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: history of present illness: this is a 72 year-old female with a history of new onset atrial fibrillation recently diagnosed and recently started on coumadin 5 mg and amiodarone on . the patient has never had her inr checked. over the last three to four days prior to admission she reported the onset of dizziness especially with standing and fatigue. her symptoms were worse on the day of admission so the patient reports to the emergency room. she denies any syncope. no chest pain or shortness of breath. no nausea, vomiting or diaphoresis. no fevers or chills. no melena. no hematochezia, although the patient did have minor nose bleeds two days prior to admission. no abdominal pain. on arrival to the emergency room she was hypotensive to 85/34 with a heart rate of 64. afebrile. examination was notable for being pale and having guaiac positive stools. abdominal examination was otherwise benign. laboratories were notable for a hemoglobin of 5.5, hematocrit 15, inr 25.6, pt 62.2. no ng tube was placed secondary to the elevated inr worry of causing trauma and bleed. the patient had two large bore iv placed. two units of fresh frozen platelets were given as well as 1 mg of vitamin k iv and two liters of normal saline. the patient denies any recent nsaid use. no personal or family history of gi bleed. past medical history: 1. diabetes mellitus. 2. hypertension. 3. atrial fibrillation recently diagnosed, began on coumadin and amiodarone . 4. fibroids status post hysterectomy. 5. osteoarthritis. allergies: no known drug allergies. medications: coumadin 5, amiodarone 200 b.i.d., glucotrol xl 5 mg b.i.d., atenolol 50 q.d., diltiazem 60 mg b.i.d., oxazepam 50 mg. social history: the patient lives alone. no alcohol. contacts daughter , . family history: no history of bleeding, clotting. no cad. no cancer. physical examination: general, pleasant pale female in no acute distress. vital signs temperature 98.8. blood pressure 101.40. heart rate 64. respiratory rate 18. o2 sat 98% on room air. heent pupils are equal, round and reactive to light. extraocular muscles are intact. sclera anicteric. dry mucous membranes. oropharynx was clear. neck no jvd. lungs clear to auscultation bilaterally. cardiovascular slow rate regular rhythm. no murmurs, rubs or gallops. abdomen, normoactive bowel sounds, soft, nontender, nondistended. guaiac positive brown stool. extremities 1 to 2+ upper extremity edema bilaterally. no lower extremity edema. neuro alert and oriented times three. strength was full throughout. sensation was intact to light touch. reflexes were 2+. toes are down going. cerebellar function was intact. laboratories: white count 10. hematocrit 16.6, repeat was 25, platelets 275, ptt 67.7, inr 25.6, sodium 141, potassium 4.1, chloride 106, co2 23, bun 37, creatinine 0.7, glucose 262. last echocardiogram bilateral atrial enlargement, ef greater then 55%, mild concentric left ventricular hypertrophy, mild mr, mild tr, left ventricular in flow tract suggests delayed relaxation. electrocardiogram sinus brady rate 54. normal axis. biphasic t waves in 3. hospital cousre: this 72 year-old female with anemia, coagulopathy secondary to coumadin and gi bleed. the patient was admitted to the micu for closer monitoring and management. 1. heme. the patient was transfused 4 units of fresh frozen platelets as well as 3 units of packed red blood cells and was given vitamin k to correct her coagulopathy. serial hematocrits were checked and she was transfused as needed. all of her stools remained guaiac positive. the patient was transferred out of the micu on to the medical floor. 2. gi. her hematocrits were checked b.i.d. she was transfused as needed. on the patient had an egd as well as colonoscopy. egd demonstrated polyps in the cardia. biopsies were obtained of this as well as egd demonstrated benign appearing masses in the second part of the duodenum and atrophy and scalloping in the second part of the duodenum. both of which biopsies were taken. colonoscopy revealed liquid melanotic stool in the rectum, sigmoid colon and descending colon. there was a single sessile 10 mm nonbleeding polyp of benign appearance in the distal transverse colon 80 cm. a polypectomy was performed using a hot snare. the polyp was completely retrieved. three sessile nonbleeding polyps of benign appearance were found in the sigmoid colon. these were not removed secondary to poor prep. the patient will need a follow up colonoscopy in two weeks for removal of these polyps. her hematocrit remained stable. 3. cardiovascular. the patient has a history of atrial fibrillation. given her gi bleed coumadin therapy was discontinued and her coagulopathy was reversed. given the history of this gi bleed, coumadin will not be restarted until at least after a repeat colonoscopy. however, it will most likely need to be held. her amiodarone was discontinued secondary to her being in fibrillation. this may be restarted as an outpatient. she is to continue on lopressor for rate control and her ace inhibitor was increased as tolerated. 4. endocrine. for her diabetes she is to continue on her glucotrol. disposition: the patient was discharged to home in good condition after her hematocrit remained stable. follow up: the patient will follow up with her primary care physician in one week. discharge medications: 1. lisinopril 10 mg q day. 2. lopressor 25 mg b.i.d. 3. glucotrol 5 mg q day. 4. prilosec 20 mg q day. the patient will follow up in two weeks for repeat colonoscopy. discharge status: stable. discharge diagnoses: 1. atrial fibrillation. 2. gi bleed. 3. coagulopathy. 4. hypertension. 5. diabetes. , m.d. dictated by: medquist36 procedure: endoscopic polypectomy of large intestine esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: anemia, unspecified mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acquired coagulation factor deficiency atrial fibrillation anticoagulants causing adverse effects in therapeutic use diseases of tricuspid valve malignant neoplasm of transverse colon 

Answer: The patient is high likely exposed to