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well hey there its liz rohr from real world np and you are watching the real world np youtube channel we make weekly episodes to help save you time frustration and help you take the best care of your patients hello this episode we are going to be talking about syncope so the way i want to approach this video is thinking about being a nurse practitioner in primary care somebody comes in and their chief complaint is syncope right so i want to focus on ive talked about this in a couple of videos but when uh the the longer you are in practice as a nurse practitioner and the more knowledge you not like the larger the knowledge base you develop when you go into a visit you start with the differentials in the front of your mind and you work your way backwards so i want to work through this episode in that way acknowledging that if you are a new grad or student listening to this this is not going to be the way that it is for you in primary care the hack of getting around that is like ive me