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60 year old female with pain, vomiting and burning micturition

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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 patient-centered online learning portfolio and your valuable inputs on the comment   A 50 year old female patient, fruit seller by occupation, came to casualty with chief complaints of abdominal pain since 15 days; vomiting since 15 days; burning micturition since 15 days. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 15 days back then she developed abdominal pain in the epigastric region, which was of squeezing type, associated with vomitings, food as content, black in color, non projectile, non bilious, non foul smelling, 3-4 episodes. It w