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Begin your examination by asking the patient how long he has had the spider angiomas and where they’re located. Then carefully examine him yourself, noting the size and location of the angiomas. On palpation, the angiomas may be slightly warmer than the surrounding skin and may have a pulsating central body. Also, check for other skin abnormalities, such as jaundice, dryness, and palmar erythema.
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
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