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: 1) upper gi bleed major surgical or invasive procedure: egd history of present illness: pt is a yo female who was transferred to the for treatment of a upper gi bleed from a mass like lesion in her stomach. on she was admitted to with a right lower quadrant pneumonia. five days before that, she was seen at the for asthmatic bronchitis, and she was treated with prednisone. the hospital course apparently proceeded without complication until the day prior to when she was supposed to be discharged when she vomited bright red blood and melena (inr 3.1). an egd was done on which revealed a large clot on the fundus. cardiac enzymes were negative. ct was negative for splenic vein thrombosis, or liver disease, but was positive for a 3 cm round lesion in the pancreatic head. repeat egd on showed a lobulated mass in the fundus that was quite soft. egd on showed a submucosal vascular appearing mass overlying the cardiac border with feeding vessels but no active bleeding. the patient subsequently received 6 units of rbc and 3 units of ffp and 3 mg vit k which raised the hct to 30.4 before transfer from the osh to for further evaluation. just before transfer, however, the patient had another episode of hematemesis (200ml brb) along with grossly melanotic stools and tachycardia/afib. her hct decreased from 32.7 to 28.4 and increased to 29.7 with 2 units prbcs. she was intubated for airway protection. on admission to the , the patient received 1 unit of rbc. her hct was 30.9. hct on was 28.4 from 32 and then increased to 29.7 with 1 unit of prbcs. no bleeding was seen at the . she did not have any gi complaints, h/o hiv, chest pain, liver disease, or a history of gi bleeds. past medical history: 1) af on coumadin 2) hypothyroid 3) constipation 4) thr 5) tah/bso social history: 1) lives with her daughter family history: nc physical exam: on admission to the icu: vitals - 97.4 96/36 70-85 97%ra gen: no acute distress heent: anicteric cor: s1/s2 nl, irregular, no murmurs thorax: r lung base coarse rales. l few basilar crackles abd: no tenderness, distended, bowel sounds normal ext: chronic venous stasis with edema neuro: alert and oriented x 3. mae x 4 pertinent results: 07:15am blood wbc-8.4 rbc-3.97* hgb-12.6 hct-36.0 mcv-91 mch-31.6 mchc-34.9 rdw-15.1 plt ct-152 12:12am blood neuts-84.5* lymphs-12.2* monos-2.6 eos-0.4 baso-0.3 07:15am blood plt ct-152 07:15am blood glucose-101 urean-12 creat-0.8 na-143 k-3.5 cl-109* hco3-25 angap-13 07:15am blood calcium-7.5* phos-2.5* mg-1.8 brief hospital course: 1) upper gi bleed: in the icu, the patient's soft vascular mass was considered to be gastroesophageal varices. other possibilities in the differential were leiomyoma, lipoma, or malignancy. it was generally felt that whatever the precise character, the mass was still oozing blood insofar as the three units that she received at the outside hospital did not significantly increase her hct. the icu team set a goal of hct > 30 given her age and potential rapidity of rebleeding. on icu day 2, the patient was transfused 1 unit prbc to reach a hct of 32.1, but she continued to have no episodes of hematemesis or melena. ruq ultrasound was negative for signs of liver disease. a repeat egd was also performed which revealed 1. a normal celiac axis. 2. pancreatic body and the pd within it were normal. 3. in the proximal stomach, the protruding mass was identified and endosonographically was both hypoechoic and vascularly consistent with gastric varices. unfortunately, it remained difficult to determine the cause of the most latter finding. on , the patient was transferred from the icu to the floor for further care under the medicine service. at this point, the gi team saw her and recommended nadolol to help decrease portal pressures. anticoagulation remained discontinued, and the patient's femoral line was discontinued. a ppi was started to decrease gastric distress and the patient's diet was advanced to a soft, low salt diet. potassium was repleted as necessary. the patient did not experience any repeat episodes of hematemesis or melena. all stools were guaiac negative. at discharge, the patient's hct was 36.0. throughout the hospital course within the icu and on the floor, the patient's family was kept well-informed of all medical decisions. some clarification will be required regarding her code status as it is relatively unclear. at the moment, she is full code, but her son has expressed a desire not to have "my mother on any machines." the patient's daughter, her health care proxy wishes to have "aggressive but not extraordinary" routes of treatment pursued. 2) cardiac: with respect to atrial fibrillation, the patient was rate controlled on digoxin and discontinued from anticoagulation in light of her upper gi bleed. heart rate remained stable at <100. cardiac echo was performed on which showed the following: 1. overall left ventricular systolic function is normal (lvef>55%). 2. no free wall motion abnormalities. 3. moderate (2+) mitral regurgitation is seen. 4. moderate tricuspid regurgitation is seen. 5. significant pulmonic regurgitation is seen. 3) activity: physical therapy was consulted and the patient was found to demonstrate safe and independent functional mobility with a cane. it was recommended that she be discharged home with home safety evaluation and home pt. the patient's family, however, refused to take the patient home and the patient was screened for transfer to a lower level rehab facility. 4) hypothyroid: the patient was continued on levothyroxine 5)code status: the patient was admitted with a code status of dnr but full intubation. however, upon further discussion, her code status changed to full code. this topic will need to be discussed in more detail at a later date. medications on admission: 1) digoxin .125 once a day 2) coumadin 3 once a day 3) levoxyl 50 once a day 4) protonix iv 40 once a day 5) digoxin .125 once a day 6) ceftriaxone 1 once a day discharge disposition: extended care facility: maples nursing & retirement center - discharge diagnosis: 1) upper gi bleed 2) gastroesophageal varices 3) atrial fibrillation 4) hypothyroidism 5) pneumonia 6) gerd discharge condition: good discharge instructions: 1) please follow up with your pcp regarding this hospital admission. she has been contact via phone and mail. 2) please discuss your advanced directives with your family so that your doctors help most accordingly to your wishes. 3) please seek medical attention if you experience any or all of the following: vomiting blood, blood in your stool, blood from your rectum, lightheadedness, chest pain, palpitations, shortness of breath, swelling in your extremities, sudden weakness 4) you have slight thrombocytopenia at discharge. please follow up on your platelet count and hematocrit in a few days. 5) please have a repeat cbc and electrolytes analysis in a few days. followup instructions: 1) please follow up with your pcp regarding this hospital admission. she has been contact via phone and mail. 2) please discuss your advanced directives with your family so that your doctors help most accordingly to your wishes. 3) please seek medical attention if you experience any or all of the following: vomiting blood, blood in your stool, blood from your rectum, lightheadedness, chest pain, palpitations, shortness of breath, swelling in your extremities, sudden weakness procedure: other endoscopy of small intestine transfusion of packed cells diagnoses: pneumonia, organism unspecified mitral valve disorders congestive heart failure, unspecified atrial fibrillation long-term (current) use of anticoagulants hemorrhage of gastrointestinal tract, unspecified varices of other sites diseases of tricuspid valve esophageal varices without mention of bleeding 

Answer: The patient is high likely exposed to