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: gastrointestinal bleeding. major surgical or invasive procedure: upper endoscopy history of present illness: mr. is an 87yo male with pmh significant for htn, aortic aneurysms, and hip fracture s/p repair on who is being transferred from osh for major gi bleed. the patient underwent recent hip surgery and was then discharged to rehab facility. he had been started on fragmin after his surgery. on the day of admission to osh he had a large bowel movement with blood. he was then brought to the ed for evaluation and his hct was 18.1 (down from 38 six days prior) and he passed approximately one liter of blood and clots. per records from osh, he did not have any upper gi symptoms. he was transferred to the ccu for closer management. he underwent two endoscopies and two colonoscopies. the most recent endoscopy showed bleeding from the duodenal wall proximal to ampulla but due to technical difficulties was unable to be clipped, cauterized, etc. per osh records, surgery was consulted for possible angiogram. this could not be done since his aorta is occluded. it appears that he also underwent a bleeding scan which localized the bleed to the transverse colon. he received a total of 12 units prbcs, 6 units platelets, 4 units ffps during his length of stay at the osh. he is now being transferred to for management of his acute bleed. his hct on transfer is 29.6. past medical history: 1)hypertension 2)aortic aneurysm (occluded) 3)right hip fracture s/p orif on 4)congenital single kidney 5)? prostate cancer 6)dementia social history: retired marine mechanic. no history of alcohol, tobacco, or ivda. he is a widower. he has one daughter and two sons. family history: nc physical exam: vitals t 99.4 bp 159/65 ar 82 rr 21 o2 sat 95% on 2l gen: awake and alert, no acute distress heent: mmm heart: rrr, no audible m,r,g lungs: ctab, scattered crackles posteriorly abdomen: soft, nt/nd, +bs extremities: no le edema, 1+ dp/pt pulses bilaterally pertinent results: admission labs: =============== 11.3 12.5 >-------< 240 31.9 neuts 81.9 lymphs 12.5 monos 1.6 eos 3.7 basos 0.3 pt 13.3 ptt 26.6 inr 1.1 148 112 31 -----|-----|-----< 133 3.9 30 1.3 alt 20 ast 20 ldh 233 alk phos 63 total bili 2.0 alb 3.1 ca 8.2 phosphate 2.5 mg 2.0 07:06pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-9.0* leuk-mod 07:06pm urine rbc-* wbc-21-50* bacteria-mod yeast-none epi-0-2 pertinent labs during hospitalization: ======================================= hct trend: 31.9 - 29.1 - 28 - 31.9 - 30.7 - 32.6 - 31.4 - 34.1 - 34.1 - 34.9 microbiology: ============= 7:06 pm urine source: catheter. urine culture (preliminary): proteus mirabilis. >100,000 organisms/ml.. 2nd isolate. 10,000-100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ proteus mirabilis | ampicillin------------ <=2 s ampicillin/sulbactam-- <=2 s cefazolin------------- <=4 s cefepime-------------- <=1 s ceftazidime----------- <=1 s ceftriaxone----------- <=1 s cefuroxime------------ <=1 s ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s piperacillin---------- <=4 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- <=1 s h. pylori: pending studies: ======== : endoscopy: esophagus: mucosa: grade 2 esophagitis with no bleeding was seen in the lower third of the esophagus and middle third of the esophagus. stomach: excavated lesions a single cratered non-bleeding 5mm ulcer was found in the antrum. duodenum: excavated lesions a single cratered 2 cm ulcer was found in the duodenal bulb. there were 2 visible vessels seen, but no evidence of active bleeding. -cap electrocautery was applied for hemostasis. a duodenoscope was used to visualize the periampullary area. a single cratered non-bleeding 6mm ulcer was found in the second part of the duodenum, above the level of the major papilla. a visible vessel was identified, but it was not actively bleeding. -cap electrocautery was applied for hemostasis. impression: ulcer in the antrum ulcer in the duodenal bulb (thermal therapy) ulcer in the second part of the duodenum (thermal therapy) grade 2 esophagitis in the lower third of the esophagus and middle third of the esophagus . relevant imaging: 1)upper endoscopy (): the endoscope was inserted into esophagus, stomach, down into duodenum well passed the ampulla including a retroflexed view of the fundus. the distal esophagus revealed ulceration. there was no bleeding from this area. there was coffee grounds in the stomach. on entering hte duodenal bulb there was a superficial ulceration about 2cm in size. had a slightly necrotic base. there was no visible vessel. this ulceration was not bleeding at the time. . 2)colonoscopy (): tubular structure in the rectum which appears to be vascular. there is no bleeding from this lesion. . 3)endoscopy (): examination of the esophagus and stomach were both normal, except for coffee grounds in the stomach. examination of the duodenum revealed a duodenal ulcer in the bulb without overlying clot or visible vessel. the endoscopy was then advanced into the second portion of the duodenum where almost immediately adjacent to the ampulla or slightly proximal to it there was fresh blood and an apparent clot. it was very difficult to visualize this, as it was on the medial wall at an area where there is a sharp angulation. using ercp cannula, easily able to lift the clot off the duodenal wall proximal to ampulla. gentle irrigation was used and the clot was not able to be dislodged. clip was attempted but unsuccessful. . 4)colonoscopy (): small to moderate amount of blood in the colon. there was no stool. the blood was easily irrigated. there was fresh blood in the cecum. there are no obvious lesions or bleeding sites. . 5)bleeding scan (): gi bleeding originating in the region of the mid transverse colon. . 6)egd (): egd on that showed grade 2 esophagitis, single non-bleeding ulcer in antrum, single non bleeding ulcer in duodenal bulb with 2 visible vessels without active bleeding that were cauterized, and single non-bleeding ulcer in the 2nd part of the duodenum with non-bleeding vessel that was cauterized. . chest (portable ap) impression: mild cardiomegaly. no acute cardiopulmonary process. . hip unilat min 2 views right findings: no previous images. there is a metallic fixation device about a previous fracture of the proximal femur. no fracture line is appreciated at this time and there is no evidence of hardware-related abnormality. extensive vascular calcification is seen in the lower pelvis. of incidental note are severe degenerative changes involving the visualized portion of the lower lumbar spine. brief hospital course: mr. is an 87yo m with pmh as listed above on fragmin since recent hip fracture repair who presents with major gi bleed. 