A dysmorphic feature is a difference of body structure. It can be an isolated finding in an otherwise normal individual, or it can be related to a congenital disorder, genetic syndrome, or birth defect. It is estimated that 10% of the pediatric hospital admission involved known genetic conditions, 18% involved congenital defects of unknown etiology and 40% of surgical admissions are of patients with congenital malformations. Dysmorphology is the study of dysmorphic features, their origins and proper nomenclature. Dysmorphic features can occur anywhere in the body but are perhaps most often associated with facial features. As a routine part of patient assessment the nurse should screen the major and minor anomalies. The minor anomalies such as clinodactyly or synophrys to severe congenital anomalies, such as heart defects and holoprosencephaly. In some cases, dysmorphic features are part of a larger clinical picture, sometimes known as asequence, syndrome or association. About 2­3% of all children have a majot anomalie. The nurse have to identify the clues to genretic problems by examining the child and considering the physical characteristics of the parents and other family  members. 

Keywords: Dysmorphism Bell’s Palsy; Mocopolysaccharidosis; Global Developmental Delay; Microcephaly and Rickets.