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: bright red blood per rectum. major surgical or invasive procedure: with endoclipping history of present illness: mr. is a 57 y/o male with a history a mitral valve fibroelastoma and recent screening on with polypectomy who presents with bright red blood per rectum x 1 day. patient was in his usual state of good health until one day prior to presentation. he began having blood bowel movements with associated fecal urgency this morning. he has since had at least one large bloody bowel movement every hour. he has diffuse crampy abdominal pain but no nausea or vomiting. he had some lightheadedness at home prior to presentation but no chest pain or shortness of breath. he has had normal po intake and is making normal urine output. he has never had gastrointestinal bleeding before. he is not constipated at baseline. he does take aspirin and plavix for a history of tias in the past and took these on the morning of presentation. in the emergency room his intial vital signs were t 97.5, bp 129.79, hr 74, rr 16, o2 98% ra. he was non-toxic appearing with a benign abdominal exam. recal notable for gross blood, no melena. hct of 41. he was seen by the gastroenterology consult service who recommended in the morning. on arrival to the floor the patient continued to have crampy abdominal pain and blood bowel movements. his hematocrit trended down from 41 on presentation to 30.4. his blood pressure also decreased to the 90s systolic. he received approximately 500 cc normal saline. he was transferred to the icu for further management. upon arrival to the icu his blood pressure had improved to the 130s systolic. on review of systems he currently denies lightheadedness, dizziness, chest pain, dyspnea, nausea, vomiting. he endorses crampy abdominal pain and brbpr. he denies dysuria or hematuria. he denies leg pain or swelling. all other review of systems negative in detail. past medical history: - mitral valve fibroelastoma - lumbar radiculopathy - cva in - migraines - increased cholesterol - left inguinal hernia - history of tias in the past social history: lives independently, current unemployed, history of tobacco use - ppd, social etoh. family history: non-contributory. physical exam: vitals: t: 95.9 hr: 65 bp: 138/72 rr: 18 o2: 100% on ra general: pleasant, well appearing man in nad heent: normocephalic, atraumatic. no conjunctival pallor. no scleral icterus. perrla/eomi. mmm. op clear. neck supple cardiac: regular rhythm, normal rate. normal s1, s2. systolic murmur at lusb and at apex, no rubs or . lungs: ctab, good air movement biaterally. abdomen: nabs. soft, mild tender diffusely. no hsm, no rebound, no guarding. extremities: no edema or calf pain, 2+ dorsalis pedis/ posterior tibial pulses. skin: no rashes/lesions, ecchymoses. neurologic: a&ox3. appropriate. cn 2-12 grossly intact. strength throughout. + reflexes, equal bl. normal coordination. gait assessment deferred psych: listens and responds to questions appropriately, pleasant pertinent results: labs on admission: 04:15pm blood wbc-12.0*# rbc-4.84 hgb-14.7 hct-41.2 mcv-85 mch-30.3 mchc-35.6* rdw-13.0 plt ct-422 04:15pm blood neuts-56.3 lymphs-31.4 monos-7.1 eos-4.0 baso-1.3 04:15pm blood pt-12.9 ptt-23.9 inr(pt)-1.1 04:15pm blood glucose-121* urean-18 creat-1.1 na-138 k-4.5 cl-106 hco3-22 angap-15 02:25am blood calcium-7.9* phos-2.8 mg-2.1 labs on discharge: 04:25am blood wbc-9.8 rbc-4.84 hgb-14.6 hct-40.7 mcv-84 mch-30.1 mchc-35.7* rdw-14.2 plt ct-241 04:25am blood pt-12.6 ptt-25.4 inr(pt)-1.1 04:25am blood glucose-105 urean-12 creat-0.9 na-138 k-4.2 cl-106 hco3-24 angap-12 04:25am blood calcium-8.4 phos-3.6 mg-2.0 : post polypectomy ulcer in the transverse colon - hemostasis was achieved using endoclips and epinephrine. (endoclip, injection). blood in the whole colon. otherwise normal to cecum brief hospital course: this is a 57 year old male with a history a mitral valve fibroelastoma and recent screening on with polypectomy who presents with bright red blood per rectum x 1 day and hypotension. # gastrointestinal bleeding: on , arterial bleeding was seen and clipped in site of recent polypectomy with good hemastasis. he received 6 total prbc transfusions. hct was serially measured and was stable post-procedure. he did not require blood transfusion since night of . he was able to tolerate a regular diet without n/v, and was restarted on home lisinopril with stable blood pressure. the patient was advised to monitor himself for further bloody stools and have his hct measured as outpatient within the next week. # hypotension: patient with hypertension after his procedure and was restarted on home lisinopril with stable blood pressure. he was advised to continue to hold home verapamil until outpatient follow-up at which time restarting this medication can be discussed. # history of tias: his aspirin and plavix were held, and the patient advised not to restart for a period of two weeks given his recent bleed. medications on admission: aspirin 81mg plavix 75mg daily omeprazole 40 daily lisinopril 10mg daily verpamil 240mg daily amoxicillin prn pre-procedure lipitor 20mg daily discharge medications: 1. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 2. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: lower gi bleeding hypotension acute blood loss anemia discharge condition: stable, normal hematocrit discharge instructions: you were admitted with bleeding after having and polypectomy. the gastroenterology doctors performed another with clips to stop the bleeding. you have done very well since your procedure and are eating well without further bleeding. please return to the hospital or call your doctor if you have any further blood in your stools, diarrhea, fever, abdominal pain, or any new symptoms that you are concerned about. since you were admitted, we have made the following medication changes: * we have temporarily stopped aspirin and plavix. please do not take these medications for two full weeks. you can restart these two weeks after discharge from the hospital. * we have also stopped verapamil due to low blood pressures related to your bleeding. do not take this until instructed to do so by your primary care doctor. followup instructions: please followup with your primary care physician, . , at , within 2 weeks. you also have the following upcoming appointments at : , m.d. phone: date/time: 6:00 , md phone: date/time: 10:30 , md phone: date/time: 1:00 procedure: endoscopic destruction of other lesion or tissue of large intestine diagnoses: pure hypercholesterolemia tobacco use disorder mitral valve disorders acute posthemorrhagic anemia hemorrhage complicating a procedure other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypotension, unspecified accidents occurring in other specified places hemorrhage of gastrointestinal tract, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus thoracic or lumbosacral neuritis or radiculitis, unspecified 

Answer: The patient is high likely exposed to