Cervical Node: Medical History

Medical history (history of the patient) represents an important component in the diagnosis of cervical node (lump on the neck).

Family history

  • What is the general health of your relatives?
  • Are there any diseases in your family that are common?
  • Are there any hereditary diseases in your family?

Social history

  • What is your profession?
  • Are you exposed to harmful working substances in your profession?

Current medical history/systemic medical history (somatic and psychological complaints).

  • When did you first notice the lump?
  • Did it develop slowly? Or did it appear acutely?
  • Is the lump sensitive to pressure?
  • Does the node move with you when you swallow? or
  • Is the knot firmly cemented to the skin?
  • Have you noticed any other symptoms such as fever, general feeling of illness, etc.?
  • Do you suffer from dysphagia?

Vegetative anamnesis incl. nutritional anamnesis.

  • Have you lost body weight unintentionally? If so, how many kilograms in what time?
  • Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
  • Do you drink alcohol more often? If yes, what drink(s) and how many glasses of it per day?
  • Do you use drugs? If yes, which drugs and how often per day or per week?

Self history incl. medication history.

  • Pre-existing conditions (infectious diseases, neoplasms).
  • Operations
  • Radiotherapy
  • Vaccination status
  • Allergies
  • Environmental history
  • Medication history