<prompt> What is the condition affecting this newborn with facial dysmorphisms and the features shown below?Edwards syndromeTurners syndromeAlagile syndromeWilliams syndrome  <response>: The newborn with facial dysmorphism, index finger overlapping other fingers, and rocker bottom feet are suggestive of Edward;s syndrome Trisomy 18. Clinical features of Edward;s syndrome: Hypeonia MicrocephalyMicrognathia Eighteen trisomyElongated skull Digit overlapping with a closed fist Webbing of 2nd and 3rd toes Absent intellect severe developmental delayAbsent radiiAhrogryposis Rocker bottom feet Cardiac Disorders Ventricular septal defect, patent ductus aeriosus, atrial septal defect and kidney, death. Smaller lower jaw Micrognathia, sho sternum, small nipples Ref: Nelson textbook of pediatrics 21st edition Pgno: 663,664 