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: cipro / piroxicam attending: chief complaint: upper gi bleed major surgical or invasive procedure: egd on and . colonoscopy . history of present illness: this is a 55-year-old woman with htn, knee replacement 2 months ago, who presents with 3 episodes of black stool and one episode of bright red blood per rectum this evening. there was blood was in the toilet, and this has never happened before. patient denies fevers, chills, nausea, vomiting, abd pain, lightheadedness, dizziness, cp, sob, diarrhea/constipation. she has been taking one tablet of piroxicam daily. exam is significant for guaic positive black stools. in er: vs: 97.7 87 128/67 16 98% ra. hct was 29 down from 27 in 11/. patient was given 2l of fluids. gi was consulted and said they would follow the patient on the floor. prior to transfer, vitals were: 67 137/64 15 100%ra. review of systems: (+) per hpi (-) denies fever, chills, night sweats, recent weight loss or gain. denies visual changes, headache, sinus tenderness, rhinorrhea, congestion or sore throat. denies chest pain or tightness, palpitations, orthopnea, dyspnea on exertion. denies cough, shortness of breath, wheezes or pleuritic pain. denies nausea, vomiting, diarrhea, constipation, brbpr, melena, or abdominal pain. no dysuria, urinary frequency. denies arthralgias or myalgias. denies rashes. no numbness/tingling or muscle weakness in extremities. no feelings of depression or anxiety. all other review of systems negative. past medical history: -osteoarthritis: s/p l knee replacement 2 months ago, rt knee replacement in -htn -s/p tah/bso in for symptomatic fibroids -hx thyroid nodules -hx heart murmur social history: former smoker, quit . very rare etoh. no drugs. family history: father- dm, prostate ca mother- htn, breast ca, cad/chf aunt- breast ca deceased cirrhosis deceased suicide brother- deceased from comps from dvt physical exam: gen: alert and oriented to person, place and situation; no apperent distress heent: no trauma, pupils round and reactive to light and accomodation, no lad, oropharynx clear, no exudates cv: regular rate and rhythm, no murmurs/gallops/rubs pulm: clear to auscultation bilaterally, no rales/crackles/rhonchi gi: soft, non-tender, non-distended; no guarding/rebound ext: no clubbing/cyanosis/edema; 2+ distal pulses; peripheral iv present neuro: cn ii-xii intact, motor function globally derm: no lesions appreciated pertinent results: 11:04pm pt-13.3 ptt-24.9 inr(pt)-1.1 08:55pm urine hours-random 08:40pm glucose-104* urea n-34* creat-0.7 sodium-143 potassium-4.0 chloride-107 total co2-28 anion gap-12 08:40pm urine hours-random 08:40pm urine ucg-negative 08:40pm wbc-8.2# rbc-3.34* hgb-10.1* hct-29.3* mcv-88 mch-30.1 mchc-34.4 rdw-13.5 08:40pm neuts-61.8 lymphs-30.9 monos-4.4 eos-2.1 basos-0.7 08:40pm plt count-225 02:20am blood wbc-6.1 hct-21.4*# plt ct-146* 08:40pm urine color-straw appear-clear sp -1.024 08:40pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-mod 08:40pm urine rbc-0 wbc-5 bacteria-few yeast-none epi-0 egd on : small hiatal hernia. old blood in stomach. patchy non-bleeding gastritis no fresh blood or active bleeding site seen. otherwise normal egd to second part of the duodenum. discharge labs: 06:15am blood wbc-7.2 rbc-3.47* hgb-10.1* hct-30.1* mcv-87 mch-29.1 mchc-33.5 rdw-15.6* plt ct-211 egd on : small hiatal hernia antral gastritis otherwise normal egd to third part of the duodenum colonscopy on : diverticulosis of ascending, transverse, descending, and sigmoid colon normal mucosa in the whole colon grade 1 internal hemorrhoids otherwise normal colonoscopy to cecum brief hospital course: this is a 55-year-old woman with likely ugi bleed, possibly secondary to nsaid use. . # gi bleed: patient remained hemodynamically stable throughout admission. an ng lavage was performed in the ed, which showed scant coffee grounds. documented melena on exam. gi was consulted. an egd was performed on , which showed dried blood and gastritis. h.pylori serology was negative. most likely cause of these findings was daily nsaid use since orthopedic surgery. patient continued to drop her hct and was given a total of 6 units of prbcs. she was started on a pantoprazole drip and then transitioned to ppi. on egd was repeated and a colonsocopy performed. these revealed mild gastritis, diverticulosis, and an internal hemorrhoid. her hct remained stable at 30 at the time of discharge. she is discharged with pcp and recommended gi outpatient follow-up. . # htn: antihypertensive were held throughout admission in the icu. once the last procedures were finished and her hct was not decreasing her bp medications were re-started as her sbp was ranging in the 140-150's. . # full code medications on admission: - piroxicam daily (since , unknown dose) - tylenol 650 mg 2-3x/day - atenolol 50 mg - lisinoprol 40 mg daily (30 in am, 10 in pm) - vit d/ca - multivitamin - tramadol tid prn - fexofenadine daily for allergies discharge medications: 1. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). disp:*60 capsule, delayed release(e.c.)(s)* refills:*1* 2. lisinopril 30 mg tablet sig: one (1) tablet po qam. 3. lisinopril 10 mg tablet sig: one (1) tablet po qpm. 4. atenolol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 5. calcium carbonate 500 mg (1,250 mg) tablet sig: one (1) tablet po daily (daily). 6. vitamin d 400 unit capsule sig: two (2) capsule po daily (daily). 7. multivitamin tablet sig: one (1) tablet po once a day. 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 9. fexofenadine oral 10. tramadol oral discharge disposition: home discharge diagnosis: primary diagnosis: gastrointestinal bleed secondary diagnosis: -osteoarthritis: s/p l knee replacement 2 months ago, rt knee replacement in -htn -s/p tah/bso in for symptomatic fibroids -hx thyroid nodules discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the because you were having black and bloody stools. you initially went to the medical floor but given continued bleeding were transfered to the icu. in the icu you received blood transfusions and medications to decrease the stomach acid. you underwent 2 upper endoscopies and one colonoscopy but these did not reveal an obvious source for your bleeding. we concluded that the most likely cause of your bleeding was gastritis due to the use of piroxicam a non-steroidal anti-inflammatory drugs (nsaid). please avoid taking these nsaid medications in the future. examples of these include ibuprofen (advil, motrin) and naproxen (aleve). you will need to take acid suppresant medications for at least 6 weeks following your hospitalization. medications changes: start: omeprazole 40 mg twice a day stop: piroxicam no other changes were made to your medications. please take them as prescribed. it was a pleasure taking care of you. followup instructions: name: , : address: , , phone: appt: , at 1pm ***note: please discuss with dr about scheduling an appt with a gastroenterologist for follow up of your gi bleed. you need an appt within 1-2 weeks. procedure: other endoscopy of small intestine other endoscopy of small intestine colonoscopy diagnoses: unspecified essential hypertension acute posthemorrhagic anemia knee joint replacement unspecified analgesic and antipyretic causing adverse effects in therapeutic use other specified gastritis, with hemorrhage 

Answer: The patient is high likely exposed to