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: upper gi bleed s/p duodenal polypectomy major surgical or invasive procedure: none history of present illness: 46 y/o f with pmhx of mutyh associated polyposis who underwent duodenal polypectomy on and returned home that evening. she noticed some black stools but was feeling otherwise at baseline. in the evening, she noticed some mild nausea which progressed to emesis of brb. this was followed by episodes of brb per rectum, lightheadedness, diaphoresis and chills. she was in the bathroom with her husband when she had a witnessed syncopal episode without any head trauma. she was taken to , admitted to the icu with a hct of 28.6 and sbps in 100s. she received a total of 2 units prbcs, ivf and was started on a ppi and octreotide gtt. she underwent a egd which revealed active bleeding, this was treated with local epinephrine prior to transfer to . . pt had a transient episode of sbp in the 80s during transfer which responded to a 250cc bolus of ivf. she remained asymptomatic and on arrival to the icu, she was denying lightheadedness, nausea, palpitations, chest pain, shortness of breath, weakness or abdominal pain. . review of systems: (+) per hpi (-) denies fever, chills, sinus tenderness, rhinorrhea or congestion. denied cough, shortness of breath. denied chest pain or tightness, palpitations. no dysuria. denied arthralgias or myalgias. past medical history: appendectomy mutyh associated polyposis (followed with yearly colonoscopy and now regular egds) social history: she works as a nurse at an ivf center and lives at home with four children and her husband. she denies smoking and drink alcohol beverages per day. denies any history of withdrawal. family history: + fap syndrome physical exam: vitals: t: 97.9 bp: 121/66 p: 73 r: 12 o2: 94% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear neck: supple, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, ronchi cv: regular rate and rhythm, normal s1 + s2, no m/r/g abdomen: soft, nt/nd, nabs, no rebound tenderness or guarding ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema rectal: guaic + melanotic stool pertinent results: 09:49pm glucose-117* urea n-6 creat-0.6 sodium-141 potassium-3.6 chloride-113* total co2-25 anion gap-7* 09:49pm estgfr-using this 09:49pm alt(sgpt)-8 ast(sgot)-10 alk phos-33* tot bili-0.7 09:49pm wbc-8.0 rbc-2.96* hgb-9.1* hct-27.2* mcv-92 mch-30.8 mchc-33.6 rdw-13.7 09:49pm neuts-67.4 lymphs-26.0 monos-5.5 eos-1.1 basos-0.1 09:49pm plt count-205 09:49pm pt-11.9 ptt-22.2 inr(pt)-1.0 04:33am blood wbc-5.6 rbc-2.75* hgb-8.7* hct-25.3* mcv-92 mch-31.5 mchc-34.2 rdw-13.1 plt ct-198 brief hospital course: 46 y/o f with pmhx of map who presents with upper gi bleed s/p duodenal polypectomy on . # upper gi bleed: when mrs. arrived to the all vital signs were stable. she was s/p egd with local epi injections and 2u prbcs as well as ivf at an osh. initially there was a very minor amount of melena in the which subsequently resolved and there were no repeat episodes of melena, emesis, or brbpr. her hcts were stable in the range of 25-27. no further transfusions were necessary. the octreodide drip was continued over night and stopped the next morning. iv ppi was given and switched to po on discharge. her diet was advanced and on she was tolerating a full diet. gi did not feel that repeat egd was necessary at this time and will repeat it in 2 months as an outpatient. . # map: pt with known polyposis syndrome with risk for malignant transformation. up until this year she has undergone yearly colonoscopies that result in removal of several polyps each time. was her first egd which revealed the duodenal polyp that was removed just prior to admission. she will follow up regularly with gi (dr. for colonoscopies/egds. medications on admission: none discharge medications: pantoprazole 40mg po daily ferrous sulfate 325 mg po daily discharge disposition: home discharge diagnosis: primary: upper gastrointestinal bleed secondary: map discharge condition: afebrile, stable vital signs, tolerating normal diet, ambulatory discharge instructions: you were admitted because of bleeding from your gastroinestinal tract. you were treated with some fluids, lansoprazole iv, and octreotide iv. at home, your medicines will be changed and you can take: 1. ferrous sulfate 325mg by mouth once/day 2. pantoprazole 40mg by mouth once/day please take all medicines as prescribed. please follow-up with all appointments. please do not hesitate to return to the hospital for any concerning symptoms such as bleeding, lightheadedness, fainting, or anything else concerning. followup instructions: follow-up with your gastroenterologist, dr. , for repeat egd and colonoscopy as he recommends. procedure: endoscopic excision or destruction of lesion of duodenum diagnoses: acute posthemorrhagic anemia hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation benign neoplasm of colon benign neoplasm of duodenum, jejunum, and ileum 

Answer: The patient is high likely exposed to