Multiple choice

After laparoscopic appendicectomy, a female patient slipped and hurt her nose on the bed. She developed swelling of the nose, injury to anterior nasal bone and had mild difficulty in breathing. What would you do next?

  1. Intravenous antibiotics for 7-10 days

  2. Observation in hospital

  3. Surgical drainage

  4. Discharge after 2 days and follow up of the patient after 8 weeks

Reveal answer Fill a bubble to check yourself
C Correct answer
Explanation

Post-traumatic nasal swelling with breathing difficulty following injury suggests a septal hematoma, which is a surgical emergency. Septal hematomas require immediate surgical drainage to prevent complications like cartilage necrosis, septal perforation, and saddle nose deformity. Mere observation or antibiotics would be inadequate. The clinical picture (swelling, breathing difficulty) points to hematoma rather than simple fracture.