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: norvasc / dyazide attending: chief complaint: brbpr major surgical or invasive procedure: 1. anoscopy with oversewing of rectal ulcer with multiple 3-0 vicryl sutures. 2. colonoscopy x3 3. egd x1 4. arteriogram x3 history of present illness: ms. is a 82 female from who presents with brbpr since this morning; also found to have arf in ed today. found clots without stool in diaper this morning. noted to have hematuria and uti since ; started on bactrim ds. hematuria worsening lately. on ros, + constipation, no n/v/d. in ed, found to have new renal failure (baseline creatinine 1.2 -> 4.5 in ed), bun 110; hyperkalemia to 6. + brb on rectal exam. got na bicarb for hyperkalemia. u/a and culture sent. past medical history: - djd - uti on bactrim start - venous stasis dermatitis with recent cellulitis () - htn - hyperlipidemia - anemia (last hct 35) - h/o tia - chf per nh records - boop in - ?pmr in ; short trial of steroids stopped - spinal stenosis social history: lives at since . quit smoking 20 yrs ago, no etoh. family history: n/c physical exam: vital signs: temp 97.3, hr 64, bp 127/52, rr 16, o2 sat 98% ra general: slightly flushed, nad, alert and oriented x3 heent: perrl neck: jvp <5 cv: regular rhythm, normal s1 s2, no murmers, rubs, gallops pulm: clear to auscultation bilaterally gi: obese, + bs, soft, + llq tenderness rectal: guaiac positive ext: 1+ lower extremity, + erythema bilaterally from knees to feet r>l (normal per pcp), erythematous areas not warm pertinent results: wbc-12.7* hgb-11.8* hct-35.0* mcv-90 rdw-15.7* plt-459 neuts-58.1 lymphs-34.6 monos-5.4 eos-1.4 basos-0.6 pt-13.0 ptt-34.7 inr(pt)-1.1 8:30 am: glucose-88 urea n-112* creat-4.7* sodium-122* potassium-hemolyzed chloride-87* total co2-22 alt(sgpt)-16 ast(sgot)-89* alk phos-99 tot bili-0.3 lipase-56 11:00 am: glucose-89 urea n-110* creat-4.5* sodium-126* potassium-6.0* chloride-87* total co2-24 anion gap-21* lactate-1.1 k+-5.4* . u/a: mod le (>50 wbcs); lg blood ( rbcs), 30 protein, small bili, no bacteria, no epis . osh studies: echo : ef 59%, mild mr, mod tr, no wma. brief hospital course: ms. is an 82 year old woman with djd, htn, recent uti admit with arf and brbpr. 1. brbpr: initially no clear source, but thought likely gi. had initial colonsocopy that could not go past 30 cm because of stool. had 3 tagged red cell scans which did not show the source of bleeding. went for angiography which did not show source of bleeding. second colonoscopy attempted but could not enter rectum secondary to blood. received a total of 19 units of blood and 1 bag platelets. finally on third colonoscopy attempt a small vessel was seen above the dentate line, which was oversewn in surgery the following day. since surgery, her hematocrit remained stable. her hematocrit was to be rechecked at the house as needed. pantoprazole iv was started in the icu and changed over to po on the floor. she will continue this on transfer to the nursing home and further treatment can be addressed by her pcp. 2. acute renal failure: baseline creatinine thought to be about 1-1.5. considered to be most likely secondary to prerenal etiology from brbpr and poor po intake. urine lytes were consistent with a prerenal etiology, and a urine culture was negative. her renal failure resolved with fluid and packed red cells over the following days, and at the time of transfer from the icu, her creatinine was 0.5. 3. ?adrenal insufficiency: given steroids in the ed secondary to hyperkalemia and hyponatremia in context of hypotension. baseline cortisol (am cortisol) was low, and acth was also borderline low. she was continued on a steroid taper, tapering off prior to transfer from icu. 4. atrial fibrillation. developed atrial fibrillation during the admission with tremendous transfusion/fluid requirements. rate controlled with 12.5mg po metoprolol, which was transitioned to po amiodarone to chemically convert her back to sinus. patient reverted to sinus rhythm and amio was d/c'ed before discharge. patient was restarted on a lower dose of lasix to diuresis the excess fluid which had likely caused the a-fib. 5. other ekg irregularities: in examining the multiple ekg's, it was determined that the patient had a left anterior fasicular block at baseline. when the patient's heart rate increases, she can develop a bundle branch block, which was seen in v2. overall, she appears to have conduction abnormalities at baseline. 