CHSU Discovery

Abstract:Intravascular lithotripsy (IVL) is a novel technique for the treatment of severely calcified plaque lesions that uses acoustic shockwaves in a balloon-based delivery system. Shockwaves induce calcium fractures, which facilitate stent expans…

Abstract:Introduction: Large bowel obstruction (LBO) is a less common cause of bowel obstruction, butit has a broad range of differentials. The most common etiology in the United States is colorectaladenocarcinoma. Patient presentation includes diff…

Abstract Case Diagnosis: A 51-year-old woman with a past medical history significant only for BPPV presents with an unusual presentation of acute transverse myelitis that is subsequently treated with medical management and four weeks of intensive in…

Introduction: Cryoglobulinemia-associated glomerulonephritis is a rare renal manifestation characterized by the deposition of cryoglobulins within glomerular structures, leading to immune-mediated glomerular injury. It often occurs in the setting of…

Abstract: Introduction/Background: Methamphetamine use disorder (MUD) is a growing public health concern. MUD is associated with extensive comorbidities including homelessness/incarceration, concurrent substance use, life-threatening infections, and…

QI project Aim- Insertion of Etonogestrel implant on first clinic visit. Introduction-Current clinical practice mandates 2 clinical visits for Etonogestrel implant, first to rule out pregnancy with urine pregnancy test and then additional wait of 7 …

Cultural competency is a multifaceted topic that affects the quality of healthcare formany patients, especially in regard to the LGBTQIA+ community. Providing LGBTQIA+education in graduate health care programs, like medical schools, can improve theq…

Abstract Bipolar disorder (BD) is a mental health condition that is characterized by episodes of mood swings, ranging from manic/hypomanic (elevated, irritable or euphoric mood) to depressive (low mood and lack of interest in activities). 1 The exac…

Abstract The HIV/AIDS epidemic that started in the late 1980s continues to burden millions worldwide every year. The US Preventive Services task force estimates over 1 million Americans are currently living with HIV. The World Health Organization fi…

Background: Cultural competence and humility are vital components of healthcare, and aid in closing disparity gaps among underserved populations. One way to incorporate cultural competence and humility is through community-based education models tha…

Abstract:  Coccidioidomycosis, commonly known as Valley Fever, is a fungal infection endemic to the Central Valley, often manifesting as pneumonia. While disseminated forms of the disease are rare, they can present extra-pulmonary manifestation…

Abstract:   NADPH oxidases (NOXs) are an enzyme family that produce reactive oxygen species (ROS) functionally to aid in signaling and other biological processes. The NOX family is comprised of seven isoforms: NOX1, NOX2, NOX3, NOX4, NO…

Abstract: Introduction and Background: Immunoglobulin A Vasculitis (IgAV), previously known as Henoch-Schonlein purpura, is a systemic vasculitis where IgA immune complexes are deposited primarily into small blood vessel walls such as the skin, join…

Abstract Promising Approach Osteopathic Healthcare Delivery, Trainee Readiness? Challenge/issue Malnutrition conservatively affects approximately 30% of hospitalized patients. Consequences of malnutrition may include longer hospital length of stay, …

Abstract: This poster examines the congenital condition of uterine didelphys, a rare developmental abnormality in which an individual is born with two uteruses, using a case study in which a 33 year old female with this condition experienced continu…

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…

Background:COVID-19, also known as SARS-CoV-2, is a novel coronavirus that has had a profound impact on the healthcare field. While it is primarily a respiratory infection that commonly presents with symptoms such as dry cough, shortness of breath, …

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…