A child from a Russian orphanage will most likely come with either a very detailed medical history with a variety of medical terms Western society has never heard of or they will have only the history from when they entered the orphanage, as there was little or no medical care or history prior to their orphanage life.
Russian Medial Reports can often be difficult to interpret because of the language translation but typically the medical care is sound, or at least they try to be with the money they are allotted.