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 drug allergy information on file attending: chief complaint: melena, syncope major surgical or invasive procedure: central line placement upper endoscopy history of present illness: 60yo f with h/o pud nsaids 10 years ago and uterine fibroids. admitted to lethargy, fatigue. initially treated for a possible cardiac event and given aspirin but then because of history of pud got ngl. the patient was nglavaged 4l and coffee grounds did not clear. hct 33->22 while at . transferred to ed because the did not have her blood type in the bank. in our ed vital signs not taken. got 3 units prbcs. gi consulted and said would scope in the unit. got started on nexium and ppi gtt. also got octreotide. tachycardic to 110 sinus. pressures 100/68. . on the floor, patient had no complaints of abdominal pain, diarrhea, constipation, melena, brbpr, n/v/d. she denied chest pain. she denies aspirin or nsaid use. she does not drink alcohol or smoke. . review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies cough, shortness of breath, or wheezing. denies chest pain, chest pressure, palpitations, or weakness. denies nausea, vomiting, diarrhea, constipation, abdominal pain. denies dysuria, frequency, or urgency. past medical history: uterine fibroids pud from asa use headaches social history: married. lives with husband. - tobacco: none - alcohol: none - illicits: none family history: -father and grandfather with cancer at age 70 -sister with breast cancer at age 50 physical exam: vitals: t: 97.4 bp:106/74 p:105 r: 14 o2: 100%ra general: alert, oriented, no acute distress heent: sclera anicteric, drymm, oropharynx clear. ngt in place draining blood neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly gu: no foley ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: admission labs: 07:10am blood wbc-8.5 rbc-3.20* hgb-9.4*# hct-28.0* mcv-87 mch-29.4 mchc-33.6# rdw-15.5 plt ct-175# 07:10am blood neuts-86.2* lymphs-12.1* monos-1.5* eos-0.1 baso-0.2 07:10am blood pt-14.4* ptt-27.1 inr(pt)-1.2* 07:10am blood glucose-130* urean-54* creat-0.5 na-143 k-4.5 cl-117* hco3-20* angap-11 05:20pm blood calcium-6.9* phos-2.8 mg-1.6 12:37pm blood type-art po2-387* pco2-39 ph-7.26* caltco2-18* base xs--8 12:37pm blood freeca-0.95* cbc/hct: 07:10am blood wbc-8.5 rbc-3.20* hgb-9.4*# hct-28.0* mcv-87 mch-29.4 mchc-33.6# rdw-15.5 plt ct-175# 11:13am blood wbc-10.2 rbc-3.18* hgb-9.5* hct-28.1* mcv-88 mch-29.8 mchc-33.8 rdw-15.9* plt ct-133* 12:59pm blood hct-34.5* plt ct-163 05:20pm blood wbc-10.6 rbc-3.89* hgb-11.6* hct-33.3* mcv-86 mch-29.9 mchc-34.8 rdw-16.6* plt ct-127* 08:46pm blood hct-32.0* plt ct-145* 01:02am blood wbc-9.4 rbc-3.88* hgb-12.0 hct-32.8* mcv-85 mch-30.9 mchc-36.5* rdw-16.8* plt ct-124* 05:47am blood hct-31.1* 11:55am blood hct-30.3* 03:05pm blood hct-31.3* plt ct-125* 09:02pm blood hct-31.8* 01:34am blood wbc-10.2 rbc-3.76* hgb-11.3* hct-31.6* mcv-84 mch-29.9 mchc-35.6* rdw-16.2* plt ct-149* 07:54am blood hct-31.1* 11:29am blood hct-31.6* 12:20am blood hct-29.4* 05:26am blood wbc-6.9 rbc-3.63* hgb-11.0* hct-31.1* mcv-86 mch-30.2 mchc-35.4* rdw-16.3* plt ct-140* 09:45am blood hct-33.1* 05:14pm blood hct-32.4* 05:05am blood wbc-7.5 rbc-3.76* hgb-11.2* hct-32.6* mcv-87 mch-29.9 mchc-34.5 rdw-15.9* plt ct-182 micro: helicobacter pylori antibody test: negative by eia. studies: ecg: baseline artifact is present. sinus tachycardia. non-specific st-t wave changes. no previous tracing available for comparison. intervals axes rate pr qrs qt/qtc p qrs t 120 132 74 320/425 50 2 100 portable cxr: tip of endotracheal tube is 2.6 cm above the carina. heart size is normal. aorta is tortuous. bibasilar areas of atelectasis are present. within the imaged portion of the upper abdomen, note is made of moderate gastric distention. egd: large amount of old clotted blood was seen in the body and antrum of the stomach. there was an adherent clot to the pyloric channel that had bright red blood as a component. there was evidence of active bleeding in the area of the clot when washed away showed a small hole from which blood was flowing in a stream. epinephrine 1: 2cc was injected to stop the bleeding temporarily. two resolution clips were also placed. there was a temporary decrease in bleeding. one more clip was placed with continued bleeding. two additional ml of epinephrine injected. an additional clip was placed across the opening of the hole. it was unclear if the bleeding stopped but there was minimal bleeding at the time the scope was removed. otherwise normal egd to second