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: melena major surgical or invasive procedure: egd history of present illness: 75f cad s/p rca stent in , esrd on pd, dm, here w/ melena x 2 days. usoh until two days prior to admission, began to feel lightheaded and weak in the morning, then had bought of melena in evening - thought initially due to diarrhea or something she ate, but no one else in family had this issue, and no other sick contacts. on next day, had mild nausea, but no vomiting, abd pain, or brbpr. continued having melena, and reported this to her pd nurse, who suggested that pt report to ed. on day of admission, did have anorexia and did not eat anything. of note, had not had "normal" hemoglobin when dialysis labs were drawn on first day of melena. in ed, was noted to have hct of 22, down from 31.5, was thought to be complaining of chest pain, but in discussion with patient in mandarin, she states that she has been feeling anorexic, and as such has felt some mild abdominal discomfort from not eating for the last 24 hours. her previous anginal equivalent in was throat discomfort similar to throat dryness. per discussion w/ dr. , pt's cardiologist, has not had any active angina, negative stress in , and no recent interventions since . ng lavage in ed negative. otherwise, denies f/c, preceding abd pain, chest pain, sob, orthopnea, doe, joint pain, use of nsaids, recent med changes, ulcers. does have history of chronic dysphagia, previously worked up ~ by egd and cscope which were negative. denies palpitations or irregular heart rhythm. past medical history: - esrd on peritoneal dialysis - hypertension (l is significantly lower than r) - hyperlipidemia - cad s/p rca stent - dr - - - - p mibi neg, ef preserved, last seen , no active disease - end stage renal disease - anemia esrd - proteinuria - dm w/ renal and eye manifestations - carotid stenosis - rt carotid > lt; rt cea ; - lt subclavian artery stenosis - hypothyroidism - diagnosed - hyperparathyroidism, secondary social history: lives with daughter. moved to us from in , denies alcohol or tobacco use. family history: nc physical exam: vs 84 125/62 14 100%ra general: nad, lying in bed, pale. heent: anicteric, perrl, eomi, dry mm. neck: no jvd, supple, bilat loud carotid bruits, r>l cardiovascular: s1, s2, reg, no mrg. lungs: ctab abdomen: mildly distended, soft, nt, nd, no hjr, active bowel sounds. extremities: warm, no cce neuro: a/ox3 rectal - per ed, melena, no clots or bright blood. pertinent results: egd: impression: ulcer in the gastroesophageal junction salmon colored in the gastroesophageal junction compatible with barrett's esophagus (biopsy) erosions in the stomach body erythema, congestion and erosion in the antrum compatible with gastritis (biopsy) otherwise normal egd to second part of the duodenum recommendations: follow-up biopsy results continue ppi therapy for 1 month repeat egd in 1 month to assess for resolution of esophageal ulcer. can advance diet . 07:55pm glucose-124* urea n-132* creat-3.6* sodium-139 potassium-4.4 chloride-106 total co2-21* anion gap-16 07:55pm wbc-11.9* rbc-3.74*# hgb-11.7*# hct-32.4*# mcv-87 mch-31.4 mchc-36.2* rdw-15.1 . esophagus and stomach bx: a. gastroesophageal junction: 1. squamous epithelium, no diagnostic abnormalities recognized. 2. cardiac type gastric mucosa, scant. 3. no intestinal metaplasia identified. b. stomach, antrum: changes suggestive of chemical gastropathy. brief hospital course: 75f cad, dm, esrd, here w/ gi bleed. <br> * gi bleed: transfused 4u prbc, was hemodynamic stable, post-transfusion, hct was stable in the 40s. egd showed likely barretts esophagus (bx taken), erosions in stomach body, and a linear erosion on the antrum (bx taken). advised by gi to stay on ppi, repeat egd in 1 months, advance diet. patient continued to have melena, but this was to be expected. hct remained stable and patient was d/c'd home. tollerating pos and ambulating prior to d/c. . * cad: stable,s he has had no recent interventions, and will continue baby asa (while on ppi) and statin. antihypertensives were initially held, but re-started after egd. bp was difficult to controll and monitor given her known subclavian stenosis. ekg in ed difficult to interpret given changes in voltage between ekgs in limb leads, esp in absence of symptoms. micu team did speak to patient's cardiologist who states patient has not had any problems in the past year. cardiac enzymes were negative. patient can follow up as outpatient with her cardiologist. . * uti: patient had some dysuria with foley cath in place. ua was obtained and she was started on a short course of antibiotics. foley was removed. . * esrd: continued per renal consult recommendations. started on potassium repletion that should be followed as outpatient. . * dm: lantus 13u in am. half dose when npo, sshi. . * communication: son , who is hcp: (cell), (home) medications on admission: medications: levoxyl 50mcg once a day lantus 13u am novolog 4 am 4 lunch 0-3pm rocaltrol 0.5mcg 1 time per day furosemide 40mg or as directed. procrit 4000 u/ml labetalol hcl 400mg twice a day procardia xl 60mg isosorbide dinitrate 40mg twice a day folic acid 0.4mg qid aspirin 81mg once a day multivitamin once a day lipitor 40mg once a day iron 325(65)mg sof-gel efa twice a day,3 caps cozaar 50mg omega 3 fatty acid 3000 discharge medications: 1. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 4. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 5. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed. 6. labetalol 200 mg tablet sig: two (2) tablet po bid (2 times a day). 7. losartan 50 mg tablet sig: one (1) tablet po daily (daily). 8. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 9. isosorbide dinitrate 20 mg tablet sig: two (2) tablet po bid (2 times a day). 10. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 3 days. disp:*6 tablet(s)* refills:*0* 11. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 12. potassium chloride 20 meq packet sig: one (1) packet po daily (daily). disp:*30 packet* refills:*2* 13. aspir-81 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. discharge disposition: home discharge diagnosis: gastroesophageal ulcer barretts esophagus esrd on pd hypertension discharge condition: hct stable. biopsy results pending. taking good po and ambulating discharge instructions: continue pd as directed. you will need to follow up in one month for another endoscopy. see the appointment below. also follow up with your primary care doctor. you have 2 new medications. protonix twice a day for acid. also potassium daily. you have biopsy results that are pending you can take a baby aspirin daily. followup instructions: 1. endoscopy :30pm, dr. : provider: west,room four gi rooms date/time: 12:30 2. please follow up with your primary care doctor and check on the results of your gastric and esophageal biopsy that were done during your procedure. md procedure: esophagogastroduodenoscopy [egd] with closed biopsy peritoneal dialysis transfusion of packed cells diagnoses: anemia in chronic kidney disease end stage renal disease coronary atherosclerosis of native coronary artery urinary tract infection, site not specified acute posthemorrhagic anemia unspecified acquired hypothyroidism percutaneous transluminal coronary angioplasty status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia other and unspecified angina pectoris chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction secondary hyperparathyroidism (of renal origin) barrett's esophagus diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to