Neck Swelling Assessment Questionnaire Neck Swelling Assessment Questionnaire Neck Swelling Assessment Questionnaire Patient Details Patient Name Age (years) Sex Male Female Other Phone Number Address Swelling History Duration of swelling Less than 2 weeks 2–6 weeks More than 6 weeks Onset & progression Sudden onset Gradually increasing Static Pain Painless Painful Location & Behavior Side of neck Right Left Midline Bilateral Movement with swallowing No Yes Movement with tongue protrusion No Yes Local Features Skin over swelling Normal Red / warm Ulcerated / discharging Consistency (patient perception) Soft Firm Hard Associated ENT Symptoms Recent sore throat / URTI / fever No Yes Dental infection or oral ulcer No Yes Change in voice No Yes Difficulty in swallowing No Yes Systemic Symptoms Weight loss / night sweats / fever No Yes History of tuberculosis or contact No Yes Special Clues Swelling present since childhood No Yes Pain increases during meals No Yes Generate Provisional Diagnosis
