This is K.Vinila Bhavani , 8 th sem student .This Elog depicts patient centred approach to learning. This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.I have been given this case to solve in an attempt to understand the topic of “ patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan.

A 40 yr old male patient , resident of mirualguda , who is daily wage labourer by occupation came to OPD with chieft complaints of pain abdomen since 5 days associated with fever since 2 days .
History of present illness 
Patient was apparently asymptomatic 5 days ago then he developed pain which is insidious in onset and gradually progressive which is diffuse , squeezing type and radiating to back .Pain is relieved on medication .
No C/O of vomitings , loose stools , burning micturition ,cough,cold , chest pain , SOB .
History of past illness
N/K/C/O TB , hypertension, diabetes, Asthma, epilepsy , CAD, thyroid disorders .
Personal history 
Diet - mixed 
Appetite- normal
Bowel and bladder -regular
Sleep - adequate
Addictions - regular alcohol intake of 250 ml per day since 20 yrs .
No food allergies and drug allergies
Family history 
Not significant
General examination
Pallor - yes 
Edema - no 
Clubbing - no 
Lymphadenopathy - no 
Icterus - no 
Vitals - 
Temperature - 100.1F
BP-85/60
Spo2- 98%
RR-20pm
PR- 100/min
Systemic examination
CVS - S1S2 heard no murmurs .
P/A soft non tender , no organomegaly 
Respiratory system - Normal vesicular breath sounds heard .
CNS - patient is arousable 
No signs of meningitis 
Reflexes     Rt.  Lt 
Biceps        3+.   3+
Triceps       3+.    3+
Supinator 2+.    2+
Knee         3+.     3+
      Right.        Left 
UL.  2/5.        3/5
LL.    2/5.      3/5

Investigations 
 provisional diagnosis 
 Acute pancreatitis ( non necrotizing type) peripancreatic fluid collection.
Treatment
1 .IV fluids 125ml/hr 
2.injec.zoffer 4 mg IV
3.inj Tramadol 1 ampoul in 100ml NS
4.inj piptaz 4 to 5 mg 
5. Inj pan 40 mg IV
6.inj neomol 1gm IV

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