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: no known allergies / adverse drug reactions attending: chief complaint: hematemesis, melena major surgical or invasive procedure: egd history of present illness: 85 y/o male with h/o bladder cancer s/p urostomy, htn, hld, and h/o gib who presents from hospital ed with concern for upper gi bleed in the setting of dark-colored stools and hematemesis. three days prior to admission, the patient developed the sudden onset of dark-colored stools. he gradually developed nausea and vomiting with four episodes of coffee-ground emesis. with regards to his prior gib, the source is unknown as the family is unaware of whether the patient had an egd or colonoscopy. he was recently started on an nsaid weeks ago for a joint effusion. he developed gi upset and the dosing was decreased from daily to . he was also started on aspirin 81 mg po daily one week ago. he has no history of alcohol abuse, liver disorders and is not on any anti-coagulation. patient reports ongoing nausea but denies any fevers, chills, abdominal pain, chest pain, sob, or dysuria. he denies any dizziness or presyncope. . the patient initially presented to hospital ed. he was given an octreotide bolus, protonix bolus and was started on a protonix drip. an ngt was placed which revealed coffee-ground emesis which cleared with ng lavage. his hemoglobin at hospital was 10.1, which is noted to be his baseline. on arrival to the ed, his initial vs were 96.4, 60 113/49, 14, 99% ra. his repeat cbc revealed a hemoglobin of 9.6 and a leukocytosis of 15.6 with a left-shift (pmns 84.9%) with no bands. a cxr did not reveal any evidence of aspiration and was otherwise clear, and ngt was noted to be appropriately placed. he was continued on the protonix gtt and given 2 l ns. he was t&s for 2 units. a gi consult was called prior to transfer to the micu and they plan on egd in the am. vs on transfer were 96.4, p: 65, bp: 105/36, rr: 20, 99% on 2l nc. . currently, he is without complaint and states he is feeling better. past medical history: 1. bladder ca s/p urostomy 2. hypertension 3. hyperlipidemia 4. siadh social history: patient lives by himself with the help of 2 home health aides. he denies ever drinking alcohol, smoking or using illicit drugs. family history: patient unsure but denies a history of cancer. physical exam: general - well-appearing in nad, comfortable, appropriate heent - nc/at, perrla, eomi, sclerae anicteric, sl dry mm, op clear neck - supple, no thyromegaly, no jvd, no carotid bruits lungs - crackles at rll, otherwise ctab, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - pmi non-displaced, rrr, no mrg, nl s1-s2 abdomen - urostomy in place in rlq, nabs, soft/nt/nd, no masses or hsm, no rebound/guarding extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps) skin - no rashes or lesions lymph - no cervical, axillary, or inguinal lad neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, gait deferred pertinent results: 08:45pm blood wbc-15.9* rbc-2.92* hgb-9.6* hct-28.2* mcv-97 mch-32.8* mchc-33.9 rdw-12.5 plt ct-338 05:25am blood wbc-9.9 rbc-2.85* hgb-9.0* hct-27.3* mcv-96 mch-31.5 mchc-32.9 rdw-14.7 plt ct-288 10:14am blood wbc-7.5 rbc-2.85* hgb-8.9* hct-26.3* mcv-92 mch-31.2 mchc-33.8 rdw-15.9* plt ct-235 08:45pm blood neuts-84.9* lymphs-12.8* monos-1.7* eos-0.2 baso-0.4 04:32am blood pt-12.3 ptt-72.5* inr(pt)-1.1 04:32am blood glucose-80 urean-41* creat-1.6* na-141 k-3.4 cl-111* hco3-24 angap-9 08:45pm blood alt-26 ast-31 ld(ldh)-231 alkphos-74 totbili-0.4 brief hospital course: patient is a 85 y/o male with h/o bladder cancer s/p urostomy, htn, hld, siadh who presents with upper gi bleed in the setting of recent nsaid use. . #. upper gi bleed: patient admitted with hematemesis and melena consistent with upper gi bleed. given his recent use of nsaids and aspirin, gastritis or ulcer were the most likely etiology. he remained hemodynamically stable. he was initally placed on a ppi drip and transitioned to high dose ppi iv bid. he underwent egd; a peptic ulcer was found in the distal bulb, and this was clipped. he was transferred to the floor and remained stable. his ppi was made po and his home medicines were restarted. we held his aspirin and his nsaid pain medicine. he should avoid nsaids in the future. he will need to have his asa started at the discretion of his pcp. . #. leukocytosis: ua suggestive of uti, although he has chronic indwelling urostomy and no symptoms of infection. also be secondary to stress reaction in setting of probable gib. cxr without infiltrate c/f pneumonia. urine culture was negative. leukocytosis