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 box. A 53 yr old male patient came to casualty with a cheif complaint of : Fever,abdominalpain , abdominal discomfort, bloating ,constipation and no passage of stools since 4 days. History of present illness: Patient was apparently asymptomatic 4 days back then he developed high grade fever which is intermittent associated with chills and rigors, headache and constipation. Patient also complaints of abdominal pain (dull aching insicidous onset) and bloating since 4 days . Had single epis...