Review Question - QID 109592

A 20-year-old male presents to the emergency department because of several days of back pain and fatigue. He is a college student who just returned from a study abroad program in Morocco. During his final week abroad he engaged in a number of recreational activities including swimming at the beach, eating local foods such as couscous and bean salad, and riding a camel into the desert. His temperature is 99°F (37°C), blood pressure is 121/79 mmHg, pulse is 70/min, and respirations are 11/min. He says that otherwise he has been healthy except for some episodes of dark urine. Upon physical exam, his skin is found to be more yellow than usual under his eyelids. Which of the following findings would most likely be seen in this patient?