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: nausea and lightheadedness major surgical or invasive procedure: endoscopy with ulcer injection history of present illness: hpi: ms. is an 81 yo f s/p thr , copd, htn who presented with nausea and lightheadedness in the setting of blood-loss anemia. ms. uncomplicated scheduled thr at nebh, with an ebl of 300cc. however, whereas her hct was 40 pre-operatively, she had progressive decline in hct over her hospitalization, and was discharged to rehabilitation with an hct of 28 . she was started on coumadin for post-op dvt/pe prophylaxis. she did not apparently receive any transfusion while hospitalized. bloodwork the morning of admission demonstrated a hct of 20, and she was referred to the ed for further workup. in ed, patient noted to be ob negative and probability of post-surgical bleeding from hip was raised. she a ct pelvis which showed right adductor muscle hematoma. she was transfused 4 uniutes over a 3 day period with an appropriate rise in hematocrit from 19 to 30. ng lavage was attempted x 2 without success due to patient discomfort. on hospital day #2, the patient had a large ob + stool but non-melanotic. vitamin k was given with inr decreasing from 2.0 to 1.0. patient without abdominal complaints. on patient had another large melanotic bowel movement with hematocrit drop 30 to 24 therefore patient transferred to unit for urgent egd. egd showed a large duodenal bulb ulcer which was injected with epinephrine. the patient was started on protonix . her hematocrit remained stable and on the patient is stable for call out to floor. of note, hospital course also c/b afib/flutter with rvr, difficulty swallowing pills, ct chest with rul lesion suspicious for cancer past medical history: 1. copd 2. htn 3. glaucoma 4. arthritis 5. igm anticardiolipin 6. asthma 7. s/p cataract surgery to l eye 8. osteopenia 9. h/o hematuria 10. s/p repair at nebh as part of a scheduled, staged bilateral hip repair. 11. echo ef 55%, 1+tr/mr/ar. mild pulm htn. had reportedly normal dobutamine echo (pre-op) nebh 12. colonoscopy 2 years ago, reportedly nl other than polyps brief hospital course: a/p: 81 yo f with copd, s/p total hip replacement at the hopsital on admitted with blood-loss anemia, initially presumed to be from operative site and hematoma in adductor muscle, but after melanotic stool found to have large duodenal bulb ulcer. her hospital course was complicated by supraventricular tachycardia requiring initiation of diltiazem and a chest ct scan with suspicious righ apical lung lesion, and leukocytosis. 1) hematocrit drop: this was felt to be multifactorial from both adductor muscle hematoma and bleeding duodenal bulb ulcer. gi was consulted during the hospital stay and found the duodenal bulb ulcer as above. she was transfused a total of 4 units prbcs (last transfusion on ). hemtocrit remained stable after epinephrine injection of ulcer. gi recommended continuing her protonix x 2 months and then decreasing to daily. her gastrin level was 104. her coumadin was held given the bleeding and she will be started on lovenox sc 40 daily until procedure. 2) svt - exact rhythm unclear. rate was well-controlled with diltiazem. she was monitored on telemetry which showed only premature atrial beats. her heart rate was well-controlled in 80s on diltiazem. the day of discharge her hr increased to 100s after being npo for the bronchoscopy. she was given ivf with improvement in her heart rate. 3) lung mass: ct scan revealed worsening rul scarring with spiculations suspicious for malignancy. given her extensive smoking history and recent weight loss, there was significant concern for malignancy. the patient was made aware of concerns and need to biopsy. the case was reviewed with radiology who felt the patient was too high risk for ct guided biopsy. pulmonary was consulted and recommended bronchoscopy with bal for cytology. after much discussion, the patient decided against bronchoscopy in favor of electromagentic field directed transbronchial biopsy by interventional pulmonary to be scheduled within a week of discharge. this was discussed by pulmonary at length with patient and daughters. 4)leukocytosis: her wbc improved during the hospital course and remained stable in 12's prior to discharge. her urinalysis was negative, but the urine culture grew >100,000 ecoli. she was started on ciprofloxacin for a 10 day course on . she had a foley catheter in place that was removed on . she should have a repeat urine culture on completion of therapy to document clearance. 5) s/p thr: given the need for further lung biopsies for diagnsotic purposes of right apical lesion, the patient was not discharged on lovenox sc or coumadin. per pulmonary recommendations, coumadin was not restarted. however, after hearing patient's concerns about dvt, she was started on lovenox 40mg sq daily which will be held 1 day prior to biopsy. she should begin ambulating as much as possible to prevent development of dvt. while in bed, she was continued on pneumoboots and this should be continued at rehab as well. 6) copd: her copd remained stable throughout the hospital course. she was continued on advair and tiotropium. 7) glaucoma: no active issues. she remained on diazolamide throughout the hospital stay. 8) thrush, resolved: likely inhaled steroids. she was initially treated with nystatin swish and swallow. we recommended rinsing her mouth after advair usage. 9) sacral decub: she had an early sacral decubitus. this was covered with duoderm and her family applied bag balm (niece hospice rn). this should be monitored on discharge. 11) code - reversed for egd and 48 hours post procedure. dnr/dni. medications on admission: verapamil 240 mg atrovent 80 mcg 4 times daily albuterol 90 mcg prn spiriva advair 500/50 percocet prn spironolactone/hctz 25/25 daily. should restart if bp permits discharge medications: 1. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) inhalation inhalation daily (daily). 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. dorzolamide 2 % drops sig: one (1) drop ophthalmic tid (3 times a day). 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 8. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 days. 9. oxycodone 5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for neck pain: hold for mental status changes. 10. lovenox 40 mg/0.4ml syringe sig: one (1) injection subcutaneous once a day for 13 days: last dose 6/28. do not give on the am of . 11. cardizem cd 180 mg capsule, sust. release 24hr sig: two (2) capsule, sust. release 24hr po once a day. capsule, sust. release 24hr(s) discharge disposition: extended care facility: for the aged - discharge diagnosis: duodenal ulcer gasrointestinal bleed supraventricular tachycardia total hip replacement discharge condition: stable discharge instructions: please continue all medications as directed. please note that you will take your protonix twice daily for 2 months, then you can decrease your protonix to daily. followup instructions: please follow up with dr. within 1 week of discharge from rehab. call for an appointment. you will also need to return for further diagnostic testing of right upper lobe lung scarring. this was scheduled by dr. as follows. you should not get any lovenox on . provider: ,nine day care 8 where: day care 8 date/time: 11:00 please see dr. to help with further treatment decisions once the lung biopsy has been performed. you have the appointment below. provider: /np where: rehab services (dyspnea) phone: date/time: 8:00 you should also follow up with the gastroenterologist, dr. , on discharge. please call to set up an appointment. you need to follow up with your orthopedic surgeon within 1 week of discharge from the hospital. provider: breathing test where: pulmonary function lab phone: date/time: 7:45 md procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia atrial fibrillation hematoma complicating a procedure unspecified glaucoma atrial flutter candidiasis of mouth constipation, unspecified osteoarthrosis, unspecified whether generalized or localized, site unspecified pressure ulcer, lower back nausea alone chronic obstructive asthma, unspecified chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction pulmonary eosinophilia other specified disease of white blood cells disorder of bone and cartilage, unspecified hip joint replacement swelling, mass, or lump in chest cervicalgia 

Answer: The patient is high likely exposed to