A 45-year-old woman presents after a physical altercation. She complains of nasal pain and has noticeable swelling and bruising around the eyes. On examination, her nose appears deviated to one side. What are the potential diagnoses, and what are the next steps?
Her symptoms and examination findings are suggestive of a nasal fracture with associated periorbital ecchymosis, commonly known as "raccoon eyes." She likely has a displaced nasal fracture which has caused her nose to appear deviated. A CT scan should be ordered to assess the extent and severity of the fracture. She may require surgical intervention to realign her nasal bones and septum.