daily celexa 20 mg daily glucotrol 2.5 mg daily zocor 40 mg daily vitamin b12 1000 mcg daily dulcolax 10 mg prn constipation milk of mag 30 ml prn constipation tylenol 650 mg po q6h prn vitamin d 800 u daily aggrenox 1 tab po bid ocupress 1% ophthalmologic solution to both eyes ferrous sulfate 325 mg lopressor 15 mg vitamin c 500 mg po bid aricept 10 mg qhs lisinopril 10 mg qhs . <h3><i>medications on transfer:</i></h3> ferrous sulfate 325 mg po daily lopressor 50 mg vitamin c 500 mg aricept 10 mg po qhs lisinpril 10 mg qhs protonix 40 mg daily lasix 20 mg po daily celexa 20 mg po daily glucotrol 2.5 mg daily zocor 40 mg daily vitamin b12 1000 mcg daily vitamin d 800 u daily ocupres 1% opthalmic both eyes . <h3><i>allergies:</i></h3> nkda discharge medications: 1. colace 100 mg capsule : one (1) capsule po once a day as needed for constipation. 2. held medications do not take furosemide 20mg daily, aggrenox 1 tab twice daily or metoprolol tartrate 15mg twice daily until you are seen by your primary care doctor and told to restart these. 3. citalopram 20 mg tablet : one (1) tablet po daily (daily). 4. simvastatin 40 mg tablet : one (1) tablet po daily (daily). 5. vitamin b-12 1,000 mcg tablet : one (1) tablet po once a day. 6. dulcolax 5 mg tablet, delayed release (e.c.) : two (2) tablet, delayed release (e.c.) po once a day as needed for constipation. 7. milk of magnesia 400 mg/5 ml suspension : thirty (30) ml po once a day as needed for constipation. 8. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed for pain/fever. 9. cholecalciferol (vitamin d3) 400 unit tablet : two (2) tablet po daily (daily). 10. ocupres : one (1) drop twice a day: apply ocupres 1% opthalmologic solution to both eyes twice daily. 11. ferrous sulfate 325 mg (65 mg iron) tablet : one (1) tablet po twice a day. 12. ascorbic acid 500 mg tablet : one (1) tablet po bid (2 times a day). 13. donepezil 5 mg tablet : two (2) tablet po hs (at bedtime). 14. lisinopril 10 mg tablet : one (1) tablet po at bedtime. 15. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). discharge disposition: extended care facility: & rehab center - discharge diagnosis: gi bleed, likely diverticular but source unknown hypertension coronary artery disease diabetes mellitus ii history of tia discharge condition: stable discharge instructions: you were admitted with blood in the stool. this may have been due to bleeding from a diverticulosis, or outpouching of the colon. however, no definitive source of bleeding was found. please continue to take a new medication called lansoprazole to help prevent inflammation of the stomach. please have your blood count re-checked weekly while at the nursing facility to monitor for signs of dropping blood counts. please also have your primary care doctor assist you in scheduling outpatient follow-up with a gastroenterologist. you may benefit from outpatient capsule endoscopy to try to find a source of your bleeding. take all medications as prescribed. you should not take aggrenox for at least 2 weeks, furosemide (also called lasix) or metoprolol (also called lopressor). please discuss restarting these medications with your primary care doctor. please also do not restart glucotrol. your blood sugars were low while in the hospital. only restart this medication if your blood sugars are elevated above 150. you should have your blood sugar measured twice daily to monitor for signs of rising blood sugars requiring you to restart this medication. call your doctor or return to the hospital for any new or worsening blood in the stool, dizziness, lightheadedness, nausea, vomiting or any other concerning symptoms. followup instructions: follow-up with your primary care doctor as soon as possible. please have your blood count re-checked weekly. please also have your primary care doctor assist you in scheduling outpatient follow-up with a gastroenterologist. you may benefit from outpatient capsule endoscopy to try to find a source of your bleeding. if you would like to schedule this appointment at , call . procedure: other endoscopy of small intestine colonoscopy diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified coronary atherosclerosis of unspecified type of vessel, native or graft personal history of malignant neoplasm of breast chronic kidney disease, unspecified diaphragmatic hernia without mention of obstruction or gangrene cardiac pacemaker in situ diverticulosis of colon with hemorrhage 

Answer: The patient is high likely exposed to