Rhinology Q3

A 26-year-old diver has presented to the Emergency Department complaining of blurry vision and watery rhinorrhoea that increases on bending forwards. He has recently returned from a diving expedition and reports blunt trauma to the head.

Which is the most appropriate next step in the management of this patient?

  • A) Anterior nasal packing
  • B) CT head
  • C) Silver nitrate cautery
  • D) Book and consent patient for surgery
  • E) Send nasal discharge to test for glucose oxidase