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Headache - Coggle Diagram

- - - - Pulsating
      - Moderate to Severe
      - Unilateral
      - Aggravate
    - - 噁心或嘔吐
      - 怕光及怕吵
  - - - Squashing, Non-pulsating
      - Mild to moderate
      - Bilateral
      - Not aggravated by activities
    - - 無噁心嘔吐
      - 畏光怕吵最多一種
  - - - Eyelid edema
      - Forehead and facial sweating
      - Nasal congestion and/or rhinorrhea
      - Miosis瞳縮 and/or ptosis
      - Conjunctival injection and/or lacrimation
- - - - New onset
      - Abrupt onset
    - - Focal neurologic signs
      - Mental status change
      - Seizure
      - Pappiledema
    - - Pattern change
      - Position provocation
      - Precipitated by Valsalva
      - Progression
    - - Malignancy
      - Pregnancy
      - Weight loss
      - Fever
      - Immunocomprised
  - - - Valsalva maneuver更痛
      - 半夜痛醒nocturnal awaking
      - 平躺更痛
      - projectile vomiting
    - - Bradycardia
      - Slow and irregular breathing
      - Hypertension
  - - - 頭皮動脈腫脹壓痛
      - ESR, CRP ↑
      - Br. of ECA inflammation
      - Anterior ischemic optic neuropathy
      - 60歲以上new onset頭痛需懷疑此診斷
    - - 只在睡眠中發生 nocturnal awaking
      - 3取2
        
        首次發作大於50歲
        
        醒來後頭痛持續15分鐘以上
        
        一個月15次以上
      - Dull pain
      - No autonomic dysfunction
      - 噁心、畏光、怕吵不超過一項