E.Latha

This is online elog book to discuss for patients deidentified health data shared after taking her/guardians 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 Date of admission: 04 - 08- 2021 A 45 year old female came to the casualty  with  complaints of snake bite 7 days back. HISTORY OF PRESENT ILLNESS: Patient was apparently asymptomatic one week back. Then  on Wednesday,patient was alleged to be bitten by snake( Russell viper) on right foot and taken to local hospital for treatment in 1hr and ASV was administered. She was fine for one day. Then  she complains of swelling on right lower limb and went to local hospital for which ointment was advised. The swelling subsided eventually. After 3days,  patients present with a 2-3 bilious vomiting with severe abdominal pain. There is no histo