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: aortic valve stenosis and cad major surgical or invasive procedure: endoscopy colonoscopy capsule study history of present illness: 83f with aortic stenosis ( .8cm2) and cad. presented initially with sob, st depression and anemia. cath showed 30% stenosis of left main, clean lad, 30% lcx, and 60-70% prox rca. scheduled for elective avr/cabg on . past medical history: past medical history: # deaf, communicates well & reads lips well # htn # h/o tia # copd (emphysema) - on albuterol # hysterectomy # appendectomy social history: cardiac risk factors: hypertension, tobacco family history: nc physical exam: tm 99.5, tc 99.3, hr 94, bp 145/70, rr 18, o2sat 97ra genl: nad cv: rrr resp: rales at bases, unlabored resps abd: s/nt/nd, no pulsatile mass extr: rle fem//dp/pt: 2+/1+// lle fem//dp/pt: 2+/1+// pertinent results: 08:54am hgb-5.0* calchct-15 09:09am wbc-16.7*# rbc-2.02*# hgb-4.7*# hct-17.1*# mcv-85 mch-23.3* mchc-27.6*# rdw-21.3* 09:30am pt-13.4 ptt-37.7* inr(pt)-1.1 09:30am caltibc-289 vit b12-363 haptoglob-102 ferritin-14 trf-222 09:30am iron-14* 10:48am wbc-16.0* rbc-2.91*# hgb-7.5*# hct-24.8*# mcv-85 mch-25.6* mchc-30.1* rdw-18.4* 08:57pm blood hct-30.6* 10:25am blood hct-31.5* 11:54am blood hct-32.5* 05:15am blood wbc-10.6 rbc-3.85* hgb-10.2* hct-32.2* mcv-84 mch-26.5* mchc-31.7 rdw-17.8* plt ct-452* gi report blood was seen in 3rd portion of duodenum. careful inspection of the area with endoscopy, side viewing ercp scope, and colonoscope ultimately revealed an irregular appearing ulcer in the distal 2nd to 3rd portion of duodenum (post-ampullary). there was no active bleeding when these areas were inspected, even with provocation with the tip of the endoscope. distal to this was an erythematous area on top of a protruding/pulsatile submucosal mass which took up almost of the lumen. cytology sent. brief hospital course: ms. is a 83 year old female who was recently found to have severe cardiac disease requiring a cabg/avr. she was scheduled for elective repair on but was found to have a hct of 17. her surgery was cancelled. gi was consulted for workup of a gi bleed. on endoscopy, she was noted to have a duodenal ulcer that was not actively bleeding. additionally there was noted to be a duodenal pulsatile bulge which was confirmed to be a 3cm abdominal aortic aneursym on subsequent ct scan. pt was extubated and after 48 hrs of stable hcts was transferred to the floor. she underwent bowel prep and colonoscopy on which was normal. capsule endoscopy was performed on . she was discharged home with gi followup, and follow up with dr. after her repeat endoscopy. medications on admission: simvastatin 10', metoprolol 37.5'', asa 81', ferrous sulf 325', alb prn, prevacid 40'. 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:*0* 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: caretenders discharge diagnosis: anemia gi bleed 3cm aaa cad (lm 30%, lcx 30%, rca 60%) as htn copd prior tia deafness appy hysterectomy discharge condition: stable. discharge instructions: do not take aleve (naproxen), motrin/advil (ibuprofen) or aspirin. stop taking iron on (1 week prior to endoscopy). do not eat or drink anything after midnight before your endoscopy. if you have any nausea or vomiting please call gi at . followup instructions: dr. /dr. for repeat endoscopy: scheduled for thursday at 10 am, arrive at 9 am to the of the building on the . dr. 1-2 weeks dr. with repeat ct scan in 6 months for follow up of aaa. dr. after repeat endoscopy, . md procedure: other endoscopy of small intestine other endoscopy of small intestine colonoscopy diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension iron deficiency anemia secondary to blood loss (chronic) aortic valve disorders other emphysema chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction abdominal aneurysm without mention of rupture surgical or other procedure not carried out because of contraindication chronic diastolic heart failure angiodysplasia of stomach and duodenum with hemorrhage 

Answer: The patient is high likely exposed to