Nobody Nose – Punched on Face

Author: Abhishek Sharma / Editor: Sarah Edwards / Reviewer: Rebecca Ford / Codes: / Published: 31/05/2021 / Reviewed: 22/05/2025

A young male presents to the Emergency Department (ED) with a history of being punched on the face by a friend after drinking at a party. He complains of pain, swelling and deformity of the nose.

When you examine you find: Minimal bleeding from right nostril, deformity, bony crepitus and swelling at root of nose is seen. No septal haematoma on examination.

There is no indication for CT Head or C-spine.

You make the diagnosis of nasal bone fracture clinically.

Fig. 1 Broken nose – image via Wikimedia

Leave a Reply