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: erythromycin base attending: chief complaint: nausea, vomiting major surgical or invasive procedure: none history of present illness: 29m with uncontrolled dm-i, erosive gastritis, and esophagitis with multiple prior admissions for severe gastroparesis (s/p and gastric pacer without relief) and ugib who was admitted with a two day h/o nausea, vomiting, and inability to tolerate pos. he also c/o mild abdominal discomfort. he denied coffee-ground emesis, melena, hematochezia, or hematemesis. he also reported diaphoresis and a syncopal episode 2 days prior to admission; he struck his head and was down for an unknown period of time. pt denies antecedent palpitations or chest pain. he reported that his blood sugar was low, but he does not remember the exact value. . in ed t 100.1, hr 116, bp 139/95, 98%ra. fs 261. coffee-ground emesis was noted. he was given morphine 4 mg iv x1, zofran 4 mg iv x3, protonix iv x1, reglan 10 mg iv. pt refused ng lavage or rectal exam. kub and cxr were unremarkable. ct abdomen showed a markedly distended bladder; this had been seen previously and has been attributed to autonomic dysfunction. a foley catheter was placed. he was initially admitted to the in the setting of relentless nausea and vomiting. he stabilized within 48 hours and was transferred to the floor. past medical history: 1. diabetes mellitus type i 2. gastroparesis, failed and gastric pacer 3. erosive gastritis, esophagitis 4. fe deficiency anemia 5. hypercholesterolemia 6. hypertension 7. chronic renal failure social history: patient lives with his wife who is very dedicated to his care. denies tobacco, alcohol, and illicit drug use. he is currently unemployed and on disability. family history: paternal grandfather with mother and sister with thyroid disease physical exam: vs: 99.5, 106, 170/103, 15, 98% ra gen: nauseous appearing male sitting in bed heent: mmd, op clear, non elevated jvp when sitting up. left ej line cv: tachycardic. regular rhythm. no m/r/g. non displaced pmi lungs: ctab, no wheezes, rales or rhonchi abd: soft, no focal right upper quadrant pain. mild midepigastric tenderness. diffuse discomfort during exam given nausea ext: no le edema, cyanosis or clubbing pertinent results: wbc-7.8 rbc-4.47* hgb-10.9* hct-32.7* mcv-73* mch-24.4* mchc-33.3 rdw-14.7 plt ct-413 11:53pm hgb-10.8* hct-33.1* wbc-10.2 rbc-3.83* hgb-9.4* hct-28.7* mcv-75* mch-24.4* mchc-32.6 rdw-14.8 plt ct-382 02:48pm hct-26.6* 07:00pm blood pt-13.0 ptt-25.5 inr(pt)-1.1 glucose-237* urean-15 creat-2.2* na-140 k-4.5 cl-101 hco3-26 07glucose-212* urean-17 creat-1.7* na-138 k-4.5 cl-104 hco3-24 albumin-3.8 calcium-8.8 phos-3.2 mg-2.1 07:00pm blood alt-58* ast-106* ck(cpk)-4027* alkphos-106 amylase-131* totbili-0.4 lipase-17 07:21am blood alt-43* ast-59* ld(ldh)-175 ck(cpk)-* alkphos-87 amylase-84 totbili-0.3 lipase-15 07:00pm blood ck 4027 ck-mb-4 ctropnt-<0.01 07:21am blood ck ck-mb-3 ctropnt-<0.01 cxr: no evidence of acute intrathoracic process. kub: no evidence of obstruction or ileus. ct abd/pelvis: ct of the abdomen: the lung bases are clear. visualized heart and pericardium appear unremarkable. distal esophageal thickening is unchanged and may relate to the patient's gastroparesis or gastritis. given the limitations of a non-contrast study, the liver, gallbladder, adrenal glands, spleen, pancreas, and kidneys appear normal. hydronephrosis seen on the previous exam has resolved. there is minimal perinephric stranding. loops of small and large bowel are normal in caliber and contour. note is made of a gastric stimulator device with a subcutaneous component and leads extending to the anterior surface of the stomach. several small retroperitoneal lymph nodes are noted, which do not meet criteria for pathological enlargement, and there are also several small mesenteric lymphnodes. there is no free air or free fluid. ct of the pelvis: the bladder is massively distended, but less so than the previous exam. the prostate is not enlarged. the seminal vesicles and rectum appear unremarkable. the pelvic loops of bowel appear normal. the appendix is normal. there is no free fluid in the pelvis. osseous structures: there are no concerning lytic or sclerotic lesions. impression: 1. no evidence of bowel abnormality. 2. distended bladder, as seen previously. . ct head: no evidence of acute intracranial hemorrhage. unchanged appearance of the brain compared to . . ekg: sinus tachycardia rate 110. brief hospital course: 29 yo male with dm-i, severe gastroparesis refractory to treatment (including and gastric pacer), chronic kidney disease, and anemia, admitted with nausea, vomiting, and coffee ground emesis likely secondary to diabetic gastroparesis and gastritis/esophagitis. patient admitted to on , transferred to floor night of . 