【正文】 職 業(yè)(Occupation): 病史陳述者(Complainer of History): 主訴(Chief Complaint)： headache and fever for 10 days.現(xiàn)病史(History of the Present Illness)：10 days ago, the patient had headache for no obvious reasons. There was persistent pain on the external parietal part of the head. The pain was not related to postural changes. The trigger was unclear but was acpanied by fever with body temperature fluctuations between 176。C Weight: not measured kg Height: not measured cm Posture: Can answer correctly and collaborates. 皮膚、黏膜(Skin、Mucosa)：Color: Refer to speciality Rash: Absent Hemorrhage: Absent Edema: refer to specialitySuperficial lymph nodes: No enlargement of superficial lymph nodes in the whole body頭部及其器官(Head and HEENT)：Shape of head: Normal Conjunctiva: No hyperemia or edema Sclera: Refer to speciality Pupil: Symmetrically round Nasal cavity: Clear Sinus tenderness: Absent Teeth: Normal Oral mucosa: Normal Mastoid tenderness: Absent Hearing: No abnormality Tonsils: No enlargement Others: Negative頸部（Neck）:Flex: Soft position of trachea: Midline thyroid gland: No enlargement Jugular vein: No distension Others: None 胸部(Chest)：Shape: Normal, symmetric intercostals space: Normal Breasts: Symmetric, no abnormality 肺臟(Lungs)：Breathing: Symmetric percussion sound: Clear breath sounds: Clear Crackles: Absent Others: Absent 心臟(Heart)：Heart rate: 78 bpm Heart sounds: Normal Murmurs: Absent Others: Absent 血管(Blood Vessel)：Peripheral vessel sign: Negative腹部(Abdomen)： Refer to speciality 外生殖器(Genitourinary system)：not examined直腸、肛門(Rectum、Anus)： Not examined四