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: aspirin attending: chief complaint: call out; s/p gib major surgical or invasive procedure: egd history of present illness: the patient is a 58 year-old woman with a hx of pud, htn, tension headaches who originally presented to the ed with chief complaint of decreased appetitite, nausea x 2 weeks worsening over two days with increasing fatigue and midepigastric pain prompting evaluation. 2 weeks prior patient began taking fiorinal as opposed to her usual fioricet. approximated 2 daily. shortly thereafter patient reported decreased appetitite and upset stomach. nausea developed with several episodes of vomiting over the last two days occasional brown colored, mainly bile. no hematemesis. abdominal pain proceeded to severe sharp stabbing midepigastric pain with occasional radiation up the esophagus improved with sitting up and with tums over the past 48 hours. pt also complained of appearing pale and with increased fatigue and dyspnea with normal daily activities. also noted odynophagia to solids then liquids over the course. reports no coffee, glasses of wine x weekly, no cigarrette use, no hepatitis risk factors, unknown h-pylori status, no hx of other nsaid use. fosamax patient has been taking for over one year and has caused abdominal discomfort. reports brown stools which have appeared somewhat darker yesterday but not black or tarry in appearance. in the ed hd stable, hct noted at 19.5 from baseline ~37. 2 l ns given. guaiac +, ng lavage + coffee grounds cleared with 200 cc ns. 2 units prbc given. gi cocktail, protonix 40 mg iv x 1, 8 mg morphine given. gi consulted and patient admitted to for further work up. while in the icu, the patient received another 2 units prbc. vitals signs remained stable. tolerating clear liquids. patient transferred to floor. plan for egd on monday. past medical history: past medical history: tension ha pud (30 year ago and in setting of nsaid use) osteoporosis endometriosis s/p menopause past surgical history: 13 procedures for endometriosis social history: retired probation officer. quit smoking in . social etoh. no drug use. lives with husband. family history: cad (two brothers with at or before age 50) physical exam: physical exam: 97.7 100/62 69 16 97%ra gen: sitting in bed in nad heent: dry mm, pale conjunctiva, no scleral injection. large cushingoid neck. cvs: rrr, nl s1s2, no m/r/g lungs: cta b/l abd: soft, nt, nd, +bs. no tenderness to palpation over midepigastrium ext: no c/c/e, small superfical ulcer left tibia pertinent results: 06:55am blood wbc-6.0 rbc-3.65* hgb-11.9* hct-35.1* mcv-96 mch-32.6* mchc-33.9 rdw-16.0* plt ct-288 05:20pm blood wbc-6.8 rbc-3.77* hgb-12.1 hct-35.6* mcv-94 mch-32.2* mchc-34.1 rdw-15.7* plt ct-334 04:10am blood wbc-6.9 rbc-2.73*# hgb-8.9*# hct-25.9*# mcv-95 mch-32.5* mchc-34.2 rdw-16.7* plt ct-249 04:15pm blood wbc-7.4 rbc-1.97*# hgb-6.8*# hct-19.5*# mcv-99*# mch-34.3* mchc-34.7 rdw-14.1 plt ct-315 04:15pm blood neuts-70.3* lymphs-25.7 monos-2.4 eos-1.3 baso-0.3 04:10am blood pt-12.3 ptt-24.3 inr(pt)-1.0 06:55am blood glucose-103 urean-4* creat-0.6 na-133 k-4.3 cl-102 hco3-26 angap-9 04:10am blood alt-16 ast-25 ld(ldh)-135 ck(cpk)-70 alkphos-87 amylase-34 totbili-0.4 04:10am blood lipase-22 04:10am blood ck-mb-3 ctropnt-less than 04:15pm blood ctropnt-<0.01 12:20pm blood osmolal-273* 12:20pm blood tsh-3.9 09:08am urine hours-random na-63 09:08am urine osmolal-193 helicobacter pylori antibody test (final ): negative by eia. chest (pa & lat) 4:20 pm impression: no acute cardiopulmonary process. egd : findings: esophagus: mucosa: there was mild erythema and congestion noted at the ge junction suggestive of mild esophagitis. stomach: excavated lesions multiple erosions were noted in the fundus, stomach body and antrum.there was no active bleeding noted. duodenum: excavated lesions a single 3cm ulcer was found in the duodenal bulb. a pigmental material suggested recent bleeding.there was scant oozing around the ulcer edge. -cap electrocautery was applied for hemostasis successfully to the pigmented spot and around the ulcer edge. impression: esophagitis erosions in the fundus, stomach body and antrum ulcer in the duodenal bulb (thermal therapy) otherwise normal egd to third part of the duodenum recommendations: 1. check h. pylori serology and treat if positive 2. avoid asa and nsaid's 3. ppi po bid for 10 weeks 4. repeat endoscopy in 10 weeks to evaluate healing of ulcer 5. also need follow up screening colonoscopy to be scheduled as out-pt brief hospital course: 1. acute blood loss anemia due to gi bleeding due to duodenal ulcer - egd with coagulation of bleeding ulcer - stable hematocrit since egd - ppi - no aspirin containing products - gi consultation - s/p transfusion in icu - h. pylori negative 2. hyponatremia: - unclear etiology - records indicate patient with low sodium dating back to . - resolved with fluid repletion 3. tension headache - started on tylenol - advanced to fiorocet - could also try cyclobenzaprine - gave 10 days of fiorocet so that she does not take fioronal until she can see her pcp medications on admission: atenolol 100mg daily calcium and vit d fiorinal 1-2 tabs tid fosamx 70mg weekly mvi discharge medications: 1. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day for 10 weeks. disp:*60 capsule, delayed release(e.c.)(s)* refills:*3* 2. atenolol 100 mg tablet sig: one (1) tablet po once a day. 3. calcium 500+d 500 (1,250)-200 mg-unit tablet sig: one (1) tablet po once a day. tablet(s) 4. fosamax 70 mg tablet sig: one (1) tablet po once a week. 5. fioricet 50-325-40 mg tablet sig: 1-2 tablets po every six (6) hours as needed for headache for 10 days. disp:*30 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: acute blood loss anemia gastro-intestinal bleeding duodenal ulcer discharge condition: good discharge instructions: return to the hospital if you have black/tarry stools, coffee-grounds vomitting, red blood in vomit or stool, lightheadedness you will need a repeat endoscopy as below please take the omeprazole twice daily until your repeat procedure. you should take at least one of the pills 45 minutes before food for maximum effect. in the future you should avoid all aspirin containing products. followup instructions: please contact the gi procedure scheduling office to schedule your repeat endoscopy for 10 weeks from now, procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: acute posthemorrhagic anemia hyposmolality and/or hyponatremia osteoporosis, unspecified chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction volume depletion, unspecified benign essential hypertension tension headache 

Answer: The patient is high likely exposed to