Fine hand tremor

System: Hormone & Metabolic Signs · All hormone & metabolic signs

What it is — and how it is elicited

A fine, rapid shaking of the outstretched hands, made easier to feel by resting a sheet of paper on the fingers.

What a positive finding suggests

Associated with an overactive thyroid (thyrotoxicosis), and also with anxiety, caffeine and some medicines.

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Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.