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: history of present illness: this is a 68-year-old female with a history of chronic abdominal pain since who came in for evaluation of worsening abdominal pain. this pain was a diffuse constant abdominal pain, in intensity. it was mostly a cramping kind of pain that she felt after having bowel movements. she had no nausea or vomiting. she did occasionally have diarrhea. she did not have any symptomatic relief with anything at home except for hot showers. the patient has been worked up in the past for a colonic dysmotility disorder, recently having had a negative small-bowel follow-through and a defecogram which was normal. on review of systems, the patient has had some anorexia for the last month, but no weight loss. no dysphagia. no odynophagia. no other complaints. the patient came to the emergency department. in the emergency room, her vital signs were stable; however, her hematocrit was 20. she denied any melena, hematochezia, or hematemesis. she was admitted to the medicine service. past medical history: 1. depression. 2. chronic abdominal pain. 3. seizure disorder. 4. two spinal fusions. 5. status post appendectomy. 6. partial colectomy; status post ileostomy and revision for ischemic bowel. 7. peripheral vascular disease. 8. history of porcelain gallbladder. 9. left wrist open reduction/internal fixation. 10. history of right shoulder dislocation. 11. history of hemorrhoids. 12. gout. medications on admission: she had been on elavil, lomotil, dilantin, allopurinol, prevacid, lexapro, and motrin. allergies: she has allergies to bactrim, phenergan, and keflex. social history: the patient denies tobacco, alcohol, and intravenous drug use. she is of heritage. she lives with her husband, and she is a retired housewife with four children. family history: there is no family history of colon cancer or inflammatory bowel disease. her father was an alcoholic. physical examination on presentation: her vital signs revealed a temperature of 96.5, her blood pressure was 162/74, her heart rate was 70s to 100, her respiratory rate was 16, and she was saturating 94% on room air. in general, this was an elderly white female crunched up in pain. head, eyes, ears, nose, and throat examination revealed the mucous membranes were moist. the neck was supple. there was no lymphadenopathy. cardiovascular examination revealed a regular rate and rhythm. normal first heart sounds and second heart sounds. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender, and nondistended. there was no hepatosplenomegaly. extremities revealed there was no cyanosis, clubbing, or edema. neurologically, she was alert and oriented times three. pertinent laboratory values on presentation: chemistry-7 was within normal limits. complete blood count was notable for a hematocrit of 20.7 with a mean cell volume of 79. her liver function tests were within normal limits. amylase was slightly elevated at 130. a urinalysis was sent and was positive. brief summary of hospital course by issue/system: the patient was admitted to the medicine service for further evaluation of her anemia and abdominal pain. 1. abdominal pain issues: the patient's pain was mostly epigastric, and the etiology was unclear. the patient had a computed tomography of the abdomen done in the emergency room which was unremarkable except for common bile duct dilatation of about 13 mm with a small nonobstructing stone within the common bile duct, but no stone was seen at the ampulla. she also had a 1-cm kidney cyst and an atrophic right kidney. the patient then had a magnetic resonance cholangiopancreatography done which showed again that she had common bile duct dilation and an nonobstructing stone at the ampulla. the gastroenterology service was consulted for an endoscopic retrograde cholangiopancreatography. an endoscopic retrograde cholangiopancreatography was performed, it was unsuccessful as they could not cannulate the common bile duct. the surgery service was consulted for a cholecystectomy, which was to be done on . the patient intermittently had episodes of abdominal pain which would resolve with dilaudid. 2. anemia issues: the patient was worked up for this anemia. there was no evidence of bleeding. she was guaiac-negative in the emergency department. a colonoscopy and esophagogastroduodenoscopy were done which showed no evidence of bleeding. iron studies were sent and were consistent with an iron deficiency anemia. the patient was started on iron therapy. she did receive a total of 4 units of packed red blood cells initially, and since then her hematocrits have remained stable. 3. cardiovascular issues: the patient's blood pressure was slightly elevated during the hospital course; however, at one point in her stay it appeared that she had some evidence of congestive heart failure. as part of the preoperative evaluation, the patient had an echocardiogram done which showed that she had an ejection fraction of 40% to 45%. she had akinesis of the anterior septum, distal, inferolateral, lateral, and anterior walls. she had 1+ mitral regurgitation and mild pulmonary artery systolic hypertension. given these findings, the patient was sent for a stress test which was done on . she had no ischemic symptoms or electrocardiogram changes. the nuclear images showed a moderate fixed defect at the apex. given that there were no reversible defects, the patient was cleared for surgery as a moderate risk candidate . 4. renal issues: when the patient was admitted she had a creatinine of 2. this was felt to be secondary to hypovolemia. she was rehydrated, and her creatinine improved. her creatinine throughout the rest of her hospital stay was somewhere between 0.9 and 1.2. 5. seizure disorder issues: the patient was continued on her dilantin. 6. gout issues: for her gout, the patient was continued on her allopurinol. 7. disposition issues: the patient was to go to surgery tomorrow. note: the remainder of her hospital course will be dictated as an addendum. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified parenteral infusion of concentrated nutritional substances cholecystectomy esophagogastroduodenoscopy [egd] with closed biopsy other lysis of peritoneal adhesions intraoperative cholangiogram closed [endoscopic] biopsy of large intestine transfusion of packed cells endoscopic retrograde cholangiopancreatography [ercp] exploration of common duct choledochoenterostomy diagnoses: mitral valve disorders other chronic pulmonary heart diseases other convulsions paroxysmal ventricular tachycardia peritoneal adhesions (postoperative) (postinfection) iron deficiency anemia, unspecified calculus of gallbladder and bile duct with other cholecystitis, with obstruction 

Answer: The patient is high likely exposed to