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: levaquin attending: chief complaint: gi bleed major surgical or invasive procedure: egd history of present illness: 86 ylo somali speaking female with h/o htn, chf, pe () and dvt on coumadin presented with nausing with vomiting last night, non-bloody and diffuse epigastric pain. this am had diarrhea. ems reports melenotic stool. son providing translation. no chest pain, no shortness of breath. subj fevers. in ed. 97.6, 125/63, 96, 20, 100% ra. dry, rales at bases. melanotic stool, ttp upper abdomen. hct 18.5, inr 11.6. cxr mod chf. ct head scan pending for bleed. vitamin k 10 po, 4 units ffp ordered, 2 units blood ordered. access is 20g, 18g. got 1 l ns. got 40 mg iv protonix, zofran and morphine. vomiting clear, did not occult test. vitals on transfer 133/48 85 20 100% 2lnc. past medical history: --chronic left chest pain (trigger point injections in past, see and d/c notes --- "two areas of focal pain, one in the supraclavicular area on the left and the second in a very focal sharp area over the left fourth rib in the midclavicular line") --chronic abdominal pain --myofascial pain syndrome --cervical degenerative joint disease --hypertension --hypercholesterolemia --diastolic dysfunction, --mild aortic insufficiency --history of total hip replacement --mild dementia social history: sh: originally from . she moved usa in . she lives with her youngest son . does not speak english. walks with a cane. no history of tuberculosis exposure. she has never smoked. family history: daughter with chronic abdominal pain and ptsd physical exam: general appearance: well nourished eyes / conjunctiva: perrl, conjunctiva pale head, ears, nose, throat: normocephalic lymphatic: cervical wnl, supraclavicular wnl, cervical adenopathy cardiovascular: (pmi normal), (s1: normal), (s2: normal), (murmur: systolic), ii/vi lsb peripheral vascular: (right radial pulse: present), (left radial pulse: present), (right dp pulse: diminished), (left dp pulse: diminished) respiratory / chest: (expansion: symmetric), (breath sounds: clear : ) abdominal: soft, tender: epigastric and llq very tender, no rebound or guarding, faint bowel sounds, stool black, guaiac positive extremities: right: absent, left: absent, no(t) cyanosis, no(t) clubbing skin: cool, marks suggestive of burns, new one on left upper back neurologic: attentive, follows simple commands, responds to: verbal stimuli, oriented (to): self, place, not date, movement: purposeful, tone: normal pertinent results: 10:15am plt smr-normal plt count-244 10:15am hypochrom-1+ anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-occasional 10:15am neuts-85* bands-0 lymphs-13* monos-2 eos-0 basos-0 atyps-0 metas-0 myelos-0 nuc rbcs-4* 10:15am wbc-12.6*# rbc-2.10*# hgb-5.9*# hct-18.5*# mcv-88 mch-28.3 mchc-32.1 rdw-15.9* 10:15am lipase-28 10:15am alt(sgpt)-13 ast(sgot)-15 alk phos-58 amylase-67 tot bili-0.2 10:15am estgfr-using this 10:15am glucose-149* urea n-36* creat-0.7 sodium-137 potassium-3.6 chloride-99 total co2-28 anion gap-14 10:20am pt-93.8* ptt-41.0* inr(pt)-11.6* 10:24am hgb-6.3* calchct-19 01:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 01:30pm urine color-straw appear-clear sp -1.014 07:22pm calcium-7.9* phosphate-3.5 magnesium-2.0 07:22pm glucose-116* urea n-26* creat-0.7 sodium-141 potassium-3.6 chloride-103 total co2-28 anion gap-14 07:26pm pt-17.4* ptt-27.2 inr(pt)-1.6* 07:26pm plt count-160 07:26pm hct-22.5* 07:36pm freeca-0.99* 07:36pm type- ph-7.36 comments-green top 10:37pm pt-19.1* ptt-28.2 inr(pt)-1.7* 10:37pm plt count-148* 10:37pm hct-26.9* 10:54pm freeca-1.09* 10:54pm type- ph-7.44 comments-green-top 2:15 pm serology/blood **final report ** helicobacter pylori antibody test (final ): positive by eia. (reference range-negative). brief hospital course: 86 y/o somali lady w/ h/o gastritis & pe/dvt on coumadin & h/o iron deficiency, presented to ed with n/v (hematemesis) epigastric abd pain, and melena for 3 weeks. pt taking advil for chronic pain. hct 18.5 & inr 11.8 transfused a total of 5 units rbc??????s and 6 units ffp. 1) upper gi bleed/acute blood loss anemia: likely underlying gastritis from nsaid use exacerbated by supratherapeutic inr. also with old imaging suggesting stable ? penetrating atheromatous ulcer of aorta superior to . got vitamin k in ed. access was established with 20g iv x 2, protonix ggt started, 1u prbc with 6 more crossmatched on hold, and q4h hct/inr/ica. gi consulted and agreed to egd. surgery made aware because of changing hct and recent bleeding. egd revealed esophagitis/gastritis no active bleeding or ulcers. recommended changing protonix from ggt to dosing, stop all nsaids, and test for h pylori. was transferred to the floor where she had one further melanotic stool but then had no further bleeding. her final h. pylori test was positive. this was communicated to her pcp . . 2) abdominal pain: patient had epigastric and llq pain. she had a kub which showed no free air, and underwent a colonoscopy which showed diverticula but no evidence of ischemic bowel or bleeding sight. 3) hx pe/dvt: no pe on recent imaging . coumadin held for bleed. no heparin given. ordered le u/s to look for dvt, which were negative. just prior to discharge, the patient was restarted on coumadin to follow up with coumadin clinic. 4) chronic diastolic chf: pt had dyspnea with ambulation, with sats dropping to 80. after her bleeding was resolved, her home lasix dose of 60mg daily was restarted. she was also given several doses of iv lasix, which improved her symptoms. on discharge she was saturating 95% on ra while resting. her metoprolol was stopped initially but, restarted at a lower dose of 25mg toprol xl daily. . 