1)gi bleed: patient transferred from osh to the micu with major gi bleed. endoscopy from osh showed bleeding from duodenal wall lateral to ampulla. due to technical constraints no intervention could be done. endoscopy here showed multiple ulcers, one of which was located at the site of suspected bleeding. bicap was done here which will hopefully prevent any further bleeding. most likely nsaid induced since he had been on motrin and asa. hct on admission here is 31.9. he received 12 units prbcs at osh and 1 additional unit here at . hcts remained stable post endoscopy, and he was transferred from the micu to the medical floor. his aspirin, nsaids, and fragmin were discontinued. he was discharged on protonix 40 mg po bid. h. pylori pending. 2)atrial fibrillation: ekg on admission suggested atrial fibrillation. no prior history based on osh records. converted to nsr spontaneously. patient is not a candidated for anticoagulation due to massive gi bleed. 3)hypernatremia: patient was hypernatremic at osh and na, on admission, was 148. likely due to decreased access to free water since his po intake has been poor since his admission to the osh. it corrected after ivfs/ 4)chronic renal insufficiency: baseline is not known but is indicated on his problem list from osh. possible prerenal component as well. all medications were renally dosed and creatinine monitored. 5)hypertension: patient is on norvasc, diovan, and metoprolol as an outpatient. he was continued on some of these medications at the osh despite having a major gi bleed. after his gi bleed stabilized, he was started on metoprolol 12.5 mg tid and norvasc. diovan was held in setting of slightly elevated cr. 6)r hip fracture s/p orif: patient had been started on fragmin after his surgery and continued until day of admission when it was stopped at osh. fragmin was discontinued. orthopedics took staples out, and an x-ray was normal post-surgery. he will need follow up with his orthopedic surgeons at osh in 4 weeks. pt followed patient and recommended rehab. 7)aortic aneurysm: per records from osh, patient has occluded aortic aneurysm. no further information is known at this time. 8)dementia: one episode of dementia/delirium while in hospital. had 1:1 sitter and prn haldol started, but then discontinued as patient's son stated it makes him worse. 9) uti: ucx with proteus >100k, sensitive to ciprofloxacin. continue ciprofloxacin for 7 day course. 10)communication: (daughter): 11) full code 12) dipso: rehab medications on admission: aspirin 325mg po daily norvasc 10mg po daily diovan 160mg po daily fragmin 5000 units daily motrin 800mg po q8h prn discharge medications: 1. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 2. 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:*2* 3. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po three times a day. 5. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. 6. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed. discharge disposition: extended care facility: care center discharge diagnosis: primary diagnosis: 1. gastrointestinal bleed 2. atrial fibrillation 3. urinary tract infection secondary diagnosis: 1. chronic renal insufficiency 2. hypertension 3. s/p orif of r hip 4. delirium discharge condition: stable. hematocrit stable. discharge instructions: you were admitted for a large gastrointestinal bleed. during your hospitalization, you were given 1 blood transfusion. the gastroenterologists saw you, and you had an endoscopy that showed the sources of your bleeding, including stomach ulcers and several blood vessels that were very friable. these blood vessels were clipped to stop the bleeding. your blood counts were monitored closely, and they remained stable after the endoscopy. because you had a large gi bleed, you were not deemed a candidate for anticoagulation. your staples were removed from your hip by orthopedics, and you had an x-ray that showed healing of your hip. you were also seen by physical therapy. also, your heart went into an irregular rhythm called atrial fibrillation, but then converted to normal rhythm spontaneously. also, you were found to have a urinary tract infection while in the hospital, and you were treated with an antibiotic. you should continue your medications as prescribed. the following changes were made: 1. please stop taking your aspirin. 2. please stop taking fragmin. 3. please stop taking motrin. 4. start taking ciprofloxacin 500 mg every 12 hours for 5 more days. this is for a urinary tract infection. 5. please take metoprolol 12.5 mg by mouth three times a day. 6. please take pantoprazole 40 mg twice a day for your gi issues. 7. we have held your diovan while your cr is slightly elevated. please keep all your medical appointments. if you have any of the following symptoms, please call your doctor or go to the nearest er: fever>101, chest pain, shortness of breath, lightheadedness/dizziness, abdominal pain, black stools, bright red blood in the toilet bowel, red colored stools, or any other concerning symptoms. followup instructions: primary care: please call dr. at to schedule a follow up appointment in weeks. orthopedics: please call hospital group (dr. ) for an appointment in 4 weeks and follow up xray of your hip. 1-. procedure: endoscopic control of gastric or duodenal bleeding diagnoses: urinary tract infection, site not specified acute posthemorrhagic anemia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other persistent mental disorders due to conditions classified elsewhere chronic kidney disease, unspecified gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction esophagitis, unspecified infection and inflammatory reaction due to indwelling urinary catheter unspecified analgesic and antipyretic causing adverse effects in therapeutic use aortic aneurysm of unspecified site without mention of rupture 

Answer: The patient is high likely exposed to