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: iodine; iodine containing attending: chief complaint: bright red blood per rectum major surgical or invasive procedure: colonoscopy with polypectomy site clipping history of present illness: 67 y/o m cad who presents with bright red blood per rectum. patient had a colonoscopy and underwent a cecum polypectomy (final pathology adenoma). he restarted his aspirin/plavix on and had one episode of bloody stool on the morning of admission ()with several clots. and consequently presented to the ed. past medical history: - cad. last catheterization was , which showed one-vessel disease of the main coronary artery of 30 to 50%. there was diffuse narrowing. he also had two patent stents in his lad. his circumflex showed 70% stenosis which underwent pressure wire, but no new stent was placed. cath mid-lad had a 80% lesion at the d2 which was small and had an ostial 70% lesion. the lcx had a 60-70% ostial lesion. two des placed in the mid-lad. - prostate cancer status post brachytherapy, followed by dr. in radiation oncology. last visit was in , at which time psa was normal. - external hemorrhoids - erectile dysfunction - hypertension - low back pain for status post lumbar surgery at approximately 12 years ago. social history: he lives in , . he is married and his wife works as a clerk. he retired from his job as an airline mechanic in . he has history of 60 pack years tobacco use - he quit 30 years ago smoked two packs a day. denies any illicit substances. he has no drug use. family history: his father had cirrhosis at age 47. his mother had a stroke in her 90s. he has three brothers. two brothers with carotid stenosis and cad. one brother is healthy. he has three healthy children and numerous grandchildren who are also healthy. no history of gi cancer. physical exam: on admission to the icu: general - well-appearing man in nad, comfortable, appropriate heent - pale conjunctiva, nc/at, perrla, eomi, sclerae anicteric, drymm neck - no thyromegaly, no jvd, no carotid bruits lungs - cta b/l heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions lymph - no cervical, axillary, or inguinal lad neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, dtrs 2+ and symmetric pertinent results: 04:25pm hct-37.2* 09:58pm hct-33.6* 04:23am hct-35.7* 07:44am hct-34.4* 01:29pm hct-34.1* 09:14pm hct-33.7* 05:30am hct-34.0* . 04:25pm wbc-6.8 plt ct-167 04:23am blood wbc-9.4 plt ct-127* 01:29pm wbc-6.3 plt ct-122* 09:14pm wbc-6.4 plt ct-115* 05:30am wbc-5.8 plt ct-111* . 05:30am glucose-95 urean-10 creat-0.9 na-143 k-3.8 cl-113* hco3-25 angap-9 04:23am alt-16 ast-25 ld(ldh)-297* alkphos-43 totbili-2.5* dirbili-0.2 indbili-2.3 04:23am hapto-94 brief hospital course: #acute blood loss anemia from lower gi bleed: patient's presenting vitals were t 97.1, bp 114/77, hr 58, rr 20, sa 99%. patient's hct was found to be 37 from baseline 41. patient was initially admitted to the general medicine floor with plan to prep overnight for colonoscopy in the morning. aspirin and plavix were stopped and his anti-hypertensives were held. . after starting prep he had a large bright red bloody bowel movement and became hypotensive with a blood pressure of 80/palpable. his repeat hematocrit was 33 (from 37) patient was started on 1 l with mild improvement in bp (sbp 104). given the concern for inability to control the site of bleeding, he was transferred to the micu to complete the prep and have a colonoscopy. . in the icu, the patient received a total of 3 units of prbcs. his hct did not increase appropriately but did increase to 35.7. he had a colonoscopy the next morning by gi who found ulceration with 2 visible vessels at prior polypectomy site. 2 clips were placed for hemostasis, they also saw small rectal ulcers; grade 2 internal hemorrhoids. . his hcts were checked q4 hours for 24 hours and remained stable 33-35. he tolerated clears and then on the morning of diacharge ate a full breakfast. he had no more bowel movements, no abdominal pain and he remained normotensive without any more fluids or blood products. his atenolol and aspirin were restarted on the day of discharge. he was instructed to restart his lisinopril on the day after discharge (sunday) and come to the clinic for a cbc on monday. after the results of his cbc, if hct is stable, he was instructed to restart his plavix after discussion with his pcp and his cardiologist. his cardiologist wand pcp were not during his admission but an email was sent to let them know the patient was off his plavix (had des in ). . # indirect hyperbilirubinemia: patient with t. bili of 2.5 and i. bili of 2.3, ldh was increased and platelets were decreased so there was concern for hemolysis or dic but it was then realized that these were checked on a hemolyzed sample of blood which would falsely elevate these tests. haptoglobin was normal and reticulocyte count was 1.8. . # thrombocytopenia: platelets trended down from 167 to 111. it was felt most likely dilutional from ivf and packed rbcs. the patient did not receive any heparin products. he will have an outpatient cbc on monday . . # h/o cad s/p des: no chest pain during admission. ekg was unchanged. as above, aspirin and plavix were held, aspirin restarted. patient was continued on his simvastatin. . # htn: patient's anti-hypertensives were held during admission given hypotension and gi bleed. . medications on admission: - atenolol - 25 mg by mouth daily - clopidogrel - 75 mg tablet by mouth once a day do not stop this medication without to speaking to your cardiologist - lisinopril - 10 mg by mouth once a day - nitroglycerin - 0.4 mg prn as needed for chest pain - simvastatin - 40 mg tablet by mouth once a day - aspirin - 81 mg by mouth daily - omega-3 fatty acids-vitamin e 1,000 mg capsule - 2 capsule(s) by mouth once a day ** currently on hold due to hypotension: hydrochlorothiazide - 25 mg by mouth daily ** currently on hold isosorbide mononitrate - 30 mg sustained release 24 hr by mouth daily discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 4. omega-3 fatty acids-vitamin e 1,000 mg capsule sig: two (2) capsule po once a day. 5. lisinopril 10 mg tablet sig: one (1) tablet po once a day: please restart this medication today upon arriving home. 6. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet sublingual once a day as needed for chest pain. discharge disposition: home discharge diagnosis: primary: gastrointestinal bleeding after polypectomy discharge condition: mental status intact, ambulating freely without difficulty. discharge instructions: you were admitted with bleeding from your rectum and blood in your stool this was due to bleeding from your recent polyp removal in your colon. you were transfused 3 units of blood cells. the gi specialists put clips on your prior polyps sites and there was no further evidence of bleeding. you need to get a repeat blood test done on monday, to check your blood levels. this can be done at your primary care office. you should not take your clopidogrel (plavix) until instructed to do so. please continue your prior outpatient medications. please keep all your outpatient appointments. followup instructions: you should call and schedule a follow-up appointment for the next 1-2 weeks post-discharge with dr. . her office can be contact at . md, procedure: endoscopic destruction of other lesion or tissue of large intestine diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia personal history of malignant neoplasm of prostate percutaneous transluminal coronary angioplasty status hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypotension, unspecified other and unspecified angina pectoris accidents occurring in other specified places internal hemorrhoids without mention of complication external hemorrhoids without mention of complication ulceration of intestine ulcer of anus and rectum 

Answer: The patient is high likely exposed to