Marmite is made from yeast extract, a by-product of beer brewing.Other similar products include the Australian Vegemite, which is saltier in taste, the Swiss Cenovis and the German Vitam-R.n 1990, Marmite Limited â which had become a subsidiary of Bovril Limited â was bought by CPC International Inc, which changed its name to Best Foods Inc in 1998. Best Foods Inc subsequently merged with Unilever in 2000, and Marmite is now a trademark owned by Unilever.
Costovertebral angle tenderness (CVAT), also known as Murphy's punch sign or Pasternacki's sign or Goldflam's sign (Latin: succusio renalis), is a medical test in which pain is elicited by percussion of the area of the back overlying the kidney (the costovertebral angle, an angle made by the vertebral column and the costal margin).
Most patients have poorly localized tenderness over the joints, especially the shoulders and hips. Synovitis was once excluded as a feature of giant cell arteritis, but moderate bland effusions can develop in the knees and occasionally other joints (eg, shoulders, wrists).he carotid, axillary, and brachial arteries should be assessed for bruits. Carotid bruits occur in 10-20% of patients with giant cell arteritis (GCA) and are frequently bilateral.