Vital signs are stable. She is an attractive little girl. Her skin is clear. Her ears are low set, slightly posteriorally rotated, tympanic membranes are clear. Pupils are round, equal and reactive to light.
Extraocular muscles are full.
Fundi are normal. The left iri has an unusual black area and she is able to converge well. She is not, however, able to separate eye and head movements easily. She has a widenasal base. Oropharynx is clear with large tonsils that are not injected.