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Gynaecology & Obstetrics
A 42-year-old primigravida presents to your office for a routine OB visit at 34 weeks gestational age. She voices concern because she has noticed an increasing number of spidery veins appearing on her abdomen. She is upset with the unsightly appearance of these veins and wants to know what you recommend to get rid of them. How do you advise this patient?
Tell her that this is not a serious condition and give her a referral to a vascular surgeon to have the veins removed
Tell her that you are concerned that she may have serious liver disease and order liver function tests
Refer her to a dermatologist for further workup and evaluation
Tell her that the appearance of these blood vessels is a normal occurrence with pregnancy and will resolve spontaneously after delivery
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