1. nausea and coffee-ground emesis: secondary to patient's longstanding gastroparesis and gastritis. although the pt refused rectal exam and ng lavage on admission, his hematocrit stabilized to its baseline following administration of iv fluids. the patient was initially kept npo with antiemetics including zofran, phernergan, ativan. morphine was given as needed for pain. gastroenterology recommended stopping his anticholinergics and increasing his zofran to 8 mg iv qid. this was done. the patient was also given suppositories to facilitate bowel movements. he was transitioned to po zofran and reglan on the floor and his symptoms resolved. hematocrit stable throughout and no further bloody emesis. patient will follow up with dr. on for consideration of domperidone or ativan to help with gastroparesis. protonix maintained throughout, omeprazole as outpatient. 2. dm-i: fsbg was 300 on admission to icu. although his baseline lantus and hiss were initially continued, was consulted; the patient's lantus was thereafter given at night, and his hiss was changed to a riss (because he has diabetic gastroparesis). after the regimen change, he was hypoglycemic overnight. d5-containing iv fluids were started; there was no anion gap, but ketones were found in the urine. his lantus was decreased to 20 units qhs, and his sliding scale continued. on patient maintained on d5 drip and began taking clears. lost iv access and not given lantus (incident report filed). patient able to take good po by am and no need for access. given nph 10 units am of for basal insulin and then planned re-start of home lantus dosing on evening, night of discharge. has follow up. of note, did have low blood sugar on but after juice, up to 140. patient instructed to monitor blood sugars closely overnight, he did not want to stay for monitoring and felt he was going to have good po intake at home and would monitor closely. 3. htn: the patient takes valsartan and metoprolol at home; initially held in . re-started with po intake on . 4. sinus tachycardia: likely due to hypovolemia and discomfort. improved with ivf's and control of gastroparesis. 5. acute renal failure/chronic kidney disease: most likely prerenal due to vomiting, improved with fluids. creatinine 1.8 on discharge, which is recent baseline. . 6. fall/rhabdomyolysis: the patient's ck was over 4000 on admission. this is likely due to his recent syncopal episode, fall, and unknown period of time being down. his ck continues to trend down rapidly; it was 900 this morning. his liver enzymes were also abnormal on admission but normalized. a head ct (s/p fall) showed no evidence of an acute intracranial process. ck down to 400 by . mb's and troponins negative. 7. gerd: ppi continued 8. transaminitis: resolved with treatment of gastroparesis. 9. anemia: chronic disease, stable throughout. medications on admission: folic acid 1 mg daily thiamine hcl 100 mg daily senna 8.6 mg po bid docusate sodium 100 mg po bid valsartan 80 mg po bid metoclopramide 10 mg po qidachs ondansetron 8 mg tablet, rapid dissolve po q8h* omeprazole 20 mg po daily toprol xl 25 mg po daily insulin glargine - 25 units at bedtime- as per pt insulin per insulin sliding scale discharge medications: discharge disposition: home discharge diagnosis: gastroparesis upper gi bleed secondary diagnosis: diabetes mellitus type i gastritis chronic renal insufficiency hypertension discharge condition: stable, tolerating food, ambulating discharge instructions: you admitted with gastroparesis and blood in your vomit. we gave you medications for your nausea and intravenous fluids. gastroeneterology saw you while you were in the hospital. please call 911 or return to the hospital if you experience fevers, abdominal pain, nausea, vomiting, unable to take food/drink, vomiting blood, blood in stools or other concerning symptoms. followup instructions: please schedule a follow-up appointment with dr. within 1 week after leaving the hospital. you have the following scheduled appointments: provider: , md phone: date/time: 4:00 procedure: transfusion of packed cells diagnoses: pure hypercholesterolemia unspecified essential hypertension acute kidney failure, unspecified polyneuropathy in diabetes iron deficiency anemia, unspecified rhabdomyolysis diabetes with neurological manifestations, type i [juvenile type], uncontrolled gastroparesis other specified gastritis, with hemorrhage 

Answer: The patient is high likely exposed to