system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 28-year-old man comes to the physician for the evaluation of a progressively worsening tremor in his hands and multiple falls over the past 3 months. The tremor occurs both at rest and with movement. He also reports decreased concentration and a loss of interest in his normal activities over this time period. He has no history of serious medical illness and takes no medications. He drinks two alcoholic beverages daily and does not use illicit drugs. Vital signs are within normal limits. Physical exam shows mild jaundice, a flapping tremor, and a broad-based gait. Serum studies show:
Aspartate aminotransferase 554 U/L
Hepatitis B surface antibody positive
Hepatitis B surface antigen negative
Ceruloplasmin 5.5 mg/dL (normal: 19.0-31.0 mg/dL)
Which of the following is the most appropriate pharmacotherapy for this patient?"
assistant
Penicillamine