CHSU Discovery

Abstract:Coccidioidomycosis is endemic in the western hemisphere, commonly occurring through inhalation of arthroconidia. Sixty percent are asymptomatic, while 40% have pneumonia-like symptoms. Extra-thoracic coccidioidomycosis has an overall incide…

Abstract:Introduction and Background: Hemophagocytic lymphohistiocytosis (HLH) is a severe, life-threatening inflammatory disorder, with an estimated annual incidence of 1.5 per million, affecting multiple organ systems and carrying a high risk of m…

Primary brain tumors are considered relatively rare. Most cases of brain tumors consist of metastatic disease from the lung, breast, colon, and kidney. The most common primary brain tumors include meningiomas, glioblastomas, and astrocytomas. Brain …

Abstract: Introduction: Emphysematous gastritis, characterized by air within the stomach wall due to gas-producing organisms, presents with symptoms of abdominal distention, tenderness, and acute abdomen bearing a high mortality rate of 60-80%. Conv…

Abstract Context: Premedical preparatory programs at osteopathic medical schools that recruit students from medically underserved areas (MUAs) may promote interest in practicing osteopathic medicine in underserved areas. In these programs, fostering…

Abstract: Introduction/Background: Malignant Mucosal melanoma (MMM) arising from melanocytes in the mucosal linings of the body, is the least common and most aggressive form of melanoma. The Pathogenesis of mucosal melanoma is not well known compare…

Abstract:  Purpose of Study: The patient, a previously healthy 32-year-old female, initially presented with psychiatric symptoms, including psychosis, agitation, and delusions. Subsequent neurological examination revealed the presence of s…

Abstract: Introduction: Acral lentiginous melanoma (ALM) is an uncommon subtype of melanoma found in nails, palms, and soles that often results in poor prognosis due to due delays in diagnosis (Zell). ALM typically presents as a pigmented papule wit…

Abstract Background: There is a growing body of evidence outlining the symptomatic evolution and long-term healthcomplications following Sars-CoV-2 infection. There is a greater risk of developing persistent symptoms following recovery from COVID-19…

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: 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…