An 11-Year-Old Boy Is Brought to the Physician for the Evaluation

An 11-year-old boy is brought to the physician for the evaluation of frequent falling. His mother reports that the patient has had increased difficulty walking over the past few months and has refused to eat solid foods for the past 2 weeks. He has met all developmental milestones. The patient has had multiple ear infections since birth. His temperature is 37.0°C (98.6°F) , pulse is 90/min, and blood pressure is 120/80 mm Hg. Examination shows foot inversion with hammer toes bilaterally. His gait is wide-based with irregular and uneven steps. This patient is at greatest risk of dying from which of the following conditions?

A) Aortic dissection
B) Brain tumor
C) Cardiomyopathy
D) Intracranial bleeding
E) Liver failure
F) Renal disease

Correct Answer:

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