CHSU Discovery

Abstract This quality improvement study targets the critical issue of annual diabetic foot exam compliance in a residency clinic, set against the backdrop of rising lower extremity amputations among diabetic patients nationally. In California alone,…

Abstract:  This pre-post intervention study examines the integration of Point-Of-Care Ultrasound (POCUS) in vaccination education and training of osteopathic medical students (OMS). Current vaccination training methods often lack precision, …

Abstract Introduction: Diffuse large B-cell lymphoma (DLBCL) is the most prevalent aggressive non-Hodgkin lymphoma, typically managed with R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone), boasting a 60% cure rate. Po…

Abstract • Severe hyponatremia (serum sodium level ≤ 120 mmol/L) management guidelines recommend administering hypertonic sodium chloride (HTS) to initially raise serum sodium levels by 4-6 mmol/L.• While various HTS dose…

Abstract Intro Distant learning has been on the rise over the past few decades, highlighting a need to continue enhancing the online TBL learning experience. This need was magnified by the COVID-19 Pandemic which created a sudden dramatic shift towa…

Introduction: Team-Based Learning (TBL) has revolutionized large-class education withits interactive, structured approach. At California Health Sciences University, College ofOsteopathic Medicine (CHSU-COM), TBL has been a cornerstone teachingmethod…

Abstract Herpes Zoster (Shingles) results from the reactivation of latent Varicella Zoster Virus (VZV) residing in the dorsal root ganglia and typically presents as a painful, unilateral vesicular rash across affected dermatomes. Immunocompromised i…

Introduction: Academic fields of study that engage with artifacts, cellular and anatomical structures can benefit from 3D printing technologies. 3D models offer innovative ways to engage with content to foster retention and learners&r…

Adverse childhood experiences scores ( have long been identified as indicators for adverse health outcomes in adulthood. 1 According to the U.S. Department of Health and Human Services, pediatric victimization rates have fallen from 8.9 in 2019 to 8…

Abstract After investigation of relevant literature, it has been identified that no-show rates and barriers to patient visits are a relevant obstacle for health care clinics. The most common barriers to appointment adherence fell under the categorie…

Abstract: Introduction: Alzheimer’s dementia affects approximately 50 million people in the world and was the sixth leading cause of death in the United States in 2014 (Heron, 2016). The death rate due to Alzheimer’s increased by 55% fro…

Abstract Partial Anomalous Pulmonary Venous Return (PAPVR) is a rare congenitalanomaly where one or more pulmonary veins drain into the right atrium orsystemic venous circulation instead of the left atrium, creating a left-to-rightshunt. This can le…

Community Medicine rotation is paramount in Family Medicine residency education to learn about the application of Population Health science in addressing the Social Determinants of Health (SDoH) impacting vulnerable and underserved populations. A mo…

Abstract Coccidioidomycosis is a fungal infection endemic to the southwestern United States, caused by Coccidioides immitis or C. posadasii (1). While often self-limiting, presentation maybe variable, particularly in diabetic and immu…

Abstract Existing literature is limited on the efficacy and compliance of COVID-19 vaccines. Most current research studies were trials, which limited access to higher analysis studies to develop a project’s aim. To solidify the understanding o…

Abstract Type 2 diabetes mellitus (T2D) is increasingly prevalent and burdensome, affecting 1 in 10 people in the United States and approximately 49% of all adults in Fresno County as of 2016. T2D pathophysiology is characterized by insulin resistan…

Abstract: Ultrasound-guided pericapsular nerve group (PENG) blocks are a type of regional nerve block that has gained increasing popularity for providing effective analgesia in patients with hip fractures. This retrospective case series evaluated th…

Abstract: Myelodysplastic syndrome (MDS) represents neoplasms characterized by myelopoiesis with altered differentiation. Patients with MDS often present with cytopenias including anemia and thrombocytopenia. Here, we present a case of MDS in t…

Abstract:Introduction and Background: Functional constipation is defined by infrequent difficultbowel movements, often manifested by fecal incontinence and withholding behaviors. Incontrast, irritable bowel syndrome (IBS) presents a wider range of s…

Abstract:This comprehensive literature review addresses the scarcity and limited study ofhypotension treatments compared to abundant antihypertensive drugs. Hypotension,categorized as absolute, relative, or orthostatic, has diverse causes. This revi…