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Clinical Case 12
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A 21-year-old college student is brought to the emergency department by his friends because of bizarre behavior. His friends state that he has been acting "a little odd" lately, but they are unaware of any drug abuse. He does drink alcohol but is not known as a binge drinker. His friends do not know his medical history but state he was taking a prescription drug for a "metabolic disorder," which he stopped several months ago. He is uncooperative, paranoid, and disoriented. You note brownish pigmentation of his corneas on physical exam. This may be the first case of Wilson's disease you have ever seen.



1

Regarding this patient, which of the following is INCORRECT?
A)The patient has likely had episodes of hemolytic anemia in the past.
B)The patient has likely discontinued zinc.
C)The patient likely has an elevated ceruloplasmin level on blood test.
D)The patient likely has hepatolenticular degeneration.
E)The patient is at risk for hepatic failure.







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