RED EYE – HISTORY TAKING                                           

Greeting/Introduction

Establishes identity of patient/Rapport

Empathy/checks comfort of patient

Explains purpose of visit

Identifies the topic for discussion

Duration

One/both eyes

Mode of onset: sudden/gradual

Nature of symptoms: constant/Intermittent

Aggravating/Relieving factors

Changes in vision

Associated symptoms

a.      Pain

b.      Headache

c.      Discomfort/irritation

d.      Discharge /sticky eyes

e.      Dry/gritty eyes

f.       Itching/burning sensation

g.      Photophobia

h.      Vomiting

i.        Spots/haloes around light

History of trauma to eye

History of Urethral discharge

Fever, Joint pain, Skin rashes

Back pain/stiffness

Bowel problems

Past Medical History:

Family History of similar problems/Glaucoma

Similar problems in community/workplace

Ensured understanding of patient’s problems/concerns

Made a reasoned assessment of patient’s problem

Summarised and clarified further actions

Thanks the patient