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Blanching Spider Angioma (Nevus) on Physical Exam

#Spider #Angioma #nevus #telangiectasia #PhysicalExam #clinical #video #dermatology #skin #blanching
Blanching Spider ... dermatology #skin #blanching
Bile acids are the end products of cholesterol catabolism. Cholic acid and chenodeoxycholic acid are the
primary bile acids synthesized ... Human liver synthesizes ... diabetes, #bile, #bileacids
Mechanism of Action of Bile Acid Sequestrants
Bile Acid Sequestrants → ↓ Hepatic Bile Acid Pool →
#pharmacology #bileacid
Bleeding manifestations 
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2
They are non-blanching ... Glycoprotein Synthesized ... thrombocytopenia #Hematomas #blanching
Petechiae: punctate spots that arise from spontaneous bleeding secondary to profound thrombocytopenia. 
The spots (easily visible
are flat, non-blanching
Gram Stain - Bacteria Identification Algorithm
Gram Positive:
 • Rods: Oxidase+, Oxidase-, Fastidious, Anaerobic, Curved
 • Cocci:
Negative: • Rods: Branching
Pathways Involved in Protein and Amino Acid Metabolism in Chronic Kidney Disease. The tricarboxylic acid (TCA)
Urea is synthesized
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
density - Normal branching
Nocardia on Culture and Respiratory Microscopy
 - Gram stain from plate culture: classic beaded, branching GPR
classic beaded, branching
Lipoprotein Metabolism

Enterocytes release absorbed lipids the form of triglyceride-rich chylomicrons. These are acted upon by endothelial
cholesterol to synthesize