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: sulfa (sulfonamides) attending: chief complaint: bleeding per rectum major surgical or invasive procedure: upper endoscopy history of present illness: ms. is a 87f with a hisory of angioectasias in the stomach body and antrum on endoscopy (), mild diverticulosis (), sinus bradycardia s/p pacemaker, diastolic heart failure (ef 70% in echo ), who presented with a chief complaint of weakness and recent brbpr. six days prior to presentation the patient reported diarrhea after eating out. this resolved with immodium the next day she noticed bright red blood in the toilet. she is unable to quantify the amount. there was stool also mixed with the bright red blood which was dark, but she takes iron pills and notes that her stool is usually dark. she felt unwell that day but denied lightheadedness or dizziness. the next day she did not have brbpr, but the following day she noticed blood in the toilet again. she is unable to quantify the amount. she continued to feel weak and called her pcp who told her to come to the ed to be evaluated. ros: the patient currently has + weakness, chills but no rigors, lightheadedness when walking, tender and distended abdomen. she denies fever, nausea, vomiting, dizzyness, palpitations, chest pain, shortness of breath, dysuria, hematuria. past medical history: sick sinus syndrome s/p pacer in mv prolapse with moderate mr chronic diastolic heart failure right leg swelling - on lasix gib requiring blood transfusions diverticulosis hyperlipidemia hypothyroidism history of glaucoma history of extensive burns with skin grafting to her back and arms approx 15 yrs ago; grafts taken from her upper thighs (not from lower legs) s/p tah/bso s/p breast lumpectomy psychotic episode in extensive neurology w/u there was normal per omr notes social history: the patient currently lives in alone. she is widowed, no children. the patient is generally independent in all adl, walks without a cane or walker. she has somebody help with cleaning once per week and has a vna that comes twice a week to check her vital signs. tobacco: quit > 25 years ago etoh: reports none illicits: none family history: non-contributory physical exam: vitals - t: 126/38 61 (a paced) 23 96% 1 l general: elderly pale appearing female in nad heent: eomi, anicteric, pale conjunctivae, op - no erythema, no exudate cardiac: rrr, nl s1, s2, no m/r/g lung: ctab except crackles at bilateral bases abdomen: ndnt, soft, nabs ext: slight ble ankle edema, no c/c neuro: a&o x 3 pertinent results: 02:55pm blood hgb-8.6* calchct-26 03:15am blood mg-1.8 02:50pm blood glucose-132* urean-26* creat-1.0 na-142 k-3.9 cl-107 hco3-27 angap-12 02:50pm blood plt ct-204 02:50pm blood wbc-5.0 rbc-2.57*# hgb-7.9*# hct-24.1*# mcv-94 mch-30.6 mchc-32.7 rdw-16.6* plt ct-204 02:50pm blood neuts-73.7* lymphs-19.0 monos-5.4 eos-1.2 baso-0.8 brief hospital course: assessment & plan: 87 y.o. f with angioectasias in the stomach body and antrum on endoscopy in , diverticulosis but no polyps , sinus bradycardia s/p pacemaker, diastolic heart failure (ef 70% in echo ), who presented with weakness and gi bleeding. in the ed, initial vs: t 99.2 hr 72 bp 145/64 rr 17 97% ra. bps ranged 105-134/47-60. hr ranged 60-63. labs drawn and notable for hct drop of 10 (34 to 24). ekg showed a-paced 60 bpm, lad, nl intervals, no acute q waves, no twi, no st changes. cxr showed copd and slightly improved underlying pulmonary edema. she was given 1 l ns, pantoprazole 40 iv x 1, gi was consulted. ng lavage performed and negative. per report from ed, guiaic positive black stools. . . # gi bleeding: pt presented with bright red blood per rectum per report and was found to have guiaic + black stools on multiple exams. she was transfered to the icu where she was transfused two units of prbcs and her hct subsequently returned to 32.6. her beta blocker was held to not mask tachycardia. pt had 2 large bore ivs placed and was started on iv ppi. she also received o2 by nc for saturations in the 92% although the patient denied sob. the next day she was stared on a clear diet. she continued to do well and was transfered to the medicine floor. she remained hemodynamically stable with hr in 60s (paced) and bp 120-140s. hct baseline 30-32. her aspirin continued to be held and she