26th April 2024

A 6-year-old boy presents with a history of difficulty hearing, particularly in noisy environments.

A 6-year-old boy presents with a history of difficulty hearing, particularly in noisy environments. His teacher has noticed that he often does not respond to verbal instructions. Physical examination reveals a high arched palate, and a heart murmur is heard on auscultation. His mother mentions that he has always been a ‘clumsy’ child.

Which is the most likely diagnosis?