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 / aleve attending: chief complaint: chest pain major surgical or invasive procedure: capsule endoscopy history of present illness: 69-yo-woman w/ dm2, htn, esrd p/w chest pain x 4 hours. she was feeling well until last night, when she developed sudden onset substernal chest pressure at rest, severity, radiating to the back, assoc w/ nausea but no vomiting, dyspnea, palps, or diaphoresis. the pain is not associated w/ eating, body position, or exercise. the pain did not respond to sl ntg x 4, prompting the pt to call ems for transport to the ed. she denies any fever, chills, dyspnea, cough, abd pain, dysuria, melena, hematochezia. her stool has been black chronically since starting fe 3 months ago; there is no change in the nature of stools. she has no h/o cad or smoking. in the , pt had persistent cp. was treated w/ plavix 75mg x1, metoprolol 5mg iv x1, 25mg po x1, and ntg sl x 2. the pt was never free of cp in the ed. hct noted to be 10 points below baseline w/ melanic stool on exam, prompting ng lavage that was normal. she was transfused 2units prbcs, and admitted to micu for further care. past medical history: 1. diabetes mellitus type 2: c/b nephropathy, neuropathy 2. esrd: s/p av fistula placement , pending hd, makes urine 3. chf: echo w/ lvef 55%, 3+mr, 2+tr, mod pulm art htn, diastolic dysfunction; exercise mibi w/ no perfusion defects 4. hypertension 5. gout 6. anemia: multifactorial in setting of esrd w/ guaiac positive stool 7. occult gi bleed: egd w/ mild gastritis (h. pylori negative); c-scope w/ hyperplastic polyps social history: lives alone, has nurse visit and help with adls. denies tobacco, etoh, or ivdu. family history: dm - daughter, son htn - son cad physical exam: gen: elderly woman lying in bed in nad heent: anicteric, eomi, perrl, op clear w/ mmm, no jvd cv: reg s1/s2, no s3/s4/m/r pulm: crackles at bases b, no wheezes abd: obese, +bs, soft, nt ext: warm, faint dp b, no edema rectal: + melenic stool in vault per ed note neuro: a/o x 3, cn 2-12 intact pertinent results: admission labs: 05:25am wbc-8.4 rbc-2.03*# hgb-6.2*# hct-19.6*# mcv-97 mch-30.5 mchc-31.6 rdw-17.3* plt ct-338 05:25am neuts-53.0 lymphs-38.6 monos-5.3 eos-2.7 baso-0.4 05:25am pt-13.5* ptt-28.8 inr(pt)-1.2 05:25am glucose-113* urean-93* creat-6.4* na-141 k-4.9 cl-107 hco3-19* angap-20 05:25am calcium-8.5 phos-5.4* mg-2.3 06:45pm ferritn-215* vitb12-268 folate-10.0 . 05:05am pth-270* . 05:25am ck(cpk)-117 ck-mb-3 ctropnt-0.03* 12:17pm ck(cpk)-140 ck-mb-9 ctropnt-0.12* 06:45pm ck(cpk)-214* ck-mb-22* mb indx-10.3* ctropnt-0.51* 03:42am ck(cpk)-214* ck-mb-20* mb indx-9.3* ctropnt-1.01* 09:05am ck(cpk)-185* ck-mb-13* mb indx-7.0* ctropnt-1.00* . imaging: chest x-ray, portable ap: comparison is made to prior study of . the cardiac silhouette is moderately enlarged. aortic calcifications are present. there is mild vascular engorgement without frank pulmonary edema. the appearance of the vasculature has improved in the interval. there is no pneumothorax. no focal consolidations are seen. impression:improved congestive heart failure. . ekg: sinus rhythm - diffuse st-t wave abnormalities - cannot exclude in part ischemia - clinical correlation is suggested since previous tracing of the same date, further st-t wave changes present . capsule endoscopy: procedure info & findings: findings: good prep 1. polypoid lesion in stomach 2. erythema and congestion at gastric antrum 3. duodenitis in duodenal bulb 4. capsule did not reach the colon. . summary & recommendations: summary: 1. gastric polypoid lesion 2. gastritis. 