A 50-Year-Old Man Comes to the Office for a Routine

A 50-year-old man comes to the office for a routine follow-up visit.  He has hypertension, diabetes mellitus, depression, secondary hyperparathyroidism, and end-stage renal disease.  The patient has been on hemodialysis for the past 3 years.  He was admitted 3 months ago for catheter-related infection, which was treated with antibiotics.  The patient also had a right below-the-knee amputation 2 years ago following a nonhealing foot ulcer.  Physical examination shows a right carotid bruit.  Over the next 5 years, this patient is at greatest risk of death from which of the following?

A) Cardiovascular disease
B) Infection
C) Suicide
D) Venous thromboembolism
E) Voluntary withdrawal of dialysis

Correct Answer:

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