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: brbpr major surgical or invasive procedure: egd colonoscopy history of present illness: mr. is a 82 year-old man with history of cad, ischemic cardiomyopathy (ef 20-30%) s/p pacer/icd, htn, atrial fibrillation on coumadin, diverticulosis, presents with brbpr since last evening. pt was in his usoh until last evening when he experienced an episode of watery, bloody bowel movement. he proceeded to have more episodes of brbpr over the course of the evening into the morning. denies ha, lh, chest pain, sob, abdominal pain. no history of gi bleed in the past. his wife brought him into the . . in the ed, initial vs were: t 97.2, p 78, bp 116/56, r 16, o2 sat 100% on ra. exam was notable for gross blood on rectal exam. hct was 33.3 (baseline 36-39), inr 4.9, lactate 2.4. received 2l ivf, iv protonix. inr reversed with 5 iv vitamin k and 1 unit ffp. he remained asymptomatic and hemodynamically stable. he was type and crossed for 4 units with plan to initiate first transfusion prior to transfer. gi saw the patient in the ed and recommended close monitoring and outpatient colonoscopy. no further bleeding episodes in the ed. admitted to the for close monitoring. past medical history: -two-vessel coronary artery disease s/p stent to the lcx -ischemic cardiomyopathy, tte with ef 20-30%, 3+mr, 2+tr -hypertension -s/p implantable cardioverter-defibrillator -atrial fibrillation, on coumadin -dyslipidemia -chronic kidney disease, baseline cr 1.6-1.8 -high-grade papillary tcc, non-invasive, s/p transurethral resection () and 6 cycles of bcg (last on ), s/p urethral stricture -hypothyroidism -sigmoid diverticulosis, internal hemorrhoids on colonoscopy -iron deficiency anemia -history of deep venous thrombosis x3 (, , ) -s/p left carotid endarterectomy -history of syncope -left lower extremity stasis dermatitis -s/p inguinal herniorrhaphy social history: lives with wife. retired, former banker. independent of adls, wife does the cooking. still works in the garden. former smoker, quit at least 10 years ago. has not drank etoh for 20-25 years. family history: father died of emphysema. mother died at age . there is no known history of kidney or gu tract disorders; there likewise is no known history of platelet disorders. physical exam: vitals: 97.7 116/49 76 18 98%ra pain: denies access: 2x pivs gen: nad, appears younger than stated age heent: o/p clear, mm dry cv: rrr, no m resp: ctab, no crackles or wheezing abd; soft, nontender, +bs ext; no edema neuro: a&ox3, grossly nonfocal skin: no changes psych: appropriate . pertinent results: no leukocytosis plt 90 (b/w 60-90 stable) bun 53->17 creat 1.9-->1.2->1.5 (baseline) mag 1.9, k 4.1 hct 33-->24-->1u prbc-->27-30 stable, today is 29.8 on discharge inr 4.9->1.2 s/p 2u ffp lfts: ast 87->29 alt 48->29 lipase 89->50 . h pylori test: pending . ekg: v-paced at 70 bpm. . . imaging/results: colonoscopy : impression: internal hemorrhoids diverticulosis of the sigmoid colon otherwise normal colonoscopy to cecum . egd : erosions in the antrum compatible with mild erosive gastritis small hiatal hernia on retroflex otherwise normal egd to third part of the duodenum . cxr: as compared to the previous radiograph, there is no relevant change. the left pectoral pacemaker with normal course of the leads. minimal obviously post-infectious fibrosis at the bases of the left lateral lung. the right lung base is unremarkable. slightly increased transparency of the lung parenchyma could suggest the presence of mild-to-moderate emphysema. no evidence of overhydration. no lung nodules or masses. normal size of the cardiac silhouette, mild tortuosity of the thoracic aorta. . colonoscopy : polyp at 40 cm in the proximal sigmoid colon (biopsy showed fragments of adenoma). diverticulosis of the sigmoid colon. internal hemorrhoids. otherwise normal colonoscopy to cecum. . . brief hospital course: 82 year-old man with afib on coumadin, cad s/p stents, icm 20% s/p icd, hypothyroidism, h/o recurrent dvt, diverticulosis/ih who admitted with hematochezia in setting of elevated inr 4.9. hct drop from 33-->24, was initially admitted to icu. recieved 1u prbc and 2u ffp. subsequently no more blood bms. hct stabilized between 27-30. asa and coumadin were held. underwent egd which showed mild gastritis, ppi started, hpylori serology sent (pendign at time of discharge, dr. aware to f/u). cscope initially poor prep, underwent repeat prep and next day which showed diverticulosis and ih, no active bleeding, as expected since hct had remained stable. suspect this was diverticular bleed in setting of elevated inr. his asa 81 and coumadin (given h/o afib, recurrent dvts, severe icm 20%) were resumed at time of discharge after discussion with pcp. will be followed by coumadin clinic. also he is asked to make an appt to see pcp 2weeks ( , np). other issues: his statin was initially held in settign of mildly elevated lfts, which subsequently resolved, thus this was resumed. his lfts can be rechecked in 2 weeks. as above, ppi was resumed. rest of his meds will be the same as previous, including fe supp. will add bowel regimen. he did very well throughout hospitalization. was walking around. will be d/c'd in good condition with home vna services. . ******below is progress note