Case 9
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 patients 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 comment box is welcome." A 60 yr old female presented to opd with chief complaints of vomiting since 20 days fever since 2 - 3 days abdominal pain since 2- 3days HISTORY OF PRESENT ILLNESS Patient was apparently asymptomatic 20 days back then she had 4-5 episodes of vomiting which is non projectile and non bilious non blood tinged and had fever 2-3 days back and abdominal pain since 2 -3 days Patient also gives history of joint pains she is unable to walk HISTORY OF PAST ILLNESS Patient gives the