History of Present Illness (HPI)
A five-month-old boy is brought to the pediatric ophthalmologist by his mother with concerns about her son’s eyes. The mother reports that her son’s eyes don’t appear “straight.” She states it most frequently occurs when the patient is looking sideways or before naps. 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?
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 medication?
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