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: gib major surgical or invasive procedure: intubated egd history of present illness: 64 m in usoh until 1d pta. pt noted mild epigastric discomofort, n, vomitting x 1, non-bloody, "brown". no recent melena. symptoms persisted on morning of , decreased po intake (jello, soup). at 9pm wife heard a thud, and found husband slumped over toilet in restroom, eyes open, but slow to respond, +diaphoresis. ems activated, bp 110/80 hr 92 rr 26 @ 2159. . per wife, ros otherwise negative, no recent f/c/cp/sob/dysuria, melena, diarrhea, rash. . pt takent to osh(addison-) where vs 98.6 110/59 82 24 100%ra, ekg, cxr unremarkable, +ngl with dark blood only, no brb. at osh, pt had ct head, cspine, ct abd/pelvis which were all unremarkable per dictated reports. he was given 1-2u prbcs osh hct 28.9 (bl unknown) and 2l ivf, which was still running upon arrival to . of note, pt was intubated prior to transport from osh significant nausea, vomiting and concern for airway protection. . upon arrival to , vs 96 77 101/69 12 100% ac 100%. pt was guaic positive, abg 7.30/44/520, hct 28.5 wbc 19. pt given protonix 80mg iv x 1, and admitted to for gib. . of note, pt on , h/o cad s/p stenting >1y ago, he has also been taking celebrex for last two weeks shoulder injury. past medical history: - cad s/p stenting w cypher stent to plad (), cardiologist . - h/o pud (last in college per wife) -- gastroenterologist dr. , at hospital. - gerd - depression social history: lives with wife in ma, works as school teacher, 1ppd x 1yr, quit 50y ago, wine/month, denies ivdu. no h/o hepatitis exposures (no tattoo, msm, prison), though ?blood transfusion < hernia repair. family history: mother died of amyloid, father of mi in 80s. no family hx of gastric ca. physical exam: vs: 95.7 955 12 100% ps 8/5 50% (mmv rate 8) gen: nad heent: perrla, eomi, sclera anicteric, mmm, no lad, no carotid bruits. no jvd. cv: regular, nl s1, s2, no m/r/g. pulm: cta anteriorly, no r/r/w. abd: soft, nt, nd, + bs, no hsm. ext: warm, 2+ dp/radial pulses bl. neuro: intubated, sedated, alert to voice, perrla. pertinent results: 01:50am blood wbc-19.3* rbc-3.07* hgb-9.8* hct-28.5* mcv-93 mch-32.1* mchc-34.6 rdw-13.1 plt ct-213 04:16am blood wbc-17.8* rbc-2.75* hgb-8.8* hct-26.0* mcv-95 mch-32.0 mchc-33.8 rdw-13.3 plt ct-154 03:30pm blood hct-24.9* 06:08am blood hct-23.3* 05:09am blood wbc-9.7 rbc-3.54*# hgb-11.1* hct-31.3* mcv-88 mch-31.2 mchc-35.3* rdw-14.8 plt ct-149* 01:50am blood glucose-212* urean-38* creat-1.0 na-138 k-4.0 cl-108 hco3-19* angap-15 04:16am blood alt-23 ast-23 ld(ldh)-166 ck(cpk)-169 alkphos-37* amylase-50 totbili-1.1 01:50am blood ck-mb-5 ctropnt-0.04* 04:16am blood ck-mb-7 ctropnt-0.06* 11:00am blood ck-mb-18* mb indx-5.6 ctropnt-0.10* 08:59pm blood ck-mb-16* mb indx-4.0 ctropnt-0.26* 03:04am blood ck-mb-10 mb indx-2.8 ctropnt-0.25* findings: esophagus: normal esophagus. stomach: mucosa: patchy discontinuous erythema and congestion and ng tube trauma of the mucosa with no bleeding were noted in the whole stomach. duodenum: excavated lesions a single cratered 11mm ulcer was found in the distal bulb. a visible vessel suggested recent bleeding. 2 2.5 cc.epinephrine 1/ injections were applied for hemostasis with success. two clips were successfully placed for hemostasis impression: erythema and congestion and ng tube trauma in the whole stomach ulcer in the distal bulb (injection, ligation) otherwise normal egd to second part of the duodenum brief hospital course: # gib patient has a history of gib, and has been using nsaids continually over last few weeks. was found to have coffee ground emesis on ngt lavage at osh. he was monitored for an additional day in the icu with no evidence of continued bleeding by stable hematocrit. patient had a hematocrit of 29 on admission. underwent an egd which showed a duodenal ulcer with a visualized bleeding vessel. epinephrine was injected and two clips were placed. patient had continued evidence of bleeding following the egd, requiring transfusion of 3 units of prbc. he had no complaints of abdominal pain, nausea, or vomiting. patient was started on a ppi drip, and bleeding decreased. he should be discharged on dosage for two months. patient's aspirin and were held at admission. the aspirin should be restarted after discharge and patient should follow up with outpatient cardiologist to restart . pt had intermittent trace amounts of blood in stool prior to dc, gi team advised that this was likely left over blood in intestine, rather than active bleeding. pt told to have hct checked with pcp 4 days after dc, also if still bleeding in one week, needs repeat endoscopy. also reminded of need to have colonoscopy. # pulmonary ?????? the patient was intubated for airway protection given continued emesis. per osh records, ther was no evidence of hypoxia or hypercarbia. the patient was extubated shortly after arrival, and has been breathing comfortably. # syncope - syncopal episode in setting of gib while having a bowel movement. no hypotension at osh. likely vaso-vagally related. has been maintained on telemetry without any arrythmia. patient had ct of head without any intracranial process and no story of hitting head. c-spine ct was also unremarkable. # cardiac - ## ischemia: patient with a history of cad, and had a cypher stend placed in . aspirin/ in setting of bleed. cardiac enxymes were followed, and showed an elevation up to trop 0.26, and have trended downward. he had no complaints of cp, no evidence of ischemia on ekg. likely enzyme leak in setting of demand ischemia. pt told to f/u with primary cardiologist at discharge with follow up aranged in order to work up progression of cad and to determine whether aspirin should be increased to 325 mg from 81mg, now that he is indefinitely off of . medications on admission: aspirin 81 mg po qdaily 75mg po qdaily celebrex 200mg po qdaily prozac 40mg po qdaily vicodin - not taking discharge disposition: home discharge diagnosis: bleeding duodenal ulcer discharge condition: stable discharge instructions: please watch for blood in your bowel movements, if there is any increase in blood please call dr. , as you will need your blood level checked sooner. if you are still having blood in your bowel movements in one week please talk to dr. about having a colonoscopy. stop taking . you may restart aspirin 81 mg per day next week if bleeding has stopped. followup instructions: please call dr. on monday, you will need to have your blood drawn, and may need to be evaluated by him as well. he will discuss with you over phone on monday. the gastroenterology specialist you saw in the hospital is dr. at . you need to be seen by him or your other gastroenterologist in 2 months, to determine whether you can decrease the protonix (pantoprazole) dose. you should see your cardiologist in the next few weeks, to see if he suggests increasing the dose of aspirin now that you are not taking . md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux acute posthemorrhagic anemia depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease old myocardial infarction chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction syncope and collapse leukocytosis, unspecified pain in joint, shoulder region 

Answer: The patient is high likely exposed to