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: rectal bleeding major surgical or invasive procedure: 1. colonoscopy x 2 history of present illness: this is a 78-year-old woman who presents with two days of rectal bleeding. she had a colonoscopy with polypectomy on . the polyp was a 4 cm distal transverse polyp on a stalk that was completely removed using a single-piece polypectomy with a hot snare (path = adenoma, completely excised). she was also noted to have mild diverticulosis of the transverse as well as small internal hemorrhoids. she has actually had small amounts of red blood following straining and passage of firm stool over the past few months. following her colonoscopy six days ago, she noticed again a small amount of red blood passing with each loose stool ( bms/day, small volume, painless). she has not had any melena, fevers, chills, abdominal pain, nausea, or vomiting. she has not had any lightheadedness, or syncope. over the past two days, she has had two episodes of larger amounts of hematochezia that turn the toilet bowel red. she has not used any aspirin or non-steroidal anti-inflammatory medications. in the emergency department, she was hemodynamically stable with a hr of 78 and a bp of 140/77. her rectal exam was notable for red blood. past medical history: diverticulosis history of adenomas grade i internal hemorrhoids adrenal insufficiency s/p adrenal tumor resection 30 years ago ? social history: she lives alone. she does not smoke or drink alcohol. family history: her brother had cancer diagnosed in his 70's. physical exam: vitals: t 96.6, hr 75, bp 159/92, rr 18, o2 sat 98 ra gen: well-appearing, thin female. no acute distress. heent: anicteric sclera. supple neck. no cervical or supraclavicular lymphadenopathy. clear oropharynx. cv: rrr. ? faint systolic murmur at the apex. lungs: ctab. abd: soft. normal bowel sounds. nontender. nondistended. ? ccy scar. very little abdominal wall fat. mildly protuberant abdomen that protrudes slightly to the left. easily palpable aortic impulse which does not feel enlarged or diffuse. ext: trace bilateral pedal edema r>l. skin: no rashes and no jaundice. neuro: alert & oriented. grossly non-focal exam. pertinent results: admit labs: 04:00pm wbc-6.2 rbc-3.08* hgb-10.0* hct-28.8* mcv-93 mch-32.4* mchc-34.7 rdw-14.4 04:00pm neuts-77.7* lymphs-18.1 monos-3.2 eos-0.8 basos-0.2 04:00pm plt count-349 04:00pm pt-12.3 ptt-30.0 inr(pt)-1.0 04:00pm glucose-113* urea n-22* creat-0.7 sodium-134 potassium-4.4 chloride-97 total co2-30 anion gap-11 04:00pm alt(sgpt)-21 ast(sgot)-24 alk phos-53 amylase-128* tot bili-0.4 . dishcarge labs: 10:30am blood wbc-8.2 rbc-3.65* hgb-11.4* hct-34.0* mcv-93 mch-31.2 mchc-33.5 rdw-16.2* plt ct-369 10:30am blood plt ct-369 07:45am blood glucose-86 urean-8 creat-0.6 na-137 k-3.9 cl-100 hco3-29 angap-12 07:45am blood mg-1.9 please see omr for details of multiple colonoscopies, angio, bleeding studies brief hospital course: this is a 78-year-old woman who presents with hematochezia six days after colonoscopy with a polypectomy(done ). gi bleed: patient admitted to floor transiently on . patient had syncopal episode with crit drop and transferred to icu. given 3 units prbc's and colonoscopy on . demonstrated significant clots, no clear bleeding source. angio done negative. patient transferred to floor evening with stable crits. began having recurrent hematochezia with stable cbc. bleeding scan negative. repeat colonoscopy on with clipping to polypectomy site, stigmata of recent bleeding. patient discharged on -tolerated full diet, no further hematochezia, crit stable, hemodynamically stable. patient instructed to follow up with her pcp for crit check late this week. endocrine: patient with history of pheo s/p resection, adrenal insufficiency and hypothyroidism. patient on stress dose steroids in icu in setting gi bleed. transitioned back to outpatient po regimen of hydrocortisone and fludrocortisone with stabilization of hematocrit. maintained on levothyroxine outpatient dosing hypertension: on labetelol as outpatient. held in setting of gi bleeding. bp gradually increased to systolics in 160's-170's by but very labile and on generally 130's to 140's. labetelol not re-started. patient will see her primary care doctor before re-starting labetelol hypokalemia: repleted throughout. 3.9 on day of discharge. social: paitent expressed decision to transition to . provided resources by case management and social work to assist with this. medications on admission: florinef 0.1 mg daily cortisone 12.5 mg synthroid 100 mcg daily labetolol 200 mg discharge medications: 1. hydrocortisone 5 mg tablet sig: 2.5 tablets po bid (2 times a day). 2. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 3. fludrocortisone 0.1 mg tablet sig: one (1) tablet po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 6. hexavitamin tablet sig: one (1) cap po daily (daily). 7. outpatient lab work cbc to be checked . results to dr. at . hematocrit 34 on . discharge disposition: home with service facility: homecare discharge diagnosis: 1. gi bleeding 2.acute blood loss anemia secondary: 1. adrenal insufficiency 2. hypothyroidism 3. hypertension discharge condition: stable, hd stable, hematocrit stable, tolerating po's, ambulating discharge instructions: follow up as below all medications as prescribed. you should take all the medications you were taken before admission except for your labetolol for blood pressure. hold this medication until you are seen by dr. . followup instructions: follow up with dr. on friday as scheduled. you should have a 'cbc' checked when you see dr. . this is to make sure you are not still bleeding. i have given you a prescription for this. your hmatocrit is 34 on discharge. you alos have the following previously scheduled appointment:provider: , m.d. phone: date/time: 2:45 procedure: colonoscopy colonoscopy arteriography of other intra-abdominal arteries transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism hypopotassemia hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation glucocorticoid deficiency diverticulosis of colon (without mention of hemorrhage) internal hemorrhoids without mention of complication orthostatic hypotension personal history of colonic polyps 

Answer: The patient is high likely exposed to