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: cardura attending: chief complaint: gi bleed major surgical or invasive procedure: colonoscopy , esophagogastroduodenoscopy (egd) history of present illness: the patient is a 78 year-old male with dm, htn, hld, history of diverticular bleed s/p clipping who presented with continued maroon stools. the patient was hospitalized at osh from for diverticular bleed with a colonoscopy showing a site of active diverticular bleeding estimated at 45cm. no other active sites were identified to the level of the cecum. 5 clips were placed at the site of diverticular bleeding and epinephrine was injected. an egd did not reveal blood from above. the patient reportedly became hypoxic during the colonoscopy, thought to be due to an aspiration event. he was transferred to for further care from . at , he remained hd stable and was transfused 2 units packed rbcs, with his hct remaining stable. he completed a course of levofloxacin and flagyl and was transitioned to zosyn for aspiration pneumonitis. his respiratory status continued to improve and he was discharged on . . this morning of his current admission, the patient awoke and had two episodes of maroon stools. he had no light-headedness at the time, but endorsed crampy abdominal pain. in the ed, he became very dizzy and light-headed. he had some dyspnea on exertion, but denied nausea, vomiting, fever, chills, continued cough, constipation, straining, or tenesmus. he was admitted to the micu for further management of his presumed continued lower gi bleed. . in the ed, vs t 98.2 hr 80 bp 153/62 rr 20 o2sat 100% on ra. pt was complaining of light-headedness but no abdominal pain. denied cp. three peripherals placed (20 g, 16 g, 18 g). seen by gi with plan to rescope on monday. originally admitted to floor but had another episode of dark red stool and was light-headed so transferred to micu. . in the micu, he reports no light-headedness, sob, cp, abd pain, n/v, diarrhea. . review of systems: per hpi past medical history: cad type ii dm htn hld obesity distal adominal aortic dissection on ct scan () thoracic aortic aneurysm measuring 4.8cm on ct scan () ras bladder cancer gerd barrett's esophagus (endoscopy ) diverticular disease chronic anemia lumbar disc disorder social history: lives with wife. two children. retired from the paper mill business. tobacco: quit 20 years prior. alcohol: endorses occasional etoh use. illicits: none. family history: father - mi. mother - diabetes. physical exam: vitals: t: 98.8 bp: 148/54 p: 85 r: 18 o2: 99% ra general: alert, oriented, no acute distress heent: sclera anicteric, mucous membranes dry, oropharynx clear neck: supple, jvp not elevated, no lad lungs: good air movement throughout, with mild crackles in left lower lobe cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: bowel sounds present, soft, non-tender, non-distended, no rebound tenderness or guarding ext: warm, well perfused, 2+ dp pulses, 1+ edema to mid shin bilaterally, no clubbing, cyanosis neuro: cn ii-xii grossly intact, moving all extremities pertinent results: admission labs wbc-9.3# rbc-3.24* hgb-9.5* hct-29.2* mcv-90 mch-29.4 mchc-32.6 rdw-15.8* plt ct-477*# neuts-77.9* lymphs-17.8* monos-2.9 eos-1.1 baso-0.4 pt-13.9* ptt-28.6 inr(pt)-1.2* glucose-88 urean-10 creat-1.0 na-141 k-4.0 cl-109* hco3-21* angap-15 calcium-8.0* phos-3.9 mg-1.7 studies colonoscopy : a single sessile 4 mm polyp of benign appearance was found in the 30 cm. multiple diverticula with mixed openings were seen in the sigmoid and descending colon; scattered diverticula in the right colon and cecum. diverticulosis appeared to be of moderate severity. three hemoclips were present in the sigmoid colon 30 cm. there also appeared to be evidence of previous ink injection at approximately 35 cm. no evidence of active bleeding or stigmata of recent bleeding. impression: diverticulosis of the sigmoid and descending colon; scattered diverticula in the right colon and cecum three hemoclips were present in the sigmoid colon 30 cm. there also appeared to be evidence of previous ink injection at approximately 35 cm. polyp in the 30 cm. no evidence of active bleeding or stigmata of recent bleeding. tagged rbc scan : following intravenous injection of autologous red blood cells labeled with tc-m, blood flow and dynamic images of the abdomen were obtained for 77 minutes. a left lateral view of the pelvis was also obtained. blood flow images show no evidence of active gi bleed. dynamic blood pool images show no evidence of active gi bleed. colonoscopy : large internal hemorrhoids with stigmata of recent bleeding were noted. multiple non-bleeding diverticula were seen in the whole colon. diverticulosis appeared to be of moderate severity. surgical anastamosis in the distal right colon was seen. the terminal ileum was intubated and appeared normal. 3 clips were seen in the sigmoid colon with mild ulceration but no stigmata of recent bleeding. impression: surgical anastamosis in the distal right colon was seen. the terminal ileum was intubated and appeared normal. diverticulosis of the whole colon. internal hemorrhoids. 3 clips were seen in the sigmoid colon with mild ulceration but no stigmata of recent bleeding. otherwise normal colonoscopy to cecum. egd : a hiatal hernia was seen, displacing the z-line to 39 cm from the incisors, with hiatal narrowing at 41 cm from the incisors. mucosa: normal mucosa was noted in the whole esophagus. stomach: nodularity of the mucosa without evidence of bleeding. duodenum: a single irregular, sessile, 10-15 mm non-bleeding polyp of benign appearance was found in the second part of the duodenum. cold forceps biopsies were performed for histology at the second part of the duodenum. impression: nodularity of the mucosa without evidence of bleeding. polyp in the second part of the duodenum (biopsy). hiatal hernia. normal mucosa in the whole esophagus. otherwise normal egd to third part of the duodenum. discharge labs wbc-5.5 rbc-3.84* hgb-11.2* hct-34.0* mcv-89 mch-29.2 mchc-33.0 rdw-16.9* plt ct-242 glucose-134* urean-8 creat-1.0 na-142 k-3.7 cl-108 hco3-27 angap-11 mg-2.3 brief hospital course: the patient is a 78 year-old male with dmii, htn, hld, history of diverticular bleed s/p clipping who presented with continued maroon stools. the patient was hospitalized from . brief hospital course is detailed below. 