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: brbpr major surgical or invasive procedure: egd history of present illness: this is a 58 year-old male with a history of pud, duodenal ulcers, s/p whipples for pancreatic serous cystadenoma who presents with 1 day h.o. brbpr and symptomatic hypotension. pt's symptomology started last night when pt noted he was lightheaded upon standing, he states that his first presentation of gi blding occured this morning. pt noted some burgundy stools this am and noticed that along with his lightheadedeness he also noted some sweating. he decided to take his bp at home and noted it to be in the 80s. after calling his pcp it was recommended he come into the er. he does endorse a history of ulcers 5 years ago that appeared to occur around the time of his whipple's procedure. he denies having had any blood transfusions in the past for a bleed. pt denies any recent he denies any melena or brbpr prior to this am's episode. in the , pt's sbp noted to be 145/76, he 112, rr 20, sat 98% on room air. in the pt received 1l ns in the ed, 2 large bore ivs were placed and pt was type and crossed for 2 units. on arrival to the icu pt's hr went into the 150s when he stood up to use the urinal, tele suggested sinus tachycardia ekg was obtained and showed sinus tachycardia with a rate of 102. ros: the patient denies any fevers, chills, nausea, vomiting, abdominal pain, melena, hematochezia, shortness of breath. past medical history: hl htn bph pud duodenal ulcer hypothyroidism pancreatic serous cystadenoma s/p whipple's procedure (?) social history: pt lives at home with his wife, he denies any tobacco, etoh use. family history: nc physical exam: vitals: per metavision gen: well-nourished caucasian male in nard heent: eomi, sclera anicteric, cor: clear s1, s2, no m/g/r, tachy 106 pulm: lungs ctab, no w/r/r abd: soft, nt, nd, +bs, ext: no c/c/e, no palpable cords neuro: alert, oriented to person, place, and time. cn ii ?????? vii, , xii grossly intact. moves all 4 extremities. pertinent results: 11:10am glucose-184* urea n-29* creat-0.9 sodium-136 potassium-4.7 chloride-102 total co2-26 anion gap-13 11:10am alt(sgpt)-30 ast(sgot)-16 ck(cpk)-52 alk phos-52 amylase-33 tot bili-0.3 11:10am lipase-19 11:10am ctropnt-less than 11:10am ck-mb-notdone 11:10am tot prot-6.4 albumin-4.0 globulin-2.4 calcium-8.9 phosphate-2.7 magnesium-2.0 11:10am wbc-5.1 rbc-3.78*# hgb-10.6*# hct-31.2*# mcv-83# mch-28.1 mchc-34.0 rdw-14.4 11:10am neuts-68.2 lymphs-27.0 monos-4.4 eos-0.3 basos-0.1 11:10am plt count-145* 09:51pm wbc-6.0 rbc-3.36* hgb-9.5* hct-27.7* mcv-83 mch-28.3 mchc-34.3 rdw-14.7 imaging: portable cxr: no acute intrathoracic process. egd: duodenal ulcer (injection, thermal therapy). evidence of prior whipples procedure was apparent. otherwise normal egd to second part of the duodenum brief hospital course: 58 year-old male with a history of pud, s/p whipples for pancreatic serous cystadenoma who presents with subacute onset gi bleed and symptomatic hypotension. egd done showing 10mm duodenal ulcer with overlying clot that was thermally treated. hct has been stabilized. # gi bleed: pt was admitted to the for suspected ugi bleed. pt reported pre-syncopal symptoms and a 1 day history of burgundy stools. in the pt's hct was noted to be 31 a decrease from a reported baseline from last year of 44. following fluid administration his hct further decreased to 27. he was noted to be orthostatic with his heart running into the 150s sinus tachycardic upon standinging. pt received 1 unit of prbcs and underwent an egd given his history of peptic ulcers and duodenal ulcers. egd showed a 10cm ulcer distal to the site of his whipple's anastamosis. epinephrine was injected and pt was started on a 24hour infusion of pantoprazole. overnight pt's hct remained stable and he was not noted to orthostatic prior to transfer to the floor. the morning after admission he was noted to pass a small amount of maroon stool. hct recheck was stable in the 27s. the patient was transferred to the medical service where his hematocrit remained stable at 28 and he was discharged home with education of warning symptoms to return to the hospital. he was discharged on ppi with outpatient f/u with dr. . # htn: pt usually takes 40mg lisinopril and 25mg of atenolol, medications were held given his hypovolemic issues with his recent bleed. these medications were restarted on discharge. # dm ii: pt usually takes metformin, novolog and humalin at home per his diabetologist at . given his npo status in the icu pt was placed on a sliding scale which was converted to his normal home regimen on discharge pt's asa was also held given the bleed will likely restart again as an outpatient. # hypothyroidism: continued home regimen of levothyroxine 150mcg daily medications on admission: insulin aspart 7u qpm inuslin 70/30 50u qhs asa 81mg daily lisinopril 40mg daily levothyroxine 150mcg daily metformin 500mg qam 1,000mg qpm atenolol 50mg daily discharge medications: 1. levothyroxine 150 mcg tablet sig: one (1) tablet po once a day. 2. lisinopril 40 mg tablet sig: one (1) tablet po once a day. 3. insulin aspart 100 unit/ml solution sig: seven (7) unit subcutaneous qpm. 4. insulin nph & regular human 100 unit/ml (70-30) suspension sig: fifty (50) unit subcutaneous at bedtime. 5. metformin 500 mg tablet sig: one (1) tablet po qam. 6. metformin 1,000 mg tablet sig: one (1) tablet po qpm. 7. atenolol 50 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: duodenal ulcer, bleeding anemia of acute gi blood loss hypotension s/p whipple for serous microcytic adenoma htn discharge condition: vital signs stable, hct stable at 28 discharge instructions: return to the ed if you are having red bloody stools, a significant amount of maroon stool, light-headedness, chest pain, fatigue, copious black stools. do not take your aspirin until you have discussed this with dr. in f/u visit. followup instructions: patient to f/u with dr. of clinic . patient to call and check for date and time of appointment. call placed to office for appointment. patient to schedule f/u with his pcp: , . procedure: endoscopic control of gastric or duodenal bleeding transfusion of packed cells diagnoses: unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism peripheral vascular disease, unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia other specified cardiac dysrhythmias long-term (current) use of insulin other postprocedural status chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction orthostatic hypotension 

Answer: The patient is high likely exposed to