CHSU Discovery

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 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: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…

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 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…

Introduction: System-Based Curriculum is the most widely used curricular model in U.S. medical schools. It provides an opportunity for learners to better understand the fundamental sciences over the span of the first two years of medical school and …

Abstract:Immunization completion in the United States has been a topic discussed for decades, in part due to parents being misinformed or lacking knowledge regarding the basis of immunizations. Furthermore, due to the recent COVID-19 pandemic, there…

Background: The imperative role of dietary interventions in managing chronic diseases is well-established, yet medical school graduates often feel ill-equipped to provide nutritional guidance to patients. In response, California Health Sciences Univ…

Abstract Background Celiac Disease (CD) is a common disorder that predominantly affects females. While typically thought of as a gastrointestinal (GI) disease, many CD patients present with a myriad of extraintestinal manifestations, leading to sign…

Purpose: Quality healthcare for the LGBTQ+ population requires specific knowledgeregarding this community to address their medical needs sufficiently. Current medicaleducation in the United States lacks a formal curriculum for educating students to …

Introduction/BackgroundIn healthcare, education and preventative measures play a pivotal role in patientwell-being. In the setting of patients with chronic wounds from various etiologies such asdiabetes or intravenous drug-use, ensuring that patient…