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: codeine attending: chief complaint: anemia, gib major surgical or invasive procedure: endoscopy, transfusion of prbc history of present illness: 76 yo woman with esrd on hd, cad, chf, atrial fibrilation on coumadin, recent pelvic fractures with 2 episodes of coffee ground emesis last night at (rehab). she has never had this before and denies nausea, abdominal pain, melena or brbpr. was seen at , vs: t 99.3, hr 102, bp 130/51, rr 16, sat 95% ra. she was found to have hct 16 from recent baseline of 30, with inr of 6.6 from recent 2.0 (). she was given 1u prbc's there and sent here. on arrival hct 20. she was guaiac + and had ngl showing coffee grounds-cleared after 500cc ns lavage. she was given 10mg vitamin k sc, pantoprazole 40mg iv, and ceftriaxone 1gm iv (for aspiration pneumonitis). gi was consulted. in ed vs: t 98.7, hr 101, bp 96/20, rr 22, sat 99% on 2l nc. . ros: she notes dry mouth, dizziness today, chest pressure radiating to back (unable to rate on 0-10 scale), and chronic right leg/hip pain. she denies weight change, vision change, hearing change, nasal congestion, cough, shortness of breath, chest pain, abdominal pain, nausea, constipation, diarrhea, melena, brbpr, dysuria (makes minimal urine), hematuria, or rash. past medical history: -cad s/p mi treated at -chf: per cards note echo : s/p mvr, mod-severe tr, atrial dilatation, lvef 45%, followed mostly at (last tte here ); report of eval at hospital : dr. , 55-60% with lvh and new wall motion abnormalities, severe phtn (>65mmhg). -pulmonary hypertension as above -cirrhosis -ascities -inguinal hernia -lower extrem edema -niddm -esrd on hd t/t/s, s/p failed transplant, makes minimal urine -valvular disease -atrial fibrilation, s/p pacer placement -s/p multiple pelvic fractures ? adynamic (not secondary hyperparathyroid) -stage ii/iii sacral decubitis ulcer social history: prior to recent admit with multiple pelvic fractures had been living at home, independent of adl's. recently has been in rehab. no tobacco, alcohol, illicit drug use. supportive son. family history: nc physical exam: vs: t: 98.8 hr: 103 bp: 156/33 rr: 19 sat: 99% on 2l nc gen: fatigued but comfortable, speaking in full sentences heent: ncat, perrl, sclera anicteric, pale conjunctiva, op clear, mm dry neck: supple, no lad, jvd difficult to assess (lying on left side) cv: ii/vi hsm heard best at lusb, no rubs/gallops resp: bibasilar rales, no w/r abdomen: soft, nt, nd, +bs, no hsm ext: 3+ pe bilateral le to mid-thigh, left arm fistula with excellent bruit/thrill neuro: a&ox3, motor , sensation grossly intact skin: pale but warm, no rashes, breakdown/erythema over sacral area--stage ii-iii ulcer appears to be healing, approx 0.5cm by 0.5cm pertinent results: 03:46pm blood wbc-9.3# rbc-2.12*# hgb-6.4*# hct-20.3*# mcv-96 mch-30.3 mchc-31.6 rdw-23.6* plt ct-440# 07:46pm blood hct-19.5* 11:40pm blood hct-16.0* 02:59am blood wbc-7.3 rbc-2.87*# hgb-8.8*# hct-25.7*# mcv-90 mch-30.6 mchc-34.2 rdw-19.8* plt ct-244 05:36pm blood hct-31.0* 09:32pm blood hct-34.5* 04:05am blood wbc-8.0 rbc-3.50* hgb-11.0* hct-32.7* mcv-94 mch-31.5 mchc-33.7 rdw-20.3* plt ct-263 03:15pm blood wbc-7.2 rbc-3.66* hgb-11.4* hct-33.5* mcv-92 mch-31.2 mchc-34.1 rdw-20.2* plt ct-266 01:30pm blood wbc-6.2 rbc-3.54* hgb-10.9* hct-33.6* mcv-95 mch-30.9 mchc-32.5 rdw-19.6* plt ct-293 09:00pm blood hct-36.1 05:20am blood wbc-6.2 rbc-3.90* hgb-11.8* hct-38.0 mcv-97 mch-30.3 mchc-31.2 rdw-19.8* plt ct-305 . egd - esophagus: normal esophagus. stomach: excavated lesions two 10mm ulcers were found in the antrum, above pylorus, at 12 o'clock and 2 o'clock. 2nd ulcer had visible vessel, nonbleeding.. -cap electrocautery was applied to the 2nd ulcer for hemostasis successfully. duodenum: normal duodenum. impression: ulcers in the antrum, above pylorus, at 12 o'clock and 2 o'clock. 