resolved and was likley due to acute bleed. . . #. positive urinalysis/asymptomatic bacteriuria: patient s/p bladder cancer with urostomy so has chronic indwelling biofilm so ua likely to be persistently positive. culture was negative. no antibiotics were given. . #. hypertension, benign: amlodipine and nadolol were held on admission. his bp normalized and his home anti-hypertensives were restarted. . # night time oxygen desaturations; patient had several nighttime sao2 values of 75% while sleeping. he was asymptomatic during these events. he did not endorse symptoms to suggest sleep apnea. sleep was consulted and felt he did have evidence however an urgent inptaint sleep study was not warrented. he will be discharged on night time home oxygen therapy and will follow up with the sleep clinic in early . in the mean time he will need assistence in setting up an outpatient sleep study. his pcp was called and this was communicated to him directly. . +++++++++++++++++ transitional issues: 1) consider restarting aspirin 81 after follow up visit with pcp, there is no recurrent bleeding. 2) will need cbc and chem 7 checked on monday following discharge by pcp (office aware). hct 29.3 and creatinine 1.6 on last check here. 3) will need to have outpatient sleep study set up, preferably at hospital. 4) he was advised to avoid nsaids. . medications on admission: demeclocycline 150 mg po bid simvastatin 10 mg po daily nadolol 20 mg po once a daily amlodipine 10 mg po daily aricept 10 mg once daily aspirin- 81 mg po daily (started 1 week ago) arthrotec 75/200 1 tab (diclofenac/ misoprostol) discharge medications: 1. home o2 patient requires night time home oxygen. documented desaturations to <78% on room air while sleeping. corrects fully with oxygen. saturations remain above 90% on ra while awake. please start at 2l/min nasal cannula and titrate to sao2 >95% 2. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 4. demeclocycline 150 mg tablet sig: one (1) tablet po bid (). 5. nadolol 20 mg tablet sig: one (1) tablet po daily (daily). 6. amlodipine 10 mg tablet sig: one (1) tablet po once a day. 7. donepezil 5 mg tablet sig: two (2) tablet po hs (at bedtime). 8. outpatient lab work please draw cbc, sodium, potassium, chloride, bicarb, bun and cr 9. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). discharge disposition: home with service facility: medical discharge diagnosis: duodenal ulcer sleep apnea discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to because you had a bleeding ulcer in your stomach. this was a result of the anti-inflammatory medications you were taking for your knee. the gi doctors placed across the bleeding and it has stopped. you will need to follow up with your pcp as listed below. . you also were found to have a condition known as sleep apnea. you will need to have a sleep study soon after being discharged from the hospital. you will need to discuss this with your pcp and have this set up at hospital when you see him in follow up. in the meantime you will need to wear oxygen while you sleep. . while you were here we made the following changes to yoru medications. we stopped your arthrotec we stopped your aspirin - you will need to talk about when to restart this with your pcp we started you on pantoprazole we started you on senna we started you on colace . you should continue to take your other emdications as directed. followup instructions: you will have need to have your blood drawn this monday at dr. office. you will be given an oreder to take with you that will let them know what tests to order. . you will be called by dr. office to have a follow up appointment sheduled. if you have not heard from them in 1 week you shoudl call them asap to set up a follow up appointment. . you will need to see the sleep physicians for a follow up appointment on tuesday at 9am. please call ( to set up the details of your appointment. they will help to schedule your sleep study for you. procedure: endoscopic control of gastric or duodenal bleeding diagnoses: obstructive sleep apnea (adult)(pediatric) acute posthemorrhagic anemia acute kidney failure, unspecified other and unspecified hyperlipidemia chronic or unspecified duodenal ulcer with hemorrhage, without mention of obstruction other disorders of neurohypophysis unspecified analgesic and antipyretic causing adverse effects in therapeutic use other artificial opening of urinary tract status benign essential hypertension other nonspecific findings on examination of urine malignant neoplasm of bladder, part unspecified 

Answer: The patient is high likely exposed to