Other symtoms include things like breathing rate an flashing, loss of appetite, etc., etc. but because these are the same symptoms of other conditions, only the display of spots have any meaningful means of identifying the parasite.
In the quarantine tank, there should be no substrate, to confusing the parasite with substrate particles is not going to happen.
It's not Marine Ich if the cure, properly administered, doesn't cure the fish. For the most part there are very few pathogens and parasites that appear to be the same. I usually don't recommend taking any curative action when just one spot is seen. At that point, the med and test kit or the refractometer should be at hand and the hobbyist ready to treat should more spots show.



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