A 50-year-old male presents after a fall. He complains of nasal pain, and there is notable swelling. On examination, the nose appears to be in the midline, but there is tenderness on palpation. What could be the potential diagnosis, and what are the next steps?
The patient's symptoms and exam findings suggest a possible nasal fracture, likely nondisplaced given the lack of obvious deformity. Facial X-rays or a CT scan should be ordered to confirm the diagnosis. Depending on the results, conservative management with pain control and follow-up to monitor for any delayed complications would be recommended.