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73yr old male c/o fever &Pain abdomen since 1week

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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 patient's clinical problems with collective current best evidence based  inputs.  This E log book also reflects my p atient-centered online learning portfolio and your valuable inputs on the comment box is welcome. Here is a case i have seen: 73 year old male resident of Nakrekal came with complaints of fever and pain abdomen since one week.   patient was apparently asymptomatic one week back    then developed fever which was gradual on onset high-grade associated with chills and rigors present throughout the day , subsided on taking medication , patient complains of pain abdomen  ( right hypochondrium ) ,  continuous type , not associated with vomitings subsiding on taking me