A 50 years old lady presented to ED with severe right arm pain that radiate to her shoulder .She think that she may be had a bite with a spider in her garden as she found the spider beside her later. Her vitals signs : pr: 110 , BP: 150/90 , RR: 20 , spo2: 99% in r.a , afebrile, blood sugar 7 mmol/l. Local examination of theright arm , there is no obvious fang marks , mild redness , and you notice some sweating in that arm. Systematic examination is unremarkable
Q1 What are this spider bite associated manifestations ?