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Hello,
Dear customer

Regarding what you mentioned,

  the patient has a history of venous thrombosis , so it is highly recommended to rule out this condition as one of the possible causes that lead to this condition.

What are the possible causes of this case ?

• This may be due to venous thrombosis.
• This may be due to history of trauma to the arm.
• This may be due to bacterial infection of the affected arm .
• This may be due to muscle spasm.

What is the exact cause of this case ?

Without doing a full clinical evaluation of the case we cannot determine the exact cause of your condition.

What should you do in this case ?

 we recommend that you visit your  GP doctor or the internist  doctor so that the doctor could detect the cause of this case then he will  treat your case accordingly such as prescription of anti coagulant in the case of thrombosis.  
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