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A 50 yearold male with pain abdomen.

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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 box A 50 year old male,labourer by occupation from Miryalguda came to casualty with complaints of pain abdomen since 2 days and was associated with nausea. TIMELINE OF EVENTS: 6 years back: Patient was apparently asymptomatic 6 years back until he lost his wife due to which he started drinking alcohol(90-180ml) everyday and used to do his routine work. 2years back: Patient complained of tingling sensation on both upper and lower limbs for which he was taken to local hospital.Incidentally