The video demonstrates a cephalocaudal assessment, a comprehensive physical examination, performed on a child named Lorena by Alejandro Moreno. The assessment begins with anthropometric measurements, including weight, height, and head circumference. Moreno then evaluates Lorena's scalp, hair, face, eyes, ears, neck, mouth, and throat, noting no signs of pain, inflammation, or infection. He proceeds to assess her chest, spine, and skin, finding no abnormalities. The abdominal examination involves inspection, palpation, percussion, and auscultation, revealing no signs of alteration or intestinal motility. Moreno also evaluates Lorena's arms, legs, hands, and fingers, finding no defects or coordination issues. The assessment concludes with a neurological evaluation of osteotendinous reflexes, indicating a normal response to stimuli. The results of the assessment are used to fill out growth and development graphs, which show that Lorena is at the 0th percentile for height and the 1st percentile for body mass index, indicating no growth retardation but a risk of overweight.
Here are the key facts extracted from the text:
1. The patient's name is Lorena.
2. Lorena is undergoing a cephalocaudal assessment.
3. The assessment is being performed by Alejandro Moreno.
4. Lorena is in an unknown grade.
5. Lorena's age is not specified.
6. Lorena's weight is 36 kilos.
7. Lorena's height is 133 cm.
8. Lorena's head circumference is 53 cm.
9. Lorena lives with an unspecified person/persons.
10. Lorena does not have any difficulty with speech or language.
11. Lorena's scalp and hair are normal, with no signs of fungus or pediculosis.
12. Lorena's skin is intact, with no signs of head lice or other infestations.
13. Lorena's face is symmetrical, with no alterations in the skin.
14. Lorena's eyes and gaze are symmetrical, with no signs of alteration.
15. Lorena's ears are normal, with no signs of infection or other issues.
16. Lorena's neck is normal, with no signs of inflammation or other issues.
17. Lorena's mouth and oral cavity are normal, with no signs of bleeding or other issues.
18. Lorena's tongue is normal, with no signs of alteration.
19. Lorena's visual acuity is optimal, with no signs of alteration.
20. Lorena's thorax and chest are normal, with no signs of pain or other issues.
21. Lorena's spine is longitudinal and symmetrical, with no signs of alteration.
22. Lorena's skin is intact, with no signs of deformity or other issues.
23. Lorena's abdomen is normal, with no signs of pain or other issues.
24. Lorena's arms and legs are complete and normal, with no signs of defect or alteration.
25. Lorena's hands and fingers are complete and symmetrical, with no signs of alteration.
26. Lorena's mother reports that Lorena has had regular medical check-ups.
27. Lorena's mother reports that Lorena has no genitourinary alterations.
28. Lorena's mother reports that Lorena makes regular and normal bowel movements.
29. Lorena's osteotendinous reflexes are normal, indicating a normal neurological response to stimuli.
30. Lorena's growth and development are within normal limits, according to the respective graphs and interpretations.