CHSU Discovery

Intro:The Solute Carrier 22 (SLC22) family is perhaps best known as a family of “drug” transporters.OCT1, OAT1, and OAT3 are among the most important multi-specific drug transporters in thebody. The SLC22 family of transporters can be se…

Abstract Purpose Online learning has steadily grown in popularity suggesting a need to optimize online Team Based Learning (TBL) delivery techniques. This need was highlighted during the COVID-19 pandemic when instructors rapidly transitioned to on…

Abstract Shingles is the reactivation of the chicken pox virus in the body leading to a painful rash along a nerve pathway. Shingles can lead to postherpetic neuralgia (PHN) which is a complication due to shingles. It occurs if your nerve fibers are…

Abstract This case presents a 65-year-old female with a past medical history of HTN, osteoarthritis, GERD, and umbilical hernia was brought in by EMS for evaluation of abdominal pain and syncope. She was hypotensive and admitted to the ICU for septi…

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 …

Abstract:Introduction: Autoimmune hepatitis is a rare autoimmune liver disease characterized by elevated liver enzymes, hypergammaglobulinemia, and autoantibodies. It predominantly affects young to middle-aged women, but can also occur in the elderl…

Abstract:A literature review was performed which found that many patients with cervixes face financial, cultural, and language barriers when accessing cervical cancer screenings1. The most significant concerns reported by patients regarding access t…

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 and Background: Limited data exist on the epidemiology and prevalenceof various etiologies of pediatric esophageal dysphagia (PED).Esophagogastroduodenoscopy (EGD) is commonly used as the standard diagnosticprocedure in pediatr…

Background: Facts: While hypertension is one of the highest prevalent diseases in the United States; control of blood pressure to an acceptable range is a shocking 45%.1 As of 2020, local data from Fresno Community Health Improvement Partnership (F…

Neuromyelitis Optica Spectrum Disorders (NMOSD) aka’s Devic Disease or Neuromyelitis Optica (NMO) is a rare disease. It has 10x high predilection to female than male, ages 32-41, primarily African American and Afro-Caribbean with diagnosing cr…

Introduction: Type 2 diabetes is a chronic disease that is related to insulin resistance and dysregulation of energy metabolism.The relationship of diabetes and hyperglycemia to atrophy in specific areas of the brain have not been fully investigated…

Abstract:Introduction: CVID is the most common primary immunodeficiency in adults. It is defined aspoor response to vaccines and low immunoglobulins, excluding other causes. Paradoxically,one of the most common complications of CVID is autoimmunity …

Abstract Central California is among the world’s largest producers of nutrient-rich foods, yet this region sees higherrates of pediatric obesity compared to the national average. This study aims to analyze pediatric patient data in a rural agr…

Background:Conduct disorder (CD) refers to a collection of adolescent behavioral and emotional disorders that present with a six-month history of socially unacceptable mannerisms such as hostility, aggression, and violation of established rules. Tot…