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: no known allergies / adverse drug reactions attending: chief complaint: upper gi bleed major surgical or invasive procedure: - egd history of present illness: this is a 49-year-old woman with a pmhx. significant for etoh abuse, htn, asthma, tobacco abuse, and elevated lfts who is admitted from ed for hematemesis. . patient states that she began vomiting bright red blood at 9am the morning of admission. she has a recent history of nausea and vomiting related to alcohol use, and says she wretches or vomits on a regular basis. this however is the first time however that's she had hematemesis. patient also reports dark colored stools beginning today, and no brbpr. patient's last egd was in , which was remarkable only for some erythema at the fundus. . patient reports drinking 3 drinks per night, but according to pcp notes, she has been drinking more than 5. patient denies any history of dts, seizures, or other withdrawal symptoms. she says that she takes a daily aspirin but no nsaids. . in the ed, initial vitals were: 97.9 137 172/110 18 100% on ra. patient vomited about 200cc of coffee ground material. ng lavage was positive for dark red fluid, but cleared with 500cc of ns. guaic was positive for blood and melanotic stool. two peripheral ivs were placed, patient received 2 l of ivf, ativan, and she was typed and crossed. protonix bolus was given and gtt started. octreotide was ordered as well for suspicion of varices. patient was transferred to the icu for hemodynamic monitoring and urgent egd. vitals on transfer were: 115, 148/93, 15, 97% on ra. past medical history: htn asthma s/p mva in hurting right arm s/p right hip replacement d/t steroid use hypercholesterolemia social history: sh: lives with 2 daughters and , smokes 5cigs/day since 18yo, occ etoh, no drugs, on disability. family history: no cad physical exam: admission exam: vs: 115, 148/93, 15, 97% on ra. gen: anxious, tearful, no acute distress heent: perrl, eomi, anicteric, mmm, op without lesions, no supraclavicular or cervical lymphadenopathy, resp: cta bilaterally, good air movement cv: tachycardic, regular rhythm abd: +bs, soft, non-tender, non-distended ext: pneumoboots in place, extremities warm skin: no rashes/no jaundice/no splinters neuro: aaox3. cn ii-xii intact. 5/5 strength throughout rectal: guiac positive melanotic stool as per ed pertinent results: egd: at ge junction, the site of bleeding was noted with an an enlarging clot over most likely tear (mwt). initially 3 endoclips were applied with hemostasis however the clips fell off. subsequently a total of 8 cc of 1: epinephrine was injected around the area until hemostasis was achieved. no esophageal varices were noted. small amounts of blood noted in the stomach suggestive of recent bleeding brief hospital course: hospital course this is a 49-year-old woman with a pmhx significant for etoh abuse, htn, and asthma who was admitted for hematemesis. egd demonstrated tear which was injected with epinephrine. . # upper gi bleed: egd demonstrates tear with new clot, likely from repeated vomiting and wretching. patient was scoped urgently in the micu, and tear was eventually injected with epi. two clips were placed initially but dislodged. patient received 1 unit and remained hemodynamically stable with resolution of tachycardia. she was converted to a ppi from a ppi gtt. hct stable on discharge. . # hypertension: patient treated for hypertension as outpatient, likely a combination of essential hypertension and etoh abuse. anti-hypertensives were held in the setting of gi bleed, but restarted once patient was stabilized. . # asthma: advair and albuterol were continued. zafirlukast was changed to forumulary montelukast. . # etoh abuse: it was recommended that patient see substance abuse counselor in the hospital. social work discussed alcohol cessation with the patient. she was given information regarding aa meetings and other services in her home town. she states she was committed to cutting down on her alcohol use. she was discharged on thiamine and folic acid supplementation. . transitional issues:] # code: full # follow-up: pcp and aa medications on admission: 1. albuterol sulfate 0.63 mg/3 ml solution neb 1 q6hr for sob 2. albuterol sulfate hfa 1-2 puffs(s) q4hrs 3. cephalexin 500 mg capsule 4 capsule(s) by mouth once please 30 minutes prior to any dental procedure for the next 2 years 4. diltiazem hcl 240 mg capsule, er qdaily 5. ergocalciferol (vitamin d2) 50,000 unit qweekly x 8 wks 6. fluticasone-salmeterol 250 mcg-50 mcg/dose 7. hydrochlorothiazide 25 mg tablet qdaily 8. nitroglycerin 0.4 mg tablet, sl for cp 9. omeprazole 20 mg capsule,1 qday 10. prochlorperazine maleate 5 mg tablet by mouth nausea 11. tramadol 50 mg tablet tablet(s) by mouth q6 hours pain 12. trazodone 50 mg tablet - 1 tablet by mouth for insomnia 13. zafirlukast 20 mg tablet 1 twice a day 14. docusate sodium 100 mg 15. loratadine 10 mg tablet qdaily discharge medications: 1. albuterol sulfate 0.63 mg/3 ml solution for nebulization sig: one (1) inhalation every six (6) hours as needed for shortness of breath or wheezing. 2. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: one (1) inhalation every four (4) hours as needed for shortness of breath or wheezing. 3. diltiazem hcl 240 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po once a day. 4. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po once a week: for 4 more weeks (total 8 weeks). 5. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 6. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). 7. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual once a day as needed for chest pain: may repeat x 2, if you need to use more than call your physician. 8. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 9. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. multivitamin tablet sig: one (1) tablet po daily (daily). 11. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. prochlorperazine maleate 5 mg tablet sig: 1-2 tablets po once a day as needed for nausea: do not take on days you are using tramadol; do not take more than 3 times per week . 13. tramadol 50 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. 14. trazodone 50 mg tablet sig: tablet po at bedtime as needed for insomnia. 15. zafirlukast 20 mg tablet sig: one (1) tablet po twice a day. 16. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. 17. loratadine 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: 1. tear, alcohol abuse 2. htn discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted after several episodes of vomiting blood. an upper endoscopy demonstrated a small tear in your esophagous most likely secondary to frequent vomitting. this is a common complication of alcohol abuse. you were hospitalized in the medical intensive care unit due to the severity of your initial presentation. we applaud your decision to cut down on your drinking. this will be a difficult process and we encourage you to completely stop drinking in order to further prevent medical complications of alcohol abuse. one of our social workers worked with you while you were admitted to assist you with continuing your efforts to cut down on drinking once you are home. the following changes were made to your medication list: 1. increase omeprazole to 40mg daily 2. start thiamine, folate and multivitamin supplement followup instructions: department: obstetrics and gynecology when: wednesday at 2:15 pm with: clinic building: campus: east best parking: garage department: when: wednesday at 3:00 pm with: , md building: campus: east best parking: garage procedure: endoscopic excision or destruction of lesion or tissue of esophagus diagnoses: pure hypercholesterolemia tobacco use disorder unspecified essential hypertension acute posthemorrhagic anemia asthma, unspecified type, unspecified alcohol abuse, unspecified constipation, unspecified gastroesophageal laceration-hemorrhage syndrome hip joint replacement 

Answer: The patient is high likely exposed to