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: cc: major surgical or invasive procedure: colonoscopy egd egd with push enteroscopy tagged rbc scan history of present illness: 78 yom with dm, htn, hocm s/p ablation), small bowel avm and diverticulosis in usoh, woke up to go to bathroom to urinate and felt lightheaded and fell to the floor. +loc. this followed by bright red bowel movement with clots. evaluated by ems and brought to ed. patient denies preeceding or post fall symptoms aside from lightheadedness. no cp/sob . in the ed, initially bp 90/60s, dusky fingertips placed cordis and given 2 units prbc. pretransfusion hct returned as 32.5. gi consulted and patient being admitted to icu for further care. head ct c-spne negative. . on transfer to the unit, pt denies any complaints. has not had any recurrent episode of gib. on ros denies any fevers, chills nausea, vomiting recently. denies any falls recently. ros positve for 35 lbs wt loss over past 3-4 years. past medical history: hocom s/p two septal ablations ( and ) dm *nephropathy secondary to dm complete heart block, s/p pacer/icd htn *hyperlipidemia mvp stapedectomy *gastritis (avms in small bowel) *diverticulosis, internal hemorrhoids, small hiatal hernia *h/o e. coli bacteremia sphincterotomy anemia hernia repair s/p ccy carotid artery stenosis social history: quit smoking 40 yrs ago, social etoh, married, lives with wife family history: father died from mi in 60s physical exam: physical exam: vitals: 98, bp 133/81 hr 75 rr 12 o2sat 100%ra . gen: pleasant elderly male lying in bed in nad heent: mmm, perrla, op clear neck: supple, no jvd chest: ctab, no crackles cvr: rrr, nl s1, s2. +systolic murmor at lusb ii/vii. abdomen: soft, nt, nd ext: no edema, right groin cordis site clean. first fingers bilaterally cyanotic. rectal: in ed, clots in rectal vault, guiac+. . pertinent results: u/a color yellow appear slhazy specgr 1.025 ph 5.5 urobil 0.2 bili neg leuk neg bld sm nitr neg prot tr glu >1000 ket neg . 08:45a 137 | 99 | 35 agap=15 -------------<359 4.3 | 27 | 1.8 . mcv 91 7.3 >---< 219 ......32.0 .n:67.2 l:23.0 m:5.6 e:3.6 bas:0.6 . pt: 13.1 ptt: 21.3 inr: 1.1 . ecg: v paced at 70, +lvh. no st-t changes. . egd - few scattered superficial avms in jejunum-small and not likely to have produced anemia in the duodenum otherwise normal egd to second part of the duodenum . colonoscopy - diverticulosis of the entire colon grade 2 internal hemorrhoids otherwise normal colonoscopy to cecum . - tagged rbc scan gi study: impression: no active bleeding during this study. brief hospital course: assessement and plan: 78 yom with dm, htn, h/o diverticulosis, hemorrhoids and small bowel avm admitted after syncope and one episode of brbpr. on transfer to the unit, pt denies any complaints. has not had any recurrent episode of gib. on ros denies any fevers, chills nausea, vomiting recently. denies any falls recently. ros positve for 35 lbs wt loss over past years. egd showed gastritis, tagged rbc scan was negative. colonoscopy showed diverticulosis and grade 2 internal hemrrhoids but no active bleeding. pt was called out to the floor, and brief hospital course by problem below: . # gib - given h/o diverticulosis and hemorroids and one episode of brbpr lbig most likely. pt had three episodes of bleeding on the floor- first in the toilet, bright red per nurse, unspecified quantity, next was 200 cc of maroon stools. finally, pt had another ~100cc of maroon stools before being taken for push enteroscopy which was negative for source of bleed. small bowel avms also likely culprit as seen in previous capsule endoscopy. ddx also includes ischemia (hypotension followed by brbpr). patient given 2 units prbc in the ed and hct remained stable thereafter. pt's hematocrit remained stable and vital signs also stable during remainder of hospitalization. of note, b12 level also found to be low, so started on 100mg b12 po daily. . # syncope - unclear etiology as pt lightheaded initially had a fall which was followed by brbpr. this most likely due to gib and given h/o hocm pt may be volume sensitive. pacer interrogated by ep and was unremarkable. monitored on tele with no new events. . # dusky fingers - on admission noted to have dusky fingers likely