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: simvastatin attending: chief complaint: hypotension, melena, hematemesis major surgical or invasive procedure: egd history of present illness: this is a 65 year old male with pmh of coronary artery disease s/p mi with pci and stent placed in , type 2 diabetes mellitus c/b diabetic retinopathy, hypertension, hypercholesterolemia, and recently diagnosed unresectable 3.6cm x 3.2cm pancreatic adenocarcinoma s/p metallic biliary stent placement and fiducial placement for cyberknife earlier this am now presenting with hematemesis and melena hours s/p the procedure. the patient tolerated his fiducial placement well earlier today, but on the way home in his car, he developed frank hematemesis. he says that he had about a cupful of blood at that time. he was them transported directly to the ed. at triage, his bp was measured to be in the 60s systolic and his hr was in the 100s. in the ed, he received 2 units of prbcs and his hct and vitals subsequently stabilized despite an anomalous hct of 15 and witnessed episodes of hematemesis and melena. vitals upon transfer was sbp in the 120s, hr in the 80s, and satting 100% ra. gi performed an egd upon admission to the icu and did not see any active bleeding or stigmata of recent bleeding despite witnessed hematemesis and an ng lavage in the ed which was positive for bright red blood which did not clear. he has since had 2 episodes of melena in the setting of stable vitals and hct. past medical history: cad, niddm, htn, hypercholesterolemia, diabetic retinopathy, cataracts social history: works as dispatcher. lives with wife. smokes 1.5 ppd. no etoh family history: noncontributory physical exam: vs: as above gen: aox3, nad heent: perrla. mmm. no lad. no jvd. neck supple. cards: rrr s1/s2 normal. no murmurs/gallops/rubs. pulm: no dullness to percussion, ctab no crackles or wheezes abd: soft, nt, +bs. no rebound/guarding. neg hsm. neg sign. extremities: wwp, no edema. dps, pts 2+. skin: no rashes or bruising neuro/psych: cns ii-xii intact. 5/5 strength in u/l extremities. dtrs 2+ bl. sensation intact to lt, cerebellar fxn intact (ftn, hts). gait wnl. pertinent results: admission labs: 11:15am blood wbc-6.9 rbc-3.45* hgb-11.5* hct-34.0* mcv-99* mch-33.4* mchc-33.8 rdw-16.4* plt ct-140* 09:45am blood wbc-9.2 rbc-3.63* hgb-11.9* hct-35.5* mcv-98 mch-32.8* mchc-33.6 rdw-16.5* plt ct-152 02:45pm blood wbc-10.6 rbc-3.05* hgb-9.9* hct-29.6* mcv-97 mch-32.6* mchc-33.6 rdw-16.6* plt ct-203 03:00pm blood hgb-5.3*# hct-15.7*# 06:29pm blood hct-33.1*# 03:51am blood wbc-8.5 rbc-3.53* hgb-11.2*# hct-32.0* mcv-91 mch-31.8 mchc-35.0 rdw-16.6* plt ct-114* 11:15am blood alt-132* ast-96* alkphos-435* amylase-41 totbili-12.2* dirbili-7.9* indbili-4.3 09:45am blood alt-122* ast-99* alkphos-400* amylase-45 totbili-12.0* 02:45pm blood alt-99* ast-80* alkphos-319* totbili-9.9* 03:51am blood alt-93* ast-76* ld(ldh)-182 alkphos-272* totbili-9.9* 02:45pm blood albumin-2.5* calcium-8.2* phos-3.7 mg-1.6 03:51am blood glucose-211* urean-14 creat-0.7 na-135 k-3.9 cl-105 hco3-24 angap-10 11:15am blood pt-11.4 ptt-23.4 inr(pt)-0.9 03:51am blood pt-14.0* ptt-24.6 inr(pt)-1.2* . imaging: ercp: impression: stricture of mid common bile duct with replacement of a plastic stent with metal stent. gallstones. filling defects in cystic and common bile duct, likely air bubbles, though stones cannot be excluded. cta ab-pelvis: impression: 1. stable pancreatic mass as described. 2. increase in size and number of liver metastases consistent with rapid disease progression from ct 1 month ago.there is also new ascites. 3. no evidence of retroperitoneal hematoma. ct chest: 1. no evidence of metastatic disease in the chest. 2. linear atelectasis in the right lower lobe which is similar to the prior study. 3. mild irregularity of the pleural surface bilaterally which is new as compared to the prior studies. attention on followup is recommended. 4. suspicion for focal liver lesion in segment vi of the liver measuring 1.2 cm. further evaluation is recommended by ct of the abdomen or mri. 5. pneumobilia with stent in place. 6. diffuse mild enlargement of the left adrenal gland, without evidence of focal lesion. egd a plastic stent previously placed in the biliary duct was found in the major papilla. a small sphincterotomy was successfully performed in the 12 o'clock position using a needle-knife over the existing plastic biliary stent. the plastic stent was then removed with a snare. cannulation of the biliary duct was performed with a sphincterotome using a free-hand technique a single irregular stricture of malignant appearance that was 2 cm long was again seen at the mid-cbd. a 60mm by 10mm wallfex fully covered metal biliary stent was placed successfully with excellent drainage of bile and contrast egd erythema in the stomach body c/w ng trauma. no fresh or old blood was noted. stent in the second part of the duodenum. no fresh or old blood was noted. otherwise normal egd to second part of the duodenum eus eus was performed using a linear echoendoscope at 7.5 mhz frequency an approximately 2.5cm ill-defined mass was again noted in the head of the pancreas. four fiducials were placed into the pancreas mass 01:30pm blood wbc-8.0 rbc-3.48* hgb-11.3* hct-32.2* mcv-93 mch-32.6* mchc-35.1* rdw-16.1* plt ct-130* 02:45pm blood neuts-83.1* lymphs-10.6* monos-5.4 eos-0.4 baso-0.4 01:30pm blood plt ct-130* 01:51pm blood type-art po2-89 pco2-38 ph-7.45 caltco2-27 base xs-2 01:51pm blood hgb-11.2* calchct-34 brief hospital course: 65 year old male with pmh