The Mnemonic “HEAD PAIN” can help you remember the clinical presentations of New Daily Persistent Headache.
New daily persistent headache (NDPH) is a type of chronic headache disorder that is characterized by the sudden onset of daily headaches that persist for at least three months without any apparent cause or trigger. It is considered a primary headache disorder, which means it is not caused by an underlying medical condition or other secondary factors.
NDPH typically begins suddenly without any warning signs and may be severe in intensity. The headache is usually bilateral, affecting both sides of the head, and can feel like a constant, dull ache or a pressing or squeezing sensation. It may also be accompanied by other symptoms such as neck pain, nausea, light sensitivity, and difficulty concentrating.
Clinical Presentation Of New Daily Persistent Headache :
- H – Headache on most if not all days
- E – Exact recall of moment of onset
- A – Abrupt or gradual onset
- D – Day and circumstances of onset recalled
- P – Persistent head pain without remission
- A – Distinguish between primary and secondary cause
- I – Investigation for exclusion of subarachnoid hemorrhage
- N – New and persistent head pain
Mnemonic: ” HEAD PAIN “