1. gi bleed: at the time of discharge, the source of the patient's maroon stools remained unknown. upon presentation, the patient was hemodynamically stable, but in the setting of orthostasis, was transferred to the micu. hematocrit was monitored, and nadired at 22.4. he received a total of 6 units of packed rbcs and underwent colonoscopy, which was negative for acute bleeding. egd was not repeated, as his egd at the osh was negative. the patient was transferred to the floor, where he continued to have maroon stools. he required only one unit of rbcs throughout the remainder of his hospital course. he was maintained on iv pantoprazole and was followed with serial hcts. in the context of his continued bleeding, gi, ir, and surgery were consulted. a tagged rbc was performed, which did not show evidence of active bleed. a second colonoscopy and egd were performed because of concern for upper, rather than lower gi bleed, but these studies again did not show evidence of acute bleeding. he was noted to have extensive diverticulosis and a duodenal polyp (biopsied). at the time of discharge, the patient had not had maroon stools for ~48 hours. he was hemodynamically stable and his had hct stabilized. his aspirin was held and not restarted. omeprazole was increased from 20mg to 40mg daily. he was discharged with follow up with gi for a capsule endoscopy, and with instructions to return to the emergency department for dark or bloody stools. he was also instructed to follow a low residue diet. he was instructed to have a repeat hematocrit checked with his primary care physician within one week of discharge. he was advised to discuss restarting aspirin low dose with his pcp after completion of evaluation for gi bleeding. the patient's following chronic medical problems remained stable and were treated as follows. 1. hypertension: in the setting of presumed gi bleed, the patient's home regimen of lisinopril, metoprolol, and chlorthalidone were held. as he stabilized, his lisinopril and metoprolol were re-introduced. he was discharged on his home regimen. 2. diabetes: the patient's home glyburide and metformin were held, and he was maintained on a hiss. on discharge, he was restarted on his home regimen. 3. gerd/barretts: in the setting of concern for gi bleed, the patient was maintained on iv pantoprazole. omeprazole was increased to 40mg daily on discharge. 4. asthma: the patient was maintained on his home regimen of albuterol and fluticasone-salmeterol. medications on admission: . simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily . 3. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). disp:*90 tablet sustained release 24 hr(s)* refills:*0* 4. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 5. glyburide 5 mg tablet sig: one (1) tablet po once a day. 6. aspirin 81 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 7. symbicort 80-4.5 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation twice a day. 8. albuterol sulfate 0.63 mg/3 ml solution for nebulization sig: two (2) inhalation four times a day as needed for shortness of breath or wheezing. 9. chlorthalidone 25 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* 11. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po three times a day. 12. omega-3 fatty acids 1,250 mg capsule sig: one (1) capsule po once a day. discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 3. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 4. glyburide 5 mg tablet sig: one (1) tablet po once a day. 5. symbicort 80-4.5 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation inhalation twice a day. 6. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 7. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po three times a day. 8. omega-3 fatty acids capsule sig: one (1) capsule po daily (daily). 9. outpatient lab work please have your cbc (blood counts) checked with your primary care provider on tuesday, . 10. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. 11. chlorthalidone 25 mg tablet sig: 0.5 tablet po once a day. discharge disposition: home discharge diagnosis: primary gastrointestinal bleed anemia secondary hypertension diabetes mellitus asthma discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to for blood in your stools. you were cared for by gastrointestinal physicians, surgeons, and general medicine doctors. t two colonoscopies, one egd, and a tagged red blood cell scan that looked for active bleeding in your intestines. these tests did not show evidence of active bleeding in your esophagus, stomach, or colon. you will need to follow up with a gi physician to undergo further workup. we have made the following changes to your medications: - increased your omeprazole - stopped your aspirin please be sure to keep your appointments, as listed below. followup instructions: the following appointments have been made for you. please keep these as scheduled. name: , location: medical associates address: , , phone: appointment: tuesday 10:45am you are planned to have a capsule endoscopy as an outpatient. you will be contact regarding scheduling this appointment. you will need a small bowel follow through prior to the capsule endoscopy. please call ( to schedule this study. procedure: colonoscopy colonoscopy esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia personal history of malignant neoplasm of bladder obesity, unspecified chronic obstructive asthma, unspecified hemorrhage of gastrointestinal tract, unspecified other and unspecified disc disorder, lumbar region benign neoplasm of colon dissection of aorta, thoracic barrett's esophagus diverticulosis of colon (without mention of hemorrhage) internal hemorrhoids without mention of complication benign neoplasm of duodenum, jejunum, and ileum 

Answer: The patient is high likely exposed to