of coronary artery disease s/p mi with pci and stent placed in , type 2 diabetes mellitus c/b diabetic retinopathy, hypertension, hypercholesterolemia, and recently diagnosed unresectable 3.6cm x 3.2cm pancreatic adenocarcinoma s/p metallic biliary stent placement and fiducial placement for cyberknife earlier this am now presenting with hematemesis and melena hours s/p the procedure. . # upper gi bleed: egd performed in the icu showed no evidence of ongoing bleeding or stigmata of chronic bleed. it was felt that the bleed was likely secondary to the eus with fiduciary placement. the patient was transfued 4 units of prbcs and his hct stabilized. all anticoagulants were held and patient remained hemodynamically stable. he was transferred to the floor and monitored after restarting aspirin 81mg without any evidence of recurrent bleeding. pt was restarted on all his home anti-hypertensives but plavix was not restarted given that this stents were placed >5 yrs prior to this presentation with life threatening bleed. pt was encouraged to discuss this further with his pcp/cardiologist after discharge. . # fiducial placement: continued on augmentin per gi and was discharged on this medication for a total course of 5 days. . # pancreatic adenocarcinoma. the patient has unresectable adenocarcinoma and plans to undergo cyberknife with fiducials placed on . per the patient's request and in conjunction with his oncologist, he underwent ct-chest the day of discharge. dr. has agreed to follow the results of this imaging with the patient at his follow up appopintment schedule for . . # cad / dm2: as discussed above, anti-hypertensives were held in the acute setting and restarted prior to discharge. no changes were made to the patient's dm regimen. aspirin was restarted though we continued to hold plavix which should be discussed with his pcp/cardiologist. medications on admission: -amlodipine-benazepril 10mg-20 mg capsule by mouth once a day -clopidogrel 75 mg by mouth once a day -furosemide 20mg qd -glyburide-metformin 5 mg-500mg tablet by mouth twice a day -metoprolol tartrate 100mg by mouth twice a day -omeprazole 20 mg by mouth -pioglitazone 30 mg by mouth once a day -prochlorperazine maleate 10 mg by mouth q6 hour as needed for nausea/vomiting -aspirin 81 mg by mouth once a day -multivitamin daily discharge medications: 1. amlodipine-benazepril 10-20 mg capsule sig: one (1) capsule po once a day. 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 3. glyburide-metformin 5-500 mg tablet sig: one (1) tablet po twice a day. 4. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). 5. omeprazole 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 6. pioglitazone 30 mg tablet sig: one (1) tablet po once a day. 7. prochlorperazine maleate 10 mg tablet sig: one (1) tablet po every six (6) hours as needed for nausea. 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. multivitamin capsule sig: one (1) capsule po once a day. 10. amoxicillin-pot clavulanate 875-125 mg tablet sig: one (1) tablet po bid (2 times a day) for 4 days. disp:*8 tablet(s)* refills:*0* 11. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*2* 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*2* discharge disposition: home discharge diagnosis: primary diagnoses: -endoscopy related bleed -pancreatic cancer secondary diagnoses: -coronary artery disease -diabetes type 2 discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: it has been a privilege to take care of you in the hospital. you were hospitalized because you were vomiting blood after your endoscopic ultrasound procedure. you were transfused blood because of your bleeding and monitored in the icu. your blood levels stabilized after these transfusions. in the icu, the gastrointestinal doctors saw and performed an endoscopic grastroduodenscopy to look for active bleeding in your stomach - they found no active bleeding and no signs of old bleeding, which led them to believe that your blood loss was due to the endoscopic ultrasound procedure you had happened several hours before the bleeding started. you will need to continue your antibiotics as prescribed by the gastrointestinal doctors. . your cancer doctors have asked that you undergo an outpatient ct-scan after you are discharged. please attend the appointment scheduled below. . we temporarily held some of your blood thinners and anti-hypertensive medications when you were losing blood, but we are restarting most - but not all - upon discharge. please take all of your other medications as previously prescribed. . # stop plavix - it is very important that you follow-up with your pcp regarding whether to restart this medication for your heart # start augmentin for post-endoscopy antibiotic treatment # start senna for constipation # start colace for constipation followup instructions: department: radiology when: monday at 7:45 am with: cat scan building: campus: east best parking: garage department: hematology/oncology when: monday at 11:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: monday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage procedure: other gastroscopy diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia malignant neoplasm of liver, secondary unspecified essential hypertension acute posthemorrhagic anemia percutaneous transluminal coronary angioplasty status hemorrhage complicating a procedure malignant neoplasm of head of pancreas blood in stool other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction hematemesis diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to