<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 53-year-old man is brought to the emergency department by his wife because of a 1-day history of headache, blurry vision, and confusion. His wife also says that he hasnt urinated in the past 24 hours. Despite appropriate measures, the patient dies shortly after admission. A photomicrograph of a section of the kidney obtained at autopsy is shown. Which of the following is the most likely explanation for the findings indicated by the arrow?? A: Mycotic aneurysm, B: Severe hypertension, C: Chronic hyperglycemia, D: Necrotizing vasculitis, E: Atherosclerotic plaque rupture,  <response>: This is a medical question asking to identify the most likely explanation for the findings shown in the photomicrograph of the kidney section obtained at autopsy of a 53-year-old man. The key findings in the patient include headache, blurry vision, confusion, anuria, and death shortly after admission. The photomicrograph shows fibrinoid necrosis of a small artery in the kidney.Based on the clinical presentation of headache, visual changes, mental status changes, and anuria, this patient likely had malignant hypertension leading to thrombotic microangiopathy. The photomicrograph finding of fibrinoid necrosis in a small artery is characteristic of severe hypertension. Therefore, the most likely explanation is choice B - severe hypertension.B: Severe hypertension 