<prompt> A 35 year old primigravida presents to your OPD for a regular antenatal checkup in 3rd trimester. She is upset because of spidery veins appearing on her face,upper chest, and arms. What will you do next ?Do LFTs to rule out any liver diseaseRefer her to a dermatologistRefer her to a vascular surgeon to have the veins removedReassurance is enough  <response>: Spider angiomasare collections of tiny dilated blood vessels that usually radiate from a central point and resemble the legs of aspider. The appearance of these blood vessels is a normal occurrence with pregnancy and usually resolve spontaneously after delivery It occurs due to hormonal changes, i.e. hyperestrogenemia which occurs during pregnancy Reassurance is enough and they dont require any medical intervention. 