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: no known allergies / adverse drug reactions attending: chief complaint: hematochezia major surgical or invasive procedure: colonoscopy x2 history of present illness: 64 y.o male with pmh of cad s/p multiple pci with stenting last in and on plavix, avr and diverticulosis, had a colonoscopy by dr. on during which a 7 mm polyp in the transverse colon was removed, now presenting with 3 days of increasing amounts of blood in stool. in the initial days after colonoscopy, patient had no symptoms. 3 days prior to presentation, patient started noticing blood in his stools, which began to increase in amount and frequency. today, he had 8 bowel movements, all with dark clots, with no brown stool visualized. he denies any black stools and decribes his stool as "maroon clots." he is feeling more tired, more lightheaded, but denies sob or cp. he had no abdominal pain until earlier today, when he noticed some left sided cramping, but has been able to eat ok regardless,including dinner. the crampy feeling he started to feel in the last few hours is , and not associated with movement or food intake. he feels like he wants to pass stool, but cannot. his last bm was at 7pm. he takes asa and plavix, but has not had either medication today. reportedly says he had stopped plavix only for 2 days prior to the procedure and restarted it right after colonoscopy.he has not taken today's plavix or aspirin.he denies dyspepsia, nausea/vomiting,nsaid use, alcohol use, dyspnea, chest pain, fevers/chills, sick contacts, light headedness. . in had 2 placed here at . hx stents x4, followed by dr. at . . in the ed, initial vs were: 98.6 62 163/51 18 99%. the patient had kub which revealed no free air. gi was contact and the patient was transferred to icu for colonoscopy prep for the am.his hct was noted to be 30 from 42. heart rate in 60's though on beta blockers. . on arrival to the micu, the patient is stable, providing the above hx. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies headache, sinus tenderness, rhinorrhea or congestion. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, constipation.denies dysuria, frequency, or urgency. denies arthralgias or myalgias. denies rashes or skin changes. . past medical history: past medical history: history of basal cell cancer arthritis obesity prostatic hypertrophy - benign dm - type 2 diabetes mellitus anemia - iron defic, unspec rhinitis - allergic to pollen history squamous cell carcinoma - skin history aortic valve replacement coronary artery disease, unspec vessel type hypertension - essential, unspec hyperlipidemia depressive disorder family history colon cancer hearing loss, unspec asthma s/p gastric bypass in . allergies: nkda . social history: married retired ,former smoker for 25 years pack per day , quit around 20 years ago. no alcohol use drug use: no . family history: cad history in father and mother in 50's to 60's, colon cancer in family in 40's . physical exam: vitals: afebrile bp:137/53 p:55 r:13 18 o2: 97% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, 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, 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 rectal: brown stool, red blood clots, no hemmrhoids visualized ng lavage negative for blood or cofee grounds . social history: retired probation officer. married. works for the teamsters . 20 pack year tob. quit 20 y.a. no etoh x 25 years. family history: mother with cad in her 60s, father with cad in 60s. both alive into their 80s physical exam: physical exam: vitals: afebrile bp:137/53 p:55 r:13 18 o2: 97% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, eomi, perrl neck: supple, jvp not elevated, 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, 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 rectal: brown stool, red blood clots, no hemmrhoids visualized ng lavage negative for blood or cofee grounds pertinent results: admission labs . colonoscopy1/1 : impression: diverticulosis of the sigmoid colon and descending colon stool in the colon the post-polypectomy site was identified in the transverse colon. two low risk red-spots were seen without any active bleeding or evidence of recent bleeding. nevertheless, the decision was made to clip the lesion given the patient's need to resume anticoagulation. (endoclip)otherwise normal colonoscopy to proximal ascending colon a colonic loop was encountered when the proximal ascending colon (at the ic valve) was reached. the exam was interrupted. 