5) htn: see above on beta blocker. . 6) fall: patient fell on night prior to discharge, hitting her left wrist and right knee. it was a witnessed, mechanical fall. no syncope or head trauma. pt/ot was consulted, who saw her and prescribed her a walker. she was also prescribed a left cock-up wrist splint. knee and wrist films were negative for fracture. medications on admission: prilosec otc 20 mg tab 1 tablet(s) by mouth once a day ( 10:59) albuterol sulfate hfa 90 mcg/actuation aerosol inhaler 2 puffs every four (4) hours as needed for cough or sob ( 10:59) furosemide 20 mg tab 3 (three) tablet(s) by mouth once a day every morning ( 10:59) metoprolol 50 mg tab 1 tablet(s) by mouth once a day ( 10:59) colace 100 mg cap 1 capsule(s) by mouth twice daily ( 10:59) coumadin 1 mg tab 1 tab on mon and , 2 tab on tues, wed, fri, sat, sun tablet(s) by mouth as directed discharge medications: 1. furosemide 40 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*2* 2. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily): apply to painful area daily. only use for 12 hours each day. disp:*30 adhesive patch, medicated(s)* refills:*2* 3. warfarin 2 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)): please take as directed by coumadin clinic. disp:*30 tablet(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 5. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. colace 100 mg capsule sig: one (1) capsule po twice a day. 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h prn as needed for shortness of breath or wheezing. 8. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: primary: gastrointestinal bleed, secondary to nsaid use and supratherapeutic inr secondary: chronic systolic congestive heart failure myofascial pain syndrome discharge condition: good, hemodynamically stable. respiratory status at baseline. discharge instructions: you were admitted to the hospital because you were bleeding from your bowels. because of this, you were given blood and you had two procedures, an endoscopy and colonoscopy. you were found to have inflammation of your esophagus and stomach (esophagitis and gastritis). your increased inr (anticoagulation from the coumadin) and taking advil played a role in the bleed. it is important for you to have your anticoagulation levels checked regularly to make sure that this does not happen in the future. also, while you were here in the hospital, you had some difficulty breathing. this was due to fluid building up in your lungs. we gave you a medication called furosemide (lasix) to remove the fluid from your lungs. you have been prescribed this medication to take once you leave the hospital. it will be important for you to continue taking this medication, and to weigh yourself every morning to see if you have fluid building up. call your doctor if your weight gain more than 3 lbs. adhere to 2 gm sodium diet. . also, while you were in the hospital, you fell and hit your hand and your knee. xrays did not show any acute fractures. you were given a splint for your hand, keep it on until you are seen by orthopedics. you will need repeat xray on . physical therapy evaluated you for this, and gave you a walker. it is very important that you use your walker at all times while walking, as it is unsafe for you to walk without it. . finally, you continued to have chest pain. your pain is musculoskeletal in nature and is not because of your heart. however, if your chest pain changes or becomes much more severe, be sure to contact your primary care provider or go to the emergency room. for the chest pain you currently have, we have given you percocet and lidocaine patches. . please take all medications as prescribed. you have been discharged with the following changes in your medication: your metoprolol 50mg has been changed to metoprolol xl 25mg daily. . weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet . please keep all of your follow up appointments and continue to follow up in coumadin clinic. . if you begin vomiting blood, have large bloody bowel movements or have stool that looks entirely black, or have fevers, chest pain or trouble breathing, call your primary care provider or go to the emergency room. followup instructions: you will have primary care doctor's follow up as below: provider: , m.d. date/time: 11:50 medical unit . you will have hand xray and hand surgery follow up as below: provider: xray (scc 2) phone: date/time: 1:35 provider: ,md phone: date/time: 1:55 sc clinical ctr, . other previously scheduled appointments are: provider: , md phone: date/time: 1: (, ma), pain management center procedure: other endoscopy of small intestine colonoscopy diagnoses: abnormal coagulation profile pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia atherosclerosis of aorta acute on chronic diastolic heart failure other persistent mental disorders due to conditions classified elsewhere long-term (current) use of anticoagulants unspecified gastritis and gastroduodenitis, with hemorrhage other chest pain personal history of venous thrombosis and embolism anticoagulants causing adverse effects in therapeutic use accidents occurring in residential institution fall from other slipping, tripping, or stumbling myalgia and myositis, unspecified hip joint replacement other esophagitis unspecified analgesic and antipyretic causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to