A 21 year old female presented by severe pain in right iliac fossa since 3 days
  This is online e log book to discuss our patient's de - identified health data shared after taking  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 aim to solve those patients clinical problems with collective current best evidence based inputs. This E log book reflects my patient-centered  online learning portfolio and your valuable inputs on the comment. Bunni Sadhguna  Roll no. 25 A 21 year old female ,student by occupation, resident of Badrachalam came with chief complaints of pain in right iliac fossa since 3 days. History of present illnesses  Patient was apparently asymptomatic 1 day back then developed pain in the infraumbilical region which was radiated ti right iliac fossa. History of past illness  No previous surgical history  Treatment history  No diabetes  No hypertension  No asthma  No blood tran...