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: penicillins / sulfonamides / vibramycin attending: chief complaint: black stools major surgical or invasive procedure: egd history of present illness: pt is a 70 yo f with bipolar d/o, diet controlled dm, and meniere's dz who presented to ed with c/o black, tarry stools. . of note, pt was seen in ed the day prior to admission for presyncope. she c/o "feeling faint". her hct was noted to be 31.4 down from baseline of 38. she was guaiac negative, ce negative, and cxr negative. she received 2l ns and was sent home with f/u instructions. overnight, she noticed black stools & also developed diarrhea 5-10x, became concerned, and called her pcp who referred her to the ed today for further evaluation. she had no other symptoms of lightheadedness, dizziness, no abdominal pain, no nausea or emesis. she denies prior hx of dark tarry stools or brbpr, although reports a hx of hemorroids which bleed when irritated. she denies any hematochezia, no hematemesis. . ros: she denied any cp, palpitations, sob, fevers or chills, weight loss, night sweats, edema, dysuria, and hematuria. she does report freq ha from chronic sinusitis and chronic abd. pain described as crampy for many years ?ibs. . ed course: vs t 98.6f; p 76 bp 132/62 rr 18 & o2sats 97% on ra. was guaiac negative & ng lavage was negative. tn t was also negative. she received 1l ns. gi was consulted; she was t & c for 4u prbcs, however did not receive any units in the ed. past medical history: - bipolar disorder - hyperlipidemia - meniere's disease - ?fibromyalgia - osteoporosis - hypothyroidism - asthma - diet controlled dm (last hgba1c 6.2 ) - left nephrectomy after being hit by a truck (pedestrian vs. truck) social history: - denies etoh, tobacco or illicit drug use - currently retired, worked as a teacher, librarian & instructor - lives alone with her cat family history: - ca, father (died @ age 70's) & grandfather - htn, dm in mother - ?blood ca in family physical exam: vs: t 98.6f hr 99 bp 127/70 (84) rr 20 o2sats 100% general: elderly lady lying in bed, nad heent: mmm, oropharynx clear heart: rrr, no m/g/r lungs: cta b/l, no rales or rhonchi abd: +bs, soft, no masses, vague ruq pain that is not always present on palpation; no rebound tenderness extremities: warm to touch, no ble edema skin: no lesions noted neuro: aao x 3, moves all extremities without difficulty no focal deficits pertinent results: admission labs: 11:45am wbc-9.3 rbc-3.62* hgb-11.3* hct-31.4* mcv-87 mch-31.3 mchc-36.0* rdw-13.9 11:45am neuts-64.0 lymphs-29.9 monos-2.7 eos-2.7 basos-0.7 11:45am glucose-118* urea n-34* creat-0.9 sodium-142 potassium-4.2 chloride-105 total co2-29 anion gap-12 11:45am calcium-9.4 phosphate-3.7 magnesium-2.1 11:45am ck(cpk)-35 11:45am ctropnt-<0.01 11:45am tsh-2.0 11:45am free t4-1.2 11:45am pt-12.1 ptt-28.7 inr(pt)-1.0 . imaging: chest (pa & lat) 4:03 pm the heart is normal in size. the mediastinal and hilar contour is normal. the lungs are clear. there is mild scoliosis of the thoracic spine. there are no pleural effusions. multiple surgical clips present in the left upper quadrant are consistent with the patient's history of nephrectomy. there are mild degenerative changes of the thoracic spine. . ecg study date of 11:50:58 am sinus tachycardia. modest non-specific low amplitude t wave changes. since the previous tracing of sinus tachycardia and low amplitude t wave changes are present. . egd report impression: ulcer in the duodenal bulb otherwise normal egd to second part of the duodenum recommendations: contine ppi and carafate. hold aspirin and fosamax. check h. pylori antibody and treat if positive. follow-up with gi in weeks. brief hospital course: pt is a 70 yo f with bipolar d/o who presented with melena and was found to have a nonbleeding ulcer seen on egd . . 1. gi bleed: a single cratered non-bleeding 12-15mm ulcer was found in the duodenal bulb on egd. there was no visible vessel or active bleeding. no biopsies were taken. a h. pylori antibody is pending. she received 2 units of prbcs and her hct has been stable at 28-30 since. pt is to continue ppi and carafate as outpatient. she was given prescriptions for both. she was advised to discontinue aspirin and fosamax until she followed up with her pcp. is to follow-up with clinic in weeks. . 2. bipolar d/o: pt is a patient of psychiatrist dr. , who was notified of pt's prescence in icu. according to the patient, she has self d/c'ed depakote & lamotrigine and is currently only on abilify as outpt, which she has refused here. psychiatry evaluated her and recommended restarting depakote at 62.5 mg, which the patient agreed to, and risperdal 0.25 mg for anxiety, which the pt refused. pt was discharged on her home psych regimen and is scheduled to follow up with dr. . . 3. diet-controlled dm, last hgba1c 6.2 last month: pt was placed on an insulin sliding scale. . 4. hypothyroidism, tsh level appropriate @ 2.0 on admission: pt was continued on her home dose of levoxyl 37.5mcg daily. . 5. hyperlipidemia: pt was continued on home dose of statin. . 6. meniere's disease, currently asymptomatic: pt was continued on home dose of meclizine. medications on admission: - abilify 2 mg po daily - albuterol inh prn - aspirin 650 mg po daily - levoxyl 25 mcg po daily - lovastatin 20 mg on even days & 40 mg on odd days - meclizine hcl 25mg tid - nizoral 2 % shampoo prn - ibuprofen prn discharge medications: 1. levothyroxine 75 mcg tablet sig: 0.5 tablet po daily (daily). 2. meclizine 12.5 mg tablet sig: two (2) tablet po tid (3 times a day). 3. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. hexavitamin tablet sig: one (1) cap po daily (daily). 6. sucralfate 1 g tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. divalproex 125 mg tablet, delayed release (e.c.) sig: 0.5 tablet, delayed release (e.c.) po qhs (once a day (at bedtime)). 8. risperidone 0.25 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 9. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: duodenal ulcer with gastrointestinal bleeding and anemia requiring blood transfusion. discharge condition: stable. discharge instructions: please take all medications as prescribed. please keep all follow-up appointments. please notify your primary care physician or return to the emergency department if you experience fevers, chills, abdominal pain, nausea, vomitting, diarrhea, black sticky stools, dizziness, lightheadedness, or any symptoms that concern you. followup instructions: please follow-up with dr. within 8 weeks. please call ( for this appointment. please follow up with dr. on at 11:40am. please call if questions regarding this appointment. procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism asthma, unspecified type, unspecified osteoporosis, unspecified chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction hypovolemia myalgia and myositis, unspecified m?ni?re's disease, unspecified bipolar i disorder, most recent episode (or current) manic, unspecified 

Answer: The patient is high likely exposed to