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: brbpr major surgical or invasive procedure: transfusion of prbc's transfusion of ffp history of present illness: yo f w/ a h/o htn, dm2, pulm htn, h/o pe, r sided heart failure, afib on coumadin, who presented to the ed s/p fall. patient reports that she had been in her usoh until this morning when she had a fall while walking across the room. denies preceding symptoms incl lh, dizziness, diaphoresis, nausea, cp, or sob. denies loc. states that she did hit her head. could not get up due to "heaviness of her legs". states that this is a chronic problem and that her le edema is actually improved. physical therapist arrived at 9am and called ems. . found to be sob and coughing by ems. she was given 20 mg iv lasix- with bp = 75/35 on presentation to ed. in the ed, the patient had one episode of red/brown stool, fobt +. ng lavage negative. given 1.5l ns with response of sbp to the 90s and 2u prbc. vitamin k po 10mg x1. . denies fevers/chills/rash/rigors. denies cp (by notes anginal equivalent is arm pain), sob, abdominal pain, nausea, vomiting, weight loss, hematemesis, hemoptysis, brbpr, melana. . has had a cough x approx 6mo, states it is to "heart failure". minimally productive of yellow sputum. . patient was last admitted on with increased le edema treated with diuresis. noted to have guaic positive stool. hct 25.4 at that time. past medical history: htn atrial fibrillation on coumadin pe in chf - echo lvef > 55%, mr 1+, tr 2+ dm ii anemia social history: (per recent d/c summary, substance abuse history updated) born in . sold vogue dolls for 24 years. she was treasurer of her episcopalian church which closed in . very religious. she is widowed, and lost a son and daughter. pt lives alone in , cooks own meals. her grandson is support. tried smoking on one occasion only. no h/o alcohol use. family history: (per recent d/c summary, add'l h/o gi cancer taken) daughter died of breast cancer. son w/ dm ii, d. of small cell lung ca, smoker. several brothers died of cancer. unknown type. she does not know if she has a history of colon or stomach cancer. no family history of coronary artery disease. physical exam: t 97.3, bp 102/50, hr 80, rr 18, 100% 2l nc atraumatic. nt. no battle's sign. perrl. eomi. op clr. dry mm. 8cm jvp. thyroid benign. no cervical/sm/sc lad. irregularly, irregular. no m/r/g. minimal l basilar crackles, cleared with coughing. +bs. soft. nt. nd. 2+ le edema, symmetric. no clubbing/cyanosis. neuro: a&o x 3, appropriate, normal speech, cn ii-xii grossly intact pertinent results: head ct: no evidence of acute mass or hemorrhage. left thalamic infarct, age indeterminate. these results posted on the emergency room dashboard . cxr: decreased r pleural effusion. brief hospital course: a/p: yo w/ h/o htn, chf, afib, history of iron deficiency anemia, and recent hospitalization for copd exacerbation admitted w/ gib in the setting of elevated inr. . 1) lgib- ngl negative. no prior colonoscopies so unclear source. patient was transfused 4 units prbcs with appropriate response in hct which subsequently remained stable. received 2 units ffp and vitamin k x 2 with correction of inr. patient remained hemodynamically stable over a short icu stay. patient was followed by gi. no scope performed due to patient's desire for conservative management. she continued to have some mild guaiac positive stools until the day prior to discharge. her inr also started to trend up > 3 after initial ffp/vitamin k, but responded well to subsequent vitamin k administration. in this context, we believe that her increased inr is likely mostly nutritional, though there may yet have been am element of medication non-compliance. we will hold her coumadin for now given gi bleed and poor nutritional status, to be followed by her primary cardiologist as to whether she should restart it in the future. . 2) chf- diastolic based on recent tte. unclear etiology. although notes describe r heart failure, patient had a cxr in c/w l and r heart failure. prior cath in with normal resting hemodynamics and recent pasp only 39. however, the patient does have 2+ tr, whether this is a primary etiology or a secondary effect is unclear. additionally, patient is in afib, which appears new in or . she had been recently admitted in for a chf exacerbation, and was being gradually diuresed as an outpatient. patient was initially hypervolemic after fluid resuscitation. during icu stay and on floor, she was diuresed with good response to lasix iv with subsequent improvement in respiratory status clinically and by cxr, as well as in her peripheral edema. after a few days of aggressive diuresis, she became transiently orthostatic and required 250cc bolus x 2. it was thought that she was slightly overdiuresed. she continued to auto-diurese between 250cc-500cc despite not getting lasix over her last few days of her admission. plans are to continue to assess volume status and take careful is/os vs. weights as an outpatient to determine whether or not she needs to restart low dose po lasix. we were unable to restart ace-i given her relative hypotension. she should be restarted when able to tolerate it. . 3) afib- patient is rate controlled and anticoagulated at home. given low short term risk for stroke and concern for further bleed, decision was made with recommendations from pcp/cardiologist to hold further anticoagulation indefinitely. b-blocker restarted upon hemodynamic stabilization. she had multiple episodes of rapid ventricular rate in the context of metoprolol being held/ hypotension. her rate improved as metoprolol was titrated to 25 mg upon discharge. plans are to increase beta blocker as tolerated by her blood pressures. . 4) unclear etiology. history not consistent with vasovagal syncope. likely orthostasis in setting of gib. no events recorded on tele. cardiac enzymes negative x 3. . 5) cough- chronic in nature. cxr without infiltrate but with multiple pulmonary nodules. cough may be secondary to chf vs acei cough vs malignancy. acei initially held without improvement. thought to be secondary to inflammation volume status. chest ct as outpatient or on floor if patient desires work up of pulm nodules. started her on advair upon discharge. tessalon perles and robitussin for symptomatic relief . 6) dm- maintained on insulin sliding scale with tight blood sugar control. medications on admission: asa 81mg qday glipizide 2.5mg qday metoprolol 25mg qday lisinopril 2.5mg qday coumadin 7.5mg qhs lasix 40mg qday discharge medications: 1. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. disp:*1 bottle* refills:*1* 2. benzonatate 100 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for cough. disp:*45 capsule(s)* refills:*0* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 4. miconazole nitrate 2 % powder sig: one (1) appl topical qid (4 times a day) as needed. disp:*1 qs* refills:*0* 5. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 7. insulin regular human 100 unit/ml solution sig: as directed units injection asdir (as directed). disp:*1 qs* refills:*2* 8. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) puff inhalation (2 times a day). disp:*1 qs* refills:*2* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: extended care facility: & rehab center - discharge diagnosis: lower gi bleed atrial fibrillation diastolic chf discharge condition: good, tolerating pos, able to sit up with assistance, satting >95% on 2l discharge instructions: please seek medical attention should you develop increased shortness of breath, dizziness, orthostasis, melena or bright blood in your stools, or lower extremity edema. please also seek medical attention should you develop chest pain, headache, decreased urine output, or any other concerning symptoms. please adhere to a low salt diet of < 2g/day please take all medications exactly as prescribed. you should follow up as below. followup instructions: follow up with dr. ( on 2:45 for a follow up appt. in . your cxr showed multiple pulmonary lung nodules in your right lung which you should follow up with your pcp. may need a chest ct to to follow up. md procedure: transfusion of packed cells transfusion of other serum diagnoses: mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases long-term (current) use of anticoagulants other diseases of lung, not elsewhere classified anticoagulants causing adverse effects in therapeutic use hemorrhage of gastrointestinal tract, unspecified diseases of tricuspid valve chronic diastolic heart failure 

Answer: The patient is high likely exposed to