2nd ulcer had visible vessel, nonbleeding. (thermal therapy) brief hospital course: this is a 76 year old woman with esrd on hd, dm, cad, chf, atrial fibrilation on coumadin who presented with coffee-ground emesis and positive ng lavage suggestive of an upper gi bleed. she also presented with a hct of 16 and a supratherapeutic inr of 6.1. she was admitted to the micu and received a total of 3 u ffp, vitamin k and 3 u prbcs. coumadin and aspirin were stopped. she underwent an upper endoscopy on which showed 2 non-bleeding gastric ulcers. one ulcer was noted to have an exposed blood vessel that was cauterized. biopsies came back positive for h.pylori, so she was started on triple therapy of clarithromycin, flagyl, and protonix - she has 11 days left of the antibiotics to complete and needs to remain on the ppi until follow-up with gi. her hct has been stable after the egd, ranging from 31-37, and she was transferred to the medical floor. no further signs of active bleeding were noted. she was restarted on low-dose aspirin on ; however, her coumadin will need to be held for at least one month until she follows up with gi. . secondary issues: . # cad - while in the micu, patient was noted to have lateral and inferior st changes concerning for ischemia in ed and elevated biomarkers (trop 0.18 on admission, negative ck). this was thought to be related to demand ischemia secondary to her acute anemia. her repeat ekgs have since improved and she was restarted on her aspirin on . she was continued on her metoprolol and simvastatin. # afib - continued on metoprolol, anticoagulation has been stopped (coumadin) until patient follows up with gi in . # esrd - on hd tu/th/sa. continue nephrocaps, calcium, and phos-lo. # pelvic fractures - this was thought to be secondary to adynamic disease and less likely secondary hyperparathyroidism in the setting of esrd. both hydroxy vitamin d and 25-hydroxy vitamin d levels were sent and pending at the time of discharge. the patient is scheduled for a bmd on and has follow-up with endocrinology on . her calcium acetate needs to be held on the day of the bmd. # dm - continued on fixed dose nph (16 units q am, 3 units qpm) and sliding scale coverage. # pressure ulcer - patient noted to have a pressure ulcer on her sacrum and was seen by wound care. recommended following pressure ulcer guidelines for treatment, including dry gauze dressing changes daily. medications on admission: aspirin 81mg daily nph insulin 16u q daily, 6u qhs, sshi procrit at hd omeprazole 20mg daily metoprolol 25mg qhs daily, qam m/w/f/sun zocor 40mg po qhs phoslo 667mg tid coumadin 1.5mg qhs tylenol 1gm benadryl 12.5mg iv q8 heparin 5000u sc tid oxycodone 5mg q 4hr colace senna discharge disposition: extended care facility: - discharge diagnosis: primary - upper gi bleed secondary - esrd on hd atrial fibrillation cad pelvic fractures discharge condition: stable, no further bleeding and stable hct discharge instructions: you were admitted for an upper gi bleed and received blood products as well as an endoscopy. your aspirin and coumadin were stopped initially and the aspirin was restarted on . please do not take coumadin for at least one month and until you follow-up with your pcp. are scheduled to follow-up with gi in one month. please continue the protonix twice daily. in regards to the pelvic fractures, you are scheduled for a mineral density scan on - please do not take your calcium the day prior to the scan. please keep all appointments as scheduled below. continue hemodialysis on tuesdays/thursdays/saturdays. if you any symptoms of bleeding, dark stools, dizziness, lightheadedness or any other concerning symptoms, please seek medical attention. followup instructions: provider: density testing phone: date/time: 5:00 provider: , md phone: date/time: 1:30 provider: , internal medicine (nhb) date/time: 12:30 provider: , md phone: date/time: 11:00 md procedure: hemodialysis endoscopic control of gastric or duodenal bleeding transfusion of packed cells transfusion of other serum diagnoses: end stage renal disease abnormal coagulation profile anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified forms of chronic ischemic heart disease heart valve replaced by other means old myocardial infarction pressure ulcer, lower back chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction anticoagulants causing adverse effects in therapeutic use diseases of tricuspid valve helicobacter pylori [h. pylori] chronic diastolic heart failure aftercare for healing pathologic fracture of hip 

Answer: The patient is high likely exposed to