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: morphine / prochlorperazine / tramadol attending: chief complaint: nausea and vomiting, one episode of coffee ground emesis major surgical or invasive procedure: upper endoscopy history of present illness: history of present illness: ms. is a 27yo f with history of dm type 1, known grade 1 esophageal varices, status post exploratory laparoscopy from trauma presenting with frequent emesis with episode of coffee grounds and abdominal pain. . in the er, initial vitals were 141, 133/96, 16, 99% 3l. patient was profusing vomiting and r femoral cvl was placed for access. she had a very tender abdomen on exam and ct showed signs of pneumobilia. surgery was consulted who recommended admission to medicine with serial abdominal exams. gi and liver were also consulted. she was started on ppi and octreotide drips, and also received dilaudid, zofran, insulin (home dose), zosyn, metoclopramide and metoprolol. her initial labs showed an anion gap which later closed and small amount of ketones. hct was stable since prior on . ng lavage cleared after 20 cc flush and guaiac was negative. vitals on transfer were 98.0 85 125/88 12 100% ra. fsbs 132. . in the micu, patient is initially coughing/retching up clear liquid. soon after receiving iv dilaudid and reglan, she appears comfortable and is fixing her hair. she reports being in her usual state of health yesterday but awoke with a fsbs in the 60s and has been vomiting throughout the day. the vomitus looked like coffee grounds at one point so she came to the er. her abdominal pain resolved in the er but she continued to have n/v. she has been unable to eat today. past medical history: - diabetes mellitus type i: diagnosed age 16 in after her first pregnancy. - severe anxiety/panic attacks - previous admissions for nausea/vomiting with h/o esophagitis and with concern for diabetic gastroparesis on metoclopramide - esophagitis / h. pylori and again - stage i diabetic nephropathy - grade i esophageal varices seen on scope in , negative liver ultrasound, normal lfts, hep panel negative - anxiety/panic attacks - depression - hyperlipidemia - s/p mva - lower back pain since then. - s/p mva , ex-lap - g2p1ab1, s/p miscarriage in 06/00 3rd trimester, s/p c-section in , not menstruating secondary to being on depo-provera - genital herpes - h pylori, s/p 2-week triple therapy on social history: she was born and raised in but currently lives in her own apartment with her son. she is currently unemployed and received disability. her mother and sisters live nearby. she had to drop out of school for becoming a medical assistant due to her multiple hospitalizations. she does not smoke and reports rare alcohol use on holidays. she denies drug use. family history: grandmother with type 1 diabetes, no history of cad, hypertension, celiac disease, ibd. physical exam: admission physical exam: general: alert, oriented, initially retching but later nad and comfortable appearing : nc/at, sclera anicteric, mmm, oropharynx clear neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: tachycardic, regular rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft, midline well healed scar, 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 discharge physical exam: physical exam: general: pt appears comfortable, a&ox3 : perrl, moist mmm cv: tachycardic, no m/r/g resp: ctab abd: soft/nt/mildly distended, midline abdominal scar s/p ex-lap extr: no edema, cyanosis or clubbing, femoral line on right side appears clean and non-erythematous pertinent results: admission: 06:10pm blood wbc-7.7 rbc-3.54* hgb-10.2* hct-31.0* mcv-88 mch-28.9 mchc-32.9 rdw-14.1 plt ct-282# 06:10pm blood neuts-81.6* lymphs-16.5* monos-1.1* eos-0.1 baso-0.6 06:10pm blood plt ct-282# 06:10pm blood glucose-355* urean-18 creat-1.1 na-138 k-3.7 cl-99 hco3-22 angap-21* 08:30pm blood glucose-236* urean-14 creat-0.9 na-141 k-3.7 cl-105 hco3-24 angap-16 06:10pm blood alt-20 ast-30 alkphos-76 totbili-0.4 06:10pm blood lipase-32 06:10pm blood calcium-9.9 phos-2.0* mg-1.7 10:54pm blood lactate-2.0 discharge: 12:00pm blood wbc-5.8 rbc-3.13* hgb-9.1* hct-27.6* mcv-88 mch-29.2 mchc-33.2 rdw-14.0 plt ct-229 12:00pm blood plt ct-229 12:00pm blood glucose-289* urean-6 creat-1.0 na-134 k-4.2 cl-101 hco3-27 angap-10 04:52am blood alt-13 ast-15 alkphos-59 amylase-95 totbili-0.4 12:00pm blood calcium-8.8 phos-3.1 mg-1.9 egd (): erosion in the fundus compatible with ng tube trauma/suction erosion in the gastroesophageal junction compatible with retching cxr (): the lungs are clear without consolidation or edema. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the osseous structures are unremarkable. ct abdomen/pelvis (): 1. esophageal wall thickening could reflect esophagitis or reactive changes from emesis. 2. focus of pneumobilia, correlate with history for ercp or sphincterotomy. 