Review Question - QID 212539

A 43-year-old man is brought to the clinic by his wife with complaints of “looking yellow.” His wife started noticing his “yellow eyes” about 3 weeks prior. The patient’s past medical history is unremarkable. Family history is significant for colorectal cancer in his father diagnosed at the age of 52. He denies any fever, chills, or abdominal pain but endorses weight loss, generalized headaches, and some light-colored stool for the past few weeks. Physical examination is remarkable for some darkening of his gums shown in Figure A. What additional finding would you expect in this patient?