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today were be doing past medical history free you heard about how we want to know cancer and cancer staging we need to know about vascular Pathak risk factors and how much control we have today were gonna be doing the vascular things because when residents tell me about ischemic events they just say TI a stroke and thats not enough information we need to know what kind of transient ischemia that we have was it a hemispheric tae I was paralyzed on one side I couldnt speak was it the diplopia event or was it amaurosis fugax and writing stroke is the same as a lay person writing stroke we need to know which side was the stroke which vascular distribution because if you dont tell me this information I wont know how much is fold and how much is new so for example if someone has a write homonymous hemianopia and theyre complaining about blurred vision wouldnt you like to know that they already had a stroke two years ago and that the cat scan showed a left posterior cerebral artery is