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: brbpr, maroon stools major surgical or invasive procedure: colonoscopy (with 3 endoclips placed) and egd history of present illness: 86f with atrial fibrillation on coumadin, h/o prior gi bleed (bleeding vessel in ascending colon), & known diverticulosis who p/w 3 days of brbpr/maroon stool. first noticed light red in stool with no clots, no melena on . this continued for >2 days so pt came to ed for evaluation. pt reports walking into ed w/o assistance and denied any sx, including abdominal pain, lightheadedness, dizziness, chest pain, palpitations, dizziness. did take coumadin through friday. . in ed, bp stable but hct noted to be 19.7. pt rec'd 5 mg vitamin k sq, 2 units ffp, & 2 units prbcs, with rise in hct to 23.1. ng lavage negative. admitted to for close monitoring. also in , pt received 1 dose ceftriaxone for suspected uti. . during 2 days in , pt rec'd an additional 3 units of prbc on -15 (total 5 units this admission). otherwise fairly stable over last 24 hours. . today (), pt underwent egd which revealed a small hiatal hernia but no source of bleeding. pt then underwent colonoscopy which revealed a bleeding dieulafoy lesion in the ascending colon s/p epi injection and 3 endoclips with reported achievement of hemostasis. multiple diverticula also seen in the entire colon. . currently, pt thirsty and abdomen bloated since colonoscopy but otherwise denies any sx. past medical history: -lgib: admit in c 5d black tarry stools. had egd showing atrophic gastritis. had colonoscopy showing diverticulosis and bleeding vessel in ascending colon htn -atrial fibrillation: diagnosed in ; anti-coagulated with coumadin -dyspepsia -s/p excision of microcalcifications r breast on ; path revealed atypical ductal hyperplasia & columnar cell change. -s/p dvt r upper extremity -s/p open appendectomy 40 years ago social history: lives with and takes care of sister. lives on apt and able to climb all 3 flights of stairs. does own cooking and cleaning. denies tob or etoh. family history: nc physical exam: -vs: 98.6, hr 100, bp 154/82, rr 18, sat 99% 2l nc, 160 lbs -gen: pleasant overweight f in nad -skin: r breast surgical site nonerythematous, clean, dry -heent: op clear, mmm, no jvd, eomi, anicteric sclera -heart: s1s2 rrr, no m apprec -lungs: minimal bibasilar crackles, good air movement -abdom: soft, obese, nt, nd, nabs -extrem: 2+ pulses, no edema -neuro/psych: a&ox3, fluent speech, conversant, follows commands pertinent results: -egd: small hiatal hernia but no source of bleeding -colonoscopy: bleeding dieulafoy lesion (superficial vessel) in the ascending colon s/p epi injection and 3 endoclips with reported achievement of hemostasis. multiple diverticula also seen in the entire colon -cxr : satisfactory position of ng tube. mild congestive heart failure with pulmonary edema. -ua: 21-50 wbc, many bacteria, +nitrites, small l.e, epis -cxr : resolving chf and new left lower lobe atelectasis. -cxr : retrocardiac opacity is atelectasis versus pneumonia. mild pulmonary edema unchanged. . blood cx : p urine cx : negative blood cx : p urine cx : p . 03:00pm wbc-8.1 rbc-2.22*# hgb-6.4*# hct-19.7*# mcv-89 mch-28.8 mchc-32.4 rdw-15.1 03:00pm plt count-256 03:00pm pt-25.2* ptt-24.7 inr(pt)-2.6* . 03:00pm albumin-4.2 calcium-9.0 phosphate-4.0 magnesium-2.0 03:00pm ck-mb-7 03:00pm ctropnt-0.02* 03:00pm lipase-29 03:00pm alt(sgpt)-19 ast(sgot)-24 ck(cpk)-205* alk phos-46 amylase-132* tot bili-0.3 03:00pm glucose-148* urea n-44* creat-1.6* sodium-141 potassium-4.6 chloride-108 total co2-19* anion gap-19 . 04:04pm urine rbc-0-2 wbc-21-50* bacteria-many yeast-none epi- 04:04pm urine blood-neg nitrite-pos protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-sm 04:04pm urine color-yellow appear-hazy sp -1.021 04:45pm urine blood-neg nitrite-pos protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-sm . 