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: aspirin / motrin / penicillins attending: chief complaint: bright red blood per rectum major surgical or invasive procedure: colonoscopy, angiography with right femoral artery puncture history of present illness: 81m h/o ppm, tia on plavix, p/w bloody stool. he states that he was in his usoh until he noted a bowel movement yesterday at noon. the bm was mostly bright blood with clots. he called his pcp who advised him to come to the ed where he was noted to be hemodynamically stable with pulse 55, bp 127/67. he denies cp, sob, though did mention slight lightheadedness when walking around. he received 3l ns and 2u prbcs. initial hct was 31.1 from 38.6 on the prior day when he was seen in the ed for dizziness. he underwent tagged red cell scan which revealed a colonic bleeding source at the hepatic flexure. he was taken to radiology though the bleed was unable to be localized. hct remained in the 30 range overnight depsite the 2u prbcs. he continues to have bloody stools, though he states this has decreased from yesterday. past medical history: sick sinus syndrome s/p biotronik philos dual chamber pacemaker placed at ; s/p cath hyperlipidemia mild asthma allergic rhinitis gerd lbp related to djd hx rectal bleeding thought diverticular carrier of wilson's disease social history: lives alone in beach , widowed; has 2 kids and few grandchildren. formerly worked in commercial real estate, bartending. no tob, no drugs. rare etoh - few drinks wine per week. of italian ancestry. family history: 6 siblings, 4 with pacemakers. brother died of stroke at 81. father had non-fatal stroke at 62. brother with cad, colon ca; mother had ca; father had wilson's disease. physical exam: vitals: t 97.5 119/55 p60 rr 20 sat 95% ra gen: awake, alert, pleasant, conversant heent: mm slightly dry, eomi, perrla, lungs: ctab b/l heart: bradycardic, no m/r/g abd: soft, nt/nd +bs ext: wwp, no edema, 2+ dp pertinent results: tagged red cell study : impression: brisk extravasation of the tagged cells is noted in the hepatic flexure of the colon, compatible with active bleeding in this region. . angiogram: impression: arteriogram was performed without signs of extravasation of contrast material/active bleeding in the sma and tributaries. . ecg: sinus bradycardia. normal ecg. compared to the previous tracing of q waves are not seen in lead v2 and the inferior leads are of slightly decreased amplitude. . select labs: 02:47pm blood wbc-5.8 rbc-4.12* hgb-13.6* hct-38.6* mcv-94 mch-33.1* mchc-35.3* rdw-12.7 plt ct-280 12:20am blood wbc-7.3 rbc-3.36* hgb-11.0* hct-31.1* mcv-93 mch-32.7* mchc-35.3* rdw-13.3 plt ct-228 05:25am blood wbc-6.2 rbc-3.36* hgb-10.8* hct-30.5* mcv-91 mch-32.2* mchc-35.4* rdw-14.2 plt ct-205 05:30am blood wbc-7.3 rbc-3.30* hgb-10.7* hct-29.9* mcv-91 mch-32.5* mchc-35.8* rdw-14.1 plt ct-233 04:44am blood pt-14.2* ptt-31.0 inr(pt)-1.2* 02:47pm blood glucose-113* urean-12 creat-0.9 na-137 k-4.8 cl-102 hco3-26 angap-14 05:25am blood glucose-97 urean-5* creat-0.7 na-141 k-3.7 cl-106 hco3-28 angap-11 04:44am blood calcium-8.0* phos-3.3 mg-1.9 brief hospital course: briefly, 81m h/o ppm, recent tia on plavix, presented with bloody stool. it was felt likely that he had diverticular bleeding, though on arteriography and colonscopy there was no active bleeding seen. . 1. gi bleed, likely lower etiology: mr. presented with a history of bloody stool with clots. in the ed he was noted to be hemodynamically stable with pulse 55, bp 127/67. he received 3l ns and 2u prbcs. initial hct was 31.1 from 38.6 on the prior day when he was seen in the ed for dizziness. he underwent tagged red cell scan which revealed a colonic bleeding source at the hepatic flexure. he was taken to radiology though the bleed was unable to be localized. he did continue to have bloody stools. he was taken for colonoscopy which showed severe diverticulosis but no active bleeding. there was also note of several polyps. he was scheduled to have a repaeat conlonscopy on for a polypectomy. he had one more episode of a small volume of brb after his colonoscopy, but not large enough to pursue repeat angiography. on the day of discharge he had a normal, brown, formed bowel movement. his plavix was held this admission because of the bleed, but there is significant concern about recurrent tia if he remains off of plavix. he will need to restart this after his colonoscopy. . # sick sinus syndrome: s/p ppm. anticipate chronotropic incompetence in setting of bleed, and he was fine on telemetry during the admission. . # tia: pt has been evaluated by neurology for symptoms of dizziness and gait instability. given his risk factors for tia and stroke, he likely should be restarted on his plavix if his hct remains stable after one week post repeat colonoscopy. . # hyperlipidemia: continuee atorvastatin . # code status: he was a full code during this admission. . he was discharged to home with vna services for hr, bp, and hct check, to be followed up by his pcp. . medications on admission: clopidogrel 75 mg daily omeprazole 20 mg daily glucosamine chondroitin maxstr 500-400 mg daily atorvastatin 20 mg daily discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. glucosamine sulf-chondroitin 500-400 mg capsule sig: one (1) capsule po once a day. 4. outpatient lab work hematocrit on drawn by vna; results sent ot pcp, . . discharge disposition: home with service facility: vna discharge diagnosis: primary diagnosis: blood loss anemia gastrointestinal hemorrhage secondary diagnosis: sick sinus syndrome with pacemaker colonic polyps discharge condition: good, ambulating, stable hematocrit, normotensive. discharge instructions: you were seen in the hospital for bloody stools. you were taken for colonoscopy which revealed diverticulosis but no active bleeding sites. your blood levels are stable after receiving a total of 4 units of blood products in the hospital. you should hold your plavix until you have your blood levels checked by your pcp. you should have another colonoscopy within the next two weeks, to remove the polyps, while you are off of the plavix. if the blood level is stable, you should likely restart your plavix for stroke prevention. please call your doctor or go to the emergency room if you have further blood in the stool or dark stools, dizziness, light-headedness, chest pain, difficulty breathing, or any other concerning symptoms followup instructions: provider , apg (sb) phone: date/time: 10:10 provider , md, phd: date/time: 2:30 provider , apg (sb) phone: date/time: 8:30 colonoscopy with dr. on at 12:30pm. the number is . please have the vna check your heart rate, blood pressure, and hematocrit later this week. the results should be called to dr. , who is aware of this plan, and she will follow up on them. her number is . procedure: colonoscopy arteriography of other intra-abdominal arteries transfusion of packed cells diagnoses: esophageal reflux acute posthemorrhagic anemia asthma, unspecified type, unspecified other and unspecified hyperlipidemia cardiac pacemaker in situ personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits sinoatrial node dysfunction benign neoplasm of colon diverticulosis of colon with hemorrhage internal hemorrhoids without mention of complication 

Answer: The patient is high likely exposed to