Background: Wilson Disease (WD) is a known cause of liver test abnormalities. Guidelines have been established to help clinicians avoid routine testing. According to the American Association for the Study of Liver Diseases (AASLD) Guideline, screening for WD—with serum ceruloplasmin, 24-hour urinary copper excretion, and slit-lamp examination for Kayser-Fleischer rings—is warranted in any patient with [...]

Case Presentation: A 27-year-old man with no known medical history was brought in by his family for progressive personality change and worsening insomnia. Three months prior to presentation, the patient had begun skipping coursework for his PhD program, and was noted to have new outbursts of unprovoked anger and impulsivity. On presentation, he was oddly [...]

Case Presentation: A 42-year-old woman with a history of common variable immunodeficiency, asthma, cirrhosis presumed secondary to non-alcoholic fatty liver disease, subdural hematoma, epilepsy, and inflammatory polyarthritis presented to the ED with altered mental status (AMS). She was in her usual state of health, living independently until one month prior when she developed intermittent hallucinations, [...]