Write about Spot Diagnosis here.

1. Visual survey
2. Retrace the same ground more thoroughly
• head
• paget's, myotonic dystrophy
• face
• acromegaly, Parkinson's, hemiplegia, myotonic dystrophy, tardive dyskinesia, hypopituitarism, systemic sclerosis
• eyes
• jaundice, exophthalmos, ptosis, Horner's, xanthelasma
• neck
• goitre, Turner's, spondylitis, torticollis
• trunk
• pigmentation, ascites, purpuric spots, spider naevi, wasting, pemphigus
• arms
• choreoathetosis, psoriasis, Addison's spider naevi, syringomelia
• hands
• acromegaly, tremor, clubbing, sclerodactyly, archnodactyly, claw hand, etc.
• legs
• bowing, purpura, pretibial myxoedema
• feet
• pes cavus
3. Abnormal colouring
• pigmentation, icterus, plaaor
4. Break down and scrutinise
• especially face
5. Additional features