61. P. Nikhila

  This is online E log book to discuss our patients de- identified health data shared after taking his or her guardian's signed informed consent hear we discuss our individual patients problems through a series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs.This E log book also reflex my patient centered online learning portfolio and your valuable inputs on comment box is welcome. Date of admission: 07/02/2022 CHIEF COMPLAINTS: A 27 year old male patient electrician by occupation presented to the OPD with chief complaints of pain in stomach and vomitings since 3 months. HISTORY OF PRESENT ILLNESS: The patient was apparently asymptomatic 3 months back, when he had a trauma where his relatives had beaten him up with a stick at the left hypochondrium region due to which he developed abdominal pain associated with vomiting. The pain subsided on taking medications. After

  THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE - IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT .HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT. Date of admission: 08/02/2022 Chief complaint: A 50 year male farmer by occupation presented to casualty in stuporous  state with complaints of  -pain abdomen since15 days -Loss of appetite since 10 days -H/o fever since 3days. -h/o vomitings since 3 days -h/o constipation since 3 days -h/o altered sensorium since 3 days -h/o yellowish discoloration of urine since 2 days History of present illness: Patient was apparently asymptomatic 15 days back,then he developed pain abdomen in epigastric region associated with 3 episodes of vomitings-food particles as content. Constipation present since 3 days,passing flat