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: lisinopril / amlodipine attending: chief complaint: dizziness with standing major surgical or invasive procedure: egd (upper endoscopy) history of present illness: 70 y/o m with h/o diverticulosis of the entire colon c/b lgib in the past, paf on coumadin c/b cva when off coumadin (no residual deficits), ckd (baseline cr 1.5) and htn presenting from clinic hypotensive with sbp 80s. previously, he required transfusion with 9u prbcs and colectomy was recommended; pt refused colectomy and his couamdin was held. he subsequently had an ischemic posterior cva and his coumadin was restarted. in clinic he endorsed lightheadedness and orthostasis and was sent to the ed. denies brbpr, hematemesis or melena. he states that he is orthostatic most mornings, which improves throughout the day, usually after eating breakfast. . in the ed, hct was 25 (baseline 27-35) inr 3.8. rectal exam was negative for brbpr, though stool was faintly guiac positive. he was given 2l ns and gi was consulted; felt egd could wait until monday. ng tube/lavage were not performed. 18g and 16g piv were placed at the pt was admitted to the micu. vs at time of micu transfer: t 98 bp 130/60 hr 77 rr 18 sat 99% ra. . micu vs: t 98 bp 121/66 hr 68 rr 18 o2 sat 100% ra states he feels back at baseline, no complaints. past medical history: diverticulosis, entire colon, c/b recurrent gib, last htn paf on coumadin bph ckd, stage ii renal cysts cva social history: works as cook at college. single, lives alone. has three grown children. quit smoking >40 years ago. prior history of alcohol abuse, but has been sober x13 years. family history: no significant cv disease including strokes in family. +htn and hld in several members. no notable dm2 history. physical exam: admission exam: t 98 bp 121/66 hr 68 rr 18 o2 sat 100% ra general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp 7cm above the ra at 45 degrees, no lad cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities, grossly normal sensation, 2+ reflexes bilaterally, gait deferred, finger-to-nose intact . discharge exam: general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp 7cm above the ra at 45 degrees, no lad cv: iregular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi abdomen: obese, soft, non-tender, non-distended, bowel sounds present, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema neuro: cnii-xii intact, 5/5 strength upper/lower extremities pertinent results: admission labs 03:00pm blood wbc-6.9 rbc-3.20* hgb-7.9* hct-25.7* mcv-80* mch-24.7* mchc-30.7* rdw-17.9* plt ct-261 03:00pm blood neuts-47.9* lymphs-38.5 monos-7.9 eos-1.0 baso-0.6 02:26pm blood pt-39.1* ptt-50.2* inr(pt)-3.8* 02:26pm blood glucose-87 urean-24* creat-1.5* na-140 k-3.8 cl-105 hco3-24 angap-15 02:26pm blood alt-24 ast-20 alkphos-84 totbili-0.4 02:26pm blood albumin-4.2 02:13am blood calcium-8.5 phos-2.5* mg-1.7 02:26pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:34pm blood lactate-1.0 . discharge labs: 07:05am blood wbc-8.3 rbc-3.59* hgb-8.8* hct-28.8* mcv-80* mch-24.6* mchc-30.7* rdw-18.2* plt ct-248 07:05am blood pt-23.9* ptt-42.0* inr(pt)-2.3* 07:05am blood glucose-105* urean-18 creat-1.3* na-139 k-3.9 cl-104 hco3-28 angap-11 07:05am blood calcium-9.1 phos-2.9 mg-1.7 . micro: 02:26pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-neg urine culture-neg . studies: egd: small hiatal hernia. schatzki's ring. normal mucosa in the third part of the duodenum (biopsy). otherwise normal egd to third part of the duodenum . path: duodenal bipsy: pending brief hospital course: 70 y/o m with h/o diverticulosis of the entire colon c/b lgib in the past, paf on coumadin c/b cva when off coumadin (no residual deficits), ckd (cr 1.5) and htn admitted to the micu for gib and hypotension. transfused 1u prbc and remained hd stable, so transferred to the floor. on the floor denied dizziness, lightheadedness, fatigue, or other pre-syncopal symptoms. had egd with normal appearing mucosa and no sign of stigmata of bleed. discharged with plan for capsule endoscopy. . active issues # gib: inr was supratherapeutic at 3.8 on admission. coumadin intially held. hd stable and hct stable following 1u prbc in ed. guiac positive, so thought this may represent slow gib. initially treated in micu, but quickly transferred to medicine floor. warfarin restarted at lower dose. denied any