06:40pm pt-20.1* ptt-25.6 inr(pt)-1.9* 06:40pm hgb-8.1*# hct-23.1* 06:40pm potassium-4.6 11:15pm plt count-148* 11:15pm wbc-7.0 rbc-2.40* hgb-7.1* hct-20.0* mcv-83 mch-29.5 mchc-35.4* rdw-17.6* . 11:15pm calcium-8.1* phosphate-3.5 magnesium-1.8 11:15pm glucose-110* urea n-43* creat-1.2* sodium-144 potassium-4.4 chloride-111* total co2-22 anion gap-15 brief hospital course: this is a 86 yo f with history of lgib, known diverticulosis, afib on coumadin, who presented with gi bleeding. she was admitted to the icu for close monitoring. there she received an additional 3 units of prbc for a total of 5 units this admission. on she underwent egd which revealed a small hiatal hernia but no source of bleeding. she then underwent colonoscopy which revealed a bleeding dieulafoy lesion in the ascending colon; she received epi injection and 3 endoclips with reported achievement of hemostasis. multiple diverticula also seen in the entire colon. she was transferred to the floor where she received serial hct checks q8h. she was transfused 2 additional units of prbcs per attending recommendations. she remained hemodynamically stable while in-house and tolerated a cardiac diet. . the patient was on anticoagulation as an outpatient for atrial fibrillation. this was held in house; the patient was advised to hold her coumadin and asa until she saw her pcp. had rvr on , requiring restarting of her bblocker. this was uptitrated to her home dose of atenolol 50 . . that same day, the patient complained of heel pain, r>l. she was unable to walk due to the pain. podiatry was consulted and suspected plantar fascitis. she has an elevated uric acid, and her presentation overall was suspicious for gout. she denied history of gout, but admitted to prior colchicine therapy. nsaids were avoided due to gi bleed history. she received 3 doses of po prednisone with rapid resolution of her pain. pt cleared her to go home. . the patient had had low-grade fevers before the onset of heel pain, with no leukocytosis. she had a positive ua and was treated with ceftriaxone while in-house. cxr was negative. once she was treated with prednisone for clinical gout, her fever resolved. medications on admission: atenolol 50 discharge medications: 1. atenolol 50 mg tablet sig: one (1) tablet po twice a day. 2. acetaminophen 325 mg tablet sig: 1-2 tablets po every hours. 3. do not take your coumadin or aspirin for now (until you have seen dr . discharge disposition: home with service facility: homecare discharge diagnosis: lower gi bleed from bleeding vessel in ascending colon urinary tract infection gout .. htn afib discharge condition: stable hct. tolerating po, ambulating well. discharge instructions: contact md immediately if you develop blood in your stool, lightheadedness, fever/chills, shortness of breath, worsening foot pain, or any other concerning symptoms. . please take all medications as directed. do not take your coumadin or aspirin for now (until you have seen dr . . please keep your legs elevated whenever you are sitting or lying down. followup instructions: you should follow-up with dr. () within 2 weeks. . you should also follow-up with podiatry at (. procedure: other endoscopy of small intestine injection or infusion of other therapeutic or prophylactic substance endoscopic destruction of other lesion or tissue of large intestine transfusion of packed cells transfusion of other serum diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified gout, unspecified atrial fibrillation diaphragmatic hernia without mention of obstruction or gangrene personal history of venous thrombosis and embolism diverticulosis of colon (without mention of hemorrhage) dieulafoy lesion (hemorrhagic) of intestine 

Answer: The patient is high likely exposed to