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. 

40 ear old male laborer from miryalguda presented with 

Complaints of- abdominal pain around umbilicus since 1 week

HOPI- the patient was apparently alright 1 week ago, then developed aching abdominal pain around umbilicus which was sudden in inset, persistent associated with 2 episodes of vomiting which were non blood stained, non bilious and contained food particles. not associated with fever, constipation or dysphagia. He then went to a miryalguda hospital and was diagnosed with acute pancreatitis, NPO. He was referred to our institution where he underwent paracentesis, he had alcohol withdrawal and was rated for it. 

Past history- not a known case of diabetes mellitus, tuberculosis, cardiovascular disease etc 

Personal- Regular alcohol consumption around 250ml. 

diet- mixed 

appetite- NPO

sleep- withdrawal symptoms 

allergies- none 

daily routine- 

0600 gets up, alcohol- 0630 goes to farm- 0730 gets ready for work and prepares 2 tiffins- 0730-1200 consumes one tiffin box (rice) and works. 1200- lunch (rice) 1830- goes home, bath, alcohol, TV- 2100 dinner, 2130- sleep

general examination- 









conscious coherent cooperative, oriented to time place and person 

thin build

adequate nourishment 

pallor +

icterus, cyanosis, clubbing, lymphadenopathy, edema -

per abdomen- 

scaphoid abdomen, no scars sinuses pulsations, peristalsis

left hypochondrial tenderness 

shifting dullness +

CVS- S1, S2+ no added sounds, thrills, murmurs 

RS- BAE, NVBS

CNS- higher functions intact, no focal deficits 

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