3. no additional acute abdominal process to explain the patient's pain and her symptomatology. brief hospital course: 27f with t1dm c/b gastroparesis and anxiety who presented to the ed with nausea, vomiting and one episode of coffee ground emesis. #nausea/vomiting and coffee ground emesis - had an egd which showed no source of active bleeding. no note of esophageal varices as previously reported on last egd, some erosion of gastroesophageal junction which was thought to be retching. coffee ground emesis thought to be caused by - tear from vomiting. received zofran and ativan for nausea with improvement. pt was continued on ppi 40mg daily on discharge. #t1dm - while in micu, lantus dose was held on night of because pt was not taking po. was then given 8 units of lantus during the afternoon of in the micu. she received an additional 12 units of lantus on the evening of to equal her normal nightly dose of lantus 20 units. she was additionally covered with humalog per her home sliding scale. she did not have any episodes of significant hyper- or hypoglycemia despite the changes in her insulin regimen. at discharge, she will be continued on her home doses of lantus 20 units at night and humalog pre-meal and sliding scale after meals. #anxiety/tachycardia - prior to transfer from micu, she was noted to be tachycardic to the 140s and hypertensive to the 160s systolic. when left alone, she calmed down and her hr and bp returned to . the anxiety improved after transfer to the floor, she was significantly less anxious at the time of discharge. #electrolytes - required repletion of potassium and phosphorus on multiple occasions. at discharge, both are back to normal levels. #access - a peripheral line was unable to be placed and she received a femoral line in the micu. this was removed prior to discharge and hemostasis was ensured with 5 minutes of pressure to the groin. no erythema or welling noted around the catheter site. #transitional issues: -will need monitoring of glucose control after discharge given disruption to her insulin dosing schedule -will need monitoring of electrolytes given low potassium and phosphorus during admission medications on admission: 1. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 2. ondansetron hcl 4 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. 3. lantus 100 unit/ml solution sig: seventeen (17) units subcutaneous at bedtime. 4. humalog 100 unit/ml solution sig: 1-10 units subcutaneous with meals: as directed by your sliding scale. 5. metoclopramide 10 mg tablet sig: one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). disp:*120 tablet(s)* refills:*2* 6. gabapentin 100 mg capsule sig: one (1) capsule po bid (2 times a day): may increase slowly up to 2 capsules twice daily if tolerated. disp:*100 capsule(s)* refills:*2* 7. insulin lispro 100 unit/ml solution sig: one (1) subcutaneous three times a day: per sliding scale. discharge medications: 1. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 2. lantus 100 unit/ml solution sig: seventeen (17) units subcutaneous at bedtime. 3. humalog 100 unit/ml solution sig: sliding scale subcutaneous with meals. 4. metoclopramide 10 mg tablet sig: one (1) tablet po with meals and before bed. 5. gabapentin 100 mg capsule sig: one (1) capsule po twice a day. 6. zofran 4 mg tablet sig: one (1) tablet po every eight (8) hours as needed for nausea. discharge disposition: home discharge diagnosis: primary diagnosis: vomiting with coffee ground emesis, likely small - tear secondary diagnoses: type 1 diabetes gastroparesis anxiety discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , you were admitted to the hospital with nausea and vomiting with one episode of coffee ground appearing vomit. you were in the intensive care unit for one day and had an upper endoscopy which did not show any active bleeding. it is thought that the coffee ground vomit was caused by your repeated vomitng. please continue to take zofran at home as needed for nausea. for your diabetes, we continued you on insulin. your doses were temporarily decreased while you weren't eating. however, at home you should continue to take your normal doses of insulin as printed on your medication sheet. this includes lantus 20 units tonight as well as your normal pre-meal and sliding scale humalog insulin. followup instructions: please make a follow-up appointment with your primary care physician for next week, we have contact your office so that you can be seen this week. department: rehabilitation services when: friday at 11:10 am with: , pt building: sc clinical ctr campus: east best parking: garage procedure: venous catheterization, not elsewhere classified other endoscopy of small intestine diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere other chronic pain unspecified essential hypertension hypopotassemia other and unspecified hyperlipidemia disorders of phosphorus metabolism long-term (current) use of insulin backache, unspecified gastroesophageal laceration-hemorrhage syndrome tachycardia, unspecified diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis adjustment disorder with mixed anxiety and depressed mood history of physical abuse 

Answer: The patient is high likely exposed to