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: cc: major surgical or invasive procedure: egd () blood transfusion history of present illness: hpi: 44 y.o. male with pmhx of hypercholesterolemia, transferred from with likely upper gi bleed. patient was in his normal state of good health until he noticed left leg swelling and pain approximately two weeks ago. he reported to his pcp who referred him to for a le doppler, which ruled out a dvt. he was then started on naproxyn 500 mg on . six days later, he began experiencing frequent black, formed stools and dizziness. he denied hematemesis, coffee-ground emesis or hematochezia. he additionally denied abdominal pain/cramping. he had never experienced symptoms like these previously. he presented to his pcp again on because of these symptoms at which time he was found to be hypotensive, orthostatic and guaiac positive. he was rushed to where an urgent egd showed old blood in the stomach, but no active bleed. he was then hospitalized in the icu where serial hematocrits revealed a continuously dropping hct (lowest being 23), despite transfusion. he was thus taken back for repeat egd, which again showed no active bleed, but was significant for gastric varices. a subsequent ruq us showed normal liver with patent vasculature. an abdominal ct showed diverticulosis, with no signs of inflammation. the patient was treated with iv ppi and octreotide and received a minimum of 13 units of prbcs before ultimately being transferred to for further evaluation. . past medical history: hypercholesterolemia social history: patient reports current tobacco use - ppd x 15 years. he also reports alcohol use, up to 1 beer/week, occasionally. he denies any illicit drug use, intravenous or intranasal and has no tattoos or history of hepatitis that he knows of. family history: mother with gerd and second degree relatives with esophageal cancer. physical exam: vitals: t - 97.6, bp - 91/63, hr - 51, rr - 11, o2 - 100% ra general: awake, alert, nad heent: nc/at; perrla, eomi, anicteric sclera with no pallor; op clear, nonerythematous neck: supple, no lad chest/cv: s1, s2 nl, no m/r/g appreciated lungs: ctab abd: soft, nt, nd, + bs, no organomegaly rectal: maroon-colored, guaiac positive stool ext: no c/c/e neuro: grossly intact skin: no lesions pertinent results: <b>admit labs:</b> 05:32pm blood wbc-9.1 rbc-3.18* hgb-10.1* hct-28.2* mcv-89 mch-31.7 mchc-35.7* rdw-16.8* plt ct-153 05:32pm blood glucose-96 urean-14 creat-0.9 na-139 k-4.0 cl-111* hco3-24 angap-8 05:32pm blood calcium-7.6* phos-3.2 mg-1.8 <br> <b>other labs:</b> h. pylori serology () - negative 11:13pm blood hct-23.0* 06:22am blood wbc-10.1 rbc-2.95* hgb-9.7* hct-26.4* mcv-89 mch-32.9* mchc-36.8* rdw-15.8* plt ct-122* 03:02pm blood hct-26.1* 06:23pm blood hct-27.6* 11:54pm blood hct-29.0* 05:22am blood wbc-13.7* rbc-3.03* hgb-9.7* hct-27.4* mcv-90 mch-32.1* mchc-35.5* rdw-16.0* plt ct-162 02:04pm blood hct-27.0* 08:40pm blood wbc-8.8 rbc-2.96* hgb-9.5* hct-26.7* mcv-90 mch-32.0 mchc-35.5* rdw-16.9* plt ct-189 06:05am blood wbc-7.5 rbc-2.84* hgb-9.0* hct-26.0* mcv-91 mch-31.8 mchc-34.8 rdw-16.3* plt ct-188 09:20pm blood hct-27.0* <br> <b>discharge labs:</b> 06:00am blood wbc-6.8 rbc-2.79* hgb-8.9* hct-25.7* mcv-92 mch-31.9 mchc-34.6 rdw-16.4* plt ct-220 06:00am blood plt ct-220 06:00am blood glucose-88 urean-10 creat-0.8 na-141 k-3.4 cl-108 hco3-26 angap-10 06:00am blood calcium-7.3* phos-4.2 mg-2.1 <br> <b>procedures:</b> egd (): findings: esophagus: normal esophagus. stomach: excavated lesions a single ulcer with a visible vessel and surrounding edema and edematous folds was found in the antrum. on manipulation it started oozing and hemostasis was successfully achieved by a combination -cap electrocautery, 24cc epinephrine 1:10,000, and 4 resolution clips. duodenum: normal duodenum. impression: ulcer in the antrum (injection, thermal therapy, clipping) brief hospital course: 1. gi bleed. patient was transferred from an outside hospital for gi bleed. he was initially transfused 2 units prbcs and giveen ivf. an endoscopy on showed an antral ulcer, which was cauterized and clipped. serial crits were followed for concern for re-bleed. hcts were found to be stable, though they did not show a significant elevation. patient will have to follow up with gi in 8 weeks for repeat endoscopy and should avoid nsaids. prior to discharge, patient did not have any further brbpr. he did report slightly dark stool, though decreased vs. previous. no lightheadedness or dizziness. blood pressure and heart rate were stable. h. pylori antigen was sent and was negative. patient was initially on protonix 40mg iv bid. this was subsequently changed to 40mg po bid. this should be continued for one week. after that, he can change to protonix 40mg daily. patient instructed to have his hct checked as an outpatient this week (3-4 days after discharge) to make sure it is stable. hct on discharge was 25.7. <br> 2. hypercholesterolemia continued on outpatient lipitor. medications on admission: medications: naproxen 500 mg aspirin 81 mg qd lipitor 10 mg qd discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours): take one tab twice daily for one week. then take one tablet daily until egd done. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 3. hexavitamin tablet sig: one (1) cap po daily (daily). 4. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch transdermal once a day for 14 days: use for 2 weeks, then use 7mg patch for 2 weeks. disp:*14 patches* refills:*0* 5. nicotine 7 mg/24 hr patch 24 hr sig: one (1) patch transdermal once a day for 14 days: use for 2 weeks after using 14mg patch for 2 weeks. disp:*14 patches* refills:*0* discharge disposition: home discharge diagnosis: gastric antral ulcer discharge condition: afebrile, vital signs stable. discharge instructions: you were admitted for gastrointestinal bleeding. an endoscopy showed a bleeding gastric ulcer. please follow up with your primary care doctor this week (on wednesday or thursday ) to have your cbc (blood count) checked. hct on discharge was 25.7. you should also follow up with gastroenterology in 8 weeks for a repeat endoscopy. you will need to continue to take protonix 40mg twice daily for 1 week, and then change to 40mg daily after that. . please return to the er or call your primary care doctor if you have: blood in your stool increased black stools feel lightheaded or dizzy abdominal pain vomiting of blood or coffee-ground-like material followup instructions: provider: suite gi rooms date/time: 12:00 (endoscopy) provider: , md phone: date/time: 12:00 pcp: call primary care doctor, at . procedure: endoscopic control of gastric or duodenal bleeding diagnoses: pure hypercholesterolemia iron deficiency anemia secondary to blood loss (chronic) chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction 

Answer: The patient is high likely exposed to