23rd July 2023

A 27-year-old presents with fatigue and jaundice. His blood tests reveal an elevated bilirubin

A 27-year-old presents with fatigue and jaundice. His blood tests reveal an elevated bilirubin, ALT and AST. A viral hepatitis screen is negative. He had a previous episode of acute jaundice 2 years ago, but no cause was identified. You consider whether the patient has Wilson’s disease.

What examination finding might you expect to see?

Select the SINGLE most appropriate option from the list below. Select ONE option only.