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the definition of syncope is a sudden loss of consciousness and it becomes a little bit difficult to tease out when do we want to get excited about somebody who is lost consciousness and when can we reassure our patient but in general there are several different causes of syncope some of which are more benign some of which are certainly more malignant and would require further treatment the first first thing that we want to know about somebodyamp;#39;s syncope is is the story on if you stood up a little too quickly got lightheaded and then fell and as soon as you fell you woke right back up thatamp;#39;s probably more consistent with whatamp;#39;s called orthostatic hypotension if you have a tendency to pass out at the sight of blood or with things like your nation or defecation thatamp;#39;s generally again generally more consistent with something called vasovagal syncope sometimes itamp;#39;s really difficult to get an exact story and sometimes itamp;#39;s difficult to get a co