Paeds Cases · genetics-dysmorphology-and-metabolism

Communicating a new Wilson disease diagnosis — OSCE

OSCE communication and shared decision-making station: explaining to the parents of a 13-year-old boy what a new Wilson disease diagnosis means, why copper accumulated and caused the tremor and liver changes, what the lifelong treatment involves and why it must never be stopped, what the Kayser-Fleischer rings tell the clinician, the family screening obligations for his siblings, and the role of liver transplantation - while addressing guilt, the fear of a restricted life, and the question of cure.