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The medical term "gross" means course or large; large enough to be visible to the naked eye; macroscopic. A congenital anomaly may be viewed as a physical, metabolic, or anatomic deviation from the normal pattern of development that is apparent at birth or detected during the first year of life. Congenital anomalies affect 1 in 30 children and the leading cause of infant deaths according to the Center for Disease Control and Prevention. Examples of gross congenital anomalies would be a heart defect, kidney malformation, or even an extremity malformation (visible birth defect).

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