from day of discharge which has further details according to problem list: . hematochezia: likely lower gib diverticulosis in the setting of supratherapeutic inr. has known history of sigmoid diverticulosis as well as colonic adenoma s/p resection in . could also have avm. s/p egd , only mild gastritis. is asymptomatic and has been hemodynamically stable, s/p 1u prbc, hct 27-30. -s/p egd , mild gastritis, ppi started -c scope with ih and diverticulosis, no active bleeding as expected given his hct have bee stable -holding asa and coumadin, will resume both but have pt f/u with pcp and coumadin clinic . acute on chronic blood loss anemia: s/p 1u prbc as above. -on fe supp qd as outpt (will add bowel regimen on d/c) -hct stabilized . mild gastritis: as above. doesnt account for bleed. -ppi therapy started -pending serology h.pylori on discharge, communicated with dr. for f/u. . transaminitis/elevated lipase: mildly elevated on admission. now resolved. pt asymptomatic for this. is on statin. -resolved, restarted statin, follow up lfts as outpt in 1-2week . cad s/p stent to lcx and severe icm 20% s/p icd: -were holding asa in setting of gib, but will resume 81mg on discharge esp given egd unremarkable. -on lisinopril 2.5qd, coreg 3.125mg . sl ntg at home, has not needed -statin resumed -coumadin resumed for severe cm -maintain k/mag . a fib: currently v-paced. - will resume coumadin, discussed with pcp. high risk given afib, recurrent dvt, and severe cardiomyopathy -follows coumadin clinic - resumed amio 200mg qd, on bb . chronic kidney disease: cr 1.9 ->1.2-1.5 back to baseline. - renally dose meds . thrombocytopenia: chronic, stable. no known splenomegaly, liver disease. -needs f/u pcp for possible heme referral . hypothyroidism: cont levoxyl 112mcg . hypertension: resumed anti-hypertensives now that stable . dyslipidemia: resume atorvastatin 20, asa on hold . recurrent vtes: resumed coumadin as above . code: full code, wife/hcp medications on admission: coumadin 2.5mg m/w/f/, 3.5mg t/th/sa asa 81mg po daily atorvastatin 10mg po daily coreg 3.125mg po bid lisinopril 2.5mg po daily pacerone 200mg po daily levoxyl 112 mcg po daily ferrous sulfate 325mg po daily acetaminophen 650mg po bid prn sln prn discharge medications: 1. levothyroxine 112 mcg tablet sig: one (1) tablet po daily (daily). 2. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 3. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 4. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 5. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 6. coumadin 2.5 mg tablet sig: one (1) tablet po once a day: take 1 tablet daily. dose will be adjusted by coumadin clinic. 7. aspirin 81 mg tablet sig: one (1) tablet po once a day. 8. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 9. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 10. nitroquick 0.4 mg tablet, sublingual sig: one (1) sublingual once a day as needed for chest pain. 11. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day: use as stool softner. disp:*60 capsule(s)* refills:*2* 12. senna 8.6 mg capsule sig: one (1) capsule po at bedtime: use for constipation. disp:*60 capsule(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: primary: acute blood loss anemia, likely diverticular bleed s/p 1u prbc coagulopathy due to coumadin, s/p ffp secondary: severe icm 20% atrial fibrillation recurrent dvt discharge condition: stable. discharge instructions: you were admitted with a gi bleed which occured in the setting of elevated coumadin level. you had a egd and colonoscopy which showed mild inflammation in the stomach and hemmorhoids and diverticulosis. you probably had a diverticular bleed in setting of high coumadin level. your coumadin and aspirin will be restarted at discharge (discussed this with dr. . please call the coumadin clinic tommorow to make arrangements to follow coumadin levels. . only other new medications are protonix for stomach irritation (dr. will follow up a blood test regarding this). continue the iron supplement, but not that this can make you constipated. also started on you some stool softners that will help prevent further problems with or divericulosiss. please seek immediate medical care if you develop abdominal pain, fever, black or bloody stools, or any other concerning symptoms. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet. followup instructions: provider: , m.d. date/time: 11:00 provider: . phone: date/time: 10:30 provider: clinic phone: date/time: 10:30 procedure: other endoscopy of small intestine colonoscopy diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery acute posthemorrhagic anemia iron deficiency anemia secondary to blood loss (chronic) unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other and unspecified hyperlipidemia personal history of malignant neoplasm of bladder automatic implantable cardiac defibrillator in situ personal history of venous thrombosis and embolism anticoagulants causing adverse effects in therapeutic use diverticulosis of colon with hemorrhage internal hemorrhoids without mention of complication personal history of colonic polyps other specified gastritis, without mention of hemorrhage nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] 

Answer: The patient is high likely exposed to