History of Present Illness (HPI)
A three-year-old girl is brought to the pediatric ophthalmologist by her mother with concerns about her daughter’s eyes. The mother reports that her daughter’s eyes don’t appear “straight.” She states it occurs almost all the time in the right eye. She notices that the patient’s right eye deviates more nasally than the left eye.
In patients presenting with ocular misalignment, what additional questions do you want to ask? Choose at least 3 before moving on. Choose all that apply.
What is the birth history?
Were there any complications or maternal illnesses during pregnancy?
Any history of teratogenic drug use during pregnancy?
Does the child have any developmental abnormalities?
Any family history of ocular misalignment?
Is there any medical history?
Any history of head or ocular trauma?
What is the duration of the misalignment?
Any associated ocular symptoms such as tearing or redness?
Does the child take any medications currently?
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