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: penicillins attending: chief complaint: gi bleed major surgical or invasive procedure: egd history of present illness: 71 yo w pmhx sig for severe aortic stenosis, recurrent gi bleed, admitted to micu for 3rd time since for low hct and mahogany stools. pt initially presented on w/ melena and hct of 22, had egd showing brisk bleed in "duodenal sweep". attempted embolectomy of gastroduodenal artery performed, pt given 5 units prbcs and d/c home. pt readmitted for duodenal bleed. she received epinephrine injection, endoclips, and 3 units rbcs and then d/c. pt had doe/fatigue/mahogany stool found to have hct of 21 in pcp . she was immediately brought the er where the patient had a negative ng lavage but was guaic positive. she was given 3 units of prbcs, gi consult was called, and she was transferred to the icu. past medical history: **ugi bleed as above **severe as, normal ef, valve area 0.8 cm2 on echo , mean gradient of >60 on echo last year **hypothyroidism **hypercholesterolemia **hypertension denies h/o rheumatic fever, heart disease social history: lives with husband; still works full time as office coordinator, exercises regularly at curves; leads very active lifestyle, quit tobacco at age 35 (has 20 pack year history), occasional etoh. full code family history: father with mi at age 61 brother w/ mi at age 53? mom w/ vaginal ca, 87 yo sister w/ breast ca, passed away at age 63 brother with gastric ca physical exam: temp 97.8 rr 17-25 hr 57 95-97% on ra gen: lying in bed, nad heent: no scleral icterus, perrl, eomi neck: no jvd, lad chest: cta b/l no r/r/t cv: rrr nl s1 s2 no m/r/g abd: soft nt nd +bs no hsm ext: warm dp 2+ pertinent results: 09:17pm hct-27.8* 05:20pm ck(cpk)-38 05:20pm ck-mb-notdone ctropnt-<0.01 05:20pm hct-28.4* 01:00pm hct-30.4* 09:45am glucose-101 urea n-17 creat-0.8 sodium-141 potassium-4.0 chloride-112* total co2-25 anion gap-8 09:45am ck(cpk)-44 09:45am ck-mb-notdone ctropnt-<0.01 09:45am calcium-8.4 phosphate-2.6* magnesium-1.9 09:45am wbc-5.7 rbc-2.81*# hgb-8.6*# hct-25.5*# mcv-91 mch-30.6 mchc-33.7 rdw-14.2 09:45am plt count-230 12:55am glucose-118* urea n-22* creat-0.9 sodium-141 potassium-4.2 chloride-109* total co2-24 anion gap-12 12:55am ck(cpk)-60 12:55am ck-mb-notdone ctropnt-<0.01 12:55am wbc-6.7 rbc-2.16* hgb-6.4* hct-19.8* mcv-92 mch-29.6 mchc-32.3 rdw-14.6 12:55am neuts-70.0 bands-0 lymphs-19.5 monos-4.8 eos-4.9* basos-0.8 12:55am hypochrom-2+ anisocyt-1+ poikilocy-1+ macrocyt-1+ microcyt-normal polychrom-occasional ovalocyt-occasional 12:55am pt-12.6 ptt-25.9 inr(pt)-1.0 12:55am plt count-266 04:10pm wbc-7.3 rbc-2.32*# hgb-6.7*# hct-21.5*# mcv-93 mch-28.9 mchc-31.2 rdw-15.1 04:10pm neuts-70.3* lymphs-21.0 monos-4.2 eos-3.6 basos-0.9 04:10pm hypochrom-3+ poikilocy-1+ 04:10pm plt count-269 brief hospital course: 71 yo female w/ severe as, hypothyroidism, recurrent ugib s/p multiple micu admissions again admitted for ugi bleed from duodenal ulcer. gastrointestinal bleed - the patient was given 3 units of packed red blood cells in the in the emergency deaprtment for a hct of 19. she also had two large bore ivs placed. in the micu she had hct checks every 8 hours and was given iv protonix. an egd was performed by gi that showed a dieulafor lesion in the third portion of the duodenum. this area was injected with epinephrine and electrocauterized with hemodynamic control. she was npo for 24 hours post procedure with continued 8 hour hct checks. her hct remained stable and she was transferred to the floor where her diet was gradually advanced to normal. aortic stenosis - pt had a tte that showed thickened aortic valave leaflets with severe aortic stenosis. however, cardiology stated that this was not critical based on her level of activity and symptoms. she has no signs of cad. it was stated that if she required surgery she would need no further cardiac work up. htn - procardia was held. hypothyroidism - she was maintained on her home synthroid disp - she told to follow up with her primary care physician within one week. she was also written for blood counts weekly for 4 weeks, then biweekly for 2 weeks, then monthly for 3 months. medications on admission: procardia synthroid prilosec lipitor discharge medications: 1. levothyroxine sodium 150 mcg tablet sig: one (1) tablet po qd (once a day). 2. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). discharge disposition: home discharge diagnosis: gastrointestinal bleed discharge condition: stable discharge instructions: please follow up with your pcp next week. you will have blood counts weekly for 4 weeks, then biweekly for 2 weeks, then monthly for 3 months. please call your doctor if you have shortness of breath, heart palpitations, fatigue, or bloody stool. followup instructions: provider: , internal medicine where: off campus internal med. phone: date/time: 9:00 procedure: other endoscopy of small intestine endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism aortic valve disorders dieulafoy lesion (hemorrhagic) of stomach and duodenum 

Answer: The patient is high likely exposed to