injuries poisoning
Fractures of the Nose
Symptoms and Signs of Nasal Fractures
Facial trauma resulting in epistaxis may indicate a nasal fracture. Other symptoms and signs include obvious or subtle nasal deformity, swelling, point tenderness, crepitus, and instability. Lacerations, ecchymosis (nasal and periorbital), septal deviation, and nasal obstruction may be present. Septal hematoma appears as a purplish bulge on the septum. Cerebrospinal fluid (CSF) rhinorrhea appears as clear drainage but may be mixed with blood, making it difficult to identify. 