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32yr Male abdominal pain/ vomitings

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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 patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment .  Patient presented with chief complaints of abdomen pain and vomitings (4 episodes) History of present illness: Patient was apparently asymptomatic and had pain in the epigastric and right hypochondrium the pain was aggrevating on walking, He had vomitings 4 episodes non bilious and non projectile with food and water as contents  No H/O of fever, trauma H/O alochol intake on 28/8/23 PAST HISTORY: K/C/O Diabetes mellitus since 3yrs on medication  Not a K/C/O HTN,asthma, epilepsy, Tube