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A 39 year old female has presented to your general practice asking for some form of contraception. She is particularly interested in the combined oral contraceptive pill. She has a past medical history of pelvic inflammatory disease, ectopic pregnancy and migraines. Her mother has a history of breast cancer. She smokes 15-20 cigarettes a day. Which of the following is an absolute contraindication for prescribing her the pill?
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