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 an 85-year-old woman with history of hypertension, who was admitted to an outside hospital prior to being admitted to on . at the outside hospital the patient had investigation for two month history of abdominal pain which showed mainly epigastric. this work-up included abdominal ct which showed thickened duodenal valve, 2 cm adrenal mass, question of colon lesion consistent with intermittent intestinal obstruction. her cea at the outside hospital was 41. she was admitted to on with worsening of the abdominal epigastric pain, nausea, vomiting for two days. in the hospital the patient had work-up which included ct angiogram due to abnormal ekg initially which revealed pulmonary embolism and patient had been started on heparin. her initial ekg revealed t wave inversion at v2 and v6 plus st depression so she was also admitted for rule out mi. ct also revealed dilated common bile duct up to 18 mm. her hematocrit on admission was 29.0 and drifted to 22.5 on . she had two episodes of coffee ground emesis on , became hypotensive and bradycardic and acute egd was performed which revealed grade 3 esophagitis in the lower third, ulcer in the stomach, body and antrum, blood in the stomach and anterior vault. there was large oozing clot in the duodenal bulb. hemostasis was achieved with epinephrine injection. anticoagulation was discontinued and patient was started on protonix drip and had been transferred to medical intensive care unit due to hypotension and active bleeding. the same day she had ivc filter placed which was done on . the patient received two units of ffp followed by 6 units of packed red blood cells. on the patient was transferred back to the medicine floor and on she had a second egd done due to hematocrit of 33.6 which drifted to 32.2. egd at that time revealed esophagitis, ulcers in the antrum which were injected with epinephrine and also posterior bulb injection and thermal therapy, a large inferior posterior duodenal ulcer with oozing refractory to injection. for this reason the patient underwent angiography revealing the source of bleeding and underwent duodenal gastric artery embolization. she was then transferred with additional two units packed red blood cells. her hematocrit after transfusion went to 38.5 on . other studies during the hospital course included chest x-ray which revealed widened mediastinum secondary to tortuous and dilated thoracic aorta and bibasilar atelectasis. cta revealed moderate intra and extrahepatic ductal dilatation, left pulmonary artery embolism and left adrenal mass. ultrasound of the lower extremities revealed no dvt, kub revealed no obstruction and chest x-ray on revealed bilateral small pleural effusion with consolidation of the lower lobe presenting either atelectasis or infection. she was transferred to general medicine floor on . past medical history: includes hypertension, non-insulin dependent diabetes mellitus, coronary artery disease status post mi, status post ccy. medications: at home, zocor, aspirin, atenolol, isosorbide, meclizine, pravachol, imdur. on transfer, protonix 40 mg , lopressor 50 mg , accolate 20 mg , pravachol 20 mg q d, tylenol 650 mg qid, nephrocaps, captopril 12.5 mg tid, magnesium oxide 400 mg , ambien prn. allergies: no known drug allergies. social history: the patient denies smoking or alcohol. family history: significant for father who died from esophageal cancer and mother from stroke. physical examination: on admission to medicine, temperature 98.0, heart rate 72, respiratory rate 20, blood pressure 164/78, 98% on one liter. patient in no acute distress, pale. heent: revealed no icterus, pupils are equal, round, and reactive to light and accommodation, oropharynx clear, mucus membranes are dry. neck, no jvp. cardiac, s1 and s2, regular rate and rhythm, no murmur. lungs, cta. abdomen soft, nontender, non distended with positive bowel sounds. extremities with no edema and normal peripheral pulsation. hospital course: this is an 85-year-old woman with history of hypertension, non-insulin dependent diabetes mellitus, coronary artery disease, now admitted with a two month history of epigastric pain. she was found to have peptic ulcer disease with massive gi bleeding requiring twice egd, injection with epinephrine, embolization of gastroduodenal artery. her detailed hospital course is described in the hpi. after transfer to medicine service she remained stable and her hematocrit remained stable as well. laboratory data: hematocrit on admission 24.4, 32.9 on .4 on .5 on .2 on . hemoglobin 11.5 on , white blood count 9.8, platelet count 124,000, inr 1.0, sodium 143, potassium 3.3, chloride 101, co2 30, bun 17, creatinine 1.0, alt, ast, total bilirubin within normal limits, ck 188, 148, 154, c troponin negative, cortisol 53, cea 25, h. pylori negative. calcium, phosphorus, magnesium, within normal limits. discharge diagnosis: 1. peptic ulcer disease. 2. upper gi bleed. 3. status post pulmonary embolism. 4. status post ivc filter. 5. hypertension. 6. anemia. 7. non-insulin dependent diabetes mellitus. 8. coronary artery disease. discharge medications: protonix 40 mg po bid, clarithromycin 500 mg po bid for 14 days, amoxicillin 1 gm po bid for 14 days, kcl 20 meq po q d, captopril 12.5 mg po tid, magnesium oxide 400 mg po bid, neutra-phos one pack po qid, pravachol 20 mg po q p.m., accolate 20 mg po bid, lopressor 50 mg po tid. patient will be discharged to a rehabilitation hospital in stable condition. , m.d. dictated by: medquist36 procedure: other endoscopy of small intestine other endoscopy of small intestine interruption of the vena cava injection or infusion of other therapeutic or prophylactic substance aortography endoscopic control of gastric or duodenal bleeding arteriography of other intra-abdominal arteries transfusion of packed cells diagnoses: anemia, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction esophagitis, unspecified other pulmonary embolism and infarction other specified disorders of adrenal glands 

Answer: The patient is high likely exposed to