1- Tremors i. Fine of stretched hands β hyperthyroidism ii. Rest tremors β Parkinsonism iii. Intention tremors β cerebellar ataxia
2- Sweating and erythema β hyperthyroidism
3- Digits bluish discoloration and ulcers β Raynaudβs phenomenon as part of scleroderma
4- Nail changes may indicate dermatological or systemic diseases Dermatological changes might be due nail infection as onycholysis or a part of generalized dermatological diseases as psoriasis or lichen planus
5- Clubbing fingers β chronic diseases (pulmonary , hepatic ,cardiac )

