A 46-year-old white male comes in for evaluation of his migraine headache manage

A 46-year-old white male comes in for evaluation of his migraine headache management.
His medical history is inclusive for hypertension and a myocardial infarction at the age of 39. He was diagnosed with migraine headaches three years ago.
Current medications include Losartan 50 mg a day, verapamil SR 100 mg at bedtime, Carvedilol 25 mg a day, Lipitor 40 mg a day, Topamax 50mg a day
He has been admitted to the hospital for migraine management 3 times over the last 6 months. Inpatient admissions have ranged anywhere from 3 to 6 days. Management strategies utilized during the hospitalization include IV corticosteroids, IV Dilaudid and IV magnesium sulfate.
BP 132/84, P 82, R 15
Skin: pink, warm, dry
Neuro: alert and oriented, CNs II – XII intact
Cardio: radial and pedal pulses 2+, heart regular rate and rhythm without murmur or gallop
Lungs: clear to auscultation
Abdomen: large, non-distended, active bowel sounds all quadrants, non-tender to palpation
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