Diagnosis
For the attending physician, the diagnosis is usually based on a combination of the patient’s medical history (anamnesis), physical examination and, if necessary, the patient’s blood count. Typically, the patient reported a pre-existing “permanent strain” on the nose, such as the wearing of unsuitable glasses or similar. Or the patient might report a recent infection.
In addition, the patient would most likely report that a reduced load on the nasal bone causes a significant improvement in pain. In the physical examination, the nasal bone would present itself as particularly painful under pressure, but there would be no evidence of a fracture. In the possibly requested blood count, a strong cell proliferation of inflammatory cells or cells of the immune system would show up; as well as the increase of the C-reactive protein, which is a typical inflammation marker in the human body.