03:36am wbc-7.7 rbc-3.44* hgb-10.1* hct-29.8* mcv-87 mch-29.3 mchc-33.9 rdw-13.4 03:36am plt count-184 03:36am pt-10.1 ptt-31.6 inr(pt)-0.9 12:02am urine hours-random 12:02am urine uhold-hold 12:02am urine color-yellow appear-clear sp -1.019 12:02am urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 10:30pm glucose-238* urea n-16 creat-0.7 sodium-132* potassium-4.5 chloride-102 total co2-23 anion gap-12 10:30pm estgfr-using this 10:30pm alt(sgpt)-40 ast(sgot)-40 alk phos-87 tot bili-0.1 10:30pm lipase-50 10:30pm calcium-8.3* phosphate-3.2 magnesium-2.0 10:30pm calcium-8.3* phosphate-3.2 magnesium-2.0 10:30pm wbc-8.8 rbc-3.48*# hgb-10.6*# hct-30.1*# mcv-87 mch-30.5 mchc-35.2* rdw-13.4 10:30pm plt count-204 10:30pm plt count-204 10:30pm pt-10.9 ptt-33.1 inr(pt)-1.0 . discharge labs 12:40am blood wbc-6.5 rbc-3.20* hgb-9.6* hct-28.1* mcv-88 mch-30.0 mchc-34.3 rdw-13.6 plt ct-157 06:14pm blood hgb-9.2* hct-26.7* 07:44am blood hgb-9.7* hct-28.3* 12:40am blood plt ct-157 12:40am blood pt-11.0 ptt-32.0 inr(pt)-1.0 03:36am blood plt ct-184 03:36am blood pt-10.1 ptt-31.6 inr(pt)-0.9 10:30pm blood plt ct-204 12:40am blood calcium-7.9* phos-2.6* mg-1.9 10:30pm blood glucose-238* urean-16 creat-0.7 na-132* k-4.5 cl-102 hco3-23 angap-12 03:36am blood glucose-146* urean-14 creat-0.7 na-136 k-4.7 cl-106 hco3-24 angap-11 brief hospital course: 64m with pmh of cad s/p multiple pci with stenting last in and on plavix, avr and diverticulosis, had a colonoscopy by dr. on presented with hematochezia. . #hematochezia-the patient was hemodynamically stable. the patient was complaining of no frank abdominal pain.no melena per report or on physical exam. hct had decreased from baseline hct recorded 1 year ago from 40 to 30.0. given the frequency bowel movements, recent polyp removal and antiplatelet therapy on top of the differential was bleeding from the polyp removal site. diverticulosis, avm's remained on the differential. asa and plavix were held and a colonoscopy was carried out with clipping of recent polypectomy site with stigmata of recent bleeding. his hct remained stable and he was discharged from the micu to home, with his antiplatelet therapy being restarted . transitional issues clarification of course of antiplatelet therapy given his cad hct check as outpatient and pcp follow up. medications on admission: pirbuterol (maxair autohaler) 200 mcg/inhalation inhalation aerosol breath activated 2 puffs q 4-6 hrs prn wheezing atorvastatin (lipitor) 80 mg oral tablet one tabe qd clopidogrel (plavix) 75 mg oral tablet take 1 tablet daily sertraline 100 mg oral tablet take 1&1/2 tabs in the evening 3 days/week and 1 tablet the other evenings. do not stop without consulting clinician lisinopril 5 mg oral tablet 1 tablet daily atenolol 25 mg oral tablet 1 tablet daily sildenafil (viagra) 100 mg oral tablet take 1 tablet 1 hour before sex (3 month supply) aspirin 325 mg tab 1 tablet daily. available over the counter. montelukast (singulair) 10 mg oral tablet one tab po qd (patient not taking) budesonide-formoterol (symbicort) 160-4.5 mcg/actuation inhalation hfa aerosol inhaler use 2 inhalations twice daily and rinse your mouth thoroughly afterward fluticasone furoate (veramyst) 27.5 mcg/actuation nasal spray, suspension two sprays twice daily discharge medications: 1. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 2. sertraline 100 mg tablet sig: 1-1.5 tablets po see below: take 1and 1.5 tablets on alterbate days: 1 tablet 4 days per week and 1.5 tablets 3 days per week. 3. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 4. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 5. symbicort 160-4.5 mcg/actuation hfa aerosol inhaler sig: two (2) inhalations inhalation twice a day: rinse mouth after use. 6. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 7. montelukast 10 mg tablet sig: one (1) tablet po once a day. 8. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*0* 9. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 10. pirbuterol 200 mcg/inhalation aerosol breath activated sig: two (2) puffs inhalation every six (6) hours as needed for shortness of breath or wheezing. discharge disposition: home discharge diagnosis: lower gi bleedin discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted d/t bleeding from your lower intestine. you underwent a colonoscopy and the area that was the likely source of your bleeding at the site from which you had a polyp removal was clipped. we followed your blood counts and found no evidence of ongoing blood loss. . the following changes were made to your medications: . - aspirin was reduced from 325mg to 81mg daily to reduce the risk of re-bleeding. . please continue to take your other medications without change. followup instructions: we have contact your office and recommended that you follow-up a blood count within 2-3 days of your discharge and a follow-up appointment with your pcp 1 week of your discharge. please call your pcp's office () tomorrow morning for these appointments. . please also follow-up with dr. your gastroenterologist. it is recommended that you have a repeat colonoscopy in 2 years. procedure: endoscopic destruction of other lesion or tissue of large intestine diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia heart valve replaced by other means hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure personal history of other malignant neoplasm of skin iron deficiency anemia, unspecified diverticulosis of colon (without mention of hemorrhage) personal history of colonic polyps bariatric surgery status allergic rhinitis due to pollen family history of colonic polyps 

Answer: The patient is high likely exposed to