Megha

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 27 year old male patient who is electrician by occupation came with a chief compliant of abdominal pain since 3 months HISTORY OF PRESENT ILLNESS :- Normal routine of patient: He used to wake up around 7 in the morning and have breakfast (rice) at 9 am and then go to work and return around 8 in the night.He used to consume alcohol almost everyday Patient was asymptomatic three months back and then developed a mild diffuse abdominal pain in the left hypochondrium region Later