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: patient recorded as having no known allergies to drugs attending: chief complaint: coffee, ground emesis with known h/o paraesophageal hernia repair major surgical or invasive procedure: open repair of recurrent paraesophageal hernia with graft reinforcement, nissen fundoplication, gastroplasty, and flexible gastroscopy history of present illness: 71 y/o female w/ h/o hiatal hernia repair (') presented to hospital last friday () w/the sudden onset of epigastric pain and vomiting. a work-up was performed and the patient was transferred to as a direct admit to dr. for repair of her hiatal hernia via an abdominal approach. the patient denies hematemesis, hematochezia/brbpr, black & tarry stools, chest pain, sob, visual changes, diaphoresis, diarrhea . this woman has had a recurrent paraesophageal hernia. she originally presented with an incarceration which resolved with nasogastric suction and was discharged. past medical history: pmh: hypothyroid, hiatal hernia, anxiety, gerd, s/p h.pylori treatment w/prevpac (lansoprazole,amoxicillin,& clarithromycin) . psh: hiatal hernia repair ('),carpal tunnel release, appendectomy, cholecystectomy, hysterectomy social history: retired. married. lives with husband. denies use of tobacco products and illicit drugs. reports drinking etoh occasionally during social events. family history: noncontributory physical exam: ed report-transferred from hospital vitals: t-96.7, hr-74, bp-105/72, rr-18, o2 sat-97% const: nad, a/ox3 head/eyes: perrla, eomi ent/neck: op clearn, ngt in place resp: ctab abd: minimal ttp epigastrium, no rebound/guarding extrem: no c/c/e skin: w/d/i pertinent results: 05:40am blood wbc-10.7 rbc-3.88* hgb-11.8* hct-33.9* mcv-87 mch-30.5 mchc-34.9 rdw-14.3 plt ct-214 03:40am blood wbc-5.4 rbc-2.57*# hgb-7.8*# hct-23.0*# mcv-89 mch-30.2 mchc-33.8 rdw-14.2 plt ct-140* 02:38pm blood pt-14.0* ptt-29.9 inr(pt)-1.2* 05:40am blood glucose-102 urean-11 creat-0.6 na-134 k-3.9 cl-103 hco3-27 angap-8 03:40am blood glucose-73 urean-10 creat-0.2* na-151* k-1.8* cl-125* hco3-20* angap-8 05:40am blood calcium-8.0* phos-1.3* mg-1.8 02:38pm blood albumin-3.3* calcium-8.1* phos-3.1 mg-1.8 iron-101 12:34am blood glucose-164* lactate-2.1* na-143 k-3.4* cl-110 12:34am blood hgb-13.5 calchct-41 o2 sat-98 02:26am blood freeca-1.10* . pathology examination procedure date diagnosis: i. hernia sac: fibrovascular adipose tissue with chronic inflammation and reactive changes (hiatal hernia). ii. fundus of stomach: - fundic mucosa with mild chronic inflammation. - fragment of fibroadipose tissue and smooth muscle with mild chronic inflammation. . radiology final report chest (pa & lat) 3:43 pm reason for this examination: rule out pneumonia, assess for atelectasis; also r/o pneumothorax - left pleural space entered during recent surgery impression: mild cardiomegaly. bibasilar pleural effusions of mild extent. retrocardiac atelectasis. brief hospital course: mrs. was transferred from hospital, and work-ed up in ed for upper gi bleed. ngt output was 1 liter of coffee ground. gi and general surgery services were consulted. she received 2 units of prbc, and was transferred to the sicu for an endoscopy. . abd/gi: previous imaging from most recent hospitalization revealed: cxr-large hiatal hernia w/predominantly intrathoracic stomach, sbft-large type 3 hernia with the ge junction visualized above the left diaphragm. the endoscopy completed on revealed a esophagitis, blood in the fundus and antrum, & large hiatal hernia otherwise normal egd to antrum. . resp:she required 3 liters of oxygen via nasal cannula post-op to maintain sats above 94%. she was routinely weaned on pod1, and desaturated to 86-88% on ra, and to 78% with activity. she required oxygen support for a few days. a pa/lat was obtained revealing atelectasis. her lung sounds remained clear, but were decreased middle to lower bases with mild exp wheeze in middle right lobe. she was managed with albuterol/atrovent nebs q6 hours, aggressive chest pt, incentive spirometer use, and frequent ambulation. she was evaluated per physical therapy throughout her admission. she was able to successfully wean off oxygen on pod3. her sats have remained above 95% with no sob/doe/wheeze. . nut:she was made npo upon admission. an ngt was inserted in the ed, and removed on pod 2. her diet was advanced gradually. she is tolerating regular diet without complaints of nausea/vomiting. . elim:she had a foley catheter inserted intra-op. the catheter was removed, and she was able to urinate without difficulty. she reports passing flatus, but has not had a bowel movement since surgery. . pain:her pain was managed with iv morphine pre-op. she was managed with an iv pca post-op with adequat relief. she was transitioned to oral percocet with relief. she will continue with this regimen for 2 weeks post-discharge. . medications on admission: synthroid 150 mcg daily qod 4 days/wk, lopressor 25 mg daily, ativan 0.5mg prn discharge medications: 1. nystatin 100,000 unit tablet sig: one (1) tablet vaginal hs (at bedtime). 2. levothyroxine 100 mcg tablet sig: 1.5 tablets po every other day. 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation for 1 months: take with percocet. disp:*60 capsule(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 2 weeks. disp:*35 tablet(s)* refills:*0* 6. ativan 0.5 mg tablet sig: one (1) tablet po twice a day as needed for anxiety. discharge disposition: home discharge diagnosis: primary: paraesophageal hernia upper gi bleed post-op atelectasis . secondary: hypothyroid, hiatal hernia, anxiety, gerd, h.pylori discharge condition: stable tolerating a regular diet adequate pain control with oral medication discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. * please resume all regular home medications and take any new meds as ordered. * continue to amubulate several times per day. . incision care: -your staples will be removed at your follow-up appointment with dr. . -you may shower, and wash surgical incisions. -avoid swimming and baths until your follow-up appointment. -please call the doctor if you have increased pain, swelling, redness, or drainage from the incision sites. followup instructions: 1. provider: rm 2 -preadmission testing date/time: 11:00 2. please make a follow-up appointment with dr. in 3 weeks, . 3. make a follow-up appointment with dr. , in weeks or as needed. procedure: other endoscopy of small intestine other repair of stomach other procedures for creation of esophagogastric sphincteric competence diagnoses: esophageal reflux unspecified acquired hypothyroidism pulmonary collapse anxiety state, unspecified hemorrhage of gastrointestinal tract, unspecified other esophagitis diaphragmatic hernia with obstruction 

Answer: The patient is high likely exposed to