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‡’ 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 β‡’ chronic diseases (pulmonary , hepatic ,cardiac )