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A 37 year old male came with chief complaints of severe abdominal pain since 3 days

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  This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation. A 37 yr old male auto driver came to the Casuality with the chief complaints of severe abdominal pain since 3 days  1) History of presenting illness:- Patient was apparently asymptomatic 3 days back then he developed gas with stomach pain since 3 days. He developed  very severe pa