Here's an ancestry tree link, via wikipedia:
https://en.wikipedia.org/wiki/Ancestry_of_Donald_Trump
Scroll down, you'll see it. Here's a summary: D Rump's mom, Mary MacLeod, her dad was Malcolm MacLeod.
Malcolm's parents were 2 people named Alexander MacLeod and Ann MacLeod, Ann was a MacLeod who married a MacLeod. Ann's parents were Alexander MacLeod and Ann MacKenzie. (That's a different Alexander, so she married a guy who was named after her father.) Malcolm's dad Alexander MacLeod had a father-in law named Alexander MacLeod. And Malcolm's dad Alexander was the offspring of William MacLeod and Carol MacLeod, Carol was a MacLeod who married a MacLeod. Both of Malcolm's parents and 3/4 of his grandparents were MacLeods.
So Prez Shithole, Mr. 'Great Genes', comes from a super inbred family tree. 5 out of 6 of his lovely mom's progenitors on her dad's side of the family are MacLeods. Looking at the family tree on dRump mom Mary and her dad Malcolm's side, 7 out of 8 people were born MacLeod. If there was ever a family gathering where Malcolm took his daughter Mary, his mom's mom must have felt a bit out of place.
D rump's mom was born a ball of fingers. Like Steve Forbes. Luckily those people were royal family relatives, so they had the necessary money and connections to get her corrective surgery. The results are the picture you posted.