An 18 years old female presents to the ED complaining of migraine headache. Patient has a h/o migraine headaches for 2 years but in the past 2 months the frequency has increased. She also has nausea, breast tenderness, and a weight gain of 10 lbs during the past 2 months. Medical illnesses - none. BP 150/90, P 80, RR 14, Temp 98.6oF.

Medications- oral contraceptives (2 months). Physical examination within normal limits. The indication to discontinue oral contraceptive in this patient is:

A. weight gain

B. nausea

C. breast tenderness

D. increasing migraine headaches

E. mild increase in blood pressure

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