180409-N-UP035-0087 PUERTO BARRIOS, Guatemala (April 9, 2018) Hospital Corpsman 3rd Class Daphne Cardell checks the vitals of a 4-year old Guatemalan boy who waits to be seen for a cleft palate at the expeditionary medical unit in Puerto Barrios, Guatemala, during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)