portion of the duodenum portable cxr: one portable view. comparison with . streaky density at the lung bases most consistent with subsegmental atelectasis persists. the heart and mediastinal structures are unchanged. an endotracheal tube and right internal jugular sheath remain in place. the stomach is distended with gas, as before. impression: no significant change. abd x-ray: report pending at time of discharge brief hospital course: 60yo f with h/o gastric ulcer 8 years ago presenting with fatigue and 11 point hct drop with coffee ground emesis. . # upper gi bleed/acute blood loss anemia: patient was transferred from after she presented there with syncope, found to have blood on ng lavage. she was admitted to the micu for an urgent egd. she was initially hemodynamically stable, then during the endoscopy the amount of bleeding increased, and she became hypotensive requiring iv fluids and a total of 5 units of prbc's, 2 units of ffp and 1 pack of platelets. gi was able to clip the vessel and the bleeding slowed, and then stopped. she was initially maintained on a ppi drip, which was transitioned to dosing two days later, at which time she was started on clear liquids. she was seen by the general surgery service when her hematocrit remained stable after eating it was decided she was stable for transfer to the floor. while there, her hematocrit and vital signs all remained stable, and she had no further bleeds. she was discharged on pantoprazole and was given clear instructions to avoid taking aspirin or nsaids. she was also set up for gi follow-up and repeat upper endoscopy. her gi providers will arrange further outpatient studies (e.g. water soluble dye or barium swallow studies) to better evaluate for fistulae or other defects in her gi tract. . # hypertension: after transfer to the medical floor, the patient was consistently hypertensive, to as high as 170/100. she was started on amlodipine 5 mg once daily, with pcp scheduled for further monitoring. . # code: the patient was full code for the duration of the admission. medications on admission: none discharge medications: 1. pantoprazole 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* 2. amlodipine 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: gi bleeding peptic ulcer disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted with an episode of gastrointestinal bleeding. you were treated with blood transfusions, and you had an upper endoscopy that showed active bleeding. the endoscopists placed several metal clips and injected epinephrine to try to stop the bleeding. you did not have any additional evidence of bleeding. your vital signs and your hematocrit level were stable after you were transferred out of the intensive care unit. . your blood pressure was consistently elevated after you left the icu, and you were started on an anti-hypertensive medication to improve your blood pressure. please discuss this medication with dr. (see appointment below). . you should not take aspirin, or any non-steroidal anti-inflammatory medications (e.g. ibuprofen, naproxen, ketorolac, diclofenac), as these can increase your chance of having a gastrointestinal bleed. . the following changes were made to your medications: -started amlodipine 5 mg tabs, one tab by mouth once daily -started pantoprazole 40 mg tabs, one tab by mouth every twelve hours followup instructions: primary care appointment: name: , a. location: of address: , , phone: appointment: 1:45pm please discuss your new blood pressure medication with dr. department: div. of gastroenterology when: wednesday at 2:00 pm with: , md building: ra (/ complex) campus: east best parking: main garage endoscopy appointment: department: digestive disease center when: monday at 11:30 am with: , md building: building (/ complex) campus: east best parking: main garage please arrive at 10:30am for this appointment and if you can call our registration department before your visit to update your information. the number is . md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube arterial catheterization endoscopic control of gastric or duodenal bleeding diagnoses: unspecified essential hypertension acute posthemorrhagic anemia chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction hypovolemia accidents occurring in residential institution tachycardia, unspecified electrolyte and fluid disorders not elsewhere classified foreign body in larynx inhalation and ingestion of other object causing obstruction of respiratory tract or suffocation 

Answer: The patient is high likely exposed to