was placed on telemetry without any events. gi was consulted and performed an egd to rule out upper gi as the cause of bleed. the upper egd was negative for a source of bleeding so it was assumed that the bleed was diverticular as diverticula were observed on recent colonoscopy in . gi did not feel there was a need to do a colonoscopy at this time because there is nothing they could do for a diverticular bleed, and the probability that something else was causing the bleeding (aka colon cancer) was very low considering the recent negative colonoscopy. serial hct checks were preformed and the patient remained stable without evidence of continued bleeding. she was started on a clear diet and this was advanced to regular. she tolerated it well. she was made a follow up appointment with dr. on . . # oxygen requirement: the pt was found to have an o2 saturation of 92% in icu was started on o2 by nc. this may have been from anema due to acute blood loss. the pt's baseline is 92% -96% on ra. her oxygen was weaned and she did well without it, not complaining of any shortness of breath. # hypertension: the patient's atenolol was initially held so as not to mask tachycardia from bleeding. when her hematocrit remained stable and she showed no signs of bleeding, her home medications were restarted including her atenolol. . # chf, diastolic: the patient's furosemide and moexipril were also initially held, but after she stabilized and showed no evidence of bleeding, they were restarted. . # hypothyroidism: stable. the patient's home dose of 50 mcg levothyroxine was continued. . # hyperlipidemia: stable. the patient's home dose of pravastatin was continued. . # mood: stable. the patient's home dose of seroquel was continued. medications on admission: atenolol 25 mg po daily furosemide 20 mg po daily levothyroxine 50 mcg po daily moexipril 3.25 mg po daily pantoprazole 40 mg po daily pravastatin 10 mg qhs seroquel 25 mg qhs tums 1 tablet po daily colace 100 mg po qhs multivitamin 1 tablet po daily discharge medications: 1. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 3. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 4. moexipril 7.5 mg tablet sig: 0.5 tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. pravastatin 10 mg tablet sig: one (1) tablet po hs (at bedtime). 7. quetiapine 25 mg tablet sig: one (1) tablet po hs (at bedtime). 8. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 9. multivitamin tablet sig: one (1) tablet po daily (daily). 10. colace 100 mg capsule sig: one (1) capsule po at bedtime. discharge disposition: home with service facility: care tenders discharge diagnosis: primary diagnosis: diverticulosis secondary diagnosis: chronic diastolic heart failure hypertension hypothyroidism hyperlipidemia discharge condition: afebrile, hemodynamically stable. able to tollerate food and bleeding resolved. discharge instructions: you came to the hospital because you were having gi bleeding. you were given iv fluids and started on medications. you were transfered to the intensive care unit and transfused blood. your bleeding stopped and you continued to do well. you had an upper endoscopy to look at your stomach and upper gi tranct to make sure there was no bleeding. there was no eveidence of bleeding. you were seen by the gi doctors who think that your bleeding was from diverticulosis. this condition usually stops sponatenously. please note the following changes to your medications: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: followup instructions: you should follow up with both your primary care doctor and with the gastroenterologist md: dr. specialty: pcp : healthcare - group, , , , phone number: ( you will be contact by dr. office with an appt date and time. if you do not hear from them by tuesday, , please call above number. appointment #2 md: dr. specialty: gastroenterology date and time: monday, at 10:30am location: , bldg phone number: md procedure: other endoscopy of small intestine diagnoses: mitral valve disorders congestive heart failure, unspecified acute posthemorrhagic anemia unspecified acquired hypothyroidism unspecified glaucoma other and unspecified hyperlipidemia cardiac pacemaker in situ diverticulosis of colon with hemorrhage chronic diastolic heart failure 

Answer: The patient is high likely exposed to