Here is what Longyun/Londyn's referral paperwork looked like.
CHILDREN MEDICAL EXAMINATION RECORD
Date of Examination:
Name: ZHAO LONG YUN
|
Sex: Female
|
DOB: Oct.24,2012
|
Placement Institute (Person): Children’s Welfare Institute of Jinan City
|
Medical history: hemangioma, CHD
|
General
Condition
|
Height: 63 cm
|
Weight: 7.1kg
|
Head Size: 41.5 cm
|
Chest Size: 43cm
|
Vision: L&R normal vision
|
Corrective Vision: L&R
|
Color Sense:
|
Trachoma: L&R
|
Others:
|
Hearing: L&R normal hearing
|
Ear Disease: L&R
|
Nose:
|
Sense of Smell:
|
Others:
|
Throat: (-)
|
Oral Cavity: (-)
|
Teeth: nil
|
Dental Caries: nil
|
Lungs: (-)
|
Abdomen: (-)
|
Liver: not palpable
|
Spleen: not palpable
|
Heart: (-)
|
Heart rate: 124 beats/minute
|
Rhythm: regular
|
Blood Pressure: 80/60
|
Nervous system:
|
Nervous reflex:
|
Spine: (-)
|
Thorax: (-)
|
Limbs: (-)
|
Motion: sit without help for a while
|
Deformity: (-)
|
Skin: large area erythema can be found on face and lower limbs, no fading when pressed
|
Anus: (-)
|
Urinogenital System: (-)
|
Hernia: (-)
|
Fontanel: 1x1cm
|
Others: (-)
|
Laboratory Exam: Blood Rt., Urinalysis, HbsAg, HbsAb, HbcAg, HbeAg, HbeAb, Anti-HIV, Syphilis(RPR):
|
Laboratory Report
|
HBsAg: <0.01(0-0.5)
|
HBsAb: 1.42(0-10)
|
HBeAg: <0.01(0-0.05)
|
HBeAb: 4.68(0-5)
|
HBcAb: 0.85(0-1.5)
|
|
HIV: Negative
|
TP: Negative
|
Conclusion and Suggestion: 1. CHD; 2. hemangioma; 3. anemia(mild)
Sign by: XXX
Qilu Children’s Hospital of Shandong University(Seal)
Jul.16,2013
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Lab Test Result (Blood)
Qilu Children’s Hospital of Shandong University
Name: ZHAO LONG YUN Sex: female
Item
|
Result
|
Reference
|
WBC
|
8.5
|
4-10 109/L
|
RBC
|
3.37L
|
3.5-5.5 109/L
|
HGB
|
90.0 L
|
110-170 g/L
|
HCT
|
26.4 L
|
37-52 %
|
MCV
|
78.4 L
|
80-98 fL
|
MCH
|
26.7 L
|
27-35 pg
|
MCHC
|
341
|
310-370 g/L
|
PLT
|
318.0 H
|
100-300 109/L
|
LYMPH%
|
76.0 H
|
20-40 %
|
MONO%
|
6.8
|
3-8 %
|
NEUT%
|
15.3 L
|
50-70 %
|
EO%
|
1.9
|
0.5-5 %
|
BASO%
|
0
|
0-1 %
|
LYMPH#
|
6.46 H
|
0.8-4 109/L
|
MONO#
|
0.58
|
0.12-0.8 109/L
|
NEUT#
|
1.30L
|
2-7.7 109/L
|
EO#
|
0.16
|
0.05-0.5 109/L
|
BASO#
|
0
|
0-0.1 109/L
|
RDW-CV
|
16.6H
|
10.9-15.4 %
|
RDW-SD
|
49.6 H
|
39-46 %
|
PDW
|
15.7
|
9-17 fL
|
MPV
|
5.5 L
|
7.6-13.2 fL
|
PLCR
|
8.1
|
13-43 %
|
PCT
|
0.175
|
|
Date: May 7,2013
CT Report
Qilu Children’s Hospital of Shandong University
Name: ZHAO LONG YUN Sex: female
Image findings:
Decreased of bilateral temporal and parietal medulla density, CT value equals 19 Hu, no obvious expansion or narrowness in brain fluid cavity, midline structure lies in the middle.
Image diagnose:
Decreased of bilateral temporal and parietal medulla density, please combine with clinical manifestations.
Physician: GAO XIN
Date: Nov.4,2012
Ultrasound Report
Qilu Children’s Hospital of Shandong University
Name: ZHAO LONG YUN Sex: female
Ultrasound features:
Features of M type, two-dimensional and three-dimensional echocardiography:
Right location of atrium, cardiac apex points to left, right ventricular loop.
Left atrium: 12 mm, left ventricle: 20 mm, right atrium: 21*22 mm, right ventricle: 11 mm; LVPW: 3.0 mm, IVS: 2.8 mm, RVAW: 2.5 mm, ascending aorta: 10 mm, MPA: 12 mm, left branch: 4 mm, right branch: 4 mm.
Normal thickness and movement of ventricle wall, continuous and complete IVS, suspend 3 mm of atrial septum fossa ovalis echo, no obvious abnormal findings of valves structure and closeness.
LVEF: 0.70 FS: 38%
Doppler echocardiography feature:
1. systole shunt from left to right palpable in atrial septum fossa ovalis, wideness of 3 mm.
Ultrasound hint: PFO.
Physician: XXX
Date: Jan.11,2013
Growth Record for Adopted Children
ZHAO LONG YUN, female, abandoned baby, DOB: Oct.24,2012(estimated). She was abandoned near the rails at the gate of Children’s Welfare Institute of Jinan City on Nov.4,2012, after trying to find her birth parents but in vain, she was sent to this institute by Liufu Police Station of Public Security Bureau of Jinan City.
On admission she is about 10 days, she has purple red birth marks around left ear, whole shoulder, most part of left lower limbs, small part of right lower limbs and both feet, transferred to Children’s Hospital the same day. PE: good reaction, stable breath, poor skin elasticity, has decrustation, mild stained yellow, large area of red spots on face, hip, perineum and lower limbs, slight higher than skin, not fading when pressed, flat anterior fontanel. HR 128 bmp, in order, strong heart sound, soft abdomen, normal muscular tension of four limbs.
After admission the child was given the scientific feeding by the work staff, make reasonable training plan, basically adapt to life in the institute. At the age of 4 months, she enters into infant nurturing project for early education, smile when teased, has 2 dimples. At the age of 5 months, she can turn her head when lying on the mattress, can transfer from lying on back to lying on side, can make eye contact for long time, respond by Ahah ohoh when someone talk to her. She likes staring at her hands, often put thumbs in her mouth and make sounds when sucking.
Currently, she is 11 months old, she likes jump on adults’ legs with armpit holding, likes rattles with bright color, laugh out happily when she hears sound of rattle, grasp toys firmly and shake, raise her head when lying on the mattress, look around and smile to her when someone calls her name. She would cry if you does not feed her first in mealtime, calm down if you hold her and touch her head gently. She is active, has a ready smile, adding supplementary food. She has balanced nutrition and good physical development. She has routine life, has good life habits, has reasonable diet.
Eating and daily life:
6:00: get up
7:00: have formula milk, rice flour and yolk about 200ml
8:00: have water
9:00: take part in activities in activity room
9:30: supplementary food: formula milk, rice flour and yolk about 200ml, adding soft egg custard, minced food made of flour, minced vegetables.
10:30: have water, fruit jar, juice etc.
11:45: take a nap
13:00: lunch: formula milk, rice flour and yolk about 200ml, adding minced food made of flour, minced vegetables, minced meats or bean products.
14:00: free activities in activity room
14:30: have water, fruit jar, juice etc.
16:00: supper: minced food made of flour, minced vegetables, minced meats
18:00: have water, fruit jar, juice etc.
19:30: supplementary food: formula milk, rice flour and yolk about 250ml
20:10: go to sleep
23:00: formula milk, rice flour and yolk about 200ml
This institute has vaccinated the children regularly according to the requirements of the epidemic prevention departments in our country.
Sender: XXX
Children’s Welfare Institute of Jinan City (seal)
Sep.10 2011
State of Growth of Prospective Adoptive Child(0-1 years)
Child’s name: ZHAO LONG YUN
Welfare Institute: Children’s Welfare Institute of Jinan City in Shandong Province
Date: Oct.25,2013
Name: ZHAO LONG YUN
|
Sex: Female
|
DOB: Oct.24, 2012
|
Birth place: Jinan in Shandong
|
The baby is institutionalized: √ Intake time: Nov.4, 2012
Fostered: □ Intake time:
|
Weight: 9 kg
|
Height: 66.5 cm
|
Head circumference: 42cm
|
Chest circumference: 43 cm
|
Number of teeth: 4
|
Health History: hemangioma, CHD
|
Routine schedule:
|
Please describe when the baby gets up, has a nap after lunch, goes to bed at night and his/her meals? How many times does he/she urinate or defecate in a day?
She has supplementary food at 5:00, gets up at 6:00, breakfast at 9:00, lunch at 11:30, takes a nap at 12:00,supper at 16:00, supplementary food at 20:00, goes to bed at 19:00; defecates 1-3 times and urinates 6-10 times per day.
|
Sleep:
|
Deep sleep□ Moderate sleep√ Light sleep □ Crying □
In sleep he/she is liable to suck finger√ or suck soother □ or something else:
|
Eating:
|
Please describe the frequency and volume of milk per day, and when and what kind of supplementary foods are added:
She has dairy products 5-6 times a day, 200-300 ml for each time, adding minced egg custard, minced food made of flour, minced vegetables, minced meats or bean products, juice, fruits jar etc, likes to eat biscuits.
|
Motor development:
|
Holds his/her head up while lying on the stomach√
Rolls from supine to prone position by him/herself √
Sits alone quite steadily √ Grasps toy near hand √ Tears paper □
Takes a toy block in one hand, then taking another one by using the other hand □
Stands with his/her hands holding onto support □
Picks up small things like beans with his/her fingers□ Crawls on hands and knees □
Uses thumbs and index fingers deftly □
Stands alone for a moment□ Walk with one hand held□ Holds a pen with whole hand and scribbles□
|
Adaptability:
|
Locates the direction of sound/voice√
Visually follows moving toys√
Holds blocks on each hand at the same time √
Looks for the dropped toy √
Transfers a block from one hand to the other √
Reach and grasp a toy beyond √ Takes a toy block out of the cup □
Bangs two blocks together □ Put the block into a cup□
Puts the cap on its bottle□
|
Language and sociality:
|
Follows you with moving head from one side to the other√
Laughs aloud√
Distinguishes between acquaintance and strangers√
Sounds directed at someone or something√
Eats biscuits without help √
Knows name, turns when called√ Imitates sounds □
Responds to the facial expression of adults√ Imitates words□
Express his/her refusal in a simple way □
Responds to other’s asking for his/her objects□
Points to eyes, ears, nose, mouth and hands with his/her fingers when asked (two of them will do) □
Takes off his/her sock by him/herself√
|
Personalities:
|
Quiet□ Active√ Restless√ Fond of imitating □
Fond of listening to music □ Fond of playing with toys √
Having a ready smile√ Fond of quietness□ Quick in reaction √
Fond of reading picture books □ Fond of playing games√
Obstinate sometimes□ Impatient sometimes √
Closest to: caretaker√ or another baby with whom he/she shares a crib or others:
Favorite activity: play toys with caretakers
Favorite toy: rattle, toys with sounds
|
Recent Comments