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: abdominal pain and diarrhea x 1 day major surgical or invasive procedure: endoscopy colonoscopy paracentesis history of present illness: 71 yo m w/ h/o cad s/p cabg ', chronic type a aortic dissection, seizure disorder was admitted to the micu on for gi bleed. . he recently presented to his pcp complaining of weight loss and was referred for repeat colonoscopy which was was incomplete due to luminal narrowing. report read that "patient has severe narrowing and sense of external compression with hard to navigate left colon." a polypectomy was performed on a benign appearing polyp proximal to the naroowing. a virtual colonoscopy was recommended. . egd performed at the same time as the colonoscopy showed a reducible small size hiatal hernia , grade ii esophagitis with no bleeding, mild gastritis, abnormal mucosa with contact bleeding was noted throughout the duodenum, a single sessile 10mm non-bleeding polyp of benign appearance was found in the proximal bulb. . virtual colonoscopy on the same day was performed and showed a 4 cm annular lesion in the mid transverse colon with local lymphadenopathy, multiple abdominal and pelvic metastatic deposits, and a large amount of intra-abdominal pelvic ascites, likely malignant. . of note in , for positive occult blood, he had colonoscopy which showed a single hyperplastic polyp. egd showed duodenal polyp- biopsy consistent with chronic inflammation. . he initially presented to for complaint of rectal bleeding on . his hct on arrival to ed was 15, down from hct 27 two weeks ago by his pcp. lavage was negative with bilious return. he was admitted to the micu for w/u and treatment. . micu course notable for: - aggressive volume resusitation with 7uprbc and hct increased from 15 to 28 - corrected coagulopathy with 2u ffp - started on iv ppi - aflutter in the setting of volume depletion (since resolved) - he was made dnr/dni and discussions were made regarding hospice care - pt initially hypotensive iwth sbp in 70s but improved with blood transfusions. unclear if due to hypovolemic or cardiogenic shock as troponin elevated and pt went into rapid aflutter. . he became hemodynamically stable and was transferred to the floor on for further workup and treatment. past medical history: 1. nhl s/p chemotherapy and radiation therapy in w/o evidence of recurrence 2. s/p minimally invasive mitral valve repair 3. anemia. had egd/colonoscopy unrevealing. 4. seizure d/o 5. chronic type a aortic dissection s/p repair w/ most recent imagining showing no progression 6. h/o cellulitis 7. recently dx colon mass w/ drop mets and ascites noted on most recent ct (see hpi) 8. atrial fibrillation, onset , s/p cv , recurred 9. cad s/p 1v cabg (vein graft to lad by )(ef 35%, 4+tr) 10. bph s/p turp 11. nephrolithiasis 12. c diff social history: the patient is a retired college teacher. he lives alone. he uses a cane to ambulate. he has never smoked cigarettes. he does not drink alcohol. makes his own meals. family history: 2 brothers w/ nhl, oldest deceased, father deceased due to bleeding duodenal ulcer physical exam: t 97.0 bp 101/61 hr 124 rr 23 o2 100% on 2l nc genrl: elderly, ill appearing male in nad, resting comfortably, supine in bed heent: perrla, eomi, sclera anicteric and not injected, op clear, dry mm cv: tachy w/ rr, holosyst murmur llsb pulm: bibasilar crackles o/w cta bilaterally abd: nabs, soft, nt/nd, no masses/hsm rectal: guiac + maroon stool (per gi) extr: 1+ bilaterally neuro: alert, maew pertinent results: 03:50pm wbc-5.6 rbc-1.58*# hgb-5.0*# hct-15.0*# mcv-95 mch-31.9 mchc-33.5 rdw-15.0 03:50pm plt count-261 03:50pm neuts-83.8* lymphs-11.7* monos-3.4 eos-0.4 basos-0.7 03:50pm pt-15.1* ptt-23.1 inr(pt)-1.6 03:50pm glucose-118* urea n-54* creat-1.4* sodium-143 potassium-5.5* chloride-107 total co2-26 anion gap-16 03:50pm alt(sgpt)-9 ast(sgot)-22 ck(cpk)-100 alk phos-163* amylase-31 tot bili-0.3 03:50pm lipase-21 03:50pm albumin-3.4 10:07pm fibrinoge-229 d-dimer-3315* 10:07pm fdp-80-160* 10:07pm calcium-7.8* phosphate-3.2 magnesium-1.7 03:50pm ck-mb-6 ctropnt-0.09* 05:53am blood ck-mb-7 ctropnt-0.27* 05:14am blood wbc-5.4 rbc-3.16* hgb-9.4* hct-27.6* mcv-87 mch-29.8 mchc-34.2 rdw-16.8* plt ct-143* 11:58pm blood hct-29.2* 02:29pm blood hct-29.7* 03:43am blood wbc-6.2 rbc-3.47* hgb-10.3* hct-29.1* mcv-84 mch-29.7 mchc-35.4* rdw-17.4* plt ct-136* cxr: mild chf. mediastinum does not appear widened kub: no evidence of obstruction or intraperitoneal free air paracentesis cytology: negative for malignant cells endoscopy small hiatal hernia schatzki's ring erythema and congestion in the antrum compatible with gastritis ulcer in the posterior bulb colonoscopy : protruding lesions a annular circumferential non-bleeding mass of malignant appearance was found at the transverse colon, partially obstructing mass. the mass caused a partial obstruction. the scope traversed the lesion. cold forceps biopsies were performed for histology at the annular mass in transverse colon. excavated lesions multiple severe non-bleeding diverticula with mixed openings were seen in the sigmoid colon. impression: diverticulosis of the sigmoid colon mass in the transverse colon, partially obstructing mass recommendations: follow-up biopsy results follow hct. serum hpylori pending brief hospital course: in summary, a 