6. pain control. osteoarthritis. continued on tylenol standing with prn oxycodone, as well as morphine iv prn. morphine discontinued when patient transferred from icu. celebrex held while in hospital, and can be restarted as necessary at the nursing home. patient's pain from her chronic lower extremity edema is normally treated with lyrica, which was held during her hospitalization. the lyrica can be restarted as needed when patient is at the nursing home. 7. hyponatremia: patient was slightly hyponatremic (130) at discharge. likely related to fluid retention and stress response of adh. to be rechecked when patient transferred to house. 8. lower extremity edema: lasix were restarted before discharge at 40mg (patient normally on 80mg . can increase as needed when patient is at house. 9. hyperlipidemia: continued statin 10. depression: patient's remeron was initially held due to sedation concerns and then restarted when patient was transferred from the icu. 11. chronic constipation: patient's outpatient bowel regimen was continued. medications on admission: lyrica 25 tid (?held) celebrex 200 vicodin 2 tabs q6h ibuprofen 200 mg q6h prn lactulose lasix 80 mg kcl simvastatin senna colace niferex calcium, vitamin d bactrim ds discharge medications: 1. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 2. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 3. docusate sodium 100 mg capsule sig: one (1) capsule po once a day. 4. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po every other day as needed. 5. niferex 60 mg capsule sig: one (1) capsule po once a day. 6. lasix 40 mg tablet sig: one (1) tablet po twice a day. 7. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 2 days. 11. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 12. dulcolax 10 mg suppository sig: one (1) suppository rectal once a day as needed for constipation. 13. vicodin 5-500 mg tablet sig: two (2) tablet po every six (6) hours as needed. 14. fleet enema 19-7 gram/118 ml enema sig: one (1) rectal every 3rd day as needed for constipation. 15. milk of magnesia 400 mg/5 ml suspension sig: thirty (30) ml po twice a day as needed for constipation. 16. lactulose 10 gram/15 ml solution sig: fifteen (15) ml po once a day. discharge disposition: extended care facility: discharge diagnosis: primary: 1. gastrointestinal bleeding secondary to exposed vessel 2. atrial fibrillation 3. acute renal failure secondary 1. hyperlipidemia 2. hypertension discharge condition: improved: no further bleeding, stable hematocrit, partial resolution of lower extremity edema. in normal sinus rhythm. discharge instructions: you were admitted for a gastrointestinal bleed which was likely secondary to a bleeding vessel in your rectal area, which was sutured by surgery. you experienced no further bleeding episodes after this surgical repair and your red blood cell count has remained stable. you were also found to have an irregular heart beat which was likely secondary to fluid overload. this was treated with amiodarone and diuresis. please continue to take your medications as prescribed. please attend all future doctors as . please return to the hospital or call your primary care doctor if you experience any further bleeding or syncope, palpitations, lightheadedness, chest pain, nausea/vomiting, or any other symptom that concerns you. followup instructions: please follow up with your primary care doctor, dr. , within two weeks regarding your hospital visit. procedure: other endoscopy of small intestine colonoscopy colonoscopy arteriography of other intra-abdominal arteries flexible sigmoidoscopy anoscopy control of (postoperative) hemorrhage of anus diagnoses: hyperpotassemia urinary tract infection, site not specified acute kidney failure, unspecified hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified other shock without mention of trauma hemorrhage of gastrointestinal tract, unspecified glucocorticoid deficiency ulcer of anus and rectum 

Answer: The patient is high likely exposed to