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prefinal paper 2

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prefinal paper 1

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27 YR OLD MALE PRESENTED WITH UPPER ABDOMINAL PAIN

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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 CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUT         CHIEF COMPLAINTS:  27yr old male ,Mason by occupation resident of vellanki came with chief complaints of upper abdomen pain. HISTORY OF PRESENTING ILLNESS : Patient was apparently asymptomatic 3 days ago then he developed stomach pain in epigastric region which is insidious in onset pricking type of pain radiating to back,gradually progressive in nature  It aggrevated on not having food didn't relieve even on taking medication. He had 1 episode of vomiting on 30/12/22 which is non projectile and non bilious ,with food contents in it. He had 5-6 episodes of vomiting on 31/12/22. History of fever 10 da