71 yo m w/ h/o cad s/p cabg ', chronic type a aortic dissection, probable colon cancer recently diagnosed, and sz disorder admitted with gib in setting of known colon mass but also w/ h/o abnormal duodenal mucosa s/p duodenal polypectomy. he was initially admitted to the micu for shock, but bp improved and he was managed on the medical floor. . # gastrointestinal bleed: initially admitted with hct 15. had initially been considered too unstable for egd/flex sig to look for bleeding source. hematocrit remained stable after initial blood transfusions in the micu. he was continnued on iv bid ppi. he had an episode of malanotic stool on the evening of at 9pm and egd showed non-bleeding broad based ulcer. gi thinks that melena could have been residual blood from that ulcer which has now heeled. hct remained stable and he had no further episodes of bleeding. he should continue ppi. we recommend that his hct continued to be monitored as an outpatient by his pcp/oncology given likely ongoing slow bleed from gi malignancy. h/pylori ab pending at the time of discharge. . # malignancy. likely metastatic colon cancer. cea is not elevated and ldh is elevated, but has h/o large b cell lymphoma that was treated, unlikely cause of gi mass. underwent a paracentesis and peritoneal fluid cytology negative. he then underwent a colonoscopy on and the mass was biopsied. he will follow up with dr. on at 2pm to discuss biopsy findings and options. . # shock: initially admitted to the micu in shock. his bps remained in the low 90-100s on the floor. his beta blockers and ace inhibitors wer held due to hypotension. . # tachycardia: has history of paf s/p cv. went into rapid afibin the setting of shock which improved with fluid resusciation. he was continued on his home dose of amiodarone 100 mg po qd and remained with normal heart rate for the remainder of the hospitalization. . # systolic chf; (ef 35%). his home furosemide was held due to initial hypotension. he did require boluses of furosemide with blood transfusions. teds stockings were placed due to lower extremity edema and he was diuresed with iv furosemide. on discharge, he should resume his home dose of 40 mg po qd. his aspirin was held due to the gi bleed and the betablocker and ac inhibtotor were held due to blood pressures in the low 90s-100. this should be re-assessed as an outpatient by dr. . . # coagulopathy: he was noted to have an elevated inr but normal platelets and ptt. consistent with vitamin k deficiency, felt likely due to poor po intake. dic labs were negative. he was given vitamin k and ffp and inr remained at 1.5. . # arf: initially admitted with elevated creatiine that improved with volume resuscitation. # cad s/p cabg ': troponin was initially increased but ck/mb normal. bb/ace/asa were held as above. . # stable aortic dissection: unchanged on ct from . . # seizure disorder: continued on keppra and trileptal. . # ppx: ppi, pneumoboots . # dnr/dni . # communication: (brother): (call anytime) . medications on admission: keppra 500 mg po bid trileptal 600 mg po bid k citrate 1000 mg po tid kcl 20 meq po qd lasix 40 mg po qd lisinopril 5 mg po qd amiodarone 100 mg po qd ocuvite 1 tab po qd fe discharge medications: 1. keppra 500 mg tablet sig: one (1) tablet po twice a day. 2. trileptal 600 mg tablet sig: one (1) tablet po twice a day. 3. lasix 40 mg tablet sig: one (1) tablet po once a day. 4. amiodarone 100 mg tablet sig: one (1) tablet po once a day. 5. ipratropium bromide 0.02 % solution sig: one (1) mdi inhalation q6h (every 6 hours) as needed. 6. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po every twelve (12) hours as needed for constipation. 10. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 11. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 12. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 13. ferrousul 325 (65) mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: senior healthcare - discharge diagnosis: metastatic cancer involving the colon, pathology pending acute gi bleed duodenal ulcer colonic mass ascites congestive heart failure acute blood loss anemia discharge condition: good discharge instructions: follow up as below please call you pcp . or come to the emergency department if you experience any of the following: - abdominal pain - inability to have bowel movements - blood or dark stool from your rectum followup instructions: clinic: at 2pm with dr. . 9. . follow up with dr. in 1 week for repeat hct provider: , md phone: date/time: 2:00 provider: ,hem/onc hematology/oncology-cc9 phone: date/time: 2:00 md procedure: other endoscopy of small intestine percutaneous abdominal drainage closed [endoscopic] biopsy of large intestine transfusion of packed cells other irrigation of (naso-)gastric tube transfusion of other serum diagnoses: acute posthemorrhagic anemia acute kidney failure, unspecified acquired coagulation factor deficiency atrial fibrillation other convulsions systolic heart failure, unspecified personal history of other lymphatic and hematopoietic neoplasms other shock without mention of trauma hemorrhage of gastrointestinal tract, unspecified hypovolemia neoplasm of uncertain behavior of stomach, intestines, and rectum duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation, without mention of obstruction 

Answer: The patient is high likely exposed to