melena/brbpr during stay. has full colonic diverticula, but presentation not consistent with diverticular bleed. pt with iron deficiency anemia and no egd since , so egd performed to work up anemia. no signs of active bleed or stigmata of prior bleed. was discharged with plans for capsule endoscopy as an outpatient. continued on po omeprazole 20mg . . #paroxysmal a. fib: pt was in and out of a. fib during this admission. coumadin initially held with supratherapeutic inr, but was restarted when inr <3. the last time his inr was subtherapeutic, he had a cva. was rate controlled without medical intervention. . # hypotension: slightly hypotensive on presentation. resolved s/p 2l ns in the ed. normotensive during stay on floor. likely related to hypovolemia; possibilities include gib vs hypovolemia from diuretic use. no fevers or localizing s/sx to suggest sepsis. patient reports chronic problem with orthostasis. could be possible med side effect from anti-hypertensive medications vs. terazosin. . chronic issues: # hyperlipidemia: continued aspirin and statin . # ckd: cr 1.5 on admission, which is baseline. discharged with cr of 1.3 . # bph: continued finasteride and terazosin . transitional issues: #will need inr check on to determine if further adjustment is necessary #will need to follow-up duodenal biopsy results #will get capsule endoscopy with gi for further work-up of ?gib . medications on admission: 1. aspirin 325 mg po daily 2. simvastatin 20 mg po daily 3. finasteride 5 mg po daily 4. atenolol 100 mg po daily 5. warfarin 5 mg po daily16 6. terazosin 10 mg po hs 7. hydrochlorothiazide 12.5 mg po daily 8. vitamin d 1000 unit po daily 9. ferrous sulfate 325 mg po tid 10. cyclobenzaprine 5 mg po tid:prn msucle spasm . discharge medications: 1. atenolol 100 mg po daily hold for sbp < 100, hr < 55 2. finasteride 5 mg po daily 3. hydrochlorothiazide 12.5 mg po daily hold for sbp < 90, hr < 55 4. omeprazole 20 mg po bid 5. simvastatin 20 mg po daily 6. terazosin 10 mg po hs 7. vitamin d 50,000 unit po 1x/week (mo) 8. warfarin 5 mg po daily16 discharge disposition: home discharge diagnosis: primary: gastrointestinal bleed hypotension iron deficiency anemia secondary: diverticulosis discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you at . you were admitted for several days of weakness and fatigue, low blood pressure, and blood in your stool. your blood count (hematocrit) was very low and you were transfused 1 unit of red blood cells. because your blood pressure was low, you spent the night in the intensive care unit. you were then transferred to the medicine floor. we wanted to make sure there was no slow bleed in your stomach you we looked at it with a camera (endoscopy). this was normal and did not show any signs of bleeding. you had biopsies taken and will be contact with the results of the biopsy. you should follow up with the gi doctors as outpatient for further workup to determine what if you are bleeding. they will want you to swallow a capsule that can take pictures of the portion of your gi tract not seen with egd. medications to change: decrease warfarin from 6.25mg daily to 5mg daily (have inr checked on ) followup instructions: name: pa location: address: , , phone: appointment: monday 11:30am *this is a follow up appointment of your hospitalization. you will be reconnected with your primary care provider after this visit. please have your hematocrit (blood count) checked at this appointment. we are working on a follow up appointment for your hospitalization in gastroenterology with dr. . it is recommended you be seen within 1 month of discharge. the office will contact you at home with the appointment. if you have not heard within a few business days please contact the office at . department: neurology when: tuesday at 8:00 am with: , md building: campus: east best parking: garage procedure: esophagogastroduodenoscopy [egd] with closed biopsy diagnoses: abnormal coagulation profile iron deficiency anemia secondary to blood loss (chronic) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) hypopotassemia other and unspecified hyperlipidemia hypotension, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits anticoagulants causing adverse effects in therapeutic use hypovolemia diverticulosis of colon (without mention of hemorrhage) chronic kidney disease, stage ii (mild) 

Answer: The patient is high likely exposed to