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 solveb 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 box is welcome. CASE: This is a case of a 80 year old female with complaints of 1. vomitings (4-5 episodes) 2. abdominal discomfort since 08/04/2023. HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 2 hours ago.She then had 4-5 episodes of vomiting which contained of food particles,non bile stained,not foul smelling and not blood stained.It is associated with giddiness and abdominal discomfort. No complaints of fever,loose stools,shortness of breath,chest pain,ortho...