Nose shape symptoms Assessment Questionnaire

Why: to determine if acute or chronic.

Why: suggests a congenital disorder e.g. Down syndrome is characterized by a snub shaped nose; bifid nose (split into two parts) may occur in association with cleft lip and palate and usually result from genetic factors or being exposed to an agent during the second month of fetal life that causes abnormal fetal development.

Why: may indicate the cause of the abnormal nasal shape e.g. broken nose, deviated septum, separated septum, nasal septal necrosis, saddle nose deformity.

Why: although it is popularly believed that rhinophyma is caused by alcohol excess, there is no specific association between the two.

Why: e.g. leprosy is found primarily in Asia or Africa.

Why: may suggest trauma or deviated septum.

Why: e.g. flat facial profile, snub nose, excess neck skin, unusually shaped ears, round head, protruding tongue, short wide hands.

Why: e.g. bleeding nose, swelling around the eyes, bruising over the nose and around eyes, deformity of the nose. May be complicated by septal deviation, blood clot and abscess formation within the septum or perforation of the septum. If a blood clot and abscess form within the septum, the septum can die and collapse and cause a "saddle nose deformity".

Why: e.g. excessive growth of hands, excessive growth of tissues such as nose, lips and face, excessive growth of feet, increased size of jaw and tongue, weakness, sweating, headaches, loss of menstrual periods, loss of libido and deepening of voice.

Why: e.g.disfiguring enlarged nose with dilated follicles. Due to enlarged sebaceous glands, fibrosis and increased blood vessels. Caused by rosacea and possibly alcohol excess.

Why: e.g. episodic reddening of the face (flushing) with increases in skin temperature in response to heat stimuli in the mouth and alcohol; acne-like rash on the forehead, cheeks, nose and chin. May be complicated by rhinophyma (enlarged nose), enlarged cushion-like swelling of the forehead, swelling of the eyelids, cauliflower-like swelling of the earlobes and swelling of the chin.

Why: e.g. pale skin patches on the face, buttocks, arms and legs; nasal stuffiness, hoarseness of the voice, thinning of the outer part of the eyebrows. May have perforation of the nasal septum with collapse of the cartilage to produce a "saddle nose deformity". With progression of the disease, the typical "lion face" may result due to infiltration of the skin. Leprosy is found primarily in Asia and Africa.