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: lipitor / zocor attending: chief complaint: lower gastrointestinal bleed major surgical or invasive procedure: picc line placement colonoscopy history of present illness: ms is a 68 year old woman with multiple medical problems, including cad s/p cabg in 85' and lad des in 03', recent diagnosis of lung cancer s/p partial lobectomy, newly diagnosed atrial fibrillation, presenting to the hospital with hematochezia. patient was given 2u prbc and was closely monitored on the wards, when she was noted to have a large bloody bowel movement accompanied by onset of afib with rvr and hypotension. patient was bolused with 500ml of ns and transfered to the micu for further management. last colonoscopy in with severe diverticulosis, patient has had two prior episodes of gib which required several transfusions. in the floor prior to transfer, temp 97.4 bp 74/57, hr 77, rr 20 o2 sat 98% currently, she denies any lightheadedness, dizziness, chest pain, palpitations, shortness of breath, nausea or vomiting, but does report some "chest pressure" which is rated and is different from her angina. not worsened with inspiration. past medical history: 1. coronary artery disease -- mi x3 with her first mi at age 34 -- 3v cabg in (lima to lad and svgs to om, rca and d1.) -- all vein grafts 100% occluded -- mid lad drug-eluting stent in . 2. peripheral disease -- s/p angioplasty of the right leg - -- pta and stenting to distal aorta and ostial iliac arteries 3. chronic kidney disease: baseline cr 1.2-1.4 4. renal artery stenosis status post right renal artery stent- 5. carotid stenosis status post left internal carotid stent- 08/. 6. gout 7. polymyalgia rheumatica 8. hypertension 9. hypercholesterolemia 10. osteoarthritis 11. endometrial polyps- the patient has been followed by dr. . 12. gi bleed secondary to diverticulosis 13. urinary incontinence 14. squamous cell carcinoma of lung- synchronous right and left lower lobe nodules found in now s/p left lobectomy. has not had xrt or chemo yet. social history: married. smoked in the past but quit 25 years ago, denies alcohol or illicit drug use. family history: the patient's father died of cad as did her mother. two brothers have cad. a sister has had multiple tias. physical exam: vitals: t 97.8, bp 117/54, hr 71, rr 19, o2sat 100% ra gen: nad, lying in bed, pale heent: perrl, eomi, pale conjuctiva cv: regular rate, no murmurs, rubs or gallops. normal s1 and s2. resp: ctab no w/r/r, slightly diminished bs on left base. scar well healed. abd: ntnd, hyperactive bowel sounds ext: no edema, dp pulses palpable symmetrically. well healed scar from grafts. brief hospital course: ms. is a 68yo female with cad and pvd with multiple coronary and peripheral artery stents and recent left lobectomy for lung cancer complicated by atrial fibrillation on coumadin now presenting with lgib. # lgib: upon admission, patient was given 2u prbc and was closely monitored on the wards, when she was noted to have a large bloody bowel movement accompanied by onset of afib with rvr and hypotension. patient was bolused with 500ml of ns and transfered to the micu for further management. in the micu, patient continued to pass brbpr and received an additional 10 units of prbc. inr was measured at 2.2. asa and coumadin were discontinued, while plavix was continued. colonoscopy was performed on , showing old and new blood throughout the colon, with more active bleeding present in the descending colon when compared to ascending colon. moderate to severe diverticulosis was also noted. per gi recs, tagged red blood cell scan was performed on and showed no evidence of gi bleed. by , the patient had received a total of 10 units of blood and was no longer passing brbpr, though she continued to pass clots. hct stabilized in the upper 20s and inr was 1.1. after transfer to the general medical service on , patient continued to pass clots, but her hct remained stable in the 28-30 range. towards the end of her stay (), plavix was discontinued and she was started on asa 81mg. given history of diverticular disease () and severe diverticulosis observed on colonoscopy, this episode of lgib is most consistent with diverticular bleeding. she will follow up with her cardiologist next week to discuss reinitiation of plavix and coumadin. . # atrial fibrillation: patient had an episode of atrial fibrillation on initial presentation associated with hypotension, resulting in micu transfer. she converted to sinus and remained there while in the micu. patient was transferred to the general medical service where she was monitored on telemetry and had a recurrence of atrial fibrillation with rvr to the 140s, though mostly resting in the low 100s. she remained hemodynamically stable with palpitations as her only symptom. she spontaneously converted to sinus with a rate in the 60s the following morning. she remained in sinus rhythm for the rest of her hospital stay. per recommendations of her outpatient cardiologist dr. , she was continued on her home dose of amiodarone. her coumadin was discontinued in the setting of her gi bleed. oral metoprolol was restarted at increased dose of 25mg tid. . # cad: patient remained chest pain free during her hospitalization. cardiology was contact on admission to discuss risks of being on asa and plavix. given significant cardiac history, they recommneded that she be continued on both. nitrate and beta-blocker were initially held in the setting of gi bleed. in the latter part of her