Fatigue in Medicine / Internal Medicine — 18yo Child | Hepatology | SMLE Q#12101
SMLE Question #12101
Medicine / Internal Medicine
Hepatology
Objective: OBJ-HEP-01
Last updated: February 2026
An 18-year-old girl has had a fine postural tremor for several months with fatigue and intermittent abdominal discomfort. Examination shows jaundice, splenomegaly, and Kayser–Fleischer rings. Laboratory evaluation shows hepatocellular injury with impaired synthetic function, low ceruloplasmin, and increased 24-hour urinary copper excretion. What is the most appropriate treatment for this patient at this stage?
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