3. duodenitis in duodenal bulb. 4. small nonbleeding angioectasia small bowel, out of reach of enteroscope 5. no active bleeding. please check kub prior to any mri brief hospital course: # chest pain: likely secondary to demand ischemia, as supported by the pattern of pain similar to past anginal episodes and dynamic st depressions on ekg in the setting of low hct. chest pain resolved with blood transfusions. cardiac enzymes peaked on hd#2. cardiology was consulted and determined that cath was not indicated at this time given recent gi bleed. recommended follow up in 1 month to reassess for possible catheterization and asa desensitization. pt was restarted on her statin, metoprolol, and isosorbide dinitrate and remained hemodynamically stable. patient was given one dose of plavix in ed, plavix was held during the rest of the admission with plans to restart when cleared by gi. . # gi bleed: patient had guaiac positive stool on admission and hct 19, most likely due to ugi/bowel bleed. hct remained stable after 4 units prbc and pt was hemodynamically stable. pt was transferred out to floor on hd 2. pt had capsule endoscopy, results returned after discharge, which showed a gastric polypoid lesion, gastritis, duodenitis in duodenal bulb and a small nonbleeding angioectasia in the small bowel. the capsule did not reach the colon, pt will need to have a kub prior to any mri. patient was continued on protonix. plavix was held during her hospitalization with plans to restart if the capsule endoscopy was normal. patient will follow up with pcp to recheck cbc and plan further gi work up. patient continued on b12 and folate for anemia. . # chf: patient has h/o diastolic dysfxn. patient was given lasix as needed with blood transfusions. patient was continued on isosorbide dinitrate and metoprolol once hemodynamically stable. continued on lasix 40 mg qd. . # ckd: she has esrd nearing hemodialysis. av fistula still maturing. renal was consulted, no urgent indications for dialysis during this hospitalization. continued calcium acetate and phoslo. cr improved to 4.7 at discharge. will follow up with dr. . . # dm2: pt was given nph for basal glucose control and covered w/ iss. at discharge she was restarted on glipizide, will follow up with pcp for further management. medications on admission: 1. allopurinol 100 mg p.o. every other day. 2. calcitriol 0.5 mcg p.o. daily. 3. phos-lo two tabs t.i.d. with meals. 4. glipizide 2.5 mg daily. 5. hydralazine ten milligrams p.o. t.i.d. 6. imdur 30 mg daily. 7. lipitor 20 mg daily. 8. lasix 40 mg daily. 9. metoprolol 50 mg p.o. b.i.d. 10. plavix on hold 11. multivitamin daily. 12. iron 150 mg p.o. b.i.d. 13. protonix 40 mg daily. 14. epogen - not yet started 15. tylenol p.r.n. discharge medications: 1. calcitriol 0.5 mcg capsule sig: one (1) capsule po once a day. 2. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. multivitamin capsule sig: one (1) cap po daily (daily). 5. calcium acetate 667 mg tablet sig: three (3) tablet po tid w/meals (3 times a day with meals). 6. cyanocobalamin 500 mcg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 8. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 9. lasix 40 mg tablet sig: one (1) tablet po once a day. 10. glipizide 2.5 mg tab, sust release osmotic push sig: one (1) tab, sust release osmotic push po once a day. 11. imdur 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. 12. ferrous sulfate 134 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: vna discharge diagnosis: primary: chest pain secondary to demand ischemia anemia gi bleed secondary: discharge condition: stable discharge instructions: if you develop chest pain, shortness of breath, dizziness, lightheadness, or palpitations call your primary care doctor immediately or return to the emergency room. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction to no more than 1500 ml followup instructions: please schedule a follow-up appointment with your primary care doctor (, l. ) within one week of your discharge. --follow-up cbc, especially hct --follow-up capsule endoscopy study results --restart plavix if capsule study is normal . you have a follow up appt scheduled with , m.d. on at 3:30. procedure: transfusion of packed cells other diagnostic procedures on small intestine diagnoses: end stage renal disease coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome mitral valve disorders congestive heart failure, unspecified iron deficiency anemia secondary to blood loss (chronic) gout, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease secondary hyperparathyroidism (of renal origin) duodenitis, without mention of hemorrhage hemorrhage of gastrointestinal tract, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled chronic diastolic heart failure benign neoplasm of stomach 

Answer: The patient is high likely exposed to