hospitalization given that she was still having small amount of bleeding even on plavix alone, dr. was contact and he recommended discontinuing the plavix given that her last bare metal stent was placed in (renal artery stent), and her last drug-eluting stent was placed in . she was instead put on asa 81mg daily. as above, her metoprolol was restarted at a higher dose given her a. fib with rvr. she was, however, normotensive at time of discharge so her imdur was held pending follow up and repeat blood pressure check this upcoming week. . # pvd: patient has several stents to renal and carotid arteries. as above, her plavix was ultimately held and asa was continued at 81mg daily. this will be addressed further upon outpatient follow up with her pcp and cardiologist. . # cri: creatinine remained within her baseline throughout this admission. . # lung cancer: s/p lobectomy. her respiratory status remained stable during her hospital stay. she has outpatient follow up appointments scheduled with her oncologists next week. . # pmr: patient on prednisone 10mg as outpatient; she was continued on this dose during her hospitalization. . # access: due to poor peripheral access, picc line was placed prior to transfer to the floor. this was removed prior to discharge. medications on admission: atacand hct 16-12.5mg po daily clopidogrel 75mg po daily imdur 15mg po daily prednisone 10mg po daily oxycodone-acetaminophen 5-325mg po q4-6h prn docusate sodium 100mg po tid metoprolol tartrate 12.5mg po bid allopurinol 100mg po daily amiodarone 200mg po daily aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. coumadin 1 mg tablet sig: one (1) tablet po discharge medications: 1. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. allopurinol 100 mg tablet sig: one (1) tablet po once a day: take in the evening. disp:*30 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*0* 5. calcium 500+d 500 (1,250)-200 mg-unit tablet sig: one (1) tablet po three times a day. 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain: 1) do not drive while on the medication 2) do not exceed 12 tablets in any 24 hour period . 8. docusate sodium 100 mg capsule sig: one (1) capsule po every twelve (12) hours as needed for constipation: take as long as taking narcotics stop if stools become loose . 9. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual every 5 minutes as needed for pain: one under the tongue every 5 minutes as needed for pain. 10. acetaminophen 325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: home discharge diagnosis: lower gi bleed, probable diverticular bleed atrial fibrillation squamous cell lung cancer discharge condition: stable, in normal sinus rhythm with stable hematocrit. discharge instructions: you were admitted to the hospital for lower gastrointestinal bleeding, that is most likely due to diverticulosis. while you were in the hospital, you went into atrial fibrillation and your blood pressure decreased. you were sent to the intensive care unit to manage your blood pressure and were transfused with 10 units of blood. your home medications, aspirin and coumadin, were stopped while you were in the hospital in order to help control the bleeding. you underwent a colonoscopy which showed blood and diverticula in your colon. a tagged red blood cell scan to localize the source of bleeding was then done, and did not show any active bleeding. after leaving the icu, you were transfered to the general medical floor where your heart rate, rhythm, and blood pressure were monitored. you experienced another episode of atrial fibrillation which resolved on its own overnight. you were discharged when these became stable and you were no longer bleeding. while you were in the hospital we stopped your plavix and coumadin, and changed your dose of aspirin from 325mg to 81mg. when you go home please continue the aspirin 81mg but do not restart the plavix or coumadin until following up with dr. . we also increased your dose of metoprolol from 25 mg twice a day to 25 mg three times a day. please continue taking the metoprolol 25 mg three times per day when you go home. we stopped your imdur while you were in the hospital and suggest that you do not take anymore until you see dr. and he re-evaluates you. please follow up with your primary care physician . , your cardiologist dr. , and your oncologist dr. as detailed below. please call your doctor or return to the emergency room if you develop shortness of breath, lightheadedness, dizziness, chest pain, blood in your stools or any other symptoms that concern you. followup instructions: provider: , md (heme/onc) phone: date/time: 2:30 provider: , md (thoracic surgery) phone: date/time: 2:30 provider: , md phone: date/time: 11:30 provider: . phone: date/time: at 10:30am provider: , md phone: date/time: 9:00am procedure: venous catheterization, not elsewhere classified colonoscopy diagnoses: hypocalcemia polymyalgia rheumatica acute kidney failure, unspecified iron deficiency anemia secondary to blood loss (chronic) coronary atherosclerosis of autologous vein bypass graft hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation personal history of malignant neoplasm of bronchus and lung percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other and unspecified hyperlipidemia hypotension, unspecified malignant neoplasm of bronchus and lung, unspecified old myocardial infarction long-term (current) use of anticoagulants diverticulosis of colon with hemorrhage 

Answer: The patient is high likely exposed to