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:Heyde Syndrome is reflected by a triad of aortic stenosis, acquired von Willebrand Syndrome, and recurrent gastrointestinal bleeding from intestinal angiodysplasia. Our case reflects a scenario of a patient with severe aortic stenosis and s…

Hypertension is the leading cause of cardiovascular disease, which is an ever-growing issue that continues to plague the United States.

Significant barriers remain in primary care practice that make hypertension control a difficult goal to achieve. Barriers to hypertension management are defined as any factor that limits the performance of a required behavior by patients or provider…

Abstract A spontaneous hemopneumothorax (SHP) has been defined as the accumulation of at least 400 mL of blood in the pleural cavity in association with a spontaneous pneumothorax. The incidence of SHP has been reported to be around 1-12% of all spo…

Abstract: Introduction: Cirrhosis and its progression to HCC is a major complication associated with HCV virus infection, with significant mortality and morbidity rate. TIPS is indicated to treat portal HTN leading to uncontrolled hemorrhage from es…

Introduction: The Central Valley is one of the most medically underserved regions of California. It is largely populated by vulnerable groups afflicted by high poverty and uninsured rates. Hurdles to healthcare include lack of access to ca…

Academic health sciences libraries are integral to medical education, yet the specific resources they offer for board exam preparation (prep) within colleges of osteopathic medicine (COM) programs are not fully understood. This study …

Abstract Selma, CA is one of the most underprivileged and under-served communities in America. Furthermore,rural populations are at higher risk of developing hypertension (HTN), and its corollary diabetes. In this study, we seek to identify social f…

In California’s Central Valley, there are approximately 12,000 children living with epilepsy. Studies show that the adolescent/young adult (AYA) population benefits from transition programs and social support groups. For children under the car…

Abstract:The mitochondria are dynamic, vital, maternally-inherited organelles with their own genome(mtDNA) that function as the powerhouse of the cell and as a signaling hub regulating various physiological processes including programmed cell death …

Medical students are under increased stress due to the rigorous curriculum, leading to a higher risk of burnout and poor mental health. Physical activity (PA) is a proven stress-reduction strategy that medical students may use to improve overall hea…

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, and body ac…

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…