This document provides an overview of the approach to dermatologic diagnosis. It discusses taking a thorough patient history including symptoms, onset, duration, treatments, and family history. A full physical examination of the skin is important, examining lesions under good light. Primary skin lesions like macules, papules, plaques, nodules, and tumors are described. Secondary lesions including scales, crusts, erosions, ulcers, and scars are also outlined. Special examination techniques like magnification, diascopy, Wood's lamp, and skin biopsies are mentioned which can aid in diagnosis.