secondary to hypotension. this resolved over the course of the night, however had another episode of fingers turning blue with good pulses and bp. pt was not noted to have any further episodes through remaining hospitalization. although patient denied previuos episodes similar to this, if this persists should consider further work up for raynaud's. . # hocm - s/p alchol ablation times 2. echo repeated and revealed an improved gradient. bb initially held off given gib, but restarted atenolol at 100mg. blood pressure remained well controlled throughout hospital stay. . # cad - rca with 30% disease previously. initially hld bb, diuretic and asa. statin was continued. per gi stopped asa given continued bleeding. would consider restarting in future if hct remains stable. . # dm - oral hypoglycemics held on admission and covered with iss. restarted on oral agents prior to discharge. fsbg's were variable depending on pt's daily intake, and should be followed up after discharge. . # acute on chronic renal insuff - baseline around 1.2-1.5, admission creat of 1.8. resolved after transfusion. discharge creat=1.2 . # ophtho: continued timolol. no issues . # depression - continued citalopram . medications on admission: metformin 500mg qid (recently discontinued) rosiglitizone 8 mg once day glyburide 5mg asa 325 mg once day atenolol 175 mg once a day atorvastatin 10 mg q mon and thurs hctz 37.5 mg once a day iron supplement 65 mg once daily vitamin c 500 mg once daily coenzyme 10 100 mg once daily occuline timolol 0.25% once a day right eye amantadine 100mg twice daily citalopram 20 mg daily losartan 50 mg daily buproprion 75 mg twice daily. discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. ascorbic acid 500 mg tablet sig: one (1) tablet po daily (daily). 3. timolol maleate 0.25 % drops sig: one (1) drop ophthalmic daily (daily). 4. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 5. bupropion 75 mg tablet sig: one (1) tablet po bid (2 times a day). 6. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. amantadine 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 10. rosiglitazone 8 mg tablet sig: one (1) tablet po daily (daily). 11. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). 12. hydrochlorothiazide 25 mg tablet sig: 1.5 tablets po daily (daily). 13. losartan 50 mg tablet sig: one (1) tablet po daily (daily). 14. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: & retirement home - discharge diagnosis: primary diagnosis: 1. small intestine gi bleed 2. diverticulosis 3. internal hemmorhoids 4. vit b12 deficiency secondary diagnoses: 1. dm 2. htn 3. hocm s/p ablation 4. hyperlipidemia 5. blood loss anemia discharge condition: stable discharge instructions: please remember to make the follow-up appointments below. . you should call your pcp or return to the ed if you have: *large bloody stools *dizziness/lightheadedness . if you have any of the above, you should come immediately to the hospital. tell the ed that the radiologist on call must be paged immediately and you need to go directly to nuclear medicine for a tagged red blood cell scan. take this paperwork with you. followup instructions: you should follow up with your pcp . ( within one month of discharge to check your blood levels (hematocrit) and make sure your diabetes is under control. call the number above to schedule an appointment at your convenience. . md procedure: other endoscopy of small intestine other endoscopy of small intestine colonoscopy pulmonary artery wedge monitoring transfusion of packed cells diagnoses: thrombocytopenia, unspecified anemia of other chronic disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified unspecified fall chronic kidney disease, unspecified other b-complex deficiencies long-term (current) use of insulin syncope and collapse unspecified gastritis and gastroduodenitis, without mention of hemorrhage diverticulosis of colon (without mention of hemorrhage) internal hemorrhoids without mention of complication angiodysplasia of stomach and duodenum with hemorrhage fitting and adjustment of automatic implantable cardiac defibrillator diabetes with renal manifestations, type ii or unspecified type, uncontrolled cyanosis 

Answer: The patient is high likely exposed to