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: transfer for further management of gi bleed major surgical or invasive procedure: upper endoscopy, colonoscopy, capsule endoscopy history of present illness: patient is a 62 year old male with past medical history of atrial fibrillation, alcohol abuse of 1 pint a day, hypertension, and osteoarthritis who presented to on with bright red blood per rectum and black tarry stools for two days. he presented to his pcp and was referred to the ed from there. he had reported about 6 bowel movements with dark red blood mixed in the stool. . at , his initial hct was 22.8, with bun 59 and creatinine of 1.12. he was initially given 2 units prbcs with iv lasix, iv protonix, and iv ativan for his history of alcohol. on , he underwent an upper endoscopy which demonstrated a pyloric channel ulcer with healed margins, which were biopsied. visualization of the colon was limited by copious amounts of blood. at ct of the abdomen and pelvis was completed that demonstrated incomplete mixing of the oral contrast and gastric contents, with moderate gastric distension. a soft tissue mass in the right inguinal canal was felt to be secondary to prior hernia repair. . he underwent a repeat upper endoscopy that again demonstrated no active bleeding. repeat colonoscopy demonstrated large amount of old blood, with difficulty getting beyond hepatic flexure due to view obscured by blood. he underwent a bleeding scan yesterday () that was completed today, which per discussion with providers, was positive for distal dueodenal and proximal jejunal bleed. surgery had been following at the hospital and along with the gi team recommended angiography, for which the transfer was requested. . prior to transfer, he had received a total of 13 units of prbcs, last one given on morning of transfer for hct of 25 (lowest was yesterday at 18, received 5 units that day). there was a question of hypotension during colonoscopy and preparation, down to the 80'-90's systolic. he has a left subclavian cordis in place. per sign-out from , his baseline hct is low 30's. . on morning of transfer, his bp 108/72 (lowest 94/45 at 1 am) with map's of 63-88. he was reported to be in atrial fibrillation with a rate of 80-110's. he was on an amiodarone drip, protonix drip, thiamine, albumin, and ativan for ciwa. . upon arrival to the icu, patient reported he was thirsty, but otherwise had no complaints. past medical history: - atrial fibrillation, not on coumadin for over a year, stopped due to drinking history and fall risk (stopped after fall). several cardioversions at - hypertension - alcohol abuse: reports drinking one pint of hard liquor daily. no known history of alcohol withdrawal or seizures - osteoarthritis - b12 anemia - copd - right hip replacement - status-post hernia repair - colon polyp - status-post tonsillectomy social history: patient lives alone. he formerly worked in the office of the machinist' and is currently retired. he smokes 2 packer per day. he drinks 1 pint of hard liquor daily or 6 beers at a time. family history: father died at 70 with diabetes and mother at 89 with hypertension and stroke. he has no brothers or sisters. physical exam: general: disheveled, in nad, asking for a drink and internet access. slightly pale heent: pale conjunctiva, no scleral icterus. slightly dry mm. poor dentition. no oral lesions noted. neck: supple. flat jvp. lungs: clear, no wheezes/rhonchi/rales. prolonged expiratory phase. cardiac: irregular, tachycardic, no rubs/murmurs/gallops abd: soft, nt, nd, +bs extr: warm, no edema, dried blood over hands. no cyanosis or clubbing. radial/pt/dp 2+ bilaterally. neuro: alert, oriented to person, place, month. tangential discussion, but fluent speech. moving all extremities without difficulty. psych: slightly agitated, tangential speech. pertinent results: 02:16pm blood wbc-6.4 rbc-2.77* hgb-8.4* hct-24.0* mcv-87 mch-30.2 mchc-34.9 rdw-15.8* plt ct-140* 03:58am blood wbc-6.2 rbc-2.75* hgb-8.5* hct-24.1* mcv-88 mch-30.8 mchc-35.1* rdw-16.5* plt ct-205 01:43pm blood hct-24.9* 02:16pm blood glucose-99 urean-28* creat-0.8 na-140 k-4.1 cl-111* hco3-24 angap-9 03:58am blood glucose-94 urean-10 creat-0.7 na-140 k-3.5 cl-109* hco3-27 angap-8 03:58am blood albumin-2.2* calcium-7.3* phos-3.3 mg-1.6 . . angiography impression: no active extravasation, pseudoaneurysm or angiodysplasia in the celiac, sma and territories. . . colonoscopy impression: ulceration and erythema in the descending colon (thermal therapy) polyp in the descending colon diverticulum in the sigmoid colon otherwise normal colonoscopy to cecum . recommendations: routine post procedure orders. avoid all nsaids. will proceed to capsule endoscopy. continue ppi for ulceration seen on egd. . . small bowel enteroscopy findings: esophagus: normal esophagus. stomach: mucosa: erythema with granularity and erosions with three areas of clean-based ulcerations were seen in the prepyloric region of the lesser curve of the stomach. the ulcerations were provoked and only one oozed with minimal blood. no visible vessel or clot was seen. one endoclip was successfully applied to the ulceration that was oozing at the prepylorus area for the purpose of hemostasis. duodenum: contents: bile was seen throughout the duodenum without any evidence of blood. jejunum: contents: bile was seen throughout the jejunum without any evidence of blood. ileum: not examined. . impression: erythema and erosion in the pylorus (endoclip) blood in the duodenum blood in the jejunum otherwise normal small bowel enteroscopy to mid to distal jejunum recommendations: continue to monitor hct and provide supportive measures with blood products and fluids as needed. would proceed to angiography to localize and embolize bleeding source. ppi. please check h.pylori antibody and treat if positive. additional notes: the patient's bleeding source is likely distal to the mid-jejunum, as we do not believe the ulcerations in the stomach were the cause of his aggressive gib given the nature of the lesions. . . capsule endoscopy report: procedure info & findings: 1. multiple angioectasia (nonbleeding) through the small bowel 2. the capsule did not reach the cecum. summary & recommendations: summary: 1. multiple angioectasia (nonbleeding) through the small bowel 2. the capsule did not reach the cecum. incomplete capsule endoscopy recommendations: 1. follow hgb/hct 2. follow up with referring physician 3. please obtain kub prior to an mri examination. complete evaluation of the entire small bowel could not be performed as the capsule did not reach the cecum. 4. enteroscopy to evaluate the angioectasia general urine information type color appear sp 01:02pm yellow hazy 1.013 source: cvs dipstick urinalysis blood nitrite protein glucose ketone bilirub urobiln ph leuks 01:02pm neg neg tr neg neg neg neg 7.5 lg source: cvs microscopic urine examination rbc wbc bacteri yeast epi transe renalep 01:02pm 6* 151* many none 0 1:02 pm urine source: cvs. urine culture (pending): brief hospital course: mr is a 62 year old male with past medical history of atrial fibrillation, alcohol abuse, hypertension, and osteoarthritis, who was transferred from for further management of a gi bleed. . #) gi bleed: push enteroscopy revealed multiple duodenal erosions felt to be the source of his bleeding. endoclip placed. ppi started. angiogram negative. capsule endoscopy unrevealing. required 17 u blood in total. bleeding stopped. asa held - to be resumed in a week if no bleeding. h. pylori ab negative. . #) atrial fibrillation: difficult to control, required amio gtt, ultimately digoxin and bb controlled rate. echo done, no major abnormality. ep consulted, recommended dig/bb, resumption of full strength asa when able (in one week as above) . #) urinary tract infection, bacterial, following catheterization in the icu. pt. complained of dysuria. ua with pyuria and bacteria. cx. pending. started on ctx iv emperically, transitioned to cefpodoxime po for planned 10 day course. cx. final speciation and sensitivity will need to be followed up on by md hospital. medications on admission: medications at home: - 325 mg asa - atenolol 100 mg - lasix 20 mg daily - albuterol 90 mcg mdi qid prn discharge medications: 1. multivitamin tablet sig: one (1) tablet po daily (daily). 2. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed for wheezing or sob. 3. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 5. lorazepam 1 mg tablet sig: one (1) tablet po qd and hs prn (). 6. digoxin 125 mcg tablet sig: one (1) tablet po once a day. 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 8. cefpodoxime 200 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. 9. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day: start on only if no evidence of gi bleeding. discharge disposition: extended care facility: center - discharge diagnosis: gi bleeding atrial fibrillation with rapid ventricular response urinary tract infection, bacterial discharge condition: stable. heart rate controlled. no further gi bleeding. discharge instructions: return to emergency room for: blood in stools take all medications as prescribed. do not take any aspirin for one week. you can then resume the aspirin as long as there is no gastrointestinal bleeding. followup instructions: with your primary doctor within one week of leaving hospital - , b. procedure: endoscopic control of gastric or duodenal bleeding arteriography of other intra-abdominal arteries endoscopic destruction of other lesion or tissue of large intestine diagnoses: tobacco use disorder urinary tract infection, site not specified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified atrial fibrillation osteoarthrosis, unspecified whether generalized or localized, site unspecified gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction urinary catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction benign neoplasm of colon diverticulosis of colon (without mention of hemorrhage) angiodysplasia of stomach and duodenum without mention of hemorrhage other and unspecified alcohol dependence, continuous hip joint replacement infection and inflammatory reaction due to indwelling urinary catheter ulceration of intestine bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site 

Answer: The patient is high likely exposed to