1- Tremors i. Fine of stretched hands hyperthyroidism ii. Rest tremors Parkinsonism iii. Intention tremors cerebellar ataxia

2- Sweating and erythema hyperthyroidism

3- Digits bluish discoloration and ulcers Raynaud’s 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 chronic diseases (pulmonary , hepatic ,cardiac )