How to make an early disgnosis of ischemic and hemorrhage stroke in the emergency department. Doubt and challenges of a newly trained on-call doctor

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Délio Tiago Martins Malaquias ¹
Juliana Fontes Beltran Paschoal ¹-²
Hamilton Roberto Moreira de Oliveira Carriço ³
Gabriel Queiroz Sabbag ⁴
Amanda Magdah Pereira de Azevedo Dantas ⁵
Lis Paulino de Oliveira⁵
Jessica Rabelo Holanda⁵
Raphael Caldeira Chagas ⁵
Marina Ferreira Sanches ⁵
Ana Laura Nogueira Ervilha ⁶
Julia Alves Banzati Viana ⁶
Rubens Rodrigues Tudela ⁷
Maria Eduarda Pellegrina Vieira ⁸
Rafael Pinheiro do Nascimento ⁸
Mariane Capeletti Alkamin ⁹
Lara Marinho Frazão ¹⁰
Julienne Fernanda Carvalho e Silva ¹⁰
Elisa Favareto Prezotto ¹
Gabriela de Souza Silva ¹
Aline Cristina Couto da Silva ¹
Leonardo Tomé da Silva ¹
Thayane Gonçalves da Silva Marques ¹
Hannah Kamarowski Fontana ¹
Erica Miriam Fernandes Miranda Vão ¹
Cristiana do Nascimento O. Beloto ¹
Márcia de Oliveira ¹
Anselmo Amaro dos Santos ¹
Guilherme Guissone Martins ¹
José Carlos Ferreira da Silva ¹
Daniella Campos Furtado ¹
Luiz Rodolfo Thomaz da Silva ¹
Cindy Alves Vilarinho ¹
Jaqueline Vieira dos Santos ¹
Isabella Pereira Lério ¹
Thayná Bezerra de Souza ¹
Giovana Casarini Yamashiro ¹¹
Lívia Pinke Pinheiro¹²
Thalita P. M. Alineri ¹²
Thiago Augusto Rochetti Bezerra ¹-¹³.

Abstract

Introduction: Cerebrovascular accident (CVA) is one of the main causes of mortality and disability in the world, representing a major public health challenge. For early and accurate diagnosis of both types of stroke, various imaging modalities are used, such as computed tomography (CT) and magnetic resonance imaging (MRI), which play a crucial role in differentiating between ischemic and hemorrhagic stroke. Objectives: To review current diagnostic methods for hemorrhagic and ischemic stroke, addressing imaging technologies, emerging biomarkers and clinical criteria that facilitate differential diagnosis. We will also discuss the limitations and challenges faced in clinical practice, considering the particularities and urgencies of each type of stroke. Material and Methods: The methodology used was a literature review. The research was carried out through an electronic search of scientific articles. Results and Discussion: In order to deal with stroke cases efficiently, it is essential that the medical team is well prepared, both in theoretical and practical terms. This preparation involves training to quickly identify signs and symptoms of a stroke, such as sudden loss of function on one side of the body, difficulty speaking, mental confusion, loss of coordination and blurred vision. Final considerations: Early distinction between the types of stroke, made by means of imaging tests, is fundamental, as it guides appropriate treatment and prevents complications. In both cases, rapid response and specialized care in the hospital environment are critical factors for the prognosis. Therefore, effective emergency care, based on well-established protocols and the training of health teams, is indispensable for reducing the morbidity and mortality rates associated with stroke.


 


Keywords: Emergencies; Cerebrovascular accident; ischemic and hemorrhagic stroke.

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How to Cite
Délio Tiago Martins Malaquias ¹, Juliana Fontes Beltran Paschoal ¹-², Hamilton Roberto Moreira de Oliveira Carriço ³, Gabriel Queiroz Sabbag ⁴, Amanda Magdah Pereira de Azevedo Dantas ⁵, Lis Paulino de Oliveira⁵, Jessica Rabelo Holanda⁵, Raphael Caldeira Chagas ⁵, Marina Ferreira Sanches ⁵, Ana Laura Nogueira Ervilha ⁶, Julia Alves Banzati Viana ⁶, Rubens Rodrigues Tudela ⁷, Maria Eduarda Pellegrina Vieira ⁸, Rafael Pinheiro do Nascimento ⁸, Mariane Capeletti Alkamin ⁹, Lara Marinho Frazão ¹⁰, Julienne Fernanda Carvalho e Silva ¹⁰, Elisa Favareto Prezotto ¹, Gabriela de Souza Silva ¹, Aline Cristina Couto da Silva ¹, Leonardo Tomé da Silva ¹, Thayane Gonçalves da Silva Marques ¹, Hannah Kamarowski Fontana ¹, Erica Miriam Fernandes Miranda Vão ¹, Cristiana do Nascimento O. Beloto ¹, Márcia de Oliveira ¹, Anselmo Amaro dos Santos ¹, Guilherme Guissone Martins ¹, José Carlos Ferreira da Silva ¹, Daniella Campos Furtado ¹, Luiz Rodolfo Thomaz da Silva ¹, Cindy Alves Vilarinho ¹, Jaqueline Vieira dos Santos ¹, Isabella Pereira Lério ¹, Thayná Bezerra de Souza ¹, Giovana Casarini Yamashiro ¹¹, Lívia Pinke Pinheiro¹², Thalita P. M. Alineri ¹², & Thiago Augusto Rochetti Bezerra ¹-¹³. (2024). How to make an early disgnosis of ischemic and hemorrhage stroke in the emergency department. Doubt and challenges of a newly trained on-call doctor. International Journal of Medical Science in Clinical Research and Review, 7(06), Page: 1340–1350. Retrieved from http://ijmscrr.in/index.php/ijmscrr/article/view/961