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: hematochezia major surgical or invasive procedure: operation: total abdominal colectomy and end ileostomy. history of present illness: this is a 74 yof with history of cad s/p 2 stents on plavix, htn, hyperlipidemia, hypothyroidism who presented to an osh today with brbpr. patient states she was visiting her husband at his nursing home when she had 1 episode of brbpr. patient states she had the urge to go to the bathroom and noticed a large amount of bright red blood in the toilet. she presented to an osh and had more episodes of brbpr. she denies any recent nausea, vomiting, melena, abdominal pain, chest pain, fevers, or chills. she does report some lightheadedness today. she received 2uprbcs at the osh. hct at 30.1. gi was consulted and performe endoscopy which was reportedly normal, ?colonoscopy. patient states she had both an upper and a lower endoscopy, results not known. per osh notes, patient has history of two failed colonoscopies to "kink" in the colon. also with history of colon polyps. she denies any recent weight loss, decreased appetite or fatigue. in the ed: hr 90, bp 85/61, rr 23, 99% 3lnc. she received 4uprbc. initial hct here at 30. gi and surgery were consulted. patient continued with brbpr, with at least 500cc output. left femoral cordis placed along with 3 18g piv. patient was transferred to micu for further stabilization and workup past medical history: cad s/p mi s/p 2 stents in htn hyperlipidemia hypothyroidism tah social history: occupation: retired. patient has been married for 13 years, her husband lives at nursing home in . she used to work as a computer data entry technician and is currently retired. patient has smoked 1 ppd for 58 years. drugs: none alcohol: none other: lives by herself, married. husband lives in a nursing home family history: no history of cancer physical exam: vitals- t 96.9, hr 95, bp 132/p, rr 26, o2sat 100% gen- nad, alert head and neck- at, nc, soft, supple, no masses heart- rrr, no murmurs lungs- ctab, no rhonchi, no crackles abd- soft, nt, nd, +bs, rlq and lower midline scar rectal- copious blood per rectum, no masses ext- warm, well-perfused, no edema pertinent results: 09:55pm blood wbc-9.4 rbc-3.51* hgb-11.1* hct-30.9* mcv-88 mch-31.7 mchc-36.1* rdw-14.5 plt ct-193 04:39am blood wbc-11.2* rbc-4.48# hgb-14.3# hct-38.1 mcv-85 mch-31.9 mchc-37.5* rdw-15.0 plt ct-138* 02:01am blood wbc-12.9* rbc-3.92* hgb-11.7* hct-33.4* mcv-85 mch-30.0 mchc-35.2* rdw-15.8* plt ct-187 09:05am blood wbc-7.3 rbc-2.89* hgb-8.9* hct-25.2* mcv-87 mch-30.9 mchc-35.5* rdw-15.2 plt ct-175 05:55am blood hct-24.7* 09:55pm blood glucose-164* urean-19 creat-0.6 na-141 k-3.9 cl-114* hco3-20* angap-11 02:01am blood glucose-168* urean-10 creat-0.6 na-146* k-3.5 cl-117* hco3-22 angap-11 05:55am blood k-3.9 09:05am blood calcium-7.7* phos-1.8* mg-2.1 . specimen submitted: transverse and right colon. procedure date tissue received report date diagnosed by dr. . /axg diagnosis: ileocolectomy and distal segment of colon: 1. diverticular disease of the colon. a. ruptured diverticula in the distal colon with intramucosal and pericolic abscesses. b. other diverticula in the proximal segment without perforation. 2. area of mucosal hemorrhage in the distal part of the proximal segment, consistent with acute ischemic lesion. 3 ileal segment: within normal limits. 4. no neoplasm. clinical: low gastrointestinal bleed. . gi bleeding study impression: no active gi bleeding amendment: the patient returned to the department 6 hours after injection. dynamic images demonstrate activity throughout the colon. there is a suggestion that new activity appears in the hepatic flexure during the dynamic study at 6 hours. . angio preliminary report !! pfi !! mesenteric arteriogram demonstrating active bleeding at a distal branch of the middle colic artery. attempts to selectively catheterize this vessel were unsuccessful. by the end of the procedure active extravasation of contrast material could not be noted. . brief hospital course: this is a 74 year old female admitted to with an acute lgib. upon arrival, she had a large blood per rectum, and was acutely hypotensive with sbp 70's. she underwent a tagged rbc scan which was initially negative, and was found to be positive the next morning. patient went to ir where the bleeding was found to be from the middle colic artery, however attempts at embolization were unsuccessful. she received at least 12 units prbcs in ordered to maintain her hct. surgery was consulted and if the patient continues to bleed and if her hct continues to trend down, she'll go to the or. the patient went to the or on for: total abdominal colectomy and end ileostomy pain: she had a pca for pain control and was using it appropriately. she had good pain control and was transitioned to po pain meds once tolerating a diet. abd/gi: she was npo with ivf. her ostomy was pink and began functioning on pod 3. she had post-op emesis on pod 4 and complained on chest pain. she was ordered for cardiac enzymes which were negative. she was having high ostomy output and was started on immodium qid to decrease ostomy output. she was tolerating a diet at time of discharge. prior to discharge the staples were removed and steri strips were applied. anticoag: she was restarted on her asa/plavix on pod 5. medications on admission: plavix/asa, lisinopril 5', metoprolol xl 25', simvastatin 80', prilosec, calcium discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. oxycodone 5 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 6. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 9. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 10. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 11. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed for loose stool. disp:*120 capsule(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: lower gi bleed at the hepatic flexure and sigmoid and proximal rectal mass. discharge condition: good discharge instructions: please call your doctor or return to the er for any of the following: * you experience new chest pain, pressure, squeezing or tightness. * new or worsening cough or wheezing. * if you are vomiting and cannot keep in fluids or your medications. * you are getting dehydrated due to continued vomiting, diarrhea or other reasons. * signs of dehydration include dry mouth, rapid heartbeat or feeling dizzy or faint when standing. * you see blood or dark/black material when you vomit or have a bowel movement. * your skin, or the whites of your eyes become yellow. * your pain is not improving within 8-12 hours or not gone within 24 hours. call or return immediately if your pain is getting worse or is changing location or moving to your chest or back. * you have shaking chills, or a fever greater than 101.5 (f) degrees or 38(c) degrees. * any serious change in your symptoms, or any new symptoms that concern you. . * take all new meds as ordered. * do not drive or operate heavy machinery while taking any narcotic pain medication. you may have constipation when taking narcotic pain medications (oxycodone, percocet, vicodin, hydrocodone, dilaudid, etc.); you should continue drinking fluids, you may take stool softeners, and should eat foods that are high in fiber. * continue to increase activity daily * no heavy lifting (> lbs) for 6 weeks. * you may shower and wash. no tub baths or swimming. * monitor your incision for signs of infections followup instructions: please follow-up with dr. in 3 weeks. call ( to schedule an appointment. procedure: arteriography of other intra-abdominal arteries transfusion of packed cells transfusion of other serum other permanent ileostomy diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other shock without mention of trauma diverticulosis of colon with hemorrhage 

Answer: The patient is high likely exposed to