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: hematemesis major surgical or invasive procedure: endoscopy with clips, epinephrine injection, and bicap thermal therapy to site of bleeding gastric ulcers. history of present illness: 84m with lymphoma s/p chop last week, h/o gib, dilated cmp, who originally presented from home with hematemesis x2, after taking high dose prednisone during chemotherapy as well as bufrin for arthritis. patient denied melena, abdominal pain, hematochezia, chest pain, shortness of breath, fever, chills or chest pain. patient has had ugib in past with nsaid use. patient came to ed, with vs 96.8, 100, 119/65, 18, 100%ra and a and o times 3. at home, patient is functional in his adls, grocery shopping and driving on his own, and taking care of his wife with disease. patient is very noncompliant at home. he was given ppi, received ngt lavage, which did not clear after 1l, and patient was fluid resuscitated prior to transfer to the micu for emergent endoscopy. in the micu, patient had endoscopy showing multiple gastric ulcers, which were clipped, injected with epinephrine, and bicapped. he remained hemodynamically stable. patient was also found to have an evolving stemi, with isolated st elevation in v3, as well as ce with peak troponin of 1.48 on . patient remained chest pain free. cardiology was consulted, and patient was medically managed with a beta blocker, ace inhibitor, and advised to follow up for an outpatient stress test. patient was taken off his home digoxin and amlodipine. patient is transferred to omed. past medical history: 1. lymphoma - biopsy showing b-cell non hodgkins lymphoma c difficult subclassification. originally felt to be a small lymphocytic lymphoma but new, more aggressive behavior is suggestive of nhl. tx c xrt -on chop-r- last chemo last friday 2. dilated cardiomyopathy, ef 20% 3. chronic afib, has refused coumadin in past for side effects 4. htn 5. migraines 6. arthritis 7. question osa 8. gi bleed - c hgb 7.7 nsaid/aspirin use, egd showing gastritis/ulcers in fundus. 9. hearing loss 10. arf from hydronephrosis due to lymphoma social history: no smoking, rare etoh, married, lives in , former prof. chemistry c hx exposure to organic compounds. lives at home with his wife who has disease. family history: mother c asthma, chf, daughter died in childhood neuroblastoma physical exam: tc 97.5 bp 120/70 hr 73 o2sat 99%ra. gen: nad. heent: ncat, eomi. no cervical lad. no oral ulcers or exudates. cv: irregularly irregular. 2/6 sem. lungs: ctab. decreased bs at bases/ abd:+bs, soft, nt, nd. guaiac positive in the ed. ext: wwp. no cce. neuro:cn ii-xii intact, strength 5/5 bilat pertinent results: 132 97 52 / 186 agap=14 ------------ 4.4 25 1.0 . ck: 38 mb: notdone trop-*t*: 0.02 ca: 8.3 mg: 2.0 p: 4.1 alt: 10 ap: 98 tbili: 0.5 alb: 3.1 ast: 12 ldh: 151 : 33 lip: 18 dig: 0.3 . 86 10.5 \ 7.1 / 339 ------- 20.8 d n:96.9 band:0 l:2.0 m:0.9 e:0.2 bas:0.1 . conclusions: the left atrium is dilated. the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is moderately depressed. resting regional wall motion abnormalities include mid to distal anteroseptal and anterior akinesis/hypokinesis and basal to mid inferior/inferolateral hypokinesis akinesis. the apex is not fully visualized but appears hypokinetic/akinetic. right ventricular chamber size and free wall motion are normal. the ascending aorta is moderately dilated. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. moderate (2+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is moderate thickening of the mitral valve chordae. moderate (2+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. significant pulmonic regurgitation is seen. there is no pericardial effusion. compared with the prior study (images reviewed) of , left ventricular systolic function is now significantly worse with new anteroseptal and anterior akinesis/hypokinesis. . ekg : atrial fibrillation ventricular premature complex modest nonspecific intraventricular conduction delay left ventricular hypertrophy with st-t abnormalities anteroseptal myocardial infarct, age indeterminate - possible acute/recent/in evolution diffuse st-t wave abnormalities since previous tracing of , further st-t wave abnormalities present . endoscopy: findings: esophagus: lumen: a sliding small size hiatal hernia was seen. mucosa: a salmon colored mucosa suggestive of barrett's esophagus was found. biopsy not performed due to bleeding. stomach: excavated lesions multiple ulcers were found in the antrum and stomach body. a large 3-4 cm cratered ulcer with a necrotic center and adherent clot on the incisura was seen. there was a pulsating vessel seen after the clot was removed. two resolution clips were applied to the vessel with persistent oozing. 9cc of 1:10,000 epinephrine was injected with successful hemostasis. bicap thermal therapy was then applied to the area at the setting of 28. no bleeding was seen at the completion of therapy. much of the body and fundus was not well-visualized due to blood and clot obscuring the view. duodenum: other lymphoid hyperplasia in the duodenal bulb. other findings: an opening that is either a diverticulum or accessory duct was seen in the second portion of the duodenum. impression: ulcers in the antrum and stomach body lymphoid hyperplasia in the duodenal bulb. small hiatal hernia an opening that is either a diverticulum or accessory duct was seen in the second portion of the duodenum. mucosa suggestive of barrett's esophagus brief hospital course: 84 yo male with pmhx sx for lymphoma, upper gib, cardiomyopathy, who presented with an upper gi bleed with multiple gastric ulcers seen on endoscopy, likely secondary to nsaid use and recent high dose prednisone with chop therapy for lymphoma. patient was also found to have a silent stemi, with v3 elevation and elevated ce. . upper gi bleed: patient's ugi bleed was likely nsaid use combined with recent prednisone for chop. patient was transfused several units while in the micu for hematocrit drop from 29.9 to 20.8 on presentation. patient had an ng lavage performed, which did not clear after 1000cc ns were infused. an emergent upper endoscopy demonstrated ulcers in the antrum and stomach body, lymphoid hyperplasia in the duodenal bulb, and mucosa suggestive of barrett's esophagus. patient's ulcers were clipped, injected with epinephrine, and had thermal therapy which stopped the bleeding. biopsy wasn't performed at the time due to concern for increased bleeding. on transfer to omed, patient was hemodynamically stable, but then began to have drop in hematocrit. he received three units of blood, without an appropriate increase in hematocrit. he remained guaiac positive, had two large bore pivs for access, and continued on pantoprazole. he had serial hematocrits checked, and was stable for 48 hours prior to discharge. patient was scheduled for outpatient endoscopy to reassess the ulcers, and for biopsy of the lymphoid hyperplasia. patient was advised to avoid all nsaids. he will have serial hematocrits checked by home vna. . stemi: patient was admitted with initial ste in v3, but with a progressive rise in cardiac enzymes. he was noted to have evolving st changes since admission with peak troponin, and was diagnosed as having a stemi. a cardiology consult was obtained, and recommended stopping patient's amlodipine and digoxin, and starting atorvastatin, lisinopril and metoprolol, which were started when patient was hemodynamically stable from a gi bleed perspective. patient's cardiac enzymes were trended, and he was found to have continued upward trend in troponin to peak 2.24, with gradual decrease in ck and ckmb. cardiology was reconsulted, and felt that elevation in troponin was not an indication for cardiac catheterization, and opted for medical management. patient was not placed on heparin due to bleeding risk. he was not anticoagulated for his atrial fibrillation due to bleeding risk, and due to concern for poor compliance as an outpatient. a repeat echocardiogram was performed, which showed global hypokinesis and a depressed ef from 40% to 30-35%, possibly from stunned myocardium. he will need to have follow up with his outpatient cardiologist. he remained on telemetry with no events. he will need a stress test as an outpatient. he remained chest pain free through his admission. . lymphoma: patient's lymphoma was stable. he received one dose of neupogen as an inpatient, but had a leukocytosis. he will be seen in clinic for consideration of further chemotherapy. patient will be seen by dr. and dr. as an outpatient. . patient remained full code. his diet was advanced as tolerated. his electrolytes were monitored carefully and repleted. communication was with patient, and son dr. . c: h: . patient was seen by physical and occupational therapy. he will be seen by physical therapy at home for services. medications on admission: amlodipine digoxin bufferin discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*56 tablet, delayed release (e.c.)(s)* refills:*2* 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*28 tablet(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*28 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: 1. upper gastrointestinal bleeding 2. gastric ulcers 3. st elevation mi 4. lymphoma s/p r-chop 5. leukopenia 6. lymphoid hyperplasia in duodenal bulb discharge condition: stable discharge instructions: if you develop nausea, vomiting, shortness of breath, blood in your stool, vomiting blood, dizziness on standing, black stools, chest pain, please call your primary care doctor or go to the emergency room. followup instructions: provider: , . hematology/oncology-cc9 date/time: 2:30 provider: , md phone: date/time: 2:30 provider: , cardiology-private date/time: 11:30 please follow up with dr. , your primary care doctor, in the next 1-2 weeks. the number to call is . procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: other primary cardiomyopathies subendocardial infarction, initial episode of care mitral valve disorders unspecified essential hypertension adrenal cortical steroids causing adverse effects in therapeutic use atrial fibrillation other malignant lymphomas, unspecified site, extranodal and solid organ sites chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction diseases of tricuspid valve barrett's esophagus unspecified analgesic and antipyretic causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to