36 year old male with epigastric pain This is an online e logbook to discuss our patients deidentified health data shared after taking her/guardian's signed informed consent Here we discuss our individual patient problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputs This E log also reflects my patient centre’s online learning portfolio and valuable inputs on the comment box is welcom e. Case History CHIEF COMPLAINTS - A 36 year old male , driver by occupation ,came to the casualty with cheif complaints of -P ain in the epigastric region since 9 days HISTORY OF PRESENTING ILLNESS - Patient was apparently asymptomatic 9 days back h/o complains of epigastric pain on 1st of janunary Type- Continuous,dragging type of pain Non radiating. Onset - sudden Duration - since 9 days Aggrevated by sleeping in lateral position. Relieved on medications. Associ