Cmdr. Anna Schwarz performs an exam on a patient at a medical site set up at Complejo Deportivo de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise 2015.

PUERTO BARRIOS, Guatemala (Apr. 28, 2015) Cmdr. Anna Schwarz, a pediatric nurse practitioner assigned to Naval Hospital Camp Pendleton, Calif., performs an exam on a patient at a medical site set up at Complejo Deportivo de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise 2015. Continuing Promise is a U.S. Southern Command-sponsored and U.S. Naval Forces Southern Command/U.S. 4th Fleet-conducted deployment to conduct civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations and to show U.S. support and commitment to Central and South America and the Caribbean. (U.S. Army photo by Spc. Lance Hartung) File# 150428-A-BK746-100