Sunday, February 06, 2005

Q2: Nasal swellings


Nasal swellings Posted by Hello

A middle-aged gentleman presents with complete nasal obstruction and low grade fever for one week. This is a photograph of his nose.

What are the swellings seen in the nose?

What is the most common cause of this condition?

5 comments:

  1. is it septal haematoma with abscess formation (that will cause fever)? common cause: injury.

    this is not my answer by the way. it's my friend's :).

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  2. Anonymous10:46 PM

    i think is a septal haematoma cause by a trauma to the nose ( a punch to the nose maybe..)

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  3. Anonymous9:57 PM

    Could it be septal abscess?

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  4. Yes, this is a septal abscess.

    By virtue of it appearing on both sides of the nose, one can confidently assume that septal necrosis has set in and this abscess is 'through-and-through.'

    The most common cause is trauma to the nose, resulting in septal hematoma and subsequently secondary infection.

    Such collections, which are situated sub-perichondrially, will result in septal necrosis within days as cartilage depends solely on its lining perichondrium for nutrition.

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  5. Anonymous3:08 AM

    One should also beware of intra-cranial septic complications.

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