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 bleed major surgical or invasive procedure: esophagogastroduodenoscopy history of present illness: ms. is a 77f with nasalpharyngeal carcinoma who presents with gi bleeding and weakness. patient had two episodes of dark stools with bright red blood streaking this am and was brought to the er for further evaluation. she also reports having a small amount of blood-tinged spit, but denies frank hematemesis or hemoptysis. she reports no history of bleeding, bruising, pud, varices, or abdominal discomfort. she uses aspirin but no other anticoagulants/antiplatelets. her last colonoscopy was done many years ago, and as per patient was a normal study, no polyps (no records available). . in the ed, initial vs were 98 48 123/47 18 100%. stool maroon with small amount of brb, guiac positive. she was given protonix 40mg iv. peg with some coffee ground output. getting 2 units of prbcs, 1l of saline. last vitals 98.2 71 134/45 18 100% on ra. seen by gi who plan to scope in the am. . on evaluation in the icu, she reports feeling fatigued and thirsty. she has a chronic dry mouth. review of systems is negative for cp, sob, ha, cough, dysuria. she has chronic dizziness with standing. she has been getting regular feeds through her peg without any problems, no pain around the peg site past medical history: * nasopharyngeal squamous cell carcinoma, stage iv - s/p neck mass resection - s/p radiation and 5fu/carboplatin x2 cycles - c/b base of skull recurrence, treated with cyberknife - blind in right eye with ptosis, proptosis * atrial fibrillation following chemotherapy -echo ef >=60%, mild lvh, trace ar, trivial mr * peg tube placed , replaced * htn * dm diet controlled * diastolic dysfunction per omr, not reported on echo * hyperlipidemia social history: nonsmoker, nondrinker. married, three healthy children. formerly worked at drugstore. lives in . family history: sister w/ breast cancer. father died of unknown cancer at young age physical exam: pe at transfer to floor: vitals 98.1 79 132/56 21 100% on ra general chronically ill appearing pale elderly woman in no acute distress heent pale conjunctiva, sclera anicteric, r eye with ptosis, proptosis and no vision (old finding), mmm neck no jvd pulm lungs with few basilar rales l>r, no wheezing cv irregularly irregular no m/r/g abd soft nontender +bowel sounds peg in place no erythema or exudate appreciated extrem warm no edema palpable distal pulses neuro alert and interactive, answering appropriately, no gross deficits (aside from r eye above) derm no rash or jaundice lines/tubes/drains foley with yellow urine pertinent results: on admission : wbc-7.3 rbc-1.68*# hgb-5.4*# hct-17.4*# mcv-104* mch-32.1* mchc-30.9* rdw-22.8* plt ct-282 pt-17.2* ptt-28.2 inr(pt)-1.5* glucose-138* urean-33* creat-0.7 na-134 k-4.4 cl-100 hco3-25 angap-13 alt-9 ast-17 ck(cpk)-14* alkphos-46 totbili-0.7 ctropnt-0.01 hapto-49 digoxin-1.2 . hct at transfer to floor: stable at 28.9. egd (prelim): no source of bleeding seen. brief hospital course: course (): * gastrointestinal bleed: with her dark stools suspect she has an upper gi bleed. this has probably been going on for some time as hct already down from baseline on ?????? though she had an acute event the morning of admission. broad ddx includes gastritis, pud, peg trauma, dieulafoy etc. no known history of varices, no vomiting to suggest -. a slow proximal lgib is possible also, but seems less likely. no source of bleeding noted on egd and pt to have capsule endoscopy as outpt. she was treated with iv protonix and had no further bleeding episodes while in the and remained hemodynamically stable. patient was transferred to the floor after her hematocrit remained stable and her egd negative for source of bleeding. . * anemia: likely due to blood loss, with underlying anemia of chronic disease. she has an impressive macrocytosis with unremarkable folate, b12, tsh. of note, her rbc morphology report does describe both teardrop cells and schistocytes. patient received 2 units of packed red cells with appropriate elevation in hematocrit. . * atrial fibrillation: her home aspirin and verapamil were held in the setting of bleeding. her digoxin level was therapeutic. . * nasopharyngeal carcinoma: last seen by her outpatient oncologist (dr. on . per omr note, there is evidence of clinical recurrence with increasing proptosis and blindness, however radiographic stability to minor improvement. dr. saw pt in and had no new recommendations at this time. . * diabetes mellitus: diet controlled at home but she was on a sliding scale of insulin. ----------------- on the floor, her blood counts remained stable. she was able to work with physical therapy. she is planned for an outpatient capsule study to evaluate the small bowel, which will be set up as an outpatient. medications on admission: (per omr, patient unsure aside from asa) asa 325mg daily digoxin 0.l25mg daily simvastatin 10mg daily verapamil 160mg q8h ativan 0.5mg q6h prn nausea saliva substitute mvt daily acetaminophen prn levothyroxine 75 mcg erythromycin ointment 5mg/5g - apply to r eye tid discharge medications: 1. aspirin 325 mg tablet : one (1) tablet po once a day. 2. digoxin 125 mcg tablet : one (1) tablet po daily (daily). 3. simvastatin 10 mg tablet : one (1) tablet po daily (daily). 4. verapamil 80 mg tablet : one (1) tablet po q8h (every 8 hours). 5. ativan 0.5 mg tablet : one (1) tablet po every six (6) hours. 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. multivitamin tablet : one (1) tablet po daily (daily). 8. acetaminophen 325 mg tablet : 1-2 tablets po q6h (every 6 hours) as needed for pain. 9. erythromycin 5 mg/g ointment : one (1) application ophthalmic tid (3 times a day). 10. levothyroxine 75 mcg tablet : one (1) tablet po daily (daily). 11. ensure plus oral 12. caphosol mucous membrane discharge disposition: home with service facility: discharge diagnosis: upper gi bleeding secondary: hypertension type 2 diabetes atrial fibrillation squamous cell nasopharyngeal carcinoma discharge condition: stable, hematocrit stable, vital signs stable, mentating and ambulating well (at baseline) discharge instructions: you were admitted with gastrointestinal bleeding, which has resolved. you received several units of blood while you were in the hospital, and the bleeding resolved on its own. please keep all of your follow up appointments and take all of your medications as prescribed. if you develop any signs or symptoms of further bleeding, such as dizziness, lightheadedness, weakness, dark tarry stools, blood in stools, or other concerning symptoms, please seek medical attention immediately. no changes to your home medication regimen were made. followup instructions: provider: , md phone: date/time: 1:45 provider: , md phone: date/time: 1:00 procedure: other endoscopy of small intestine diagnoses: anemia of other chronic disease hypocalcemia 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 atrial fibrillation other and unspecified hyperlipidemia blood in stool other and unspecified coagulation defects chronic diastolic heart failure stricture and stenosis of esophagus late effect of radiation radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure ptosis of eyelid, unspecified malignant neoplasm of nasopharynx, unspecified